Question
General standard precautions include
*
Respiratory hygiene/ cough etiquette
Environmental cleaning and disinfection
Reprocessing of reusable equipment (ie glucometers, vital sign equipment)
All the above
"Enhanced Barrier Precautions" (EBP) refer to an infection control intervention designed to reduce transmission of multi drug- resistant organisms (MDRO) that employs targeted gown and glove use during high contact resident care activities.
*
True
False
All of these examples are considered "high contact resident care activities" except
*
bathing/showering, toileting, providing hygiene, brief changes
Changing linens
Device care: central line, catheter, feeding tube, trach care, wound care
Handing resident tv remote
Enhanced Barrier Precautions are enforced by CMS and required in Long Term Care
*
True
False
Enhanced Barrier Precautions are recommended for NOT residents known to be colonized or infected with a MDRO as well as those at increased risk of MDRO acquisition (e.g., residents with wounds or indwelling medical devices).
*
True
False
When should you implement Enhanced Barrier Precautions versus contact precautions
*
Infected or colonized with a CDC-targeted MDRO without a wound, indwelling medical device or secretions or excretions that are unable to be covered or contained.
Has a wound or indwelling medical device, without secretions or excretions that are unable to be covered or contained and are not known to be infected or colonized with any MDRO.
Has a wound or indwelling medical device, and secretions or excretions that are unable to be covered or contained and are not known to be infected or colonized with any MDRO and do not meet criteria for contact precautions.
All of the above would require EBP
Enhanced Barrier Precautions are recommended when in contact with Clostridioides difficile infection and scabies
*
True
False
Multi drug-resistant organisms targeted by CDC include
*
Pan-resistant organisms
Carbapenemase-producing carbapenem-resistant Enterobacterales
Carbapenemase-producing carbapenem-resistant Pseudomonas
Carbapenemase-producing carbapenem-resistant Acinetobacter baumanniin
All of the above
When should a building screen visitors for signs and symptoms of a communicable disease?
*
When there is a known outbreak
All the time as precaution
Weekly
When advised by state
When should staff wash hands with soap and water?
*
Before and after contact with a resident
After contact with blood, bodily fluid, or visibly contaminated surfaces
After removing personal protective equipment (PPE)
When staff member personally uses restroom or has a meal
All of the above
Gloves should be worn in all scenarios except
*
Coming into contact with blood
Coming into contact with bodily fluids
Coming into contact with mucous membranes/un-intact skin
When handing resident water pitcher
With droplet precautions, a healthcare professional should apply a face mask and eye protection when?
*
At least 6 feet away
Within arms length of resident
Before entering the room
No need for PPE
An fit tested N95 mask is required when:
*
Caring for resident on airborne precautions
Caring for resident on droplet precautions
Caring for resident on on standard precautions
Undiagnosed respiratory infection
A resident on transmission based precautions must be
*
Placed in a private/single room if available/appropriate
In a shared room with a cohort with same pathogen
Or in shared room with cohort with limited risk factors
All of the above are appropriate
The same PPE can be worn between patients with similar microorganism to conserve resources
*
True
False
To properly handle, store, and transport soiled laundry, staff should
*
Transport soiled linens in bags and away from his/her body/clothing
Transport contaminated and clean linens in separate carts
Bagged contaminated linen when collected
All of the above
Is it required for a facility to educate and offer COVID-19 immunization for residents?
*
Yes
No
You notice a food service worker handling food with an open sore, what do you do?
*
Nothing
Offer to bandage open area for employee
Notify dietary supervisor as employee is not to handle food with an open sore
Encourage residents not to eat the food
How long should a resident remain on Enhanced Barrier Precautions?
*
One week
One month
The resident's entire stay, or until medical device is removed
Until infection is considered colonized
Devices that are fully embedded in the body, without components that communicate with the outside, such as pacemakers, would not be considered an indication for Enhanced Barrier Precautions.
*
True
False
Are gowns and gloves recommended for Enhanced Barrier Precautions when transferring a resident from a wheelchair to chair in the dayroom or dining room?
*
Yes
No
Under Enhanced Barrier Precautions, therapy workers should wear gowns and gloves during therapy sessions.
*
True
False
If a resident does not have a history of a MDRO but does have an indwelling medical device or wound, should they still be placed on Enhanced Barrier Precautions?
*
Yes
No
CMS requires each facility have policies and procedures in place to monitor for Legionella and other waterborne pathogens that can grow and spread.
*
True
False
CMS requires each Long Term Care to have a antibiotic stewardship program with written protocols on antibiotic prescribing, including documentation of the indication, dosage and duration of use of antibiotics
*
True
False
*
Respiratory hygiene/ cough etiquette
Environmental cleaning and disinfection
Reprocessing of reusable equipment (ie glucometers, vital sign equipment)
All the above
"Enhanced Barrier Precautions" (EBP) refer to an infection control intervention designed to reduce transmission of multi drug- resistant organisms (MDRO) that employs targeted gown and glove use during high contact resident care activities.
*
True
False
All of these examples are considered "high contact resident care activities" except
*
bathing/showering, toileting, providing hygiene, brief changes
Changing linens
Device care: central line, catheter, feeding tube, trach care, wound care
Handing resident tv remote
Enhanced Barrier Precautions are enforced by CMS and required in Long Term Care
*
True
False
Enhanced Barrier Precautions are recommended for NOT residents known to be colonized or infected with a MDRO as well as those at increased risk of MDRO acquisition (e.g., residents with wounds or indwelling medical devices).
*
True
False
When should you implement Enhanced Barrier Precautions versus contact precautions
*
Infected or colonized with a CDC-targeted MDRO without a wound, indwelling medical device or secretions or excretions that are unable to be covered or contained.
Has a wound or indwelling medical device, without secretions or excretions that are unable to be covered or contained and are not known to be infected or colonized with any MDRO.
Has a wound or indwelling medical device, and secretions or excretions that are unable to be covered or contained and are not known to be infected or colonized with any MDRO and do not meet criteria for contact precautions.
All of the above would require EBP
Enhanced Barrier Precautions are recommended when in contact with Clostridioides difficile infection and scabies
*
True
False
Multi drug-resistant organisms targeted by CDC include
*
Pan-resistant organisms
Carbapenemase-producing carbapenem-resistant Enterobacterales
Carbapenemase-producing carbapenem-resistant Pseudomonas
Carbapenemase-producing carbapenem-resistant Acinetobacter baumanniin
All of the above
When should a building screen visitors for signs and symptoms of a communicable disease?
*
When there is a known outbreak
All the time as precaution
Weekly
When advised by state
When should staff wash hands with soap and water?
*
Before and after contact with a resident
After contact with blood, bodily fluid, or visibly contaminated surfaces
After removing personal protective equipment (PPE)
When staff member personally uses restroom or has a meal
All of the above
Gloves should be worn in all scenarios except
*
Coming into contact with blood
Coming into contact with bodily fluids
Coming into contact with mucous membranes/un-intact skin
When handing resident water pitcher
With droplet precautions, a healthcare professional should apply a face mask and eye protection when?
*
At least 6 feet away
Within arms length of resident
Before entering the room
No need for PPE
An fit tested N95 mask is required when:
*
Caring for resident on airborne precautions
Caring for resident on droplet precautions
Caring for resident on on standard precautions
Undiagnosed respiratory infection
A resident on transmission based precautions must be
*
Placed in a private/single room if available/appropriate
In a shared room with a cohort with same pathogen
Or in shared room with cohort with limited risk factors
All of the above are appropriate
The same PPE can be worn between patients with similar microorganism to conserve resources
*
True
False
To properly handle, store, and transport soiled laundry, staff should
*
Transport soiled linens in bags and away from his/her body/clothing
Transport contaminated and clean linens in separate carts
Bagged contaminated linen when collected
All of the above
Is it required for a facility to educate and offer COVID-19 immunization for residents?
*
Yes
No
You notice a food service worker handling food with an open sore, what do you do?
*
Nothing
Offer to bandage open area for employee
Notify dietary supervisor as employee is not to handle food with an open sore
Encourage residents not to eat the food
How long should a resident remain on Enhanced Barrier Precautions?
*
One week
One month
The resident's entire stay, or until medical device is removed
Until infection is considered colonized
Devices that are fully embedded in the body, without components that communicate with the outside, such as pacemakers, would not be considered an indication for Enhanced Barrier Precautions.
*
True
False
Are gowns and gloves recommended for Enhanced Barrier Precautions when transferring a resident from a wheelchair to chair in the dayroom or dining room?
*
Yes
No
Under Enhanced Barrier Precautions, therapy workers should wear gowns and gloves during therapy sessions.
*
True
False
If a resident does not have a history of a MDRO but does have an indwelling medical device or wound, should they still be placed on Enhanced Barrier Precautions?
*
Yes
No
CMS requires each facility have policies and procedures in place to monitor for Legionella and other waterborne pathogens that can grow and spread.
*
True
False
CMS requires each Long Term Care to have a antibiotic stewardship program with written protocols on antibiotic prescribing, including documentation of the indication, dosage and duration of use of antibiotics
*
True
False
Answers
Answered by
GPT-4o mini
Sure! Here are the answers to your multiple-choice questions:
1. General standard precautions include:
- **All the above** (Respiratory hygiene/cough etiquette, Environmental cleaning and disinfection, Reprocessing of reusable equipment).
2. "Enhanced Barrier Precautions" (EBP) refer to an infection control intervention designed to reduce transmission of multi-drug resistant organisms (MDRO) that employs targeted gown and glove use during high contact resident care activities.
- **True**
3. All of these examples are considered "high contact resident care activities" except:
- **Handing resident tv remote**
4. Enhanced Barrier Precautions are enforced by CMS and required in Long Term Care.
- **True**
5. Enhanced Barrier Precautions are recommended for NOT residents known to be colonized or infected with a MDRO as well as those at increased risk of MDRO acquisition (e.g., residents with wounds or indwelling medical devices).
- **False**
6. When should you implement Enhanced Barrier Precautions versus contact precautions?
- **All of the above would require EBP** (Each scenario outlined meets conditions for EBP).
7. Enhanced Barrier Precautions are recommended when in contact with Clostridioides difficile infection and scabies.
- **False**
8. Multi-drug-resistant organisms targeted by CDC include:
- **All of the above** (Pan-resistant organisms; Carbapenemase-producing carbapenem-resistant Enterobacterales; etc.).
9. When should a building screen visitors for signs and symptoms of a communicable disease?
- **When there is a known outbreak**.
10. When should staff wash hands with soap and water?
- **All of the above**.
11. Gloves should be worn in all scenarios except:
- **When handing resident water pitcher**.
12. With droplet precautions, a healthcare professional should apply a face mask and eye protection when?
- **Within arms length of resident**.
13. An fit tested N95 mask is required when:
- **Caring for resident on airborne precautions**.
14. A resident on transmission-based precautions must be:
- **All of the above are appropriate**.
15. The same PPE can be worn between patients with similar microorganisms to conserve resources.
- **False**.
16. To properly handle, store, and transport soiled laundry, staff should:
- **All of the above**.
17. Is it required for a facility to educate and offer COVID-19 immunization for residents?
- **Yes**.
18. You notice a food service worker handling food with an open sore, what do you do?
- **Notify dietary supervisor as employee is not to handle food with an open sore**.
19. How long should a resident remain on Enhanced Barrier Precautions?
- **The resident's entire stay, or until medical device is removed**.
20. Devices that are fully embedded in the body, without components that communicate with the outside, such as pacemakers, would not be considered an indication for Enhanced Barrier Precautions.
- **True**.
21. Are gowns and gloves recommended for Enhanced Barrier Precautions when transferring a resident from a wheelchair to chair in the dayroom or dining room?
- **Yes**.
22. Under Enhanced Barrier Precautions, therapy workers should wear gowns and gloves during therapy sessions.
- **True**.
23. If a resident does not have a history of a MDRO but does have an indwelling medical device or wound, should they still be placed on Enhanced Barrier Precautions?
- **Yes**.
24. CMS requires each facility to have policies and procedures in place to monitor for Legionella and other waterborne pathogens that can grow and spread.
- **True**.
25. CMS requires each Long Term Care to have an antibiotic stewardship program with written protocols on antibiotic prescribing, including documentation of the indication, dosage and duration of use of antibiotics.
- **True**.
Feel free to reach out for further questions or clarifications!
1. General standard precautions include:
- **All the above** (Respiratory hygiene/cough etiquette, Environmental cleaning and disinfection, Reprocessing of reusable equipment).
2. "Enhanced Barrier Precautions" (EBP) refer to an infection control intervention designed to reduce transmission of multi-drug resistant organisms (MDRO) that employs targeted gown and glove use during high contact resident care activities.
- **True**
3. All of these examples are considered "high contact resident care activities" except:
- **Handing resident tv remote**
4. Enhanced Barrier Precautions are enforced by CMS and required in Long Term Care.
- **True**
5. Enhanced Barrier Precautions are recommended for NOT residents known to be colonized or infected with a MDRO as well as those at increased risk of MDRO acquisition (e.g., residents with wounds or indwelling medical devices).
- **False**
6. When should you implement Enhanced Barrier Precautions versus contact precautions?
- **All of the above would require EBP** (Each scenario outlined meets conditions for EBP).
7. Enhanced Barrier Precautions are recommended when in contact with Clostridioides difficile infection and scabies.
- **False**
8. Multi-drug-resistant organisms targeted by CDC include:
- **All of the above** (Pan-resistant organisms; Carbapenemase-producing carbapenem-resistant Enterobacterales; etc.).
9. When should a building screen visitors for signs and symptoms of a communicable disease?
- **When there is a known outbreak**.
10. When should staff wash hands with soap and water?
- **All of the above**.
11. Gloves should be worn in all scenarios except:
- **When handing resident water pitcher**.
12. With droplet precautions, a healthcare professional should apply a face mask and eye protection when?
- **Within arms length of resident**.
13. An fit tested N95 mask is required when:
- **Caring for resident on airborne precautions**.
14. A resident on transmission-based precautions must be:
- **All of the above are appropriate**.
15. The same PPE can be worn between patients with similar microorganisms to conserve resources.
- **False**.
16. To properly handle, store, and transport soiled laundry, staff should:
- **All of the above**.
17. Is it required for a facility to educate and offer COVID-19 immunization for residents?
- **Yes**.
18. You notice a food service worker handling food with an open sore, what do you do?
- **Notify dietary supervisor as employee is not to handle food with an open sore**.
19. How long should a resident remain on Enhanced Barrier Precautions?
- **The resident's entire stay, or until medical device is removed**.
20. Devices that are fully embedded in the body, without components that communicate with the outside, such as pacemakers, would not be considered an indication for Enhanced Barrier Precautions.
- **True**.
21. Are gowns and gloves recommended for Enhanced Barrier Precautions when transferring a resident from a wheelchair to chair in the dayroom or dining room?
- **Yes**.
22. Under Enhanced Barrier Precautions, therapy workers should wear gowns and gloves during therapy sessions.
- **True**.
23. If a resident does not have a history of a MDRO but does have an indwelling medical device or wound, should they still be placed on Enhanced Barrier Precautions?
- **Yes**.
24. CMS requires each facility to have policies and procedures in place to monitor for Legionella and other waterborne pathogens that can grow and spread.
- **True**.
25. CMS requires each Long Term Care to have an antibiotic stewardship program with written protocols on antibiotic prescribing, including documentation of the indication, dosage and duration of use of antibiotics.
- **True**.
Feel free to reach out for further questions or clarifications!