Which of the following require clean vs. sterile gloves?
1. Changing a wound dressing 2. Taking an oral temperature 3. Obtaining a venous blood sample 4. Providing hygienic care 5. Inserting a Foley cath 6. Preparing an IM injection
STERILE: wound dressing, blood sample, foley cath
CLEAN: oral temp, hygienic care, IM injection (as long as needle and vile are sterile)
What is the nurses role in caring for patients with infection or who are at high risk for developing an infection?
- washing our hands!
- education patients on how to protect themselves
- we are to provide a biologically safe environment for the patients that the nurses care for
The extent of a microorganism's ability to produce infectious process depends on:
virulence and potency
ability to enter the body
susceptibility of the host
ability to live in host's body
How do we break the chain of infection?
changing dressings & bandages when soiled or wet
appropriate skin care & oral hygiene
disposing of damp, soiled linens appropriately
disposing of feces and urine appropriately
ensuring all fluids containers are capped
You are caring for a pt who has a large open and draining ABD wound. You notice another HCW changing the dsg w.out wearing gloves or using sterle technique. When you question, they say "the wound is already infected anyways".
What do you do?
Tell the manager and get to the bottom of it. That RN cold be adding more bacteria to that pt's dressing. Never call out a co-worker in front of a pt.
The pt has been diagnosed with GI bacteria obtained form drinking contaminated water. In the chain of infection, the water is:
a. Portal of entry
c. Portal of Exit
d. Infectious agent
The water is the reservoir where that provided the environment for the infectious agent to reproduce.