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Study guide for quiz 1, summary of chapter 1
Typology: Schemes and Mind Maps
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Ch 1 (Fundamentals of Nursing Textbook Ch 25) Infection Control/asepsis/hand hygiene o Explain the infection cycle. Infection: disease state that results from the presence of pathogens Infectious agent - virus (smallest), bacteria (most common infection) , fungi Reservoir - natural habitat of the organism Portal of Exit - point of escape for the organism from reservoir (respiratory, GI, GU, skin break) Means of transmission - direct or indirect, airborne route Portals of entry- how it enters a new host, same as portal of exit (Skin, GI, GU, respiratory) Susceptible host- people who are immunocompromised. must overcome resistance mounted by host’s defenses Incubation Period: Interval between the pathogen’s invasion of the body and appearance of symptoms of infection Prodromal stage- infectious stages, disease has begun, symptoms are just very vague. Full stage of illness- infection- specific s/s. Localized or systemic symptoms Convalescent Period: Recovery from infection. o Describe CDC guidelines for standard and transmission-based precautions. o Identify principles of medical & surgical asepsis. o Correctly perform the skill of hand hygiene using an alcohol-based hand rub or soap and water (handwashing). o Demonstrate correct application and removal of sterile gloves. o Explain the process of sterile gloves o Demonstrate correct application and removal of personal protective equipment. o Explain the process of PPE (CDC guidelines) DA Basic and I & O Hand hygiene Before/after each patient contact Before/after putting gloves Before invasive procedures Contact with body fluids (even if hands not soiled) Any contamination Wash with Soap/water -Wash hands with visibly soiled hands or in contact with blood/body fluids -exposure to anthrax or c diff Lather hands with soap and rub in circular motion Wash between fingers and 1 inch above wrist Using fingernails to clean under nails of opposite hand Ring under water flowing toward fingertips Alcohol-based: -if hands are not visibly soiled Sterile Gloves -Pull top layers of outside wrapper/Folding back side flaps -Grasping cuff of glove for dominant hand using non-dominant hand -Lifting glove from package
-Inserting dominant hand into glove -Sliding fingers under cuff of glove for non dominant hand Sliding fingers on one hand under cuff of other hand and extend cuff down the arm When taking off sterile gloves: -Slide fingers of ungloved hand inside -Inverting gloves as it is removed Asepsis- A sterile object, all microorganisms, including pathogens and spores/endospores, have been destroyed. Medical asepsis (clean technique, nonsterile)- areas are considered contaminated if they bear or are suspected of bearing pathogens; Hand hygiene and wearing gloves Surgical asepsis (sterile technique)— areas are considered contaminated if they are touched by any object that is not also sterile. Inserting indwelling urinary catheter or inserting an IV catheter. ONLY sterile object can touch another sterile object -always open sterile packages away from body. Do not walk away from sterile field. -Avoid spilling solution on a sterile setup