Republic of the Philippines Cagayan State University Andrews Campus, Tuguegarao City, 3500 Cagayan COLLEGE OF ALLIED HEALTH SCIENCES Department of Respiratory Therapy (078) 844-7631; http://www.csu.edu.ph __________________________________________________________________________________ FUNDAMENTALS OF RT 2 (RT 59) – LABORATORY Second Semester, S.Y. 2023-2024 ACTIVITY 1 Infection Prevention and Control Name: _____________________________________ Year/Sec: _______ A useful, evidence-based strategy called infection prevention and control (IPC) keeps patients and healthcare professionals safe from preventable infections. At all tiers of the health system—including policymakers, facility administrators, healthcare providers, and patients— continuous activity is necessary for effective IPC. Because it applies to all healthcare providers and patients equally at all times, IPC is exceptional in the areas of patient safety and care quality. IPC defects can be fatal and inflict injury. It is impossible to provide high-quality healthcare without an efficient IPC. Hand hygiene, surgical site infections, injection safety, antibiotic resistance, and hospital operations both during and outside of emergencies are all impacted by infection prevention and control. 1. Define health care–associated infections and state how often they occur. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 2. Explain why infection prevention is important in respiratory care. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Fundamentals of RT 2 | 1 3. Identify and describe the three elements that must be present for transmission of infection within a health care setting. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 4. Identify and explain the three major routes for transmission of human sources of pathogens in the health care environment. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 5. What are the factors associated with an increased risk for a patient acquiring a hospitalacquired infection? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 6. List the things that anyone with signs and symptoms of a respiratory infection should be told to do in order to contain respiratory secretions. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Fundamentals of RT 2 | 2 7. Give at least 10 types of routine procedures that should be performed to control the spread of infection through respiratory care equipment. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 8. There are general guidelines for specific diseases or conditions (pulmonary tuberculosis (TB), varicella (chickenpox), rubeola (measles), and H1N1 avian influenza (flu), and when severe acute respiratory syndrome (SARS)) established by the CDC for the three types of patient isolation categories (Airborne, Droplet, contact). Explain how is the following guidelines are employed in each type of patient isolation: I. AIRBORNE a. Room Placement ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ b. Gloves and handwashing ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ c. respiratory protection ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Fundamentals of RT 2 | 3 d. eye protection ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ e. patient transport ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ f. patient equipment ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ II. DROPLET a. Room Placement ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ b. Gloves and handwashing ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ c. respiratory protection ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Fundamentals of RT 2 | 4 d. gown ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ e. patient transport ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ f. patient equipment ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ III. CONTACT a. Room Placement ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ b. Gloves and handwashing ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ c. respiratory protection ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Fundamentals of RT 2 | 5 d. gown ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ e. patient transport ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ f. patient equipment ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 9. Standard (formerly known as Universal) Precautions are intended to care for all patients, regardless of diagnosis or presumed infection status. To avoid contact with bodily fluids, barriers such as gloves and masks, as well as other procedures, are used. Explain each of the Centers for Disease Control and Prevention (CDC) and Occupational Safety and Health Administration (OSHA) Standard Precaution guidelines. a. Exclusion from patient contact ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ b. Personal protective equipment ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Fundamentals of RT 2 | 6 ___________________________________________________________________________ c. Needle and Instrument Precaution ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ d. Patient specimens ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ e. Cardiopulmonary resuscitation ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 10. Identify the commonly used methods of sterilization in the hospital setting for respiratory care-related equipment. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 11. Identify and expound each method that are used to determine the effectiveness of the decontamination process. Fundamentals of RT 2 | 7 ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 12. What are conditions that influence antimicrobial actions? Explain each ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 13. What are the procedures to minimize infection risk with nebulizers? a. Large – volume nebulizers and mist tents ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ b. Small- volume nebulizer ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 14. Explain how the HME, HEPA filter, and Humidifier help prevent the spread of pathogens in ventilators and ventilator circuits. Fundamentals of RT 2 | 8 a. HME ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ b. HEPA Filter ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ c. Humidifier ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 15. Make a diagram of the chain of infection. 16. What are the factors to consider in processing reusable equipment? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 17. Define, give examples, and identify the process involved in each of the infection risk categories. ___________________________________________________________________________ Fundamentals of RT 2 | 9 ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 18. Explain how does infection spread. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 19. What are the recommendations to maintain a healthy-workforce among healthcare workers in clinical setting? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 20. Give 3 situations when to use personal protective equipment (PPE). ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 21. When is PPE not necessary? Give three scenarios. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 22. In selecting personal protective equipment, what do you think are the things that you need to consider? Why? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Fundamentals of RT 2 | 10 ___________________________________________________________________________ ___________________________________________________________________________ 23. Explain how to eliminate risk of infection in each of the following: a. Ventilator circuits ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ b. Ventilator circuit condensate ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ c. Nebulizers ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ d. O2 therapy equipment ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ e. Pulmonary function equipment ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ f. manual ventilators ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 24. Differentiate high-level disinfection technique and low-level disinfection technique. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Fundamentals of RT 2 | 11 ___________________________________________________________________________ ___________________________________________________________________________ 25. What are the ways to cleanse home care equipment? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 26. Describe strategies to control the spread of infection in the hospital. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 27. State when to use personal protective equipment during patient care. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Fundamentals of RT 2 | 12