Infection Control Worksheet
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Infection Control Worksheet Name: _____________________________________________ Date: ___________________________ Name of Trainer: ____________________________________ Name of Company: Clinical Update (NZ) Ltd Segment 1 List 3 desired outcomes from having a Infection Control programme in your facility 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ List 4 objectives of Infection Control 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ 4_______________________________________________________________________ List who is at risk when Infection control principles are not kept to 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ What are the 3 components necessary for disease to spread? 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ What are the modes of infection and how are they transmitted? 1_____________ ________________________________________________________ 2_____________ ________________________________________________________ 3_____________ ________________________________________________________ 4_____________ ________________________________________________________ 5_____________ _________________________________________________________ 6_____________ ________________________________________________________ Segment 2 - Virus List the areas of the body that viruses commonly affect 1_______________________________________________ 2_______________________________________________ 3_______________________________________________ Give 3 examples of how virus spread 1_______________________________________________ 2_______________________________________________ 3_______________________________________________ © Clinical Update (NZ) Ltd 2009 1 Give 2 examples of a virus 1_______________________________________________________________________ 2_______________________________________________________________________ Segment 3 What are bacteria? ________________________________________________________________________ ________________________________________________________________________ List 6 places where bacteria are found 1_______________________________________________ 2_______________________________________________ 3_______________________________________________ 4_______________________________________________ 5_______________________________________________ 6_______________________________________________ Give 2 examples of a bacteria 1_______________________________________________________________________ 2_______________________________________________________________________ Name the bacteria that is responsible for causing rheumatic fever? ___________________________________________ Name the bacteria that can live on any surface? ___________________________________________ Segment 4 What are parasites? ________________________________________________________________________ Where can parasites be found? 1________________ 2________________ 3________________ Give 2 examples of a parasite? 1_______________________________________________________________________ 2_______________________________________________________________________ How can parasites enter the body? 1_______________________________________________ 2_______________________________________________ 3_______________________________________________ Segment 5 What part of the body can fungi affect © Clinical Update (NZ) Ltd 2009 2 ___________________________________________________________________ Give 2 examples of fungi 1_______________________________________________________________________ 2_______________________________________________________________________ Segment 6 What does MRDO mean? __________ _______________ _________ ______________ What does MRSA mean? __________ _______________ _________ ______________ and list 3 places it is commonly found _____________ _____________ ____________ What does VRE mean? __________ _______________ _________ and who does it usually affect __________________ ________________ What does EBSL mean? __________ _______________ _________ ______________ And it is an_____________ Clostridium Difficile? Is a __________ infection that becomes active when ______________ . Who is at risk from this bacteria? __________________ List 4 contributing factors to the increase in Multi Resistant Drug Organisms? 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ 4_______________________________________________________________________ What is the single most effective means of managing Multi Resistant Drug Organisms ____________________________________ Segment 7 What are the 4 things in your role 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ 4_______________________________________________________________________ What is the aim of Standard Precautions? To ______________ _______________ and_________ by utilizing _________ work _________ and using appropriate ____________ barriers to ______________ cross infection List the 5 things required in standard precautions. 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ 4_______________________________________________________________________ 5_______________________________________________________________________ When must you wash your hands? ___________________________________________ © Clinical Update (NZ) Ltd 2009 3 What do use at other times? ____________________________ List 6 times you must wash your hands or use alcohol hand rub 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ 4_______________________________________________________________________ 5_______________________________________________________________________ 6_______________________________________________________________________ What is new the new standard for hand hygiene set by World Health organization? ________________________ Name 3 diseases can be passed on from handling blood and body products? 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ List the process of cleaning up blood and body fluid spills or splashes on the floor 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ 4_______________________________________________________________________ 5_______________________________________________________________________ What is the first aid process if you get a body fluid splash to your eye? 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ 4_______________________________________________________________________ What is a needle stick injury _______________________________________________ _______________________________________________________________________ List the 4 First Aid steps you must take if you get a needle stick injury 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ 4_______________________________________________________________________ Step 2 if you sustain a needle stick injury is to notify the _________________ for instructions and ________ ________________ and complete an ________________ _____________ ___________ List 6 Precautions that need to be taken in the laundry? 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ 4_______________________________________________________________________ © Clinical Update (NZ) Ltd 2009 4 5_______________________________________________________________________ 6_______________________________________________________________________ List 6 precautions you must take in the kitchen? 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ 4_______________________________________________________________________ 5_______________________________________________________________________ 6_______________________________________________________________________ Segment 8 How many infection does a facility have to have to have an outbreak of infections? ____ If an outbreak occurs, what does it suggest? ______________________________ Isolation precautions are applied depending on what 3 factors? 1____________________________________________________________ 2____________________________________________________________ 3____________________________________________________________ What are the aims of a lock down of a facility? _______________________________________________________________________ How can the a facility prevent the spread of infection 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ 4_______________________________________________________________________ 5_______________________________________________________________________ List 3 notifiable diseases 1____________________ 2____________________ 3____________________ Segment 9 Facilities are required to 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ 4_______________________________________________________________________ What is the overall aim of recording, analyzing and reporting on infections in the facility? _______________________________________________________________________ Where infections must be recorded? . 1_______________________________________________________________________ 2_______________________________________________________________________ © Clinical Update (NZ) Ltd 2009 5 Infection control records must be _______________, __________________ and ______________ each month List the most likely infections in a facility that you have to look for 1 6 2 7 3 8 4 9 5 10 What are the 7 best ways to keep everyone safe and free of infections? 1_______________________________________________________________________ 2_______________________________________________________________________ 3_______________________________________________________________________ 4_______________________________________________________________________ 5_______________________________________________________________________ 6_______________________________________________________________________ 7_______________________________________________________________________ © Clinical Update (NZ) Ltd 2009 6
