Georgia Baptist College of Nursing of Mercer University Learning Resource Center KNOWLEDEGE ASSESSMENT: MEDICAL ASEPSIS Directions: Select the BEST answer for the following questions: 1. In a patient care setting, microorganisms may be spread from A. B. C. D. E. 2. Which of the following is the best way nurses can prevent the spread of microorganisms from one patient to another? A. B. C. D. 3. avoiding shaking bed linen. washing items that touch the floor before use. avoiding contact of soiled item against uniform. following universal precautions or body substance isolation. It is recommended that the nurse do at least a ten-second hand washing in which of the following situations? A. B. C. D. 5. Using adequate hand washing Working through an infection review committee Using isolation technique Teaching clients good hygiene practices All of the following will reduce transmission of microorganisms EXCEPT A. B. C. D. 4. the nurse to the client. the client to the nurse. one client to another client. the nurse to the coworker. all of the above. At the beginning of every work period Before invasive procedures Before leaving the unit All of the above Which of the following best describes the procedure and rationale for turning off a faucet after washing your hands? A. B. C. D. With a dry paper towel because the faucet is contaminated With your clean hand to keep it clean With a wet paper towel to clean it off With a dry paper towel to get splashes of dirty water off the faucet 36 6. Which of the following concepts best explains the statement “keep your hands away from your own hair and face”? A. B. C. D. 7. In assessing her client’s susceptibility to infections, the nurse should consider all of the following except A. B. C. D. E. 8. When contacting blood or body fluids containing blood When prolonged contact with a client is anticipated When it is necessary to touch the floor for any reason Before touching your own hair and face Clients in isolation usually report that they feel safe and cared for. A. B. 10. age. nutritional status. sex. stress. disease process. Clean gloves should be worn in which of the following situations? A. B. C. D. 9. Microorganisms move through space on air currents. Microorganisms are transferred from one surface to another whenever one object touches another. Microorganisms move from one object to another as a result of gravity when one item is held above another. Microorganisms are released into the air on droplet nuclei whenever a person breathes or speaks. True False When should the nurse wear goggles for client care? A. B. C. D. At all times When the client has respiratory infection When there is a likelihood of splashes from body fluids When the client is severely compromised 9/95GH Revised 11/01/SEB;Rev. 5/02/FK 37 Answers to KNOWLEDGE ASSESSMENT: MEDICAL ASEPSIS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. E A B D A B C A B C 38 Georgia Baptist College of Nursing of Mercer University Nursing Skills Laboratory MODULE 1: MEDICAL ASEPSIS Focus: Universal Precautions, medical asepsis, hand washing, isolation. Objectives: Upon completion of this laboratory activity, the learner will be able to: 1. 2. 3. 4. 5. 6. Utilize the correct terminology related to universal precautions. Apply principles of universal precautions at all times when caring for self and others. Apply principles of medical asepsis when practicing all aspects of nursing, with particular emphasis on hand washing. Identify relevant nursing concerns and contributing factors for clients at risk for infection and who have an infection. Identify interventions to prevent infections and protect body defenses. Demonstrate ability to apply gown, mask, gloves, and goggles according to standard protocols. Required Readings: Elkin, M., Perry, A., & Potter, P. (2004). Nursing Interventions & Clinical Skills. (3rd Ed.). (pp. 49-67). St. Louis: Mosby. Learning Activities: 1. 2. 3. 4. 5. 6. Vocabulary: complete vocabulary lists for universal precautions/medical asepsis. Critical Thinking: complete critical thinking exercises 1 & 2 on pp. 67. (Need not write out) “Universal Precautions for Infection Control” – view and discuss in class. Complete study questions on medical asepsis. Practice hand washing. Participate in donning isolation attire. Validation: 1. 2. 3. Demonstrate proper hand washing technique according to criteria in the textbook. Demonstrate donning and removing disposable gloves as illustrated in the textbook. State scientific rationale for each activity. 39 Clinical Application: 1. 2. Implement principles of universal precautions and medical asepsis at all times. Monitor self and others for the correct application of these principles. 7/03/SEB/FK; Rev. 05/04/FK; 02/05/FK 40 MODULE 1: MEDICAL ASEPSIS Vocabulary: Universal Precautions/Medical Asepsis Directions: Define each word in the space provided. 1. Asepsis: 2. Body fluids: 3. Immunocompromised: 4. BSI: 5. Medical Asepsis: 6. Surgical Asepsis: 5. HIV: 6. HBV: 7. Nosocomial infections: 8. Pathogens: 9. PPE: Rev. 5/02/FK; Rev. 05/04/FK 41 MODULE 1: MEDICAL ASEPSIS Study Questions 1. List five personal health hygiene measures that should be followed on a daily basis. A. B. C. D. E. 2. Name the most important procedure to prevent the spread of microorganisms. 3. Identify (4) different situations when routine hand washing should be performed. A. B. C. D. 4. Describe the relationship between hygiene and the spread of infection. 5. Why is the nurse in position to be the "culprit" in the spread of infection? 6. Why should the nurse use underarm deodorant? 6/95/GH Revised 11/01/SEB 42