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Infection Control - Improving Hand Hygiene

The Case for Improving Hand Hygiene and Use of Gloves among Health Care Workers

1. Transmission of health-care-associated pathogens most often occurs via the contaminated hands of health care workers.

A. True B. False

2. Which of the following is a way that gloves protect patients and nurses?

A. Gloves reduce contamination of nurses' hands. B. Gloves reduce transmission of pathogens to other patients. C. Gloves protect nurses from exposure to bloodborne infections such as HIV and hepatitis B and C. D. All of the above.

3. Use of gloves is an important replacement for proper hand hygiene practice.

A. True B. False

The Hand Hygiene Intervention Package

4. Which of the following is a component of the hand hygiene intervention package and a critical aspect of a multidimensional hand hygiene program?

A. Nurses demonstrate knowledge B. Nurses demonstrate competence C. Nurses are enabled D. All of the above

5. Compared to handwashing, alcohol-based hand rubs have been shown to be more effective in reducing the number of viable bacteria and viruses on hands, require less time to use, can be made more accessible to the point of care, and cause less hand irritation and dryness with repeated use.

A. True B. False

6. When would handwashing be required by nurses?

A. When hands are visibly contaminated. B. After caring for patients with diarrhea. C. After use of the restroom. D. All of the above.

7. Competent hand rubbing requires that a sufficient volume of an alcohol-based rub is applied to cover all surfaces of the hands and fingers and that at least _____ seconds of rubbing is necessary before the hands are dry.

A. 15 B. 30 C. 45 D. 60

8. The availability of alcohol-based products at the point of care should be supplemented by the availability of sterile gloves for which barrier technique is indicated. Studies have shown that clean single-use gloves are not appropriate for these purposes.

A. True B. False

9. If hands are not visibly soiled, use of an alcohol-based hand rub for routinely decontaminating hands is appropriate for all of the following situations, except for:

A. Before direct contact with patients B. After direct contact with a patient's skin C. Before eating D. When moving from a contaminated body site to a clean body site during patient care

10. If there has been any contact with the patient or the patient's environment, hands should be decontaminated when leaving the patient's bedside or room.

A. True B. False

11. Nurses should wear gloves according to recommendations listed in the CDC's Standard Precautions, which includes:

A. Wearing gloves when contact with blood or other potentially infectious body fluids, excretions, secretions (except sweat), mucous membranes, and nonintact skin could occur. B. Removing gloves after caring for a patient - nurses should not wear the same pair of gloves for the care of more than one patient. C. Changing gloves during patient care when moving from a contaminated body site to a clean body site. D. All of the above.

How to Begin Improvement in Your Organization

12. From the patient's perspective, compliance with all elements of appropriate hand hygiene and glove practice is a reasonable expectation.

A. True B. False

13. Nurses must make sure to not wear artificial nails or nail extenders, and must have their nails trimmed to less than:

A. 1 inch B. 1/2 inch C. 1/4 inch D. 1/8 inch

14. Competent handwashing includes all of the following actions, except:

A. Wash hands with soap and water, including contact with soap for at least 30 seconds. B. Cover all surfaces with soap (palm, back of hand, fingers, fingertips, and fingernails) and rub with friction. C. Turn off water without recontaminating hands. D. Dry hands with fresh paper towel.


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