Presentation is loading. Please wait.

Presentation is loading. Please wait.

Evaluations We deeply value your feedback, and will utilize it in the ongoing development of our courses and services. www.careandcompliance.com/eval.

Similar presentations


Presentation on theme: "Evaluations We deeply value your feedback, and will utilize it in the ongoing development of our courses and services. www.careandcompliance.com/eval."— Presentation transcript:

1 Evaluations We deeply value your feedback, and will utilize it in the ongoing development of our courses and services.

2 HIV/AIDS, BLOODBORNE PATHOGENS, AND TUBERCULOSIS

3 Introduction to Bloodborne Pathogens

4 Infectious microorganisms in human blood that can cause disease in humans. Include, but are not limited to, hepatitis B (HBV), hepatitis C and human immunodeficiency virus (HIV). WHAT ARE BLOODBORNE PATHOGENS? Adapted from

5 Workers in many occupations, including caregivers, housekeeping personnel, nurses and other healthcare personnel may be at risk of exposure to bloodborne pathogens. WHO IS AT RISK? Adapted from

6 Must implement an exposure control plan Describe how an employer will use a combination of engineering and work practice controls Ensure the use of personal protective clothing and equipment Provide training Medical surveillance Hepatitis B vaccinations Signs and labels Among other provisions… EXPOSURE CONTROL PLAN Adapted from

7 HIV and AIDS

8 Human immunodeficiency virus. The virus that can lead to acquired immune deficiency syndrome, or AIDS. WHAT IS HIV?

9 HIV damage a person’s body by destroying specific blood cells, called CD4+ T cells, which are crucial to helping the body fight diseases WHAT IS HIV?

10 Within a few weeks of being infected with HIV, some people develop flu-like symptoms that last for a week or two, but others have no symptoms at all. People living with HIV may appear and feel healthy for several years. However, even if they feel healthy, HIV is still affecting their bodies. SYMPTOMS

11 May experience flu-like symptoms 2-6 weeks after becoming infected SYMPTOMS Chills Rash Night sweats Muscle aches Sore throat Fatigue Swollen lymph nodes Ulcers in the mouth

12 The CDC estimates that about 56,000 people in the United States contracted HIV in Around 34 million people worldwide living with HIV Over 25 million have died since the first cases were reported in 1981 STATISTICS

13 AIDS is the late stage of HIV infection The person’s immune system is severely damaged and has difficulty fighting diseases and certain cancers. AIDS

14 Before the development of certain medications, people with HIV could progress to AIDS in just a few years. Currently, people can live much longer - even decades - with HIV before they develop AIDS. This is because of “highly active” combinations of medications that were introduced in the mid 1990s. PROGRESSION TO AIDS

15 HIV complications Cardiovascular Health Hepatitis Opportunistic Infections Oral Health Issues

16 HIV complications Cancer Dementia Kidney disease Other complications

17 HIV Transmission

18 HIV can be detected in several fluids and tissues of a person living with HIV. Finding a small amount of HIV in a body fluid or tissue does not mean that HIV is transmitted by that body fluid or tissue. These specific fluids must come in contact with a mucous membrane or damaged tissue or be directly injected into the blood-stream for transmission to occur. TRANSMISSION

19 These body fluids have been shown to contain high concentrations of HIV: Blood Semen Vaginal fluid Breast milk Other body fluids containing blood WHICH BODY FLUIDS?

20 The following are additional body fluids that may transmit the virus that health care workers may come into contact with: Fluid surrounding the brain and the spinal cord Fluid surrounding bone joints Fluid surrounding an unborn baby WHICH BODY FLUIDS?

21 In the United States, HIV is most commonly transmitted through specific sexual behaviors (anal or vaginal sex) or sharing needles with an infected person. It is less common for HIV to be transmitted through oral sex or for an HIV-infected woman to pass the virus to her baby before or during childbirth or after birth through breastfeeding or by prechewing food for her infant. TRANSMISSION

22 It is possible to acquire HIV through exposure to infected blood, transfusions of infected blood, blood products, or organ transplantation This risk is extremely remote due to rigorous testing of the U.S. blood supply and donated organs. TRANSMISSION

23 Some healthcare workers have become infected after being stuck with needles containing HIV- infected blood or, less frequently, when infected blood comes in contact with a worker's open cut or is splashed into a worker's eyes or inside their nose. TRANSMISSION

24 Air or water Insects, including mosquitoes Saliva, tears, or sweat Casual contact like shaking hands or sharing dishes Closed-mouth or “social” kissing HIV IS NOT SPREAD BY

25 The risk of direct care provider being exposed to HIV on the job is very low Especially if they carefully follow standard precautions Casual, everyday contact with an HIV-infected person does not expose direct care providers or anyone else to HIV. THE RISK TO DIRECT CARE PROVIDERS

26 For direct care providers on the job, the main risk of HIV transmission is through accidental injuries from needles and other sharp instruments that may be contaminated with the virus Even this risk is small. The risk of infection from a needle-stick is less than 1%. THE RISK TO DIRECT CARE PROVIDERS

27 HIV Screening and Testing

28 Most common HIV test is the antibody screening test. This test can be performed with blood sample or oral fluid. This tests the antibodies your body produces to fight against HIV. Blood tests can detect HIV as soon as 3 weeks after being infected. ANTIBODY SCREENING TEST

29 Follow-up diagnostic test – these tests are performed after someone tests positive on his/her first test. HIV tests are usually very accurate, but a follow-up test is typically performed to confirm the results of the first test mostly for insurance/health care provider purposes. FOLLOW-UP DIAGNOSTIC TESTS

30 Treatment and Support

31 Many people with HIV, including those who feel healthy, can benefit greatly from current medications used to treat HIV infection. These medications can limit or slow down the destruction of the immune system, improve the health of people living with HIV, and may reduce their ability to transmit HIV. TREATMENTS

32 Can be expensive Can be very effective Complicated dosing schedules In some cases, virus develops a resistance to the medication MEDICATIONS

33 HAART Highly Active Anti-Retroviral Therapy

34 MEDICATIONS ClassDescriptionExamples Non-nucleoside reverse transcriptase inhibitors (NNRTIs) NNRTIs disable a protein needed by HIV to make copies of itself. efavirenz (Sustiva), etravirine (Intelence) and nevirapine (Viramune) Nucleoside reverse transcriptase inhibitors (NRTIs) NRTIs are faulty versions of building blocks that HIV needs to make copies of itself. Abacavir (Ziagen), and the combination drugs emtricitabine and tenofovir (Truvada), and lamivudine and zidovudine (Combivir) Protease inhibitors (PIs) PIs disable protease, another protein that HIV needs to make copies of itself. atazanavir (Reyataz), darunavir (Prezista), fosamprenavir (Lexiva) and ritonavir (Norvir)

35 MEDICATIONS ClassDescriptionExamples Entry or fusion inhibitors These drugs block HIV's entry into CD4 cells enfuvirtide (Fuzeon) and maraviroc (Selzentry) Integrase inhibitors Works by disabling integrase, a protein that HIV uses to insert its genetic material into CD4 cells raltegravir (Isentress)

36 No one should become complacent about HIV and AIDS. While current medications can dramatically improve the health of people living with HIV and slow progression from HIV infection to AIDS, existing treatments need to be taken daily for the rest of a person’s life, need to be carefully monitored, and come with costs and potential side effects. At this time, there is no cure for HIV infection. THERE IS NO CURE

37 TREATMENT AND SUPPORT

38 Hepatitis B

39 Hepatitis B is a contagious liver disease that results from infection with the Hepatitis B virus. It can range in severity from a mild illness lasting a few weeks to a serious, lifelong illness. HEPATITIS B

40 Hepatitis B is spread when blood, semen, or other body fluid infected with the Hepatitis B virus enters the body of a person who is not infected. HEPATITIS B TRANSMISSION

41 From an infected mother to her baby during birth Sex with an infected partner Sharing needles, syringes, or other drug-injection equipment Sharing items such as razors or toothbrushes with an infected person Direct contact with the blood or open sores of an infected person Exposure to blood from needlesticks or other sharp instruments HEPATITIS B TRANSMISSION

42 Acute Hepatitis B Short-term illness that occurs within the first 6 months after exposure. Can—but does not always—lead to chronic infection. ACUTE OR CHRONIC Chronic Hepatitis B Long-term illness that occurs when the virus remains in a person’s body. Estimated 800,000 to 1.4 million persons have chronic Hepatitis B virus infection in the U.S.

43 The Hepatitis B vaccine series is a sequence of shots that stimulate a person’s natural immune system to protect against HBV. After the vaccine is given, the body makes antibodies that protect a person against the virus. These antibodies are then stored in the body and will fight off the infection if a person is exposed to the Hepatitis B virus in the future. HEPATITIS B VACCINE

44 Safe and effective Usually given as 3-4 shots over a 6-month period Recommended for health care workers (including caregivers) at risk for exposure to blood or blood- contaminated body fluids on the job Employers must offer at not cost if a job puts you at risk for exposure to blood or blood-contaminated body fluids on the job HEPATITIS B VACCINE

45 Hepatitis C

46 A contagious liver disease that results from infection with the Hepatitis C virus. It can range in severity from a mild illness lasting a few weeks to a serious, lifelong illness. HEPATITIS C

47 Acute Hepatitis C virus infection is a short-term illness that occurs within the first 6 months after someone is exposed to the Hepatitis C virus. For most people, acute infection leads to chronic infection. Chronic Hepatitis C is a serious disease than can result in long-term health problems, or even death. CAN BE ACUTE OR CHRONIC

48 Spread when blood from a person infected with the Hepatitis C virus enters the body of someone who is not infected. Today, most people become infected with the Hepatitis C virus by sharing needles or other equipment to inject drugs. Before 1992, when widespread screening of the blood supply began in the United States, Hepatitis C was also commonly spread through blood transfusions and organ transplants. HOW IS HEPATITIS C SPREAD?

49 People can become infected with the Hepatitis C virus during such activities as: Sharing needles, syringes, or other equipment to inject drugs Needlestick injuries in health care settings Being born to a mother who has Hepatitis C HOW IS HEPATITIS C SPREAD?

50 Less commonly, a person can also get Hepatitis C virus infection through: Sharing personal care items that may have come in contact with another person’s blood, such as razors or toothbrushes Having sexual contact with a person infected with the Hepatitis C virus HOW IS HEPATITIS C SPREAD?

51 At this time there is not a vaccine for hepatitis C. Vaccines are available only for Hepatitis A and Hepatitis B. Research into the development of a vaccine is under way. IS THERE A VACCINE?

52 Diabetes and Hepatitis

53 CDC has investigated multiple outbreaks of viral hepatitis among residents in long-term-care (LTC) communities Attributed to shared devices and other breaks in infection-control practices related to blood glucose monitoring DIABETES AND HEPATITIS

54 Insulin pens and insulin cartridges Do not use to administer to multiple residents Not designed for, and are not safe for, use on more than one person DIABETES AND HEPATITIS

55 Glucometers Assigned to individual residents Decontaminate regularly and any time contamination is suspected Maintain supplies and equipment within individual resident rooms if possible DIABETES AND HEPATITIS

56 Unused supplies and medications taken to the bedside should not be used for another resident Never share fingerstick sampling Select single-use lancets that permanently retract upon puncture Dispose of in sharps container DIABETES AND HEPATITIS

57 Any trays or carts used to deliver medications or supplies to individual residents should remain outside resident rooms. Do not carry supplies and medications in pockets. DIABETES AND HEPATITIS

58 Prepare medications in a centralized medication area Multiple dose insulin vials should be assigned to individual residents and labeled appropriately. Store unused and used diabetes equipment and supplies separately Never reuse needles, syringes, or lancets. DIABETES AND HEPATITIS

59 How to Protect Yourself

60 Get the hepatitis B vaccine GET VACCINATED!

61 In your personal life the best way to protect yourself from bloodborne pathogens is to avoid engaging in activities that lead to their transmission, such as unprotected sex. AT HOME…

62 At work you can protect yourself by applying the principles of standard precautions during any activity that may lead to exposure to blood or other potentially infectious body fluids AT WORK…

63 If you experienced a needlestick or sharps injury or were exposed to the blood or other body fluid of a resident during the course of your work, immediately follow these steps: IF YOU ARE EXPOSED…

64 1. Wash needlesticks and cuts with soap and water 2. Flush splashes to the nose, mouth, or skin with water 3. Irrigate eyes with clean water, saline, or sterile irrigants 4. Report the incident to your supervisor 5. Immediately seek medical treatment IF YOU ARE EXPOSED…

65 Standard Precautions

66 Replaced Universal Precautions Includes elements of Universal Precautions and Body Substance Isolation STANDARD PRECAUTIONS

67 Two key elements: STANDARD PRECAUTIONS All blood, body fluids, secretions, excretions except sweat, nonintact skin, and mucous membranes may contain transmissible infectious agents Should be applied to all residents, regardless of infectious status

68 Applies to all: Blood Body fluids Secretions Excretions (except sweat) Nonintact skin Mucous membranes STANDARD PRECAUTIONS

69 Two key elements: STANDARD PRECAUTIONS All blood, body fluids, secretions, excretions except sweat, nonintact skin, and mucous membranes may contain transmissible infectious agents Should be applied to all residents, regardless of infectious status

70 Hand Hygiene When How STANDARD PRECAUTIONS

71 Hand Hygiene: When Before having direct contact with residents After contact with blood, body fluids or excretions, mucous membranes, nonintact skin, or wound dressings After contact with a resident’s intact skin If hands will be moving from a contaminated-body site to a clean- body site during resident care After contact with inanimate objects (including medical equipment) in the immediate vicinity of the resident After removing gloves STANDARD PRECAUTIONS

72 Hand Hygiene: Visibly Soiled When hands are visibly dirty, contaminated with proteinaceous material, or visibly soiled with blood or body fluids Wash hands with either a nonantimicrobial soap and water or an antimicrobial soap and water STANDARD PRECAUTIONS

73 Hand Hygiene: Not Visibly Soiled If hands are not visibly soiled, or after removing visible material with nonantimicrobial soap and water, decontaminate hands The preferred method of hand decontamination is with an alcohol-based hand rub Alternatively, hands may be washed with an antimicrobial soap and water. STANDARD PRECAUTIONS

74 Hand Hygiene: Spores Wash hands with non- antimicrobial soap and water or with antimicrobial soap and water if contact with spores (e.g., C. difficile or Bacillus anthracis) is likely to have occurred STANDARD PRECAUTIONS

75 Respiratory Hygiene STANDARD PRECAUTIONS

76 Respiratory Hygiene Cover the mouth/nose when coughing or sneezing STANDARD PRECAUTIONS

77 Respiratory Hygiene Post signs at entrances and in strategic places STANDARD PRECAUTIONS

78 Respiratory Hygiene Provide tissues and no- touch receptacles for disposal of tissues STANDARD PRECAUTIONS

79 Respiratory Hygiene Provide resources and instructions for performing hand hygiene in or near common areas STANDARD PRECAUTIONS

80 Respiratory Hygiene During periods of increased prevalence of respiratory infections in the community, offer masks to coughing residents and other symptomatic persons STANDARD PRECAUTIONS

81 Resident Placement Include the potential for transmission of infectious agents when selecting a resident's room/apartment Place residents who pose a risk for transmission to others (e.g., uncontained secretions, excretions or wound drainage) in a single-resident room when available STANDARD PRECAUTIONS

82 Care of the Environment STANDARD PRECAUTIONS

83 CLEANthenDISINFECT

84 STANDARD PRECAUTIONS CLEANINGDISINFECTINGSANITIZING Removes germsKills germsLowers # of germs Removes germs, dirt, and impurities from surfaces or objects Uses soap (or detergent) and water Physically remove germs from surfaces Does not necessarily kill germs Uses chemicals to kill germs on surfaces or objects Done after cleaning Works by either cleaning or disinfecting surfaces or objects to lower the risk of spreading infection

85 Clean in disinfect properly: Always follow label directions Wash surfaces with a general household cleaner to remove germs Rinse with water Follow with an EPA-registered disinfectant to kill germs STANDARD PRECAUTIONS

86 Bleach is a good alternative: Add 1 tablespoon of bleach to 1 quart (4 cups) of water. For a larger supply of disinfectant, add ¼ cup of bleach to 1 gallon (16 cups) of water Apply the solution to the surface with a cloth Let it stand for 3 to 5 minutes Rinse the surface with clean water STANDARD PRECAUTIONS

87 Regulated Waste

88 “Liquid or semi-liquid blood or other potentially infectious materials; contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed; items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling; contaminated sharps; and pathological and microbiological wastes containing blood or other potentially infectious materials.” REGULATED WASTE

89 Sharps containers Contaminated sharps shall be discarded immediately or as soon as feasible in containers that are: Puncture resistant Leakproof on sides and bottom Labeled or color-coded STANDARD PRECAUTIONS

90 Sharps containers, during use: Easily accessible to personnel Located as close as is feasible to the immediate area where sharps are used or can be reasonably anticipated to be found (e.g., laundries) Maintained upright throughout use Replaced routinely and not be allowed to overfill. STANDARD PRECAUTIONS

91 Regulated Waste Regulated waste shall be placed in containers which are: Closable Constructed to contain all contents and prevent leakage of fluids during handling, storage, transport or shipping Labeled or color-coded Closed prior to removal to prevent spillage or protrusion of contents REGULATED WASTE

92 Personal Protective Equipment

93 "Personal Protective Equipment" is specialized clothing or equipment worn or used by an employee for protection against a hazard. General work clothes (e.g., uniforms, pants, shirts or blouses) not intended to function as protection against a hazard are not considered to be personal protective equipment. PERSONAL PROTECTIVE EQUIPMENT

94 Gloves For touching blood, body fluids, secretions, excretions, contaminated items For touching mucous membranes and nonintact skin PERSONAL PROTECTIVE EQUIPMENT

95 Gown When contact of clothing/exposed skin with blood/body fluids, secretions, and excretions is anticipated PERSONAL PROTECTIVE EQUIPMENT

96 Mask/Eye Protection During procedures and activities likely to generate splashes or sprays of blood, body fluids, secretions, and excretions PERSONAL PROTECTIVE EQUIPMENT

97 Resuscitation barrier device When performing CPR with mouth-to- mouth resuscitation PERSONAL PROTECTIVE EQUIPMENT

98 Must be provided by the employer Must be readily available to appropriate personnel Maintain appropriate sizes, etc. Provide training in use, donning, and removing PERSONNEL PROTECTIVE EQUIPMENT

99 ACTIVITY: AGREE or DISAGREE

100 Agree or Disagree When assisting a resident in your Community that you know does NOT have HIV, you still should take precautions as if they were infected with HIV.

101 Agree or Disagree Every resident should be tested for HIV/AIDS before they are admitted into your Assisted Living Community.

102 Agree or Disagree Residents in your Community that have HIV or AIDS should NOT be allowed to have sexual relationships with another resident within the Community.

103 Agree or Disagree All of your residents and employees MUST be tested for Tuberculosis.

104 Tuberculosis

105 Abbreviated as TB for tubercle bacillus or Tuberculosis. TB bacteria usually attacks the lungs, but can attack any part of the body including the kidney, spine, and brain. WHAT IS TUBERCULOSIS?

106 Research shows that TB is the second most common cause of death worldwide. If untreated, or not treated effectively, tuberculosis can be fatal. WHAT IS TUBERCULOSIS?

107 Tuberculosis is caused by the infectious agent known as Mycobacterium tuberculosis (Mtb). Discovered by Dr. Robert Koch in CAUSES

108 For someone to develop active TB disease, the following two events must take place: The bacteria enters the body and causes an Mtb infection. The immune system cannot stop the TB bacteria from growing and spreading after the initial infection. RISK FACTORS

109 There are two types or forms of TB: Active Latent ACTIVE VS. LATENT

110 Tuberculosis is primarily an airborne disease. According to the CDC, “The TB bacteria are put into the air when a person with active TB disease of the lungs or throat coughs, sneezes, speaks, or sings.” TRANSMISSION

111 A person CANNOT get TB by: Touching bed linens or toilet seats Shaking someone’s hand Sharing food/drink Sharing toothbrush Kissing TRANSMISSION

112 The symptoms of TB can range from no symptoms or very mild illness (latent TB) to significant symptoms with massive involvement (active TB). TB may also lie dormant for years and reappear after the initial infection is contained. SYMPTOMS

113 Early symptoms of active TB can include: SYMPTOMS CoughLoss of appetite Shortness of breathPaleness Weight lossJoint pain FatigueChills FeverSwollen glands Night sweatsAbdominal swelling General discomfort

114 What is PPD and what other test may be performed to detect or diagnose TB? DIAGNOSTIC TEST

115 What is the BCG vaccine and who is recommended to receive this vaccine? What are the risk factors involved? PREVENTION

116 What are the common challenges regarding TB treatments? Long-term antibiotic therapy Risk of liver damage Costs Co-morbid conditions such as mental illness TREATMENTS

117 117 Strategies to Ensure Quality of Care for Our Residents

118 Successful treatment of tuberculosis has benefits both for the individual resident and the community in which the resident resides. The goals for treatment are: To minimize the transmission of TB to other persons To cure the individual resident of TB STRATEGIES TO ENSURE QUALITY OF CARE

119 What are some ways we can ensure quality of care for our residents? STRATEGIES TO ENSURE QUALITY OF CARE

120 Awareness It is important that people are aware that TB is not an ancient disease as it is often considered to be. TB is killing more people than ever before in history and remains one of the world’s deadliest infectious diseases. Healthcare workers, organizations, community members all need to assist in raising awareness. STRATEGIES TO ENSURE QUALITY OF CARE

121 Implement effective control programs to minimize exposure to Tuberculosis which include: Early Identification Isolation Treatment OSHA REQUIREMENTS STOPTB

122 One essential strategy to ensure quality of care for our residents is to develop and implement effective policies and procedures in our assisted living and residential care communities. POLICIES AND PROCEDURES

123 Effective staff training is the key to providing the highest quality of care to our residents. STAFF TRAINING Educate staff to be aware of the causes and risks The use of protective equipment Injury and illness prevention Resident rights and confidentiality

124 124 Strategies to Ensure Confidentiality and Personal Rights

125 Confidentiality is not an option, it’s a requirement! STRATEGIES TO ENSURE CONFIDENTIALITY

126 Resident What are the resident’s personal rights? How can we ensure highest quality of care while maintaining confidentiality and resident rights? CONFIDENTIALITY/PERSONAL RIGHTS

127 Care Staff Identify how to respond when care staff are diagnosed with HIV or have latent TB. CONFIDENTIALITY/PERSONAL RIGHTS

128 Any Questions? Comments?

129 Quiz

130 HIV is transmitted in ________________. a. Air, water, and some foods b. Blood and some bodily fluids c. Blood only d. None of the above QUESTION #1

131 HIV is transmitted in ________________. a. Air, water, and some foods b. Blood and some bodily fluids c. Blood only d. None of the above QUESTION #1

132 Hepatitis B is a non-contagious liver disease that results from infection with the Hepatitis B virus. a. True b. False QUESTION #2

133 Hepatitis B is a non-contagious liver disease that results from infection with the Hepatitis B virus. a. True b. False QUESTION #2

134 Personal protective equipment only includes: gloves and masks. a. True b. False QUESTION #3

135 Personal protective equipment only includes: gloves and masks. a. True b. False QUESTION #3

136 When a resident’s equipment has been contaminated with blood or other bodily fluids, you must first: a. Rinse with water b. Clean c. Disinfect d. None of the above QUESTION #4

137 When a resident’s equipment has been contaminated with blood or other bodily fluids, you must first: a. Rinse with water b. Clean c. Disinfect d. None of the above QUESTION #4

138 Sharps or Needlesticks injuries can occur ____________. a. When a person uses them b. During disassembly c. Due to improper disposal d. All of the above QUESTION #5

139 Sharps or Needlesticks injuries can occur ____________. a. When a person uses them b. During disassembly c. Due to improper disposal d. All of the above QUESTION #5

140 HIV is NOT spread by: a. Saliva, tears or sweat b. Casual everyday contact with an HIV-infected person c. Casual contact like shaking hands or sharing dishes d. All of the above QUESTION #6

141 HIV is NOT spread by: a. Saliva, tears or sweat b. Casual everyday contact with an HIV-infected person c. Casual contact like shaking hands or sharing dishes d. All of the above QUESTION #6

142 An exposure control plan must include information regarding how an employer will use a combination of engineering and work practice controls to prevent or reduce occupational exposure to bloodborne pathogens. True False QUESTION #7

143 An exposure control plan must include information regarding how an employer will use a combination of engineering and work practice controls to prevent or reduce occupational exposure to bloodborne pathogens. True False QUESTION #7

144 TB is a life-threatening infection that primarily affects the: a. Brain b. Blood c. Lungs d. Heart QUESTION #8

145 TB is a life-threatening infection that primarily affects the: a. Brain b. Blood c. Lungs d. Heart QUESTION #8

146 According to the CDC, “The TB bacteria are put into the air when a person with active TB disease of the lungs or throat _______________.” a. Coughs b. Sneezes c. Speaks d. All of the above QUESTION #9

147 According to the CDC, “The TB bacteria are put into the air when a person with active TB disease of the lungs or throat _______________.” a. Coughs b. Sneezes c. Speaks d. All of the above QUESTION #9

148 Symptoms of active TB include: a. Cough b. Weight loss c. Night sweats d. All of the above QUESTION #10

149 Symptoms of active TB include: a. Cough b. Weight loss c. Night sweats d. All of the above QUESTION #10

150 Evaluation If you have not completed your evaluation please take time to complete when time permits, your feedback is greatly appreciated.


Download ppt "Evaluations We deeply value your feedback, and will utilize it in the ongoing development of our courses and services. www.careandcompliance.com/eval."

Similar presentations


Ads by Google