Clean Hands Save Lives Hand Hygiene Module Click once on the arrow below with your left mouse button to begin

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Question 1 You are caring for a patient with C. difficile. The correct hand washing protocol is: Wash with soap and water. Use soap and water in the patient’s room and alcohol foam cleanser in the hallway outside the room. It doesn’t matter because nothing can kill C. difficile. Always wear gloves, and then use either soap and water or alcohol foam cleanser when you remove them. a b c d

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Question 2 To minimize skin irritation associated with hand hygiene: Use hot water. Find a hand lotion that works and carry a small bottle in your pocket to apply frequently. Use the hospital provided alcohol-based foam cleanser whenever appropriate and warm water when soap and water cleansing is necessary. Allow your hands to drip dry instead of rubbing them dry on the paper towels in patient rooms. a b c d

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Question 3 If you have patient contact your nails should be no longer than: 1 inch ½ inch ¼ inch a b c

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Question 4 Washing with soap and water should be done when: Hands are visibly dirty or contaminated with blood or other body substances Before eating After using the restroom After caring for, or being in the room of a patient with C. difficile All of the above a b c d e

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Question 5 The waterless alcohol-based foam rub can be used instead of soap and water: After touching the patient’s intact skin After touching items in a patient’s room After removing gloves All of the above. a b c d

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Question 6 The amount of the waterless alcohol foam cleanser to use is: ½ cup 1 tsp. 1 oz. 1 palmful a b c d

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Question 7 Actual soap and water hand washing should be done for at least: 1 minute 15 seconds Until you feel like your hands are clean 2 minutes b a c d

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Question 8 What temperature of water should be used for the least skin irritation? Warm Hot Cold Whatever the HCW prefers a b c d

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Question 9 It is allowable to wear artificial nails or extenders if: You work in food services, but do not go up to the patient floors You provide direct patient care You always wear gloves when you are on duty You do not have patient contact and do not work in food services a b c d

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Question 10 After washing hands, turn off the faucet with: Paper towel Your clean, wet hands Your clean, dry hands a b c

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Question 11 The reason that we don’t get sick from the normal flora (normal bacteria) on our skin is: Normal flora are harmless. We have immunity to those bacteria. Our skin is a barrier that keeps the bacteria from invading and causing an infection. Antibiotics that we take for other kinds of infections keep those bacteria under control. a b c d

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Question 12 The alcohol foam rubs don’t excessively dry the skin because: Alcohol evaporates so quickly that it doesn’t have time to dry the skin. Skin care products have been added to the waterless alcohol cleansers. You can let the alcohol-based foam air dry on your hand to lessen irritation. We don’t use them unless soap and water are absolutely not available. a b c d

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Question 13 True of False – Because only the backs of our hands have direct contact with the patient, bedding, or other patient care items, we do not need to be concerned about cleansing the backs of our hands? True False a b

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Question 14 To decrease the risk of spreading pathogens or infections from patient to patient we should: Be assigned fewer patients. Admit only patients with certain types of infections to specific units, Use good handwashing or hand hygiene. Not touch anything in a patient room without wearing gloves. a b c d

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Question 15 What does it mean when we read that a patient has resistant bacteria? The patient either has an infection with, or is colonized (“carries”) bacteria which over time have become resistant to antibiotics and which can spread easily. The patient’s bacteria are very resistant to spreading. Nothing, all bacteria are resistant because of their protective cell wall. That we need to send the patient home on IV antibiotics. a b c d

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Question 16 When a HCW has problems with cracked, dry skin what should they do? Start the use of alcohol products after a stretch of days off. Never use alcohol based foam or waterless cleansers. Only dry their hands on a soft towel brought from home. Use cold water to rinse and soothe their hands when washing with antibacterial soap. a b c d

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Question 17 True or False – It is acceptable for a HCW to use either alcohol-based foam cleanser or soap and water to wash their hands after using the restroom. False True a b

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Question 18 You entered a patient room, but you did not touch the patient. You only straighten the bedding and check the water pitcher. Must you wash you hands with soap and water? No. Your hands are not contaminated because you had no patient contact. No. You can use waterless, alcohol-based foam cleanser. No. You can simply rinse your hands in warm running water. Yes. Pathogens are only removed with a 15 second scrub with warm running water. a b c d

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Question 19 Why has the CDC written guidelines that spell out actions to take related to hand hygiene? Because of an influx of money from the manufacturers of alcohol-based foam cleansers. To reduce the spread of SARS. To stop the spread of infection from one person to another by hand contact. To insure that all hospitals do the same thing across the country. a b c d

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Question 20 Patients with C. difficile require special precautions related to the potential spread of infection from patient to patient because: Difficile is Latin for “difficult” meaning that this bacteria makes the patient difficult to control. They require strict isolation with masks, gowns and gloves because they have an increased risk of getting an infection from another patient C. difficile grows on antibacterial soap, making handwashing useless in preventing it’s spread. C. difficile is a spore-producing bacteria. It can live in the environment for a long time. It is thought that the friction of soap and water washing plus drying with a paper towel are better at removing C. difficile from the HCW’s hands. a b c d

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Question 21 Artificial nails increase the risk of transmitting a disease from patient to patient because: The longer length of artificial nails makes it more likely that a patient will be accidentally scratched by a HCW, breaking the skin barrier and putting them at more risk for infection. Studies have shown that more bacteria and yeast live on artificial nails than on natural nails, in spite of good handwashing. The chemicals used to create artificial nails are a good media for bacterial growth. The thickness of artificial nails is more likely to cause a tear in a latex glove. a b c d

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Question 22 Chipped nail polish increases the risk of transmitting a disease from patient to patient because: The germs that have been living under the nail polish are released into the air. Individuals with chipped nail polish tend to pick at it, or pull at it with their teeth, creating more opportunities for contamination. Chipped nail polish may chip off more while giving patient care, falling into the patient’s bedding and carrying germs. Chipped nail polish may provide spaces for the pathogen to get between the nail and the polish. a b c d

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Question 23 When using antibacterial soap, the HCW should use: About 1 teaspoon (tsp) About 1 Tablespoon (Tbsp) One squirt of any size The more the better a b c d

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Question 24 When caring for a patient with a compromised immune system, the HCW should: Never touch the patient without wearing gloves. Have the patient wear gloves and a mask when the HCW is in the room. Wash your hands before touching the patient. Never use alcohol-based foam cleanser. a b c d

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Question 25 When hands are visibly contaminated with body substances or are soiled with blood or other body fluids, the HCW should: Call Infection Control immediately. Wash hands with antibacterial soap and warm running water; dry them with a paper towel. Wash hands twice with alcohol-based foam cleanser, rinsing with warm water between uses. Rinse hands in warm running water to remove visible contamination, dry. Then wash with either soap and water, or an alcohol-based foam cleanser. a b c d

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Question 26 To avoid concern about the flammable nature of alcohol contained in the waterless foam cleansers: Do not smoke if you use an alcohol-based cleanser. Store boxes of alcohol-based foam cleanser outside of the hospital building. Keep alcohol-based foam cleansers out of the reach of children. Rub hands together until dry a b c d

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Question 27 It is acceptable within good hand hygiene practices to apply hand lotion if: You use the lotion provided by the hospital or facility You have washed with soap and water, but not if you have use alcohol cleanser You use the lotion donated by a drug rep Hand lotion at work does not fall within the practices of good hand hygiene. a b c d

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Question 28 True or false – HCW’s should use antibacterial or germicidal soap at home as well as at work. True False a b

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Question 29 Rubbing your hands until dry when using alcohol based foam cleanser is important for safety to reduce the risk of flammability and Release the skin care products added to the foam to lessen possible skin irritation Reduce skin absorption of alcohol and potential intoxication To effectively kill the germs Avoid damage to latex gloves. a b c d

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Congratulations You have now completed the learning module. Please print the completion certificate on the next slide and keep it for your records.

Hand Hygiene Module Certificate of Completion Name:____________________________ Department/Unit:___________________ Signature:________________________ Completion Date: 10/10/2015 7:09 AM