Exam 4: Infection Prevention and Control

Which of the following lists the correct order of the proper steps in the removal of soiled sterile attire when breaking scrub?

While antibiotics have been credited with saving lives,misuse of antibiotics has contributed to the evolution of multidrug-resistant organisms (MDROs).Select the antibiotic application that has evidence to support it as a best practice and not,potentially,a misuse of antibiotics.

A 47-year-old man was admitted to the emergency department (ED)with respiratory symptoms,facial and upper body abrasions,burns,and moist lesions after a small package,delivered to his office,exploded and sprayed him with dried powder and glass shards.In response to the reported mechanism of injury,the ED team sequestered him in a secluded area away from the rest of the patients.The team believed that this was highly suspicious of a bioterrorism event.The epidemiologist was called,and the patient was transferred to a negative-pressure isolation room and placed on standard,contact,airborne,and droplet precautions.Based on these actions,which microorganism agents might be suspected to be involved?

In several studies,it was determined that the risk of contamination and subsequent infection to the wearer can be reduced by wearing two pairs of sterile surgical gloves,as opposed to wearing one pair.Select the correct statement that refers to double gloving in terms of a best practice.

The evening before the procedure was scheduled,the central sterile processing department received two complete sets of an orthopedic spine fusion system that contained titanium-implantable instrumentation,four flexible coated retractor blades,and an unsterilized internal paper inventory form.The sterilization instructions provided by the vendor representative recommended steam sterilization for the implants,but stated that the flexible coated blade retractors could not be exposed to temperatures higher than 220° F.The appropriate sterilization option for these instruments and devices would be:

Which of the following choices reflects the appropriate order of four of the steps in preparing for the surgical hand scrub procedure?

The emergence of multidrug resistant organisms (MDROs)and C.difficile has posed a challenge in the management of surgical patients.Protocols to reduce the risk of transmission should include:

Which glove lubricant,used to facilitate easy donning,is considered a best practice?

Decontamination of the hands can be done by a variety of methods.Facility infection control procedures govern the selection of materials and the methods used for surgical hand hygiene.Select the best practice for surgical hand hygiene.

The final step,after decontamination and before sterilization,is the prep,pack,and wrap process.The sterile processing technologist has taken the laparotomy set from the washer/decontaminator to prepare for sterilization.Select the most appropriate order that the instrument set must travel before reaching the steam sterilizer.