Enhanced Barrier Protection Assessment Assessment questions consist of questions and

Enhanced Barrier Protection Assessment Assessment questions consist of questions and scenarios designed to evaluate your knowledge in infection control. Outline 1. Assessment questions consist of questions and scenarios designed to evaluate your knowledge in the nursing skill of Enhanced Barrier Protection. 2. Each assessment consists of 25 questions based on principles, techniques and nursing situations in which candidates have had previous experience. All questions have a clinical reference point to review, verify, and reinforce knowledge. References: 3.Passing grade of 70 required. 18/25= 72 25/25= 100 4. Individuals scoring less than a 70 on assessments will be given the opportunity to retest at a later time and/or date. Permission to retake assessments will be at the discretion of ShiftKey. References: Created by Dr. Peggy Fossen DNP, RN, CNE Peer Reviewed: Date: . Peer Reviewer: Dr. R General standard precautions include* Respiratory hygiene/ cough etiquet Environmental cleaning and disinfection Reprocessing of reusable equipment (ie glucometers, vital sign equipment) All the above “Enhanced Barrier Precautions” (EBP) refer to an infection control intervention designed to reduce transmission of multi drug- resistant organisms (MDRO) that employs targeted gown and glove use during high contact resident care activities. * True False All of these examples are considered “high contact resident care activities” except* bathing/showering, toileting, providing hygiene, brief changes Changing linens Device care: central line, catheter, feeding tube, trach care, wound care Handing resident tv remote Enhanced Barrier Precautions are enforced by CMS and required in Long Term Care * True False Enhanced Barrier Precautions are recommended for NOT residents known to be colonized or infected with a MDRO as well as those at increased risk of MDRO acquisition (e.g., residents with wounds or indwelling medical devices). * True False When should you implement Enhanced Barrier Precautions versus contact precautions * Infected or colonized with a CDC-targeted MDRO without a wound, indwelling medical device or secretions or excretions that are unable to be covered or contained. Has a wound or indwelling medical device, without secretions or excretions that are unable to be covered or contained and are not known to be infected or colonized with any MDRO. Has a wound or indwelling medical device, and secretions or excretions that are unable to be covered or contained and are not known to be infected or colonized with any MDRO and do not meet criteria for contact precautions. All of the above would require EBP Enhanced Barrier Precautions are recommended when in contact with Clostridioides difficile infection and scabies * True False Multi drug-resistant organisms targeted by CDC include * Pan-resistant organisms Carbapenemase-producing carbapenem-resistant Enterobacterales Carbapenemase-producing carbapenem-resistant Pseudomonas Carbapenemase-producing carbapenem-resistant Acinetobacter baumanniin All of the above When should a building screen visitors for signs and symptoms of a communicable disease? * When there is a known outbreak All the time as precaution Weekly When advised by state When should staff wash hands with soap and water? * Before and after contact with a resident After contact with blood, bodily fluid, or visibly contaminated surfaces After removing personal protective equipment (PPE) When staff member personally uses restroom or has a meal All of the above Gloves should be worn in all scenarios except * Coming into contact with blood Coming into contact with bodily fluids Coming into contact with mucous membranes/un-intact skin When handing resident water pitcher With droplet precautions, a healthcare professional should apply a face mask and eye protection when? * At least 6 feet away Within arms length of resident Before entering the room No need for PPE An fit tested N95 mask is required when: * Caring for resident on airborne precautions Caring for resident on droplet precautions Caring for resident on on standard precautions Undiagnosed respiratory infection A resident on transmission based precautions must be * Placed in a private/single room if available/appropriate In a shared room with a cohort with same pathogen Or in shared room with cohort with limited risk factors All of the above are appropriate The same PPE can be worn between patients with similar microorganism to conserve resources * True False To properly handle, store, and transport soiled laundry, staff should * Transport soiled linens in bags and away from his/her body/clothing Transport contaminated and clean linens in separate carts Bagged contaminated linen when collected All of the above Is it required for a facility to educate and offer COVID-19 immunization for residents?* Yes No You notice a food service worker handling food with an open sore, what do you do? * Nothing Offer to bandage open area for employee Notify dietary supervisor as employee is not to handle food with an open sore Encourage residents not to eat the food How long should a resident remain on Enhanced Barrier Precautions? * One week One month The resident’s entire stay, or until medical device is removed Until infection is considered colonized Devices that are fully embedded in the body, without components that communicate with the outside, such as pacemakers, would not be considered an indication for Enhanced Barrier Precautions. * True False Are gowns and gloves recommended for Enhanced Barrier Precautions when transferring a resident from a wheelchair to chair in the dayroom or dining room? * Yes No Under Enhanced Barrier Precautions, therapy workers should wear gowns and gloves during therapy sessions. * True False If a resident does not have a history of a MDRO but does have an indwelling medical device or wound, should they still be placed on Enhanced Barrier Precautions? * Yes No CMS requires each facility have policies and procedures in place to monitor for Legionella and other waterborne pathogens that can grow and spread. * True False CMS requires each Long Term Care to have a antibiotic stewardship program with written protocols on antibiotic prescribing, including documentation of the indication, dosage and duration of use of antibiotics * True False

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