Diagnostic Imaging (Hgh) - Personal Protective Equipment

1.
Julie and Summer are finally finshed with the contact isolation case that they were doing with Anna.

Evidently, Summer is doing something wrong. What is it?

Summer on éternuait dans le masque.

Nothing. Julie just likes to make that face.

Summer was attempting to try out her patient's false teeth when Julie wasn't looking.

Summer is incorrectly removing her PPE.

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Explanation

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2.
Summer and Julie have gone to get a patient from Acute Med in ER. Anna is getting ready to help them with the contact isolation case. Is she properly donning her PPE?

She looks she's off to a good start. She just needs to get the gown on properly.

She shouldn't have her gloves on already. They should be the last thing she puts on.

Does it really matter? As long as she is covered she should be fine.

The correct answer is that Anna shouldn't have her gloves on already. They should be the last thing she puts on. This is because gloves are considered a high-risk area for contamination, and putting them on first increases the risk of touching contaminated surfaces and then touching the face or other clean areas. The correct order of donning PPE is gown, mask, goggles or face shield, and then gloves. By putting gloves on first, Anna is not following the proper procedure for donning PPE and potentially compromising her safety.

Explanation

The correct answer is that Anna shouldn't have her gloves on already. They should be the last thing she puts on. This is because gloves are considered a high-risk area for contamination, and putting them on first increases the risk of touching contaminated surfaces and then touching the face or other clean areas. The correct order of donning PPE is gown, mask, goggles or face shield, and then gloves. By putting gloves on first, Anna is not following the proper procedure for donning PPE and potentially compromising her safety.

3.
Anna is still helping with Nicole's exam. Is there anything wrong with this picture?

No, there is not. We asked Anna what she was doing and she said she was the "clean tech".

Yes, there is. There should never be isolation gowns on our equipment and you should not be touching the monitor with gloves on. It is confusing to those around you and it increases the chance of inadvertently infecting others.

Yes, there is. Why is it so bright in there??????

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Explanation

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4.
Is Summer wearing the isolation gown properly?

Well, sometimes you do feel like it when you work a lot of nights.

No. Summer feels fabulous. She is just cold and is wearing the gown to keep warm. (BAD SUMMER!)

Yes. It really brings out her eyes.

The correct answer is No. Summer feels fabulous. She is just cold and is wearing the gown to keep warm. This answer is correct because the question asks if Summer is wearing the isolation gown properly. The statement "She is just cold and is wearing the gown to keep warm" indicates that Summer is not wearing the gown for its intended purpose of providing isolation or protection. Therefore, she is not wearing it properly. The phrase "BAD SUMMER!" is added for emphasis and to express disapproval of her behavior.

Explanation

The correct answer is No. Summer feels fabulous. She is just cold and is wearing the gown to keep warm. This answer is correct because the question asks if Summer is wearing the isolation gown properly. The statement "She is just cold and is wearing the gown to keep warm" indicates that Summer is not wearing the gown for its intended purpose of providing isolation or protection. Therefore, she is not wearing it properly. The phrase "BAD SUMMER!" is added for emphasis and to express disapproval of her behavior.

5.
This is Deryk. Little old ladies love him. When he calls for isolated patients to come down to the department, how does he expect the porter to bring the chart?

Under the stretcher away from the isolated patient with an isolation sign attached to the front of the chart to indicate the type of isolation.

In a plastic bag with an isolation sign attached to the front of the chart to indicate the type of isolation.

It should be in a pillow case and on the patient's strecher. The chart found inside should have an isolation sign attached to the front to indicate what type of isolation the patient is.

The porter is expected to bring the chart in a plastic bag with an isolation sign attached to the front of the chart. This is done to indicate the type of isolation the patient is in. This method ensures that the chart remains protected and clearly labeled during transportation. Placing the chart in a plastic bag also helps to prevent any potential contamination or spread of infection.

Explanation

The porter is expected to bring the chart in a plastic bag with an isolation sign attached to the front of the chart. This is done to indicate the type of isolation the patient is in. This method ensures that the chart remains protected and clearly labeled during transportation. Placing the chart in a plastic bag also helps to prevent any potential contamination or spread of infection.

6.
Referring to the last question. What should you do if the chart does not come down appropriately?

Call up to the referring ward and let the nurse know that the chart came down to the department improperly

Fill out a safety occurance report

Complain to the people you work with about how the referring ward always does this and then do nothing about it.

A and B.

If the chart does not come down appropriately, the appropriate action would be to call up to the referring ward and inform the nurse about the issue. This ensures that the problem is addressed and the necessary steps can be taken to rectify the situation. Additionally, filling out a safety occurrence report is also a recommended course of action as it helps to document the incident and identify any potential patterns or areas for improvement. Therefore, both options A and B are correct.

Explanation

If the chart does not come down appropriately, the appropriate action would be to call up to the referring ward and inform the nurse about the issue. This ensures that the problem is addressed and the necessary steps can be taken to rectify the situation. Additionally, filling out a safety occurrence report is also a recommended course of action as it helps to document the incident and identify any potential patterns or areas for improvement. Therefore, both options A and B are correct.

7. From an infection control perspective, what's wrong with this picture?

There is a yellow gown on the stretcher and no one is wearing gowns or gloves.

Summer is standing too far away from the patient when she is trying to move the patient forward (ie. poor body mechanics)

Summer has the image receptor on the ground and she has also refrained from placing it in a plastic bag.

Nicole isn't smiling.

A, B and C

The correct answer is A, B and C. From an infection control perspective, there are multiple issues with this picture. Firstly, there is a yellow gown on the stretcher, indicating that it should be worn, but no one is wearing gowns or gloves, which puts them at risk of infection. Secondly, Summer is standing too far away from the patient while trying to move them, which indicates poor body mechanics and increases the risk of injury. Lastly, Summer has placed the image receptor on the ground without placing it in a plastic bag, which can lead to contamination and infection. Additionally, Nicole's lack of smiling is not directly related to infection control.

Explanation

The correct answer is A, B and C. From an infection control perspective, there are multiple issues with this picture. Firstly, there is a yellow gown on the stretcher, indicating that it should be worn, but no one is wearing gowns or gloves, which puts them at risk of infection. Secondly, Summer is standing too far away from the patient while trying to move them, which indicates poor body mechanics and increases the risk of injury. Lastly, Summer has placed the image receptor on the ground without placing it in a plastic bag, which can lead to contamination and infection. Additionally, Nicole's lack of smiling is not directly related to infection control.

8. Sarah D. and Michelle are both wearing isolation gowns. Michelle's is a cloth gown, while Sarah D's is a paper gown. Both gowns are available in our hospital but which gown provides better personal protection?

The yellow cloth gown.

The white paper gown.

Both gowns are equally protective.

I don't know, but once Sarah B. realizes that they are both isolated and touching her, those gowns won't protect Sarah D. and Michelle from much.

Both gowns are equally protective.

Explanation

Both gowns are equally protective.

9. So then Julie asked me another question.... "Sam, I remember hearing something about calling 49001 to arrange for a porter to bring a Hepa Filter from Bed Storage. When do you have to do that?" What did I tell her?

When you do a case with a patient who is isolated with airborne precautions and will be in the examination room for more than an hour.

When you do a case with a patient who is isolated with airborne precautions and will be in the examination room for less than an hour.

You don't need to call because the patient should be bringing the hepa filter from their room with them.

None of the above are correct.

The correct answer is when you do a case with a patient who is isolated with airborne precautions and will be in the examination room for more than an hour. This means that if the patient is isolated due to an airborne infection and will be in the examination room for a prolonged period of time, it is necessary to call 49001 to arrange for a porter to bring a Hepa Filter from Bed Storage. The Hepa Filter helps to filter and purify the air in the room, reducing the risk of transmission of airborne pathogens.

Explanation

The correct answer is when you do a case with a patient who is isolated with airborne precautions and will be in the examination room for more than an hour. This means that if the patient is isolated due to an airborne infection and will be in the examination room for a prolonged period of time, it is necessary to call 49001 to arrange for a porter to bring a Hepa Filter from Bed Storage. The Hepa Filter helps to filter and purify the air in the room, reducing the risk of transmission of airborne pathogens.

10. Liz makes every effort to ensure that most areas are well stocked with N95 masks. In the event that stock has run low and you have an isolation case coming in, where can you find the portable mask cart?

In ER X-Ray

In MRI

In the waiting area outide of the gastrics room

In the waiting area between Pod 2 and CT.

In Kathy and Maureen's office

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Explanation

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11.

In what order should Julie tell Summer to remove her PPE?

Remove gloves, wash hands, remove gown, wash hands, remove mask, wash hands.

Remove gown, wash hands, remove gloves, wash hands, remove mask, wash hands.

Remove mask, wash hands, remove gloves, wash hands, remove gown, wash hands

None of the above.

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Explanation

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12.
After that isolation case, Julie came to my office and asked me when she should do a terminal clean. What did I tell her?

When the patient has been coughing incessantly

When the patient has been in the room for more than an hour and has been isolated with airborne precautions.

When the a patient has had a large spill of bodily fluids (ie. vomitting, diahrrea or blood) regardless of whether they are isolated or not.

A and B

B and C

The correct answer is B and C because the terminal clean should be done when the patient has been in the room for more than an hour and has been isolated with airborne precautions, as well as when the patient has had a large spill of bodily fluids regardless of whether they are isolated or not.

Explanation

The correct answer is B and C because the terminal clean should be done when the patient has been in the room for more than an hour and has been isolated with airborne precautions, as well as when the patient has had a large spill of bodily fluids regardless of whether they are isolated or not.

13.
Cheryl hasn't realized that SARS is over and she doesn't have to wear the mask anymore. In fact she hasn't had a mask fit test done since then. ( February 2003) When should she have gone for her mask fit test?

February 2005

February 2004

February 2006

February 2007

Cheryl should have gone for her mask fit test in February 2005 because it has been two years since she last had the test done in February 2003.

Explanation

Cheryl should have gone for her mask fit test in February 2005 because it has been two years since she last had the test done in February 2003.

14.
Summer and Julie found Nicole in Acute Med. Apparently Nicole has now been identified as a isolated patient. She is contact precautions.

Identify what is wrong with this picture.

ps. I don't know what they are all smiling about. None of them were wearing gloves when Nicole first came in... ;-)

Nothing. Everyone has the appropriate PPE on for a contact precaution exam.

Anna is double gloved.

Nicole should have a yellow gown on her stretcher to identify her as an isolated patient so all staff are aware.

The explanation for the given correct answer is that Anna is double gloved. This means that Anna is wearing two pairs of gloves instead of the recommended single pair. Double gloving can increase the risk of contamination and is not necessary for a contact precaution exam. It is important to follow proper protocol and wear the appropriate personal protective equipment (PPE) to ensure the safety of both the patient and the healthcare workers.

Explanation

The explanation for the given correct answer is that Anna is double gloved. This means that Anna is wearing two pairs of gloves instead of the recommended single pair. Double gloving can increase the risk of contamination and is not necessary for a contact precaution exam. It is important to follow proper protocol and wear the appropriate personal protective equipment (PPE) to ensure the safety of both the patient and the healthcare workers.

15.
From an Infection Control perspective, what is wrong with this picture?

No one is wearing gloves

No one is wearing gowns

The plate is not covered with a plastic bag

A and B

A and C

From an infection control perspective, the problem with the picture is that the plate is not covered with a plastic bag. This is important because covering the plate with a plastic bag helps to prevent contamination and the spread of pathogens. Without the plastic bag, there is a higher risk of cross-contamination and the potential for the spread of infectious diseases. Wearing gloves and gowns are also important infection control measures, but in this case, the lack of a plastic bag covering the plate is the specific concern.

Explanation

From an infection control perspective, the problem with the picture is that the plate is not covered with a plastic bag. This is important because covering the plate with a plastic bag helps to prevent contamination and the spread of pathogens. Without the plastic bag, there is a higher risk of cross-contamination and the potential for the spread of infectious diseases. Wearing gloves and gowns are also important infection control measures, but in this case, the lack of a plastic bag covering the plate is the specific concern.