Thursday 18 June 2015

Why Hand rubs is compulsory in hospital?

Why Hand rubs is compulsory in hospital?
QUESTIONNAIRE
1. Which of the following statements about alcohol-based hand rubs is incorrect?
a)    Alcohol-based hand rubs reduce bacterial counts on the hands of health care workers more effectively than plain soaps.
b)      Alcohol-based hand rubs can be more accessible than hand washing facilities.
c)      Alcohol-based hand rubs require less time to use than traditional hand washing.
d)     Alcohol-based hand rubs are only effective if they are applied for ≥ 60 seconds.

2. Which of the following statements regarding hand hygiene is incorrect?
a)    Poor adherence to hand hygiene practice is a primary contributor to hospital-acquired infection and transmission of antimicrobial-resistant pathogens.
b)      Rings, watches and bracelets should be removed before beginning a surgical hand scrub.
c)      Hand hygiene is not necessary if gloves are worn during patient contact.

d          d)       Prevent hospital acquired infection by washing hands.
3. Alcohol-based hand rubs should not be used:
a)      When hands are visibly soiled.
b)      During preoperative cleaning of hands by surgical personnel.
c)      Before inserting invasive devices such as urinary catheters.
d)     After removing gloves.
4. In which of the following situations should hand hygiene not be performed.
a)      After talking to a patient from a distance.  
b)      Before inserting an invasive device (e.g. Catheter).
c)      When moving from a contaminated body sits to a clean body site during an episode of patient care.
d)     After having direct contact with a patient or with items in the immediate vicinity of the patient.
5. If your hands are not visibly soiled which is most effective for reducing the number of disease causing bacteria?
a)      Washing hands with plain soap and water.
b)      Washing hands with an antimicrobial soap and water.
c)      Applying 1.5ml to 3 ml of alcohol-based hand rub to the hands and rubbing hands together until they feel dry.
d)     Washing hands with plain water.
6. Which is the most frequent way for pathogens to spread from one patient to another in healthcare settings?
a)      Airborne spread resulting from patients coughing or sneezing.
b)      Patients coming in contact with contaminated equipment.
c)      From one patient to another via the contaminated hands of clinical staff.
d)     Poor environmental maintenance.
7. Which of the following bacteria readily survive in the environment of the patient for days to weeks, even after drying?
a)      E. coli.
b)      Klebsiella.
c)      Clostridium difficile. 
d)     Pseudomonas aeruginosa.
8. Which of the following statements about alcohol-based hand hygiene products is accurate?
a)      They take more time than hand washing with soap and water.
b)      They cause more allergy and skin intolerance than chlorhexidine products.
c)      They cause stinging of the hands in some practitioners due to pre-existing skin irritation.
d)     They are effective even when the hands are visibly soiled.
9. 
What is the most important reason for cleaning your hands between patients?


a.       Many studies have shown that the bacteria that cause nosocomial (hospital- acquired) infections are most frequently spread from one patient to another on the hands of health care workers.
b.      So you are in compliance with HIPPA regulations.
c.       To assure that you appear professional when working with residents.
d.      Hands feel dirty otherwise.
10. Which of the following is the main route of transmission of potentially harmful germs between patients?
a)      Health care worker’s hands when not clean.
b)      Intravenous line.
c)      Urinary catheter.
d)     Unhygienic food.
11. What reasons do healthcare workers cite as being obstacles to washing hands with soap and water.
a)      Inconvenient.
b)      Time consuming.
c)      Causes skin drying.
d)     All the above.
12.  When must you wash your hands with soap and water?
a)      Your hands are not visibly dirty.
b)      Between patients.
c)      Your hands are visibly contaminated with blood or body fluids.
d)     Before and after eating.
13. 
How long should you scrub your hands together for when using hand rub?
a)      5 seconds.                              
b)      20 seconds.
c)      10 seconds.                            
d)     2 minutes.
 14. Assuming your hands are not visibly soiled or contaminated with blood or body fluids, when should you use an alcohol- based hand rub?
a)      After and before having direct contact with patient and their surroundings.
b)      After having direct contact with patient of faecal incontinence.
c)      After having direct contact with patient suffering from diarrhoea.
d)     After having contact with body fluids or wounds or broken skin.
15.  The most effective way to break the chain of infection is by:
a)      Performing hand hygiene.
b)      Wearing gloves.
c)      Placing patients in isolation.
d)     Providing private rooms for all patients.
16. You have dressed a patient’s wound and now plan to administer a medication to the patient. It is important to:
a)      Remove gloves and performs hand hygiene before leaving the room.
b)      Remove glove and perform hand hygiene before administering meds.
c)      Leave the gloves on to administer meds.
d)     Leave the medication on the bedside table to avoid having to remove gloves.

17. Alcohol swabs are acceptable for:
a)      Cleaning skin before injection.
b)      Cleaning blood soaked equipment.
c)      Disinfecting the oral mucous membrane.
d)     Cleaning bathrooms.
18. What is the primary purpose of hand hygiene?
a)      To keep hands fragrant.
b)      To reduce microorganism and on the hands.
c)      To keep nails beautiful.
d)     To maintain skin integrity.
19. Which is the preferred method for decontamination of dirty hands in a health care setting?
a)      Bar of soap and water.
b)      Liquid soap and water.
c)      Alcohol based hand rubs.
d)     Antiseptic soap, bar and water.
20.  What’s the first step when using the correct technique for washing hands with soap and water?
a)      Lather hands.
b)      Wet hands with warm water.
c)      Apply liquid soap.
d)     Turn on the tap.









 ANSWER KEY


QUESTION
ANSWER
1.
A
2.
C
3.
A
4.
D
5.
C
6.
C
7.
C
8.
C
9.
A
10.
A
11.
D
12.
C
13.
B
14.
A
15.
A
16.
B
17.
A
18.
B
19.
A
20.
D




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