Goals & Objectives Past and Present Issues of Infection Control ...

Name: ______________________________Department/Institution:____________________________
Goals & Objectives
Past and Present Issues of Infection Control, Agencies Impacting Infection Control,
Overview of Effective Infection Control Programs
Role of the AICP
Contact hours – 2.0
Goal
Increase the learner's knowledge of the foundation of an infection control program.
Objectives
• Identify major historical events in infection control and its evolution.
• Recognize the role of major agencies related to infection control.
• Describe the major functions of an institution's Infection Control Committee.
• Locate infection control resources on the unit, in the department, and in the institution.
• Describe the function of the AICP program.
• State major infection control activities in which the AICP should be involved.
Test Questions
1. The Golden Age of Microbiology was the result of the following influential leaders:
a. Nightingale, Koch, Pasteur, and Semmelweis
b. Fleming, Klarer, and Kornfeld
c. Haley, Thompson and Gerberding
d. Hygieia, Flora and Asclepius
2. Infection Control is evolving and
a. Recently focused on prevention.
b. Is responding to new infections such as anthrax, tuberculosis and syphilis.
c. Past studies have limited value
d. None of the above.
3. The Occupational Safety and Health Act of 1970 created the National Institute for
Occupational Safety and Health (NIOSH) and is part of
a. U.S. Department of Labor
b. Centers of Disease Control and Prevention (CDC)
c. Federal Bureau of Investigation
d. Occupational Safety and Health Administration (OSHA)
4. The Infection Control Committee is responsible for
a. Overseeing the budget of the Infection Control Department
b. Annual performance appraisals of the Infection Control staff
c. Oversight and authority of the Infection Control Program
d. Overseeing compliance to the Infection Control chapter in the Joint Commission
standards
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Name: ______________________________Department/Institution:____________________________
5. Infection Control resources may include
a. Discussion with peers at a local Association for Professionals in Infection Control and
Epidemiology (APIC) chapter meeting
b. Review of infection control publications from the Centers of Disease Control and
Prevention (CDC)
c. Contacting the local health department
d. All of the above
6. An Associate Infection Control Practitioner (AICP) is recognized as:
a. The liaison with Quality Assurance
b. The immunization coordinator within the department
c. A unit based resource for the unit who has a deep understanding of the clinical area they
practice along with infection control practices.
d. The Standard Precautions Assessment observer.
7. The Associate Infection Control Practitioner (AICP) at Gundersen Lutheran is expected to
participate in
a. The Flu Shot clinic and TB skin testing program
b. The AICP education program, AICP work groups and Standard Precaution Assessments
c. The Cold Chain Management program
d. The Patient Safety Measures.
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Name: ______________________________Department/Institution:____________________________
Support Services
Contact hours – 2.0
Goals & Objectives
Goal
The learner will have a basic understanding of the relationship between several key Support
Services and Infection Control.
Objectives
Identify key infection control risks as it relates to the following support services:
• Food Handling
• Waste Management
• Laundry
• Pharmacy
• Facility Operations
• Handling Supplies
Identify key infection control interventions as it relates to the above identifies risks in the
following support services:
• Food Handling
• Waste Management
• Laundry
• Pharmacy
• Facility Operations
• Handling Supplies
Test Questions
1. The temperature danger zone for potentially hazardous foods is
a. 36°-46° F
b. 40°-140° F
c. 140°-180° F
d. 26°-32° F
2. Infectious waste is
a. The solid waste generated by a hospital or health care institution.
b. Solid waste that is medical waste.
c. Hazardous waste that is collected by a registered hazardous waste transporter.
d. Solid waste that contains pathogens with significant virulence and capable of
causing disease.
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Name: ______________________________Department/Institution:____________________________
3. Dirty linen should be
a. Sorted and rinsed at the point of generation.
b. Handled with the appropriate personal protective equipment (PPE).
c. Collected by throwing loose linen down the laundry chute.
d. Collected in the linen bag stored in the clean utility room.
4. Laminar flow hoods are used to
a. Mix all chemotherapy agents
b. Provide a sterile environment to handle specimens
c. Provide a sterile environment to prepare parental medication
d. Provide a safe environment when preparing hazardous medication.
5. Facility Operations is responsible for providing safe
a. Air
b. Water
c. Drainage
d. All of the above
6. Safe handling of supplies includes
a. Humidity levels between 10-30%
b. Temperature levels between 60-85° F
c. Storing items in original brown corrugated packing box to track lot numbers
d. Storing items 8 inches from the floor, 2 inches from the outside wall and 18
inches from ceiling fixtures.
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Name: ______________________________Department/Institution:____________________________
Sterilization & Disinfection
Contact hours – 2.0
Goals & Objectives
Goal
To increase the learner's basic understanding of the principles used in sterilization, disinfection
and sanitation in a health care setting.
Objectives
• Describe the appropriate uses of cleaning, disinfection, and sterilization.
• Name two disinfection procedures used at the hospital.
• List two ways the sterilization process is monitored.
• Identify key issues in the safe handling of gluteraldehyde.
• Recall the key aspects in the safe handling of endoscopes.
• Identify key infection control risks with the appropriate interventions as it relates to
instrument handling.
Test Questions
1. Tissue forceps used to remove foreign objects from an acute trauma wound should be
a. Disinfected before use.
b. Sterilized in a peal pouch in the procedure room.
c. Cleaned, packaged sterilized in an area outside the procedure room.
d. Flash sterilized.
2. High level disinfection is required for items having contact with mucous membrane and
includes
a. Use of a surfactant on a chronic wound
b. Pasteurization or soaking in gluteraldehyde
c. 10 seconds of wet contact time from use of an alcohol prep pad.
d. Wiping a surface off with a cleaning rag dampened with a quaternary solution.
3. Sterilizers are monitored by
a. Biological, chemical and mechanical indicators
b. The test strip inside the wrapped sterile pack
c. A chemical integrator when the biologic indicator is only done once a week
d. The printout from the sterilizer of the time, temperature and pressure recording.
4. Gluteraldehyde requires the use of the following personal protective equipment
a. Goggles, respirator, and gloves
b. Nitrile gloves, and respirator
c. Splash proof goggles, nitrile gloves, and impermeable gown.
d. ‘C’ above and a self contained breathing apparatus (SCBA) if there are unacceptable
vapor levels.
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Name: ______________________________Department/Institution:____________________________
5. Flexible endoscopes should be cleaned
a. Before high level disinfection is done.
b. But it is necessary to perform pressure leak testing prior to immersion in an enzyme
solution.
c. By personnel that completed the competency program commensurate with their assigned
duties.
d. All of the above.
6. Flash sterilization is done
a. on all implants to ensure just in time sterility
b. when there is a shortage of instruments and scheduled cases have been confirmed
c. in the Central Service department to improve their turn around time
d. only during emergent situations.
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Name: ______________________________Department/Institution:____________________________
Resources for Infection Control Practitioners
Contact hours – 0.5
Goals & Objectives
Goal
To increase the learner's basic understanding of the commonly used resources in infection
control.
Objectives
• Name one book that should be readily available to all infection control practitioners.
• Name one journal/report that is available at a low cost.
• List two reputable Internet sites used by infection control practitioners.
Test
1. A reasonably priced reference book that should be available to infection control
professionals is
a. The Pink Book from CDC
b. Notes on Nursing by Florence Nightingale
c. The Great Influenza by John Barry
d. Control of Communicable Diseases Manual by David Heymann
2. A low cost journal/report available at no cost electronically from CDC is
a. The MMWR
b. American Journal of Infection Control (AJIC)
c. Infection Control and Hospital Epidemiology (ICHE)
d. Clinical Infectious Diseases (CID)
3. A reputable website with valuable information for infection control practitioners and the
lay person is
a. www.cdc.gov
b. www.gundluth.org
c. www.google.com
d. www.stophospitalinfections.org
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Name: ______________________________Department/Institution:____________________________
Basic Asepsis
Contact hours – 1.0
Goals & Objectives
Goal
To increase the learner's basic understanding of the basic principles necessary for asepsis in the
health care setting.
Objectives
• List the four components of surgical conscience.
• Differentiate between clean technique and sterile technique.
• Identify the precautions required for a minor invasive procedure.
Test Questions
1. The four components of surgical conscience are:
a. Trust, faith, reciprocity, and equity.
b. Calmness, wisdom, cleanliness and duty.
c. Caring, conscience, discipline and technique.
d. Control, practice, speed and health.
2. Clean technique or medical asepsis is appropriate for
a. Sterile cavity procedures
b. Chronic wounds requiring extensive debridement and reconstruction
c. Chronic wounds
d. Vaginal delivery
3. Asepsis used during a minor invasive procedure
a. Builds upon Standard Precautions and aseptic use of personal protective
equipment (PPE).
b. Requires use of sterile gloves
c. Requires freshly applied nail extenders
d. A&B above.
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Name: ______________________________Department/Institution:____________________________
Microbiology Basics
Contact hours – 2.0
Goals & Objectives
Goal
Improve the learner's understanding of elementary microbiology as it relates to infection control.
Objectives
• Recall the common functions or roles that the Microbiology lab has in infection control.
• Identify the normal flora in the mouth, upper respiratory tract, intestines, external genitalia,
vagina, skin, ears, and eyes.
• List organisms that are usually pathogenic when isolated from a patient.
• Identify organisms that are opportunistic infectious agents when isolated from
immunocompromised patients.
• State the importance of properly collecting and transporting specimens for culture used for
making a clinical diagnosis.
• Describe the procedures for obtaining and transporting routine specimens.
• Interpret common microbiological reports.
Test
1. The Microbiology lab has the following roles in infection control:
a. Conducting environmental culturing of commonly touched surfaces in the
patient’s environment.
b. Timely identification and reporting of clinically significant results.
c. Design an effective Infection Control program based on current state statutes.
d. Order isolation of patients based on most recent lab findings.
2. Propionibacterium is considered a commensal organism of the:
a. Respiratory tract
b. Gastrointestinal tract
c. Genital urinary tract
d. All of the above in addition to the eyes and ears.
3. Although Staphylcoccus aureus is commonly carried by about 1/3 of the general
population, the presence of this organism in one of the body sites below is considered
pathogenic.
a. Anterior nares
b. Skin folds
c. Cerebral spinal fluid
d. Perineum
4. The best example of an opportunistic infection in an AIDS patient is
a. Yersinia pestis following a trip to New Mexico.
b. Bacillus anthracis from the axilla wound culture after having contact with a
sweater from the Middle East.
c. Pneumocystis pneumonia after not complying with TMP-SMX prophylaxis.
d. Norovirus gastroenteritis following a visit to the local elementary school.
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Name: ______________________________Department/Institution:____________________________
5. Which of the following is an example of a poorly collected specimen?
a. A blood culture report with a coag neg Staph from 1 of the 4 bottles.
b. MRSA from an anterior nares culture
c. Neisseria menigiditis from cerebral spinal fluid.
d. E. coli, Enterobacter and Enterococcus from an incontinent patient with a recently
inserted indwelling catheter.
6. Which of the following is an example of an appropriately collected specimen?
a. Collect expectorated sputum from deep in the lungs early in the morning after
patient has rinsed mouth and gargled thoroughly with fresh water.
b. Collect a urine specimen from an elderly obese female by using a sterile bedpan
and a sterile specimen cup.
c. Collect the pus from a pressure wound after removing the dirty dressing by using
a sterile rayon swab and sterile gloves.
d. Collect the last few drops of urine into a sterile specimen cup for a Chlamydia
culture.
7. All specimens containing body fluids should be transported to lab
a. Refrigerator to prevent overgrowth of bacteria.
b. In a container with a biohazard label.
c. And stored at room temperature for an accurate measure of bacteria present.
d. In an anaerobic culturette or similar container.
8. Which of the following lab result will probably require treatment by the medical team?
a. Intravascular catheter tip - No growth at 24 hours.
b. Sputum culture – few normal respiratory flora
c. Midstream urine specimen - 1,000 cfu/ml
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Name: ______________________________Department/Institution:____________________________
Environmental Infection Control
Contact hours – 1.0
Goals & Objectives
Goal
Appreciate the impact the facility’s environment has upon infection control.
Objectives
• Identify the role of Infection Control in mitigating patient risks related to indoor air
quality during construction and renovation projects.
• Identify the role of Infection Control in mitigating patient risks related to water damage
in the health care setting.
Test
1. Aspergillosis may occur in an immunocompromised host with which renovation project
below.
a. Demolition behind intact barriers and negative pressure with air being vented
directly to the outside 50 feet from an air intake.
b. Plumbing project one floor below and on a different HVAC system to remove
dead legs.
c. Removal of the hallway carpeting in a patient care area to revert back to tazzo
flooring.
d. Demolition of the east wing of building used to store old equipment on a wet
drizzly day with winds from the west.
2. During one of your most recent renovation projects there was a back up of gray water
from a floor drain in the basement. An appropriate response by the infection control
practitioner would be to:
a. Assume the role as a Safety Officer during the incident and direct staff to avoid
walking through the murky water without protection on their feet and
appropriately identify the location for barricades.
b. Direct the clean up team to collect all damaged permanent paper records and
loosely stand them up in a crate to facilitate run off and aeration while in storage
in a deep freeze.
c. Instruct staff to use alcohol gel during the water use restriction and divert
procedures to an area where water restrictions are not in place.
d. All of the above.
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Name: ______________________________Department/Institution:____________________________
Common Healthcare Associated Infections
Contact hours – 0.75
Goals & Objectives
Goal
To increase the learner's basic knowledge of the cause, prevention and control of health care
associated infections.
Objectives
• Differentiate between the terms ‘nosocomial infection’ and ‘healthcare associated infection’
(HAI).
• Describe each of the following common heath care associated infections and related infection
control measures.
o Surgical wound infections (SSI)
• wound classification
• ASA score
• cut point T
• risk index
o Pneumonia (refer infection control measures to that specific section)
o Bacteremia (refer infection control measures to that specific section)
o Urinary tract infections
o Oral cavity infections
• Identify the three most common nosocomial infections.
• List common normal body defenses which when impaired may predispose a patient to
development of a nosocomial infection.
• Name the common procedures that can compromise a patient's normal defense against
infection.
• Locate the CDC guidelines for the prevention of nosocomial infections.
Test
1. While nosocomial infections
a. Primarily focus on infections that are recognized by the healthcare team from the
time of admission to discharge; they could also include nosohusial infections.
b. Is a dated term referring to hospital associated infections, the more popular term
today is ‘health care associated infections’ which refers to infections that occur
during the course of receiving care in today’s multifaceted health care systems.
c. Typically do not include common community acquired infections such as
measles, it is important to include this information in your annual report to the
medical director of the surgery department.
d. Are restricted to infections that are evident 48 hours or more after admission,
healthcare associated infection include infections that have shorter incubation
periods.
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Name: ______________________________Department/Institution:____________________________
2. A scheduled laminectomy done on a healthy 34 year old female, mother of two young
children and is currently breast feeding which took the surgeon 55 minutes to complete
would be most likely be considered a
a. Wound Class I and ASA Score 1
b. Wound Class I and a Cutpoint T of 2.
c. ASA Score of 2 and Cutpoint T of 2
d. Risk Index Score of 2.
3. An example of a health care associated pneumonia using the CDC definitions is
a. A health care worker seen in the employee health clinic during the influenza
season with rapid onset fever, cough and body aches.
b. A patient with a long standing history of COPD with a change in sputum
characteristics to thick green tinges sputum with a sweet smell.
c. A patient admitted for a scheduled coronary artery bypass procedure that
developed persistent left lower lobe infiltrates, fever, cough, rales, increased
production of thick creamy sputum and required prolonged oxygen therapy.
d. A trauma patient admitted with multiple fractures, including the hip, who
developed acute respiratory distress syndrome three days after admission.
4. A laboratory confirmed blood stream infection
a. Includes all positive blood cultures.
b. Includes positive vascular culture tip cultures obtained from the roll plate method
c. Is a positive blood culture and the pathogen isolated is not related to an infection
at another site
d. Is a term limited to patients with a central line in the intensive care unit.
5. A health care associated urinary tract infection
a. Is the most common infection according to CDC reports.
b. Includes patients with a positive urinary antigen for legionella or Streptococcus
pneumoniae following catheterization.
c. Typically occurs following catheterization, a break in the first line of defense.
d. A & C above.
6. The CDC guidelines for the prevention of health care associated infections
a. Is one document located at http://www.cdc.gov/ncidod/dhqp/guidelines.html
b. Includes the documents for the prevention of surgical site infections, hand
hygiene in health care settings and the guideline for isolation precautions.
c. Are restricted to guidelines related to invasive procedures preformed in U.S.
hospitals.
d. Are updated annually by HICPAC.
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Name: ______________________________Department/Institution:____________________________
Becoming An Effective Change Agent
Contact hours – 1.0
Goals & Objectives
Goal
To develop a deeper understanding of facilitating change to occur against all forces to resist
change.
Objectives
• Become aware of the expected transitions you and others will experience.
• Discover what you will need to be successful in initiating change.
Test
1. During a transition to send all dirty instruments to a central reprocessing area in the
institution, the Infection Control Professional (ICP) can expect all of the following
response from the clinic staff except one.
a. ‘CS will never be able to do this and the doctors will never tolerate their
instruments leaving their department’
b. ‘I am so happy this change is occurring because now I will be able to spend more
time on patient teaching’
c. ‘They are taking my job away’
d. ‘It will never work.’
2. Managing resistance to the above change by the clinic nursing staff could include
a. Reducing the number of nurses in the department and hiring more technicians in
Central Service.
b. Purchasing additional bargain instruments to facilitate turn around time.
c. Having a party to celebrate the decision and before the conversion is made in case
it does not work out.
d. Identifying key stake holders in each department that can assist in the conversion.
3. Effective change agents in infection control and prevention typically
a. Are limited to the chairperson of the Infection Control Committee
b. Are respected by their pears
c. Are in a position of authority to force the change to occur
d. Are from the Infection Control department.
4. Assertive communication is best illustrated by this statement.
a. ‘I think this change will result in an increased turn around time for instrument
processing and the need for additional instruments in inventory.’
b. ‘You make me so mad when you change things on me.’
c. ‘Whatever you say.’
d. ‘It is your fault this is not working.’
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Name: ______________________________Department/Institution:____________________________
Respiratory System and Related Devices
Contact hours – 1.0
Goals & Objectives
Goals
To familiarize the learner to the prevention of infections associated with respiratory care
procedures and treatments.
Objectives
• Identify the population at risk for a respiratory infection.
• Describe alterations of the respiratory system that increases the risk of infection.
• Describe the procedures/devices associated with risk to infection and the interventions to
decrease the risk.
• Locate the CDC's Guidelines for the Prevention of Nosocomial Pneumonia.
Test Questions
1. The following groups of patients are not at an increased risk for a respiratory infection.
a. Post operative patients, especially following an abdominal procedure.
b. Post operative patients, especially following a LASIK procedure.
c. Patients with a history of chronic obstructive pulmonary disease (COPD).
d. The elderly, obese, or those with an impaired cough.
2. Patient actions that may increase the risk for a respiratory infection include
a. Chewing nicotine gum.
b. Gargling with an antimicrobial mouthwash prior to intubation.
c. Getting an annual ‘flu shot’.
d. A recent inhalation injury or trauma.
3. During an infection control walk through, an ICP would take action if the following was
concern was identified.
a. The small volume nebulizer was found sitting on a damp paper towel underneath
the soap dispenser by the handwashing sink.
b. The tubing from the ventilator was free from condensate.
c. The bronchoscopy lab had respiratory protection and other personal protective
equipment stored in a clean area close to the point of use.
d. The in line suction catheter is changed when needed.
4. The Guidelines for Preventing Health-Care-Associated Pneumonia, 2003 are
a. Available at www.cdc.gov
b. Limited to preventing ventilator associated pneumonia (VAP).
c. Outdated
d. Focused on preventing post-op pneumonia.
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Name: ______________________________Department/Institution:____________________________
Intravascular – Medication Handling/Devices
Contact hours – 0.75
Goals & Objectives
Goal
To increase the learner's understanding of infection control measures used to prevent
intravascular infections.
Objectives
• Recall commonly used intravascular devices within the institution.
• Recognize common signs and symptoms of a vascular related infection.
• Identify common sources of contamination and related pathogens from medication handling
and intravascular devices.
• State strategies used for the prevention of intravascular catheter related infections.
Test
1. Some of the most common intravascular devices include peripheral catheters, midline
catheters, and
a. Central lines
b. Intrathecal devices
c. Transdermal patches
d. Peritoneal dialysis.
2. Patients with a vascular related infection will typically have a laboratory confirmed blood
stream infection and
a. The same organism cultured from their urinary drainage system.
b. Cellulitis in proximity to a recent surgery.
c. A recent history or a current vascular access device.
d. Red streak along a vein.
3. A possible source of contamination
a. May actually be a false positive if aseptic technique is not used when collecting
the blood culture or culturing the vascular device.
b. May occur if admixtures are not prepared in a laminar flow hood by competent
staff.
c. May occur if blood has collected under the dressing and along the catheter.
d. All of the above.
4. Vascular related infections have been associated with
a. The use of Chlorahexidine gluconate or an iodine based product with a polymer.
b. A hand scrub with an antimicrobial agent.
c. Use of maximum barrier precautions.
d. Use of a femoral line in a mildly obese patient.
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Name: ______________________________Department/Institution:____________________________
Isolation Precautions
Contact hours – 1.0
Goals & Objectives
Goal
The learner will be familiar with the new isolation precaution guidelines from CDC and issues
related to the application of these guidelines in various health care settings.
Objectives
• Recognize the importance of handwashing in standard precautions/infection control.
• Name the isolation categories in the new CDC isolation guidelines.
• Discuss implications for application in various settings;
o hospital
o nursing home
o clinic
o home care
• Discuss the implications for the use of Emperic Precautions in each of the above settings.
• Identify resources available for implementation the new guidelines.
Test
1. The cornerstone of an effective infection control program in any setting is
a. Consistent implementation of transmission based precautions.
b. Hand hygiene.
c. Immunization of health care workers against influenza.
d. Prompt isolation of patients with MRSA infections.
2. The recognized isolation categories or transmission based precautions in the CDC
guidelines released in 2007 are
a. AFB Precautions, Strict Precautions and Protective Isolation.
b. Universal Precautions, Contact Precautions, Droplet Precautions, Airborne
Precautions.
c. Contact Precautions, Droplet Precautions, Airborne Precautions
d. None of the above
3. Although a private room is recommended for Contact Precautions
a. Cohorting of patients may be necessary, especially in some long term care
facilities.
b. When the patient has anthrax, it may be appropriate to use respiratory etiquette in
the clinic setting.
c. It is also recommended for patients in all settings when they have MRSA.
d. In the home care setting, it is not necessary for the home care staff to use gowns
and gloves.
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Name: ______________________________Department/Institution:____________________________
4. Emperic Precautions or most commonly used in the
a. Hospital setting after culture reports have confirmed the diagnosis.
b. Nursing home for known MRSA carriers.
c. Clinic, Urgent Care and emergency room settings when the differential diagnosis
includes a communicable disease.
d. All of the above.
5. Standard Precaution guidance may be found
a. at http://www.cdc.gov/ncidod/dhqp/gl_isolation.html
b. at http://www.cdc.gov/niosh/topics/bbp/
c. at http://www.cdc.gov/niosh/topics/tb/
d. at http://www.cdc.gov/hiv/
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Name: ______________________________Department/Institution:____________________________
Goals & Objectives
Community Acquired Infections - Respiratory
Contact hours – 1.0
Goal
To increase the learner's awareness of common community acquired infections and
epidemiologic factors.
Objectives
• Recall the classification system of communicable diseases.
• Identify the role of the institution in surveillance and reporting of community acquired
infections.
• Recognize common community acquired infections affecting the respiratory system.
Test
1. Examples of Class I diseases are
a. Plague, cholera and yellow fever
b. Giardia, hepatitis and legionella
c. Lyme disease, genital herpes and MRSA
d. All of the above
2. Examples of Class II diseases include
a. Any suspected bioterrorism event
b. HIV infection
c. Mumps, tuberculosis and leprosy
d. Colds, staph infections and strep infections
3. Whenever a health care facility suspects an outbreak of a communicable disease in the
community they serve, they should
a. Contact the local health department or an official at the state health department.
b. Contact the incident commander
c. Contact Emergency Management about a possible bioterrorism threat
d. Contact the local school nurse to close the school during the outbreak.
4. The ICP may work closely with the local health officials to
a. Improve communication and prompt reporting of communicable diseases
requiring prompt investigation and isolation.
b. Timely report all suspected diseases
c. Track exposure to lead in the homes
d. Compile reports of communicable diseases.
5. The following are classified as a respiratory disease
a. Polio, tetanus and yersiniosis
b. Extrapulmonary TB, stomach flu and norovirus
c. Legionellosis, pneumococcal pneumonia and whooping cough
d. Blastomycocis, anaplasmosis and babesiosis.
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Name: ______________________________Department/Institution:____________________________
Sexually Transmitted Infections
Contact hours – 0.75
Goals & Objectives
Goal
Understand the infection control and prevention issues related to sexually transmitted infections.
Objectives
• Identify reportable sexually transmitted diseases and the appropriate forms used in the state
of Wisconsin.
• Recognize the clinical manifestation of sexually transmitted diseases (STDs).
• State practices used in the community to prevent the spread of sexually transmitted
infections.
• Recall the significant statistics related to STD's in the community.
Test
1. Some of the reportable sexually transmitted diseases in the state of Wisconsin include
a. HIV, syphilis and gonorrhea
b. Endometritis, bacterial vaginosis, prostatitis and epididymitis
c. Enteritis, conjunctivitis and pneumonia in a newborn
d. Cervical cancer, human papilloma virus (HPV) and genital herpes.
2. One of the first symptoms of syphilis may include
a. A chancre, a painless wet ulcer.
b. A painful wet ulcer in the genital area.
c. A faint diffuse rash with flu like symptoms
d. A white creamy/bloody discharge and painful urination
3. Chlamydia can cause
a. Pelvic inflammatory disease (PID)
b. No symptoms in women early in the infection process
c. Pre-term birth and the possibility of pneumonia and eye infection of the infant
d. All of the above
4. Sexually transmitted diseases can be prevented through
a. Oral sex
b. Anal sex
c. Abstinence and effective use of condoms
d. Prophylaxis with penicillin after sexual contact
5. There has been an increase in HIV infection in
a. Older adults
b. Heterosexual women
c. Young gay men
d. All of the above
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Name: ______________________________Department/Institution:____________________________
6. There has been an increase in
a. Fluroquinolone resistant gonococcal infections
b. Syphilis cases in men who have sex with men (MSM)
c. Premature births
d. All of the above
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Name: ______________________________Department/Institution:____________________________
Community Acquired Infections – All Others
Contact hours – 1.0
Goals & Objectives
Goal
To increase the learner's awareness of common community acquired infections and
epidemiologic factors.
Objectives
• Recognize common community acquired infections affecting the lymph and cardiovascular
system.
• Recognize common community acquired infections affecting the skin and eyes.
• Recognize common community acquired infections affecting the nervous system.
• Recognize common community acquired infections affecting the gastrointestinal system.
Test
1. An infection that may affect the lymph and cardiovascular system includes
a. Chicken pox
b. Measles
c. Plague
d. All of the above
2. An infection that may affect the skin and eyes includes
a. Measles
b. Influenza A
c. Cryptosporidiosis
d. All of the above
3. An infection that may affect the nervous system includes
a. Herpes Simplex
b. Polio
c. West Nile
d. All of the above
4. Pathogenic organisms that may affect the gastrointestinal system includes
a. Escherichia coli O157:h7, Campylobacter jejuni and Salmonella
b. Norovirus, influenza Type A and Norwalk virus
c. Enteroviruses, CJD and anthrax
d. All of the above
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Name: ______________________________Department/Institution:____________________________
Hand Hygiene
Contact hours – 0.5
Goals & Objectives
Goal
To increase the learner's awareness of the complexity of teaching the familiar and simple act of
hand hygiene.
Objective
• Recall key points from the CDC guidelines on hand hygiene.
• Recall my five moments for hand hygiene as identified in the World Health Organization
guidelines.
• Demonstrate 3 simple exercises that may be used to illustrate the importance of hand hygiene
in stopping disease transmission.
Test
1. The CDC guidelines advocate
a. That nail extenders may be worn as long as they are no longer that ¼ inch from
the tip of the finger.
b. That personal hand lotion be used to prevent dermatitis.
c. That hands be washed with antimicrobial or non-antimicrobial soap and water
whenever they are visibly soiled.
d. All of the above
2. My five moments of hand hygiene are
a. Before and after blowing my nose, before and after eating and after going to the
bathroom.
b. After getting the mail, going to the bathroom, after eating, after blowing my nose
and after flossing.
c. Before patient contact, before a aseptic task, after body fluid exposure and after
contact with patient surroundings.
d. None of the above
3. Of the three fun exercises explained in class,
a. Use of the fluorescent powder in a wash cloth and a black light can demonstrate
the importance of appropriate handling of contaminated patient linen or
equipment.
b. Use of the fluorescent powder and a black light in alcohol gel can demonstrate the
importance of have alcohol gel readily available at the bedside for patient use.
c. Use of acrylic paint and nitrile gloves to demonstrate the importance of removing
contaminated gloves immediately after use.
d. None of the above.
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Name: ______________________________Department/Institution:____________________________
Renal Dialysis
Contact hours – 0.75
Goals & Objectives
Goal
To increase the learner's understanding of infection control strategies for patients with
impaired renal functioning.
Objectives
• Describe the infection control issues w/ patients with various degrees of renal function.
• Describe the infection control issues and measures taken with dialysis.
Test
1. The patients with renal failure may require peritoneal dialysis through Continous
Ambulatory Peritoneal Dialysis (CAPD) or Continuous Cycling Peritoneal Dialysis
(CCPD) but
a. Should never go swimming.
b. Should be taught sterile technique to access the catheter.
c. May be allowed dump the dialysate fluid into the shared sink in a semi-private
room.
d. This may place them at an increase risk for chronic glomerulo-nephritis
2. The patients with renal failure may require hemodialysis but
a. This is only done in dialysis centers and not in the home setting
b. This increases their risk to acquire a blood stream infection if asepsis is not used
to access the line and safe medication handling practices are consistently used.
c. This increases the risk to the patient to acquire influenza, pneumonia or shingles
due to the ward like setting in the dialysis unit.
d. This increases the risk to health care workers in the dialysis center to hepatitis C.
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Name: ______________________________Department/Institution:____________________________
Vaccine Preventable Diseases
Contact hours – 1.25
Goals & Objectives
Goal
To increase learner's appreciation for vaccines and the impact they have in promoting public
health.
Objectives
• Recall the Standards for Pediatric Child and Adolescent Immunization Practices & Standards
for Adult Immunization Practices.
• Recall basic principles of immunology and related terminology.
o passive immunity
o active immunity
• Identify the classification of vaccines.
o live attenuated
o inactivated
o conjugate
o recombinant
• Recognize the current recommended immunization schedule for children and adults.
• Identify contraindications for receiving vaccines.
• Identify the role of the public health department in vaccine preventable diseases.
• Identify the role of the health care worker at Gundersen Lutheran in vaccine preventable
diseases and preventing missed opportunities to vaccinate.
Test
1. The Standards for Child and Adolescent Immunization Practices and Standards for Adult
Immunization Practices include which of the following premises:
a. Vaccines should be readily available at a minimal cost.
b. Vaccines should be properly stored and handled with oversight by a properly
trained health care worker.
c. Immunizations should be administered simultaneously as much as possible but
not mixed together into one syringe
d. All of the above.
2. Immunizations provide
a. Passive immunity
b. Active immunity through natural immunity
c. Antigen specific immunity
d. None of the above
- 25 -

Name: ______________________________Department/Institution:____________________________
3. Live attenuated vaccines
a. Include measles, mumps, rubella, polio, yellow fever, vaccinia and varicella
vaccines.
b. Include pneumococcal, meningococcal and H. influenza vaccines.
c. Include the hepatitis B vaccine and the HPV vaccine.
d. All of the above.
4. A two month old infant coming to the clinic for their first visit may be due for their
a. Hep B, Rota, DTaP, Hib, PCV and IPV immunizations
b. Hep B, Hib, PCV, IPV, Influ, MMR, Varicella and Hep A immunizations
c. PPV, Influ, Hep A and MCV4 immunizations
d. None of the above.
5. An appropriate screening question for a pregnant women presenting for a flu shot would
be:
a. Are you allergic to any medications, food or vaccines?
b. Are you currently breastfeeding?
c. Would you like a copy of the Vaccine Information Statement after we vaccinate
you?
d. None of the above.
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Name: ______________________________Department/Institution:____________________________
Employee Health Issues
Contact hours – 1.0
Goals & Objectives
Goal
To increase learner's appreciation for the inter relatedness between employee health and
infection control and prevention in the health care setting.
Objectives
• Identify the key elements of an effective personnel health services program.
• Name several instances when it would be necessary to be off duty (or without patient
contact) because of illness, or an exposure.
• List three diseases for which protection is important for health personnel.
• State the procedure to be followed for a possible exposure to blood/body fluids.
• Recall the major components of the Blood-borne Pathogen Exposure Control Plan and
related policies.
• Discuss CDC's guidelines for offering chemoprophylaxis following an exposure to HIV.
Test
1. The employee health program in a health care facility should include
a. A vaccination program against influenza.
b. An education program for new employees on the appropriate use of personal
protective equipment, when to call in sick and anticipated medical screening
based on risk.
c. A plan to reduce risk to the employee
d. All of the above.
2. Employees exposed to
a. Mumps should be off duty for 12-25 days after the exposure.
b. Chicken pox should be off duty from 10-21 days after the exposure.
c. Chicken pox should be off duty from 10-21 days after the exposure if there is no
documented immunity to the disease.
d. Pertussis should take clarithromycin for 5 days regardless of symptomology.
3. The employee health program relies on employees to protect themselves from these
diseases through the standard use of personal protective equipment
a. Cold sores and the common cold.
b. Varicella, mumps, measles and rubella
c. HIV, Hepatitis B and Hepatitis C
d. All of the above
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Name: ______________________________Department/Institution:____________________________
4. The first thing the nurse should do following an possible significant exposure to the
patient’s blood is
a. Suck the blood from the wound or apply a tourniquet above the puncture site.
b. Wash the wound with mild soap and water.
c. Report the incident to the employee health nurse regardless of the time of day.
d. None of the above.
5. The Bloodborne Pathogen Exposure Control Plan
a. Is available to all employees
b. Includes providing education to all at risk employees on the BBP standard,
epidemiology of BBP, modes of transmission, the Exposure Control Plan and the
Hepatitis B vaccination program.
c. Include recordkeeping protocols for exposure reports and follow-up
d. All of the above.
6. Chemoprophylaxis following a significant exposure to a patient at a high risk for
Hepatitis C would include
a. Combivir and a protease inhibitor
b. Immune globulin
c. Ribavirin
d. None of the above
- 28 -

Name: ______________________________Department/Institution:____________________________
Education Principles
Contact hours – 1.25
Goals & Objectives
Goal
To develop an understanding of the teaching and learning principles necessary for developing,
implementing and evaluating educational programs.
Objectives
• Describe the principles of adult learning.
• Incorporate Maslow’s Hierarchy of Needs into adult motivation to learn.
• Apply program planning, implementation, and evaluation process to the AICP class.
• Assess learning needs on the units and within the nursing department.
Test
1. Adult learning principles include the following assumption
a. The adult learner needs to participate in identifying their learning needs.
b. The adult learner needs to participate in establishing their learning goal.
c. The adult learner prefers a learning environment that is respectful and
collaborative.
d. All of the above.
2. Based on Maslow’s Hierarchy of Needs, the adult learner is motivated to learn when
a. Their physiologic needs are met.
b. They feel safe and secure.
c. They are viewed by others to be intelligent.
d. None of the above.
3. When designing this orientation program for the novice infection control
professional/preventionalist
a. It is important to have the learner attend the program planning sessions.
b. It is important to assess the learner’s needs and establish the related goals and
objectives of the program.
c. It is important to find entertaining speakers and identify the theme of the program
for the learner’s enjoyment.
d. It is important for the learner to get 100% on their exam so it is evident the
teacher did an adequate job of teaching.
4. Learning needs for a nursing area can best be determined by
a. Monitoring performance and determining if poor performance is due an
administrative issue or a learning need.
b. Asking the novice what they want to know about an unfamiliar topic without any
prompting by the instructor to avoid imposing a bias.
c. Removing the motivational factors to reduce stress in the learning environment.
d. None of the above.
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Name: ______________________________Department/Institution:____________________________
Immunology
Contact hours – 1.25
Goals & Objectives
Goals
To improve the learner's understanding of how immunology relates to infection control.
Objectives
• Briefly describe immunology and related terms.
• Briefly describes how the immune system works.
• Interpret common reports from the Immunology lab.
Test
1. Immunology
a. Is the study of reactions by a specific group of antigens introduced by a nutrient.
b. Is the limited study of an inflammatory response following tissue damage.
c. Is the study of all aspects of the immune system including its structure and
function, disorders of the immune system, blood banking, immunization and
organ transplantation.
d. All of the above
2. An antigen is
a. A familiar cell within the body.
b. Part of the humoral acquired immunity.
c. A foreign invader.
d. Part of the specific immune system that is derived from the B lymphocytes.
3. The immune system is
a. A complex network of specialized cells and organs whose primary job is to
protect us from foreign invaders through our innate and acquired immunity.
b. Derived from the thymus, bone marrow, spleen, lymph nodes, tonsils, appendix,
Peyer’s patches and MALT.
c. Primarily dependent on B lymphocytes and T lymphocytes for specific immunity.
d. All of the above.
4. T lymphocytes originate from the hematopoietic stem cells but migrate to the thymus
and
a. Some may eventually evolve into the T helper cell (CD4) which secretes
cytokines when activated
b. Some may eventually evolve into the T cytotoxic cell (CD8) which destroys
virally infected cells.
c. Only the T cells can recognize antigens originating from the cells within the host.
d. All of the above.
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Name: ______________________________Department/Institution:____________________________
5. A pediatric nurse who was exposed to chickenpox in the past 24 hours admits to having
an uncertain immunity to the disease and has a negative IgG. Therefore you assume
a. She was vaccinated and has waning immunity.
b. She had disease and no further action is needed.
c. She did not have disease and should be vaccinated plus furloughed 10-21 days
after the exposure.
d. She did not have disease and be allowed to work if her coworkers have
documented immunity to the disease.
6. A 40 yr male who was camping last weekend and is now presenting with erythema
migrans measuring 4.5 cm in diameter and his Lyme disease EIA is 0.34, therefore you
assume
a. He has lyme disease and report it to the health department
b. He will need further testing at a later date if this is to meet the case definition for
Lyme Disease for reporting
c. He had a previous exposure and has immunity
d. He does not have Lyme disease and no further testing is needed.
- 31 -

Name: ______________________________Department/Institution:____________________________
Surveillance & Epidemiology
Contact hours – 2.0
Goals & Objectives
Goal
To provide the learner with the basic knowledge of epidemiological principles and statistical
methods relevant to infection control.
Objectives
• Identify the key components of epidemiology.
• Describe the links in the chain of infection and corresponding methods to break the chain.
• Identify the key components to surveillance.
• Present data evaluated by statistical measures in an effective manner.
• Demonstrate key components used to conduct an epidemiological study.
Test
1. The Epidemiologic Triangle
a. Considers the strength, consistency, specificity, biologic gradient and time
relationship of disease causation.
b. Recognizes that only one organism is found with a disease.
c. Consists of the host, agent and environment.
d. Illustrates the spectrum of colonization to infection from an infectious agent.
2. An effective means to break the chain of infection is
a. Handwashing
b. Effective disinfection
c. Education
d. All of the above
3. Surveillance requires
a. A consistent method to collect data.
b. Consolidation of data
c. Dissemination of data
d. All of the above
4. When constructing a table or graph, it is important to
a. Have a title that reflects the subject, person, time and place.
b. Have color copying.
c. Include all the data in the table
d. Use a pie chart when illustrating the frequency over time.
5. One the most essential steps in an outbreak investigation is to
a. Inform the authorities of the outbreak to demonstrate transparency to the
consumer.
b. Order additional lab work of the close contacts to confirm your hypothesis
c. Confirm the existence of the outbreak with consistent criteria of the condition
d. Institute controls immediately to prevent the spread of disease.
- 32 -

Name: ______________________________Department/Institution:____________________________
Specialty Areas
Contact hours – 1.75
Goals & Objectives
Goal
To increase the learner's understanding of infection control strategies for special care units.
Objectives
Describe infection issues in the:
• Ambulatory care setting.
• Home care setting.
• Day Care setting
• Maternity care setting
Test
1. One of greatest infection control threats in the ambulatory setting is seeing a large
volume of patients with undiagnosed conditions, therefore infection control needs to
focus
a. On hand hygiene
b. Environmental cleanliness
c. Respiratory etiquette
d. All of the above
2. The infection control risks when providing patient care in the patient’s home include
a. Daily cleaning of all surfaces with a mild bleach solution
b. Personal toiletries left by the only handwashing sink
c. The family dog that is restricted to farm yard and buildings
d. Dressings stored in a clean cabinet located in the patient’s bedroom.
3. Vertical transmission of infection from the mom to the infant may occur with the
following organisms during passage through the birth canal:
a. Herpes, GBS and MRSA
b. Tuberculosis, chicken pox and rubella
c. Lyme disease and anaplasmosis
d. None of the above.
4. One of the greatest infection control risks in the day care setting is
a. Young toddlers sharing the same space during toilet training
b. Having parents not disclose child illness to prevent exclusion from day care.
c. Having the same attendant be responsible for diaper changing and feeding.
d. All of the above.
- 33 -

Name: ______________________________Department/Institution:____________________________
Infections in the Elderly & Long Term Care
Contact hours – 1.0
Goals & Objectives
Goal
To familiarize the learner to the infection control issues in the long term care setting and the
uniqueness of the geriatric resident.
Objectives
• Identify risks to geriatric residents in developing health care associated infections in a
communal setting.
• Identify infection measures used to prevent common health care associated infections in a
long term care facility (LTCF).
Test
1. The two most common health care associated infection of geriatric residents in the long
term care facility LTCF are:
a. Surgical site infection and urinary tract infections.
b. Gastroenteritis and urinary tract infections.
c. Respiratory tract infections and urinary tract infections.
d. None of the above.
2. The recognition of infection in the geriatric population is
a. Relatively easy because the nurse sees the patient every day.
b. Difficult because diagnostic tests and equipment are not readily available and
arrangements must be made to transport the resident to the local hospital.
c. Challenging because the geriatric resident tends to have comorbid conditions that
complicate the presentation of an infectious disease.
d. No different than other healthy adults.
3. Prompt treatment with an antibiotic to a suspected infection
a. May be life preserving.
b. Is necessary due to the CMS requirements.
c. May contribute to over use of antibiotics and subsequent resistant organisms.
d. Is preferred to the ‘wait and see’ approach since the geriatric patient is so frail.
4. An effective immunization program to prevent the spread of communicable disease in the
long term care facility includes:
a. Vaccinating the residents against influenza, pneumococcal and shingles.
b. Vaccinating the staff in the LTCF against influenza at no charge.
c. Having a standing order in place for amantadine.
d. Placing the TB skin test before vaccinating against influenza.
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Name: ______________________________Department/Institution:____________________________
5. During a recognized outbreak in an area of the long term care facility, an infection
control measure may include
a. Secluding sick residents.
b. Informing the Medical Director and the local health official of the concern.
c. Review cleaning and sanitation practices with Environmental Services.
d. All of the above.
- 35 -

Name: ______________________________Department/Institution:____________________________
Resistant Organisms
Contact hours – 0.75
Goals & Objectives
Goal
To increase the learner's understanding of infection control strategies appropriate for handling
patients with resistant organisms.
Objectives
• Recall the 12 steps to prevent multiple resistant organisms.
Test
1. The most effective means to prevent infections from developing includes
a. Prompt treatment with antibiotics when there is a positive urine culture.
b. Aggressive use of antibiotics with the index case to prevent the spread of disease
to other close contacts.
c. Routine use of vancomycin to treat patients for a C. difficile infection.
d. Hand hygiene
2. Vaccination programs are important in
a. The prevention of resistant organisms in the hospital setting.
b. The reduction of respiratory infections and subsequent treatment of secondary
bacterial pneumonia.
c. Employee health programs in all health care settings.
d. All of the above.
3. Catheter care includes
a. Cleansing the meatus twice a day with an antiseptic solution.
b. Using the smallest catheter possible to prevent local irritation.
c. Using antibiotics when a patient has a WBCs (>10/hpf) in the urine analysis.
d. Promptly returning the urine bucket to the dirty utility room for measuring the
urine output.
4. Antibiograms may provide guidance to physicians on
a. The resistance patterns of commonly seen organisms and the related formulary.
b. Treatment without culturing the patient and therefore saving money and possible
pain from specimen collection.
c. Treatment instead of ordering a susceptibility panel.
d. The recommended treatment when the culture reports are negative.
- 36 -

Name: ______________________________Department/Institution:____________________________
Wrap Up & Questions
Contact hours – 0.5
Goals & Objectives
Goal
To allow time for the learner to critique this educational program.
Objective
Apply the principles learned in the session, ‘Education Principles’ to the critical evaluation of
this educational program to improve the content for subsequent programs.
Test
Provide feedback to directly to Marilyn Michels RN MSN CIC (mamichel@gundluth.org) or
Bridget Pfaff MS CIC (blpfaff@gundltuh.org) either by email or telephone (608-775-6810).
- 37 -

Name: ______________________________Department/Institution:____________________________
Goals & Objectives
MRSA
Contact hours – 1.0
Goal
To familiarize the learner to issues related to methicillin resistant Staphylococcal aureus
(MRSA).
Objectives
Discuss the impact of methicillin resistant Staphylococcal aureus (MRSA) in today’s health care
system.
Test
1. Methicillin resistant Staphylococcal aureus (MRSA)
a. Commonly causes superficial skin infections if it is the community associated
strain, but can still cause serious illness.
b. Infection rates have dramatically increased in the past 10 years.
c. Requires use of more expensive and poorly tolerated antibiotics.
d. All of the above.
2. The increased presence of MRSA
a. May be due to decreased antibiotic use or not finishing prescribed antibiotics,
even if the patient improved a few days after the initiation of treatment.
b. May be due to environmental contamination therefore environmental culturing
should be routinely done after room cleaning.
c. Has resulted in increased costs to provide patient care.
d. Has resulted in improved hand hygiene compliance rates.
3. MRSA colonization of a health care worker (HCW) may result in
a. No change in the risk of transmission of MRSA to the patient when the HCW
reports to duty with a respiratory illness.
b. A furlough for the health care worker until they have sustained decolonization for
three weeks.
c. Treatment of the health care worker’s contact hand dermatitis.
d. Immediate termination of the health care worker to prevent transmission.
4. MRSA transmission has been associated with
a. Sexual contact.
b. Close contact with a colonized household pet.
c. Close contact with contaminated surfaces.
d. All of the above.
- 38 -

Name: ______________________________Department/Institution:____________________________
Pandemic Preparedness
Contact hours – 1.5
Goal
To familiarize the learner to issues related to pandemic influenza preparedness.
Objectives
Identify common assumptions made for influenza pandemic preparedness planning.
Identify the six key components of an effective pandemic influenza plan.
Test
1. The following assumption related to pandemic influenza planning can be made:
a. Some individuals will be impacted and this may be contained to Asian countries.
b. There will be adequate resources due to the pandemic preparedness activity by
CDC and the local health departments.
c. Health care workers will not be at increased risk because there will be adequate
antivirals and personal protective equipment.
d. It is inevitable.
2. An effective pandemic influenza plan includes a section on
a. Surveillance of patients presenting with influenza like illness during times of
seasonal influenza.
b. Documentation systems used to track immunizations and antivirals.
c. Inventory control systems for immunizations and antivirals.
d. All of the above.
3. In order to be National Incident Management System (NIMS) compliant, the pandemic
plan should include incorporation of
a. Clinical practice issues.
b. The Incident command system.
c. Patient billing issues.
d. Standard Precautions.
4. Communication will
a. Not be threatened because a pandemic does not impact technology.
b. Occur through the local county health department.
c. Rely on pre fabricated messages.
d. Occur through the Public Information Officer.
5. Vaccination against a novel viral threat may
a. Not be available at the beginning of the outbreak or pandemic.
b. Require investigational drug protocols
c. Be mandatory for health care workers
d. All of the above.
6. Antiviral/s
a. Should be purchased by patients and stored in their home to protect themselves
and loved ones.
b. Use may or may not be of benefit and is dependent upon the resistance of the
virus to treatment.
c. Use may be limited to those who can afford treatment.
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Name: ______________________________Department/Institution:____________________________
d. Use may replace the need for personal protective equipment by the health care
worker.
7. Health care workers caring for patients with a novel influenza infection
a. Should receive adequate training about the disease to safely care for the patient.
b. Should be familiar with the personal protective equipment needed to safely care
for the patient.
c. Should monitor their health and report any symptoms of illness to the employee
health representative with a subsequent report to the Safety Officer.
d. All of the above.
- 40 -

Name: ______________________________Department/Institution:____________________________
The Role of Clinics during a Disaster
Contact hours – 0.75
Goals & Objectives
Goal
To familiarize the learner to issues impacting physician offices during a suspected or confirmed
biologic mass casualty event.
Objectives
• State the Three Clinical Thresholds used by the state of Wisconsin for identification and
response to and unusual infectious disease.
• Describe the routine infection control practices necessary in the clinical setting to prevent the
spread of disease during an infectious disease outbreak.
• Define the protocols that a physician, clinician or a staff member in a health care setting is to
initiate when there is a suspected or confirmed case(s) of an infectious disease that indicates
an unusual outbreak or a potential incident of bioterrorism.
Test
1. The Three Clinical Thresholds refer to
a. The prompt recognition of an unusual occurrence in the clinical setting, reporting and
response by the local health dept and activation of the Emergency Operations Center
and/or the Wisconsin Hospital Emergency Preparedness Plan (WHEPP).
b. The 3 Rs – recognition, reporting and response.
c. The 3 Cs – clean, contained and cooperative.
d. The responses of the astute clinician to an unusual event and include recognition,
containment and treatment.
2. If a patient presents with a mild fever, cough and reported recent travel out of the country,
the receptionist
a. Should refer the patient to the closest emergency department.
b. Request the patient don a mask, promptly room the patient, and disinfect all surfaces
in contact with the patient.
c. Should don a N95 respirator and initiate an exposure contact list.
d. Should initiate antiviral prophylaxis.
3. Every health care facility including physician offices should have one person identified to
a. Recognize unusual occurrences
b. Use Standard Precautions when seeing patients
c. Develop and revise the disaster control plan.
d. Lock down facility and establish controlled access.
4. Every health care facility including physician offices should
a. Share their contact information with the state or local health department to receive
alert messages.
b. Have a privacy statement to protect the facility from reporting unusual events related
to an infectious disease.
c. Have a decontamination plan that includes annual training on appropriate use of
decon equipment.
d. None of the above.
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Name: ______________________________Department/Institution:____________________________
5. Every health care facility including physician offices should
a. Have a stockpile of personal protective equipment to protect staff while caring for
patients in their community during an outbreak.
b. Have a business continuity plan that addresses financing, supplies, staffing,
emergency power, and essential records.
c. Consider the safest means to effectively triage patients.
d. All of the above.
6. Every health care facility including physician offices should
a. Have a plan/protocol in place to refer patients with signs of mental distress related to
a mass casualty incident to the appropriate community resources.
b. Collaborate with local community agencies including but not limited to the local
hospitals and health departments.
c. Annually review infection control measures and disaster response plans with staff.
d. All of the above.
- 42 -

Name: ______________________________Department/Institution:____________________________
Surge Capacity Planning
Contact hours – 1.0
Goals & Objectives
Goal
To become familiar with the essential components of a surge capacity plan for an influx of
potentially infectious patients or victims from a mass casualty event.
Objectives
• List the essential elements for health care organizations to manage patients with airborne
infectious diseases in during routine patient care and during a surge incident.
• Determine the amount of personal protective equipment needed in an outbreak of an
infectious disease.
Test
1. As part of emergency management activities, each health care facility should prepare to
respond to an influx, or the risk of an influx of infectious patients by
a. Identifying their planned response in their surge capacity plan.
b. Changing their mission statement.
c. Focusing on wellness initiatives.
d. All of the above.
2. The surge capacity plan should include a section that
a. Describes the process to prompt early discharge of patients.
b. Identifies the patient triage system that is used for a trauma event
c. Identifies the triage system used for patients requiring mechanically supported ventilation
during a time of limit resources
d. All of the above.
3. Relying solely on the early discharge of patients during a mass casualty trauma event may
not be as efficient as
a. Providing inpatient care in a clinic setting.
b. Canceling elective and non emergent procedures.
c. Setting up an alternative care site
d. None of the above.
4. The entity responsible to establish triage and resource allocation protocols during the disaster
and to review triage and resource allocation decisions is the
a. Legal counsel for the healthcare organization.
b. Chairperson of the Emergency Management committee.
c. Highest elected government official.
d. Clinical Review Committee or its equivalent.
5. The controls used to contain an influx of patients with an airborne infectious disease
identified in the surge capacity plan include
a. The written plan for the activation of the negative pressure surge capacity unit in the
hospital if available.
b. Identification available health care facilities that may be available to provide care to
patients requiring Airborne Infection Isolation (AII) rooms.
c. Protocols for the safe cohorting of patients requiring Airborne Infection Isolation (AII).
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Name: ______________________________Department/Institution:____________________________
d. All of the above.
6. To care for a patient in airborne and contact precautions for a novel virus influenza infection,
it is estimated that
a. One box of gloves (100 gloves) will be needed during an average hospital stay.
b. 50 isolation gowns will be needed for an average hospital stay
c. Medical PAPRs may be cost prohibitive in a high risk setting.
d. None of the above.
7. A software program that may be helpful with surge capacity planning for pandemic influenza
may be located at
a. http://www.cdc.gov/flu/tools/fluaid/ (FluAid 2.0)
b. http://www.cdc.gov/flu/tools/flusurge/ (FluSurge 2.0)
c. http://www.cdc.gov/flu/tools/fluworkloss/index.htm (FluSWorkLoss)
d. All of the above at http://www.cdc.gov/flu/pandemic/preparednesstools.htm
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Name: ______________________________Department/Institution:____________________________
Emergency Medical Services
Contact hours – 1.0
Goals & Objectives
Goal
To increase the learner's understanding of infection control strategies for emergency medical
services.
Objectives
Discuss the impact of daily infection control practices by first responders in the field in
relationship to a mass casualty event related to trauma or an infectious disease.
Test
1. Standard infection control practices related to the transporting of a patient with a respiratory
infection and nausea include
a. Wearing personal protective equipment in the cab as an added safety measure.
b. Blowing out the rig after transport to thoroughly clean the compartment.
c. Disinfecting all frequently touched surfaces after the patient has been transported.
d. All of the above.
2. When responding to the scene with multiple casualties, best practice is to
a. Wear one pair of nitrile gloves during the triage process since time is critical and nitrile is
durable.
b. Change gloves after having contact with a victim with non intact skin before touching
another victim.
c. Wear disposable shoe covers (booties) since it is not possible to distinguish between
blood and other liquids at the scene after sunset.
d. All of the above.
3. The Ryan White Act allows
a. First responders to inquire about the victims HIV status before providing care.
b. Health care agencies to assist with communicable disease exposure follow-up for certain
diseases.
c. Requires first responders to collect the names and contact information of all exposed
victims at the scene for the local health department.
d. All of the above.
4. It is conceivable that during the peak of pandemic influenza
a. Triaging may occur before an ambulance is dispatched.
b. That first responders may be absent from the work force due to unprotected exposure to
the virus.
c. There will be an increased need for homecare instead of transport to an acute care
facility.
d. All of the above.
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