Highlights
Part A – Descriptive questions:
1.Define a nosocomial infection and provide five (5) common examples and five (5) risks of acquisition of nosocomial infections. Discuss how nosocomial infections are transmitted. Why is the understanding of nosocomial infections significant in nursing practice?
2.Discuss how the infection is transmitted. Describe the following common modes of transmission using examples.
• Direct contact transmission
• Indirect contact transmission
• Droplet transmission
• Airborne transmission
• Transmission of an illness through penetrating injuries.
3-Define a ‘susceptible host’. Discuss how the following factors increase the susceptibility of a host to infection in a hospital context:
• Immune status
• Wounds
• Devices used in a clinical setting
• Medications taken by the person
• Comorbidities of the patient
• Age
4.Discuss five (5) examples of standard precautions you must follow in a health care environment. Include in your response when you should follow each of these precautions.
5.Outline the correct steps involved in washing hands using soap and water and using hand rub in a healthcare context.
. Discuss the use and scope of the following personal protective equipment (PPE) in a medical ward using examples:
• Gloves
• Gowns and waterproof aprons
• Masks
• Protective glasses
7. What measures should be taken to prevent the occurrence of sharps injury? Discuss how a nurse should handle and dispose of sharps in a clinical setting.
8. Discuss what a nurse should do if they sustain a sharps injury from a needle used to give an intravenous injection to a patient.
9. You notice a spillage on the floor of your area after treating a patient. You do not know what body fluid it is. How will you manage this?
10. What are the main methods of sterilizing used clinical equipment?
PART B – CASE STUDY QUESTIONS
1. Assume you are working as an enrolled nurse in a hospital. A patient was admitted with a major infectious respiratory disease. Special ventilation requirements or monitored negative pressure isolation rooms are recommended for patients with infectious respiratory diseases.
Discuss the rationale for this recommendation.
Include in your response whether only the use of standard precautions is adequate for this situation
2. Assume you are working as an enrolled nurse in an aged care facility. There was an outbreak of gastroenteritis in your workplace. What precautions should you take when there is an outbreak of gastroenteritis in a resident? Why?
3. A colleague you work with was exposed to blood and body fluids. It was the shift change time. The colleague panicked and left the workplace immediately after giving a handover to the next staff member without taking appropriate post-exposure measures. Sometime later, a patient advised you of this incident.
How should you respond to it and why?
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