Student Name:_____Sarah Wilson______________________________________Infection Control Case StudyYour class is learning basic nursing skills. In the clinical facility, you and a classmate are assigned to assist in meeting the self-care and hygiene needs for the following group of post-operative surgery patients on the orthopedic rehabilitation unit.1)Mr. Hernandez, 74 years old, right hip replacement, history of lung disease, suspected of having influenza, on droplet isolation2)Ms. Garrison, 91 years old, left hip replacement, has dementia, must be fed all meals3)Ms. Watson, 84 years old, left hip fracture repair, positive for MRSA in her urine, on contact precautions4)Mrs. Flowers, 89 years old, right hip replacement, currently receiving chemotherapy for skin cancer, on protective isolation5)Mr. Smith, 67 years old, left hip replacement for degenerative joint disease, history of smoking 3 packs/day for 45 years6)Ms. McNally, 52 years old, right hip fracture repair after a fall at home, history of diabetes and HIV positiveIn reviewing what you know about infection prevention and isolation precautions. You first review the chain of infection. 1.Place the chain of infection in the correct order 1 to 6____4___ Mode of transmission____5___ Portal of entry___1____ Infectious agent (pathogen)___6____ Susceptible host___2__ Source for pathogen to grow (reservoir)____3___ Portal of exit2.Infectious agents include: (Select all that apply)___x____ Protozoa___x____ Bacteria___x____ Insects___x____ Fungi___x____ Viruses_______ Nonvertebrate3.Some pathogens are considered multi-drug resistant organisms. Identify two common MDRO’s.Clostridium difficile(C. difficile)MRSA- Methicillin/oxacillin-resistant Staphylococcus aureus.The clinical instructor explains that pathogens need specific things such as oxygen and water to grow. 4.What are some other factors that may influence or deter specific pathogenic growth?
Factors that influence pathogenic growth is oxygen and moist, warm, dark environments. Factors that defer growth is sterilization, disinfection, sanitization and hand washing.