A. Washing hands with plain soap and water B. Washing hands with an antimicrobial soap and water C. Applying 1.5 ml to 3 ml of alcohol-based hand rub to the hands and rubbing hands together until they feel dry Answer: C 3. How are antibiotic-resistant bacteria most commonly spread from one patient to another in health care 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. Answer: C
53 Running Head: EVIDENCE-BASED PRACTICE PROPOSAL 4. Which infections can possibly be transmitted from staff to patients if appropriate hand hygiene are not performed? A. Herpes simplex virus infection B. Colonization or infection with methicillin-resistant Staphylococcus aureus C. Respiratory syncytial virus infection D. Hepatitis B virus infection E. All of the above. Answer: E 5. Clostridium difficile is readily killed by alcohol-based hand hygiene products True False Answer: False 6. Which pathogens survive in the environment for days to weeks? A. E. coli B. Klebsiella spp. C. Clostridium difficile (the cause of antibiotic-associated diarrhea) D. Methicillin-resistant Staphyloccus aureus (MRSA) E. Vancomycin-resistant enterococcus (VRE) Answer: C, D, E 7. Which statement about alcohol-based products is accurate? A. They dry the skin more than repeated handwashing with soap and water B. They cause more allergy and skin intolerance than chlorhexidine gluconate products C. They cause stinging of the hands in some providers due to pre-existing skin irritation D. They are effective even when the hands are visibly soiled E. They kill bacteria less rapidly than chlorhexidine gluconate and other antiseptic containing soaps Answer: C Appendix G(b) Pre-Implementation Survey
54 Running Head: EVIDENCE-BASED PRACTICE PROPOSAL This questionnaire should take you about 10 minutes to complete. Each question has only one answer. Your answers are anonymous and will be kept confidential. 1. Gender Male Female 2. Age Group 18.25 26-35 36-45 46-55 56+ 3. Occupation Registered Nurse Nursing Assistant AP Provider Physician Administration Other 4. Have you received formal training in hand hygiene in the last three years? Yes No 5. Do you routinely use an alcohol-based hand rub for hand hygiene? Yes No 6. What is the average percentage of hospitalized patients who will develop a HAI (between 0 and 100%)? ________% ________I don’t know 7. What is the impact of a healthcare-associated infection on a patient’s clinical outcome? (1 = Very Low; 5 = Very High) 1 2 3 4 5 8. What is the effectiveness of hand hygiene in preventing healthcare associated infections? (1 = Very Low; 5 = Very High) 1 2 3 4 5 9. How important is hand hygiene at your institution?
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- Winter '16
- The Land, HAIs, BEMC