infection care partner health education & the nebraska medical center 1 start start

Infection Care Partner Health Education & The Nebraska Medical Center

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Infection Care Partner Health Education & The Nebraska Medical CenterIntroduction

Introduction

Cancer treatment → ↑ risk for infection

This session will review how to detect and avoid infections

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Infection Care Partner Health Education & The Nebraska Medical CenterInfection Control

IntroductionYou should have 2 copies of the Vital Signs / Intake Output record to

refer to for this session. They should be marked “Sheet A” and “Sheet B”.

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Check the patient’s temperature 4 times a day

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Infection Care Partner Health Education & The Nebraska Medical CenterIC: Q1

In addition to the 4 times a day, what other times would you check the patient’s temperature?

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Check all the answers you feel are correct

The patient is having chillsThe patient feels hot or coldThe patient feels sweatyThe patient feels unusually coldThe patient feels different, or “funny”, or says he/she “just does not

feel well”The patient appears flushed

Multiple Answer Question

Answer:

All of the these symptoms or patient complaints should lead you to check the patient’s temperature

Shaking chills -

…..but his/her temperature is normal

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What should you do?

A) Wait 30 minutes and then re-check the temperature.

B) Wait 30 minutes and then call the nurse.

C) Write this down on the patient’s Vital Signs / Intake Output sheet.

D) Call the nurse at once

IC: Q2

Infection Care Partner Health Education & The Nebraska Medical CenterIC: Q2A

A. Wait 30 minutes and then recheck the temperature

Actually, you need to call the nurse at once

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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q2B

B. Wait 30 minutes and then call the nurse

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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q2C

C. Write this down on the patient’s Vital Signs / Intake Output sheet

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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q2D

D. Call the nurse at once

Correct, you need to call the nurse at once

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What reading on the thermometer is considered to be a fever that should be reported?

A) 98.6ºF or lower

B) 101.3ºF or higher

C) 99.8ºF

D) 99.8ºF

Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q3A

A. 98.6ºF or lower

101.3ºF or higher is considered to be a fever that should be reported

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B. 101.3ºF or higher

Correct, 101.3ºF or higher is considered to be a fever that should be reported

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C. 99.8ºF

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D. 100ºF

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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q4

What would you do if the patient’s temperature was 101.3ºF?

A) Recheck in 30 minutes

B) Have the patient take a drink of ice water and recheck the temperature

C) Ask the patient how he/she is feeling and if the patient feels okay, just wait

D) Call the nurse now

A. Recheck in 30 minutes

101.3ºF temperature is a fever that should be called to the nurse now

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Infection Care Partner Health Education & The Nebraska Medical CenterICQ4B

B. Have the patient take a drink of ice water and recheck the temperature

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C. Ask the patient how he/she feels and if the patient feels okay, just wait

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D. Call the nurse now

Correct - 101.3ºF temperature is a fever that should be called to the nurse now

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Look at the 2 Vital Signs / Intake Output sheets provided, “Sheet A and Sheet B”

Assume these temperature readings were obtained from your patient

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In which of the situations would you want to recheck the patient temperature in 30 minutes?

Sheet A

Sheet B

Sheet A

Correct – The temperature has risen steadily - recheck the temperature in 30 minutes

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Sheet B

Temperatures on Sheet B are normal

On Sheet A, the temperature has risen steadily - recheck in 30 minutes

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There are ways to decrease the risk of getting infections.

What is the most important thing you and the patient can do to prevent getting an infection?

A) Eat only raw vegetables

B) Wipe down all the door knobs in your room

C) Wash your hands

D) Boil all of your drinking water

A. Eat only raw vegetables

Good hand washing is the most effective way of decreasing the risk of getting an infection

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B. Wipe down all the door knobs in your room

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C. Wash your hands

Correct - good hand washing is the most effective way of decreasing the risk of getting an infection

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D. Boil all of your drinking water

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IC: Q7 - Multiple Answer

Identify from the list below the times you or the patient should wash your hands:

A. After using the restroom

B. Before eating

C. Before handling medications

D. Before doing a dressing change

IC: Q7 - Multiple Choice

Identify from the list below the times you or the patient should wash your hands:

A) After using the restroom

B) Before eating

C) Before handling medications

D) Before doing a dressing change

E) All of the Above

POSSIBLE REPLACEMENT FOR Multiple Answer Q

Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q7E

You should wash your hands at all of the times listed

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It is great to have visitors while you are recuperating from your high dose cancer treatment

If you have visitors to your Cooperative Care room, should you ask them to wash their hands?

YES NO

Correct – All visitors need to wash their hands

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All visitors should wash their hands

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When should visitors and staff wash their hands when they come into your Cooperative Care room?

A) Only if they are going to touch you or the patient

B) As soon as they enter the room

C) Only if they use the restroom or a tissue

D) Before sitting down on any of the furniture

A. Only if they are going to touch you or the patient

Wash hands as soon as they enter the room

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B. As soon as they enter the room

Correct - wash hands as soon as they enter the room

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C. Only if they use the restroom or use a tissue

Wash hands as soon as they enter the room

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D. Before sitting down on any of the furniture

Wash their hands as soon as they enter the room

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Video 1: Hand Washing

We’re going to have you watch a couple of videos of people washing their hands

(show video clip A)

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Update Video Intro Slide Text

PROPERTIESAllow user to leave interaction: AnytimeShow ‘Next Slide’ Button: Show alwaysCompletion Button Label: Next Slide

Did you notice anything wrong with the way the person washed their hands?

YES NO

Of course there was something wrong….

But do you know what it was?

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Look again…..

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What was wrong with the way the person washed their hands in this video clip?

A) The person did not wash their hands long enough

B) The person used the wrong brand of soap

C) The person didn’t use hand sanitizer first

D) The person should have skipped the hand washing and put on a pair of gloves

A. The person did not wash their hands long enough

Correct –wash hands for at least 15 seconds with soap and running water

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B. The person used the wrong brand of soap

Hands need to be washed for at least 15 seconds with soap and running water

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C. The person didn’t use hand sanitizer first

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D. The person should have skipped the hand washing and put on a pair of gloves

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Video 2: Hand Washing

Now watch the second video clip of someone washing his/her hands

(show video clip B)

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1. Update Video Intro Slide Text2. Continue Formatting Buttons

Did you notice anything wrong with the hand washing technique of the person in this video?

YES NO

Well of course there was something wrong! Do you know what it was?

What was wrong with the way the person washed his/her hands in this video clip?

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Look again…..

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What was wrong with the way the person washed their hands in this video clip?

A) The person should be using a washcloth

B) The person should shake the water from his/her hands more vigorously

C) The person didn’t count to 15 while washing

D) The person didn’t use soap

A. The person should be using a washcloth

He/she needed to use soap!

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B. The person should shake the water from their hands more vigorously

He/she needed to use soap

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C. The person didn’t count to 15 while washing

He/she needed to use soap

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D. The person didn’t use soap

Correct, this person did not use soap

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In addition to good hand washing, pictured here are other items used in the hospital to decrease the spread of infection

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Which of these items would you have the patient use once his/her treatment is started?

A) Mask

B) Gown

C) Gloves

D) Surgical booties

A. Mask

Correct – we ask patients to start wearing a mask to help avoid infection

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B. Gown

We ask patients to start wearing a mask to help avoid infection

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C. Gloves

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D. Surgical booties

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Where would you have the patient wear a mask?

A) In the bathroom of the patient’s Cooperative Care room

B) Any time the patient is outside of his/her Cooperative Care room

C) In the sitting room and bathroom of his/her Cooperative Care room

D) Only as the patient is receiving chemotherapy

A. In the bathroom of the patient’s Cooperative Care room

Patients should wear the mask when outside of their Cooperative Care rooms

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B. Any time the patient is out side of his/her Cooperative Care room

Correct - patients should wear the mask when outside of their Cooperative Care rooms

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C. In the sitting room and bathroom of his/her Cooperative Care room

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D. Only as the patient is receiving chemotherapy

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IC:Q16 - Multiple Answer

Identify the times when it is okay for the patient to remove their mask – select all correct answers

A. While walking to x-ray

B. While visiting with friends in the lounge area

C. While eating lunch

D. While in the Treatment Center

E. While walking in the Healing Garden

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Correct, patients do not need to wear the mask while in the Treatment Center and can take the mask off to eat.

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Avoiding infections day to day

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Say the patient was unable to finish his/her lunch, but thinks they might eat it later. How long can you safely store the leftovers in the refrigerator?

A) Overnight

B) A week but no more

C) 2-3 days

D) Until it starts to "smell funny"

A. Over night

Refrigerate “leftovers” and toss after 2-3 days

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B. A week but no more

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C. 2-3 days

Correct - Refrigerate “leftovers” and toss after 2-3 days

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D. Until it starts to “smell funny”

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Friends from home…..

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What would be the best reply?

A) Tell them that live plants and cut flowers are not allowed in your room

B) Tell them to bring the pink blooms as they look best with the carpet in your room

C) Tell them cut flowers die too quickly and they should bring a live plant instead

D) Tell them you prefer flowers from the florist as they are “cleaner”

A. Tell them that live plants and cut flowers are not allowed in your Cooperative Care room

Correct, live plants and fresh cut flowers are not allowed in the Cooperative Care rooms

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B. Tell them to bring the pink blooms as they look best with the carpet in your room

Live plants and fresh cut flowers are not allowed in the Cooperative Care rooms

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C. Tell them cut flowers die too quickly and they should bring a live plant instead

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D. Tell them you prefer flowers from the florist as they are “cleaner”

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Let’s say the patient has been taking herbal supplements at home and believes they are beneficial. Is it okay to continue to use these during the transplant process?

It is not “safe” for the patient to continue taking herbal supplements

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Correct - it is not “safe” for the patient to continue taking herbal supplements

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The incentive spirometer is a device that helps patients expand their lungs and decrease the risk of developing pneumonia.

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How often should the patient use the incentive spirometer?

A) Once a day

B) Three times a day

C) After meals and before bed

D) Every one to two hours while awake

A. Once a day

Use the incentive spirometer every one to two hours

while awake.

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B. Three times a day

while awake.

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C. After meals and before bed

while awake.

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D. Every one to two hours while awake

Correct - use the incentive spirometer every one to two

hours while awake

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Video 3: Incentive Spirometer 1

You are now going to view a video clip and then be asked to answer some question

(insert video clips)(questions and response were written without being able to view the video clips)

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What would cause you concern in the first video clip?

A) As long as it is not the patient’s time to use the incentive spirometer, things are probably okay

B) The incentive spirometer belongs to the patient and should not be used by a visitor or anyone else

C) The patient is obviously too tired to use the incentive spirometer

D) The patient should never use the incentive spirometer when visitors are present

A. As long as it is not the patient’s time to use the incentive spirometer, things are probably okay

The patient’s incentive spirometer should not be used by anyone but the patient

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B. The incentive spirometer belongs to the patient and should never be used b a visitor or anyone else

Correct - the incentive spirometer should not be used by anyone but the patient

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C. The patient is obviously too tired to use the incentive spirometer

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D. The patient should never use the incentive spirometer when visitors are present

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Video 4: Incentive Spirometer 2

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In the second video clip, did the patient use her incentive spirometer correctly?

YES NO

Look again……..

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Correct – this patient did not use her incentive spirometer correctly

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What would cause you concern in the first video clip?

A) She did not rinse the incentive spirometer off before using it

B) She did not cough before starting

C) She used it too quickly

D) She used it too slowly

A. She did not rinse the incentive spirometer off before using it

The patient used the incentive spirometer too quickly

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B. She did not cough before starting

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C. She used it too quickly

Correct – the incentive spirometer should be used slowly

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D. She used it too slowly

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The End

infection care partner health education & the nebraska medical center 1 start start

nebraska medical center

q2 slide

patients temperature

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patient complaints

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hisher temperature

multiple answer question

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