infection care partner health education & the nebraska medical center 1 start start
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Infection Care Partner Health Education & The Nebraska Medical Center
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Start
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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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Infection Care Partner Health Education & The Nebraska Medical CenterInfection Control
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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Infection Care Partner Health Education & The Nebraska Medical CenterInfection Control
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
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Multiple Answer Question
Infection Care Partner Health Education & The Nebraska Medical CenterInfection Control
Answer:
All of the these symptoms or patient complaints should lead you to check the patient’s temperature
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Infection Care Partner Health Education & The Nebraska Medical CenterInfection Control
Shaking chills -
…..but his/her temperature is normal
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Infection Care Partner Health Education & The Nebraska Medical Center
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
Actually, you need to call the nurse at once
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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
Actually, you need to call the nurse at once
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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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Infection Care Partner Health Education & The Nebraska Medical Center
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
IC:Q3
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q3B
B. 101.3ºF or higher
Correct, 101.3ºF or higher is considered to be a fever that should be reported
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q3C
C. 99.8ºF
101.3ºF or higher is considered to be a fever that should be reported
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q3D
D. 100ºF
101.3ºF or higher is considered to be a fever that should be reported
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q4
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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
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q4A
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
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 CenterIC:Q4C
C. Ask the patient how he/she feels and if the patient feels okay, just wait
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 CenterIC:Q4D
D. Call the nurse now
Correct - 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 CenterInfection Control
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q5
In which of the situations would you want to recheck the patient temperature in 30 minutes?
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Sheet A
Sheet B
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q5A
Sheet A
Correct – The temperature has risen steadily - recheck the temperature in 30 minutes
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q5B
Sheet B
Temperatures on Sheet B are normal
On Sheet A, the temperature has risen steadily - recheck in 30 minutes
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q6
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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
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q6A
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q6B
B. Wipe down all the door knobs in your room
Good hand washing is the most effective way of decreasing the risk of getting an infection
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q6C
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q6D
D. Boil all of your drinking water
Good hand washing is the most effective way of decreasing the risk of getting an infection
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Infection Care Partner Health Education & The Nebraska Medical Center
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
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Multiple Answer Question
Infection Care Partner Health Education & The Nebraska Medical Center
IC: Q7 - Multiple Choice
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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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q8
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?
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YES NO
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q8A
YES
Correct – All visitors need to wash their hands
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q8B
NO
All visitors should wash their hands
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q9
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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
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q9A
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q9B
B. As soon as they enter the room
Correct - wash hands as soon as they enter the room
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q9C
C. Only if they use the restroom or use a tissue
Wash hands as soon as they enter the room
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q9D
D. Before sitting down on any of the furniture
Wash their hands as soon as they enter the room
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Infection Care Partner Health Education & The Nebraska Medical Center
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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PROPERTIESAllow user to leave interaction: AnytimeShow ‘Next Slide’ Button: Show alwaysCompletion Button Label: Next Slide
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q10
Did you notice anything wrong with the way the person washed their hands?
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YES NO
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q10A
YES
Of course there was something wrong….
But do you know what it was?
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q10B
NO
Look again…..
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q11
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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
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q11A
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q11B
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q11C
C. The person didn’t use hand sanitizer first
Hands need to be washed for at least 15 seconds with soap and running water
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q11D
D. The person should have skipped the hand washing and put on a pair of gloves
Hands need to be washed for at least 15 seconds with soap and running water
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Infection Care Partner Health Education & The Nebraska Medical Center
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
PROPERTIESAllow user to leave interaction: AnytimeShow ‘Next Slide’ Button: Show alwaysCompletion Button Label: Next Slide
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q12
Did you notice anything wrong with the hand washing technique of the person in this video?
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YES NO
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q12A
YES
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q12B
NO
Look again…..
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q13
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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
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q13A
A. The person should be using a washcloth
He/she needed to use soap!
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q13B
B. The person should shake the water from their hands more vigorously
He/she needed to use soap
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q13C
C. The person didn’t count to 15 while washing
He/she needed to use soap
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q13D
D. The person didn’t use soap
Correct, this person did not use soap
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Infection Care Partner Health Education & The Nebraska Medical CenterInfection Control
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q14
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
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q14A
A. Mask
Correct – we ask patients to start wearing a mask to help avoid infection
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q14B
B. Gown
We ask patients to start wearing a mask to help avoid infection
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q14C
C. Gloves
We ask patients to start wearing a mask to help avoid infection
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q14D
D. Surgical booties
We ask patients to start wearing a mask to help avoid infection
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q15
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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
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q15A
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q15B
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q15C
C. In the sitting room and bathroom of his/her Cooperative Care room
Patients should wear the mask when outside of their Cooperative Care rooms
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q15D
D. Only as the patient is receiving chemotherapy
Patients should wear the mask when outside of their Cooperative Care rooms
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Infection Care Partner Health Education & The Nebraska Medical Center
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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Multiple Answer Question
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Infection Care Partner Health Education & The Nebraska Medical CenterInfection Control
(C&D)
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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Infection Care Partner Health Education & The Nebraska Medical CenterInfection Control
Avoiding infections day to day
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q17
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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"
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q17A
A. Over night
Refrigerate “leftovers” and toss after 2-3 days
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q17B
B. A week but no more
Refrigerate “leftovers” and toss after 2-3 days
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q17C
C. 2-3 days
Correct - Refrigerate “leftovers” and toss after 2-3 days
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q17D
D. Until it starts to “smell funny”
Refrigerate “leftovers” and toss after 2-3 days
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Infection Care Partner Health Education & The Nebraska Medical CenterInfection Control
Friends from home…..
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q18
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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”
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q18A
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q18B
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q18C
C. Tell them cut flowers die too quickly and they should bring a live plant instead
Live plants and fresh cut flowers are not allowed in the Cooperative Care rooms
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q18D
D. Tell them you prefer flowers from the florist as they are “cleaner”
Live plants and fresh cut flowers are not allowed in the Cooperative Care rooms
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q19
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?
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YES
NO
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q19A
YES
It is not “safe” for the patient to continue taking herbal supplements
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q19B
NO
Correct - it is not “safe” for the patient to continue taking herbal supplements
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Infection Care Partner Health Education & The Nebraska Medical CenterInfection Control
The incentive spirometer is a device that helps patients expand their lungs and decrease the risk of developing pneumonia.
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q20
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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
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q20A
A. Once a day
Use the incentive spirometer every one to two hours
while awake.
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q20B
B. Three times a day
Use the incentive spirometer every one to two hours
while awake.
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q20C
C. After meals and before bed
Use the incentive spirometer every one to two hours
while awake.
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q20D
D. Every one to two hours while awake
Correct - use the incentive spirometer every one to two
hours while awake
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Infection Care Partner Health Education & The Nebraska Medical Center
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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PROPERTIESAllow user to leave interaction: AnytimeShow ‘Next Slide’ Button: Show alwaysCompletion Button Label: Next Slide
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q21
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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
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q21A
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q21B
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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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q21C
C. The patient is obviously too tired to use the incentive spirometer
The patient’s incentive spirometer should not be used by anyone but the patient
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q21D
D. The patient should never use the incentive spirometer when visitors are present
The patient’s incentive spirometer should not be used by anyone but the patient
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Infection Care Partner Health Education & The Nebraska Medical Center
Video 4: Incentive Spirometer 2
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Update Video Intro Slide Text
PROPERTIESAllow user to leave interaction: AnytimeShow ‘Next Slide’ Button: Show alwaysCompletion Button Label: Next Slide
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q22
In the second video clip, did the patient use her incentive spirometer correctly?
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YES NO
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q22A
YES
Look again……..
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q22B
NO
Correct – this patient did not use her incentive spirometer correctly
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q23
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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
Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q23A
A. She did not rinse the incentive spirometer off before using it
The patient used the incentive spirometer too quickly
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q23B
B. She did not cough before starting
The patient used the incentive spirometer too quickly
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q23C
C. She used it too quickly
Correct – the incentive spirometer should be used slowly
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Infection Care Partner Health Education & The Nebraska Medical CenterIC:Q23D
D. She used it too slowly
The patient used the incentive spirometer too quickly
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Infection Care Partner Health Education & The Nebraska Medical Center
The End
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