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Infection Prevention Escape Room

Kelly Neville

Created on October 18, 2023

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Transcript

Infection Prevention Escape Room

start

Do you have the knowledge to save your patients and yourself??

Infection Prevention Escape Room

start

Do you have the knowledge to save your patients and yourself??

You are the Infection Preventionist today! LEARN ABOUT INFECTION RISKS AND WAYS TO PROTECT THE PATIENT AND YOURSELF. You will need to look for numbers or letters on your journey.

Infection PreventionistOnslow Memorial Hospital

High touch surfaces are areas that can harbor bacteria. Click on high touch surfaces to discover clues to get back to the nurses station. Record all numbers you encounter.
High touch surfaces are areas that can harbor bacteria. Click on high touch surfaces to discover clues to get back to the nurses station. Record all numbers you encounter.

What is a CAUTI?

What are ways to prevent a CAUTI?

Confused patients self contaminate

How do CAUTIs happen?

Incontinent patients
Foley bags on floor, bacteria climbs the line

The patient was admitted May 1 for fever,and shortness of breath. They have a history of heart failure and ran out of the HCTZ. They have been given Lasix for 3 days now and the patient states they feel much better. Their foley catheter is still in place on May 5. Should it be removed?

YesThe patient has been complaining of discomfort since it was inserted and family is adament it comes out.

Yes The patient does not meet any of the HOUDINI criteria.

No Their physician wants strict I's and O's but there is not an order in the chart.

Watch this video:During a single shift, you might wash your hands this many times? You will need the correct answer to proceed.

50

100

75

Which person has the greatest risk of harboring bacteria?

Which item is not permitted for use at OMH for hand hygiene?

Enter the sum of numbers on high touch surfaces

Click on the co-worker demonstrating poor infection control to learn more about specific hospital acquired infections and bacteria.

What is a CLABSI?

Click on all interactive icons before proceeding

# of days for clave change times # of days for a dressing change?

Enter the password

1- d

2- e

3- c

4- a

5- b

Drag and sort correctlyFoley Catheter Insertion Bundle

e- Perineum inspected and cleansed

d- Hand hygiene performed and non sterile gloves donned

b- Catheter inserted with sterile technique

c- Hand hygiene performed, catheter kit prepared, sterile gloves donned

a- Genitalia prepped with iodine and allowed to dry

Solution

Drag concepts to the corresponding group

C Diff

MRSA

1. enteric precautions

2. contact precautions

3. bleach

4. alcohol based hand sanitizer

5. spore forming

6. caused by antibiotic use

7. antibiotic resistant

continuE

Solución

SOLUTION

How many loose stools in a 24 hr period satisfy cdiff criteria?

How long do you scrub the hub?

Enter the password

BUST THE GERM!

What's inside?

mRSA:METHICILLIN RESISTANTSTAPH AUREUS

GRAM + COCCI CLUSTERS DRUG RESISTANT- PENICILLIN, METHICILLIN CONTACT PRECAUTIONS PATIENTS MAY BE COLONIZED MAY START AS STAPH AUREUS, PATIENT BECOMES RESISTANT OVER TIME

BUST THE GERM!

What's inside?

VRE: vancomycin RESISTANTenterococci

GRAM + COCCI VANCOMYCIN RESISTANT CONTACT PRECAUTIONS

BUST THE GERM!

What's inside?

esbl: extended spectrum beta lactamase

CONTACT PRECAUTIONS USUALLY FOUND WITH E.COLI OR KLEBSIELLA PRODUCES AN ENZYME THAT BREAKS DOWN CERTAIN ANTIBIOTICS

BUST THE GERM!

What's inside?

cre: carbapenem resistant enterobacteriaceae

CONTACT PRECAUTIONS- private room, dedicated equipment 50% MORTALITY RATE SEEN IN EXTREMELY SICK PATIENTS WHO HAVE HAD MULTIPLE HOSPITALIZATIONS IN THEIR LIFETIME VERY HARD TO TREAT- HIGHLY RESISTANT CONTACT INFECTION PREVENTION IF YOU HAVE A CRE PATIENT

Unscrambled the letters to spell the passcode.

Special Airborne/Contact

Airborne

Droplet

Contact

Tuberculosis

Small particles that can stay suspended in air for long periods of time. Must wear a N95 respirator or PAPR. Patients must be in an Airborne Isolation Room/Negative Pressure Room (301, 335, or 604)

Tooltip

Tooltip

Larger particles than airborne Travel ~ 3 ft in air Surgical mask required

What is the chance you will get bodily fluids on you? Does the patient has a multi-drug resistant organism?

Tooltip

What about Clostridoides difficile? "Cdiff"
  • Spore forming
  • Enteric precautions- soap and water, bleach
Covid requires special PPE Both airborne and contact N95 Face Shield or Googles Gown Gloves

Tooltip

What would be the next number in the sequence?

use the numbers from PPE to solve

HIV and Hep B precautions

Enter the password

flu precautions

Enter the password

Klebsiella ESBL precautions

Enter the password

fever, rash on chest, headache, lethargy, not vaccinated

Enter the password

Completed

Congratulations, you have successfully completed the escape room!

Start over?

Oh oh!

That answer is not correct...

But don't lose your balance, continue on your way and try again!

back

Back

10

Don't flush your patient's bathwipes!! PDI sani wipes clog the toilet. They must be disposed of in the trash!

For a mild case of covid, patients are isolated for 10 days. Day 1 starts on the day of the first positive test. 20

Need some help- check the policy: Insertion and Care of the Foley (Urinary) Catheter

Great Job! Scented personal items are not permitted (i.e. heavy colognes, perfumes or lotions). The hospital provides lotion that has a special formulary matched with our hand sanitizers and soaps. Over the counter lotions may interfere with the antiseptic properties of our hand soaps/sanitizers.

I'm often found in urine! U

If a doctor is suspecting TB, isolate immediately! Call the nurse supervisor for a negative pressure, airborne isolation room. 5

Central line associated bloodstream infectionContaminated claves/hubs Contaminated hands Contaminated IV fluids Contaminated blood cultures (false positive)

Flu season starts in October and continues until the end of March. Infections typically peak 1-2 weeks after Thanksgiving and Christmas. 10

Call Infection Prevention! x2676 or x2563! If it is after hours, you can call the Nursing Supervisor.

Great Job! Our hospital policy states that nails must be natural, nothing artificial, and cannot have acrylic, gel or dip polish in ICU and OR (high risk areas).

25

10

Don't flush your patient's bathwipes!! PDI sani wipes clog the toilet. They must be disposed of in the trash!

Order to Don: gown, mask, googles, gloves Order to Doff: gloves, goggles, gown, mask 15

I'm another drug resistant organism! N

C diff

1 3 5 6

MRSA

2 4 7

Don't put one in!

Remove as soon as possible bladder scan voiding trial in and out cathPlace using aseptic technique- 2 people Closed sterile drainage is maintained. No dependent loops Using Bundles.

CAUTI

Catheter Associated Urinary Tract Infection #1 Healthcare Associated Infection accouting for 40% of all hospital acquired infections 1 out 4 patient receive an indwelling catheter

  • 50% of catheters placed are not needed
Who can place foley catheters?
10