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pre-assessment “Hand hygiene: clinical aspects”

22 June 2015 Sandrine von Grünigen

Before starting the lesson, test your hand hygiene knowledge by answering this quizz!

For each question, you can choose one or more correct possible answers.

At the end of the lesson, you will then be able to assess your progression.

Thank you!

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Question 1 of 10

1. Question
What is a healthcare associated infection (HCAI)? (multiple answers possible)
- An infection acquired during care delivered in hospitals only
- An infection which was not present or incubating at the time of patient admission to care provision
- An infection acquired during the process of care, that occurs during hospitalisation
- An occupational infection contacted by a care provider during duty
Question 2 of 10

2. Question
What role do hands play in the transmission of pathogens? (multiple answers possible)
- Health-care workers’ hands can transmit microorganisms from one patient to another
- Health-care workers’ hands can transmit a given patient’s microorganisms from one body site to another
- Health-care workers’ hands can transmit surrounding environmental microorganisms to a patient
- Health-care workers’ hands only play a minor role in pathogen transmission
Question 3 of 10

3. Question
Tick the correct statement/s
- Only 2-5% of patients are affected by healthcare associated infection in developing countries
- Health care-associated infections contribute to the spread of antibiotic-resistant germs
- The most common health care-associated infections are urinary tract infection, surgical intervention site infection, lower respiratory tract infection and septicaemia
- Less than 10% of healthcare associated infections are preventable
Question 4 of 10

4. Question
You want to promote hand hygiene in your institution. What method is considered to be the most effective way to ensure optimal hand hygiene in health care?
- Rubbing hands with alcohol-based handrub
- Hand washing with soap and water
Question 5 of 10

5. Question
You wish to convince the health-care workers of your institution about the short time required to rub hands with alcohol-based handrub solution. What is the average length of time required to properly perform the handrubbing procedure recommended by the WHO?
- 10-15 seconds
- 20-30 seconds
- 40-60 seconds
- > 60 seconds
Question 6 of 10

6. Question
A nurse asks you for additional information on hand washing with soap and water. What do you answer him/her?
- Hand washing with soap and water must be done with warm water
- Hand washing with soap and water irritates hands less than hand-rubbing with an alcohol-based handrub
- Hand washing with soap and water is necessary to remove dirt from the hands
- Hand washing with soap and water is more effective than handrubbing with an alcohol-based handrub on the resident skin flora
Question 7 of 10

7. Question
Among the following, which factors influence the effectiveness of hand hygiene by handrubbing with an alcohol-based handrub or washing with soap and water? (multiple answers possible)
- The wearing of jewellery or nail polish
- The hand surface rubbed
- The size of the caregivers’ hands
- The amount of product used
- The health-care workers’ age
- The quality of the alcohol-based product
Question 8 of 10

8. Question
In which following situations, is handrubbing (applying an antiseptic handrub) needed in between the first and the second action?
- 1. The healthcare professional enters the ward, pushes the cart and opens the curtains. 2. The healthcare professional shakes the patient’s hand.
- 1. The healthcare professional helps the patient to sit. 2. The healthcare professional performs a physical examination of the patient by measuring his blood pressure and by listening to his heart
- 1. The healthcare professional prepares the necessary equipment for the blood test, practices skin asepsis and applies a tourniquet. 2. The caregiver puts on a pair of gloves and inserts the needle into the vein.
- 1. After completing the blood test, the healthcare professional takes his gloves off. 2. The healthcare professional answers the phone.
- 1. The healthcare professional puts away his phone. 2. The healthcare professional records his observations in the patient’s medical file.
- 1. The caregiver adjusts the patient’s infusion rate. 2. The caregiver says goodbye without touching the patient and goes to another patient.
Question 9 of 10

9. Question
A nurse asks you for advice on the use of alcohol-based handrub when wearing gloves. What do you answer him/her? (multiple answers possible)
- When wearing gloves, alcohol-based handrub must be used immediately before putting the gloves on
- When wearing gloves, alcohol-based handrub must be used immediately after putting the gloves on
- When a hand hygiene opportunity occurs when wearing a pair of gloves, you must take the gloves off, handrub, and then if required for the next care activity, put on a new pair of gloves
- When wearing gloves, alcohol-based handrub does not have to be used, given that gloves protect against healthcare associated infections
Question 10 of 10

10. Question
You participate in a brainstorming session for the promotion of hand hygiene in your institution. Different strategies are proposed, which do you think is the best?
- Alcohol-based handrub solution provision with an initial training of the health-care workers during 2 days.
- Monitoring of practices, infrastructure, perceptions and knowledge related to hand hygiene followed by feedback and administrative sanctions in case of non observance of the instructions.
- Initial training of healthcare workers and incentive reminders at workplace by means of posters.
- Alcohol-based handrub solution provision and increased awareness of the role of hand hygiene for patients and healthcare workers concerning patient safety.
- A multimodal approach based on the provision of an alcohol-based handrub, together with awareness strategies, training, supervision, evaluation etc.

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