1. What are the hand hygiene skills?
Answer: Hand washing, sanitary hand disinfection and surgical hand disinfection.
2. What is the compliance rate of hand hygiene of medical staff required by the Detailed Rules for Grade Assessment of Grade III General Hospitals? Answer: ≥95%
3. What is the purpose of washing hands?
Answer: Remove dirt, debris and some pathogenic bacteria from hand skin.
4. What is the purpose of hand disinfection?
Answer: Reduce temporary bacteria on hands.
5. What is the purpose of disinfection of surgical hands?
Answer: Remove or kill the temporary bacteria in your hands and reduce the permanent bacteria.
6. When there is no visible pollution on hands, which hand hygiene method is preferred?
Answer: Disinfect hands with quick-drying hand disinfectant.
7. How long does it take to rub your hands when washing your hands?
Answer: not less than 15 seconds.
8. When was the first hand hygiene publicity activity held in our hospital?
Answer: 20 1 1 year.
9. What is the theme of this Hand Hygiene Promotion Month?
A: Medical safety starts with hand hygiene.
10. What is the simplest, most effective, most convenient and most economical measure to control hospital infection?
Answer: Wash your hands
1 1, five moments of hand hygiene?
Answer: Before contact with the patient, before cleaning/aseptic operation, after body fluid exposure, after contact with the patient, after contact with the surrounding environment of the patient.
12. What is the fastest, most intuitive and accurate method to judge intestinal flora imbalance?
Answer: Direct stool smear, Gram staining and microscopic examination.
13. What antibiotics does Acinetobacter baumannii have natural resistance to?
Answer: ampicillin, amoxicillin, 1 cephalosporin.
14. under what circumstances can vancomycin be selected as a preventive drug for surgery?
A: In medical institutions with high incidence of methicillin-resistant staphylococci, vancomycin can be used to prevent infection if foreign bodies are implanted (such as artificial heart valve implantation, permanent pacemaker implantation, artificial joint replacement, etc.). ).
15, the types of medical waste include
A: Infectious waste, traumatic waste, chemical waste, pharmaceutical waste and pathological waste.
16. What are the preventive measures for surgical site infection?
Answer: choose the right way to prepare skin (by shearing if necessary);
Bath with chlorhexidine skin disinfectant before operation;
Rational and preventive use of antibacterial drugs;
Maintain correct body temperature for patients undergoing abdominal surgery;
Perioperative blood glucose control.
17. What are the preventive measures for vascular catheter-related bloodstream infection?
Answer: Take the maximum aseptic barrier (medical staff wear hats and masks to operate; Maximum sterility sheet used by patients); Strictly implement the hand hygiene system (washing hands and wearing sterile gloves);
Disinfect the skin with chlorhexidine-ethanol;
Try to avoid choosing femoral vein puncture;
Routine evaluation of intubation site and necessity.
18. What are the top five multidrug-resistant bacteria detected in our hospital in the first quarter?
Answer: Klebsiella pneumoniae, Acinetobacter baumannii, methicillin-resistant Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa producing ESBL.
Second, true or false:
1, medical personnel should wear sterile gloves when performing invasive operations, wash their hands before wearing gloves, and do not have to wash their hands after taking off gloves. Is this statement right or wrong? Why?
Answer: Wrong! Using gloves can't replace washing hands. Because taking off gloves may damage gloves or contaminate hands. Wearing gloves for too long, the hands inside the gloves are warm and moist, which is more conducive to the growth of bacteria, and pathogenic bacteria may pollute the hands through the gaps in the gloves. Therefore, wearing gloves can not completely shield pathogenic microorganisms, fully protect workers and prevent cross-infection.
2. What are the prevention and control strategies for the aggregation of multidrug-resistant bacteria?
Answer: Hand hygiene, contact isolation, reducing instrument use, clean environment, joint prevention of hospital infection, active monitoring and cultivation, chlorhexidine bath, and antibacterial drug management.
3. A patient with open leg injury was slightly polluted. After admission, they were treated with debridement and surgery. 52 hours after operation, the wound became inflamed and suppurated. Is it diagnosed as a wound infection? What tests are needed to support diagnosis? Is it a hospital infection? A: It can be diagnosed as surgical incision infection, which requires secretion smear, staining and bacterial culture. It belongs to hospital infection.
4. Endoscope and its accessories, such as laparoscopy, arthroscopy, ventriculoscope, cystoscope, hysteroscopy, etc. Those who enter the sterile tissues and organs of human body or enter the sterile room of human body through surgical incision must be disinfected.
Answer: Wrong. It should be "must be sterilized"
5, sterile holding forceps dry preservation, should be replaced twice a day.
Answer: Wrong. Replace it every 4 hours.
6. In order to prevent blood flow infection caused by intravascular catheter, the infusion tube should be replaced routinely every day.
Answer: Wrong. The infusion tube should not be replaced routinely every day.
Third, multiple-choice questions:
1, the following views are wrong: D.
A should adopt a "zero tolerance" attitude towards hospital infection and avoid every case of hospital infection as much as possible;
Dr. B should carry a quick-drying hand disinfectant with him when making rounds, and carry out hand hygiene after checking every patient;
C wearing gloves cannot replace washing hands;
Good hand hygiene only protects patients, not medical staff.
2. What is the standard hand hygiene method recommended by WHO to prevent the spread of drug-resistant bacteria? C
Wash your hands with ordinary soap/soap.
Wash your hands with antibacterial soap/soap solution.
Alcohol-based hand sanitizer wipes hands.
Wiping hands with iodophor
3. Which mask is incorrect? A
When wearing a surgical mask, wrinkles face down and inward.
Wash your hands or observe strict hand hygiene before wearing a mask.
The mask should cover the nose, mouth and chin.
3d mask with flexible metal strip facing up.
4. How long does it take to report to the hospital infection management department when hospital infection cases are found? A
24 hours before discharge B 48 hours C 1 week d
5. Take secretions for sampling. Which of the following sampling methods is correct?
Disinfectant swab wiping-sterile saline wet swab sampling
B disinfection cotton swab wiping-dry cotton swab sampling
Swab wiping of normal saline-wet swab sampling of sterile normal saline
Normal saline swab wiping-dry swab sampling
6. The main pathogen of antibiotic-associated diarrhea is C.
A staphylococcus aureus b candida albicans c Clostridium difficile d Escherichia coli
7. According to the diagnostic criteria of nosocomial infection, how many days after implantation, the infection at the surgical site belongs to nosocomial infection D.
A within 30 days before discharge, B within half a year, C within one year, D.
8. droplet transmission is a close-range transmission, which means that
A 1 meter, B 1 meter. Within 2 meters, C 1. Within 5 meters, within 2 meters.
9. If blood culture samples cannot be delivered in time, under what circumstances should they be temporarily preserved? C
A 4℃ B- 18℃ C room temperature d doesn't matter.
10, incorrect description about wearing gloves: b.
Sterile gloves should be worn when performing invasive operations.
B. If it is not aseptic operation, gloves may not be changed between different patients.
Wash your hands after taking off your gloves.
Wash your hands before wearing gloves.
1 1, the main difference between disinfection and sterilization is whether it can kill D.
A pathogenic microorganism b non-pathogenic microorganism c bacterial propagule d spore
12, according to the Diagnostic Criteria for Nosocomial Infection, how many days after the operation, no implant was implanted, and the infection at the operation site belongs to Nosocomial Infection D.
A before discharge, within B 10 days, within C 20 days and within D 30 days.
13, the replacement frequency of common urine collection bag and catheter is d, respectively.
A every day and every week b every 3-4 days and every week.
C every day and every 2 weeks d every 3-4 days and every 2 weeks.
14, hospital infection outbreak refers to the phenomenon that patients in medical institutions or their departments have the same homologous infection cases in a short time. A
A > 3 cases B ≥3 cases C > 5 cases D ≥5 cases.
15, in the process of diagnosis, treatment and nursing operation, the standard preventive measures that may occur when blood and secretions splash include the use of protective equipment D.
Masks, hats, gloves
Mask caps, gloves, protective masks D mask caps, gloves, protective masks, isolation gown.
16, the order of various treatments, nursing and dressing changes is a.
Clean the wound-infect the wound-isolate the wound B. Infected the wound-isolate the wound-clean the wound.
Clean the wound-isolate the wound-infect the wound d isolate the wound-infect the wound-clean the wound.
17. When the number of medical wastes contained reaches the number of packages or containers, an effective sealing method should be adopted. C
A 1/2 B 2/3 C 3/4 D 4/5
18. The microbiological examination rate of inpatients using "restricted" antibiotics should be: c.
A ≥20% B ≥30% C ≥50% D ≥60%
19. the prophylactic use rate of antibiotics in perioperative period of cleaning incision should be: B.
A ≤20% B ≤30% C ≤50% D ≤60%
20. If MRSA patients with lung infection cannot be arranged in a single room, which of the following patients should be arranged in the same room? C
A tracheotomy patients b open wound patients
Patients with chronic urinary tract infection D patients with deep vein catheterization
According to the diagnostic criteria of nosocomial infection, the diagnostic points of urinary tract infection include a.
The patient has urinary tract irritation symptoms such as frequent urination, urgency and dysuria. Effective antibacterial therapy can be diagnosed as urinary tract infection.
B bacteria must be cultivated in urine to be diagnosed as urinary tract infection.
C patients with indwelling catheter, urinary white blood cells ≥ 10/ high vision.
At 2 1 and 35℃, the doubling time of Escherichia coli in urine sample is usually C.
A 2 ~ 3 seconds b 2 ~ 3 minutes c 20 ~ 30 minutes d 2 ~ 3 hours
When disinfected with chlorine-containing disinfectant, the effective chlorine concentration and action time for disinfection of blood-borne pathogens, mycobacteria and bacterial spores are C, respectively.
A 500mg- 1000mg for 30min.
B1000 mg-2000 mg for 30 minutes.
C2000mg-5000mg for 30min.
D 2000mg mg -5000 mg for 60 minutes.
22. What kind of mask should I wear when I am in close contact with patients with respiratory infectious diseases transmitted by air or droplets?
A gauze mask b disposable medical mask
C surgical mask d medical protective mask
Fourth, multiple choice questions
1, which of the following situations belongs to hospital infection? B C D E
Infantile placenta-acquired infections, such as cytomegalovirus and toxoplasmosis, occur within 48 hours.
Newborn thrush
C. Potential infections activated by diagnostic and therapeutic measures, such as herpes virus and tuberculosis.
D Six months after artificial joint replacement, swelling and pain appeared at the operation site, and the bacteria diagnosed as joint puncture were cultured as Staphylococcus aureus.
E After the medical staff received the swine flu patients, they developed flu-like symptoms and were diagnosed as swine flu in the laboratory.
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2. Which of the following are medical wastes? B C D E
Infusion bottle/bag b that is not in contact with the patient's body fluids is a disposable surgical mask after use.
C infusion set for surgical patients after wound dressing D.
E domestic garbage of patients with infectious diseases
3. Contact isolation is suitable for which of the following diseases? A B C D E
A cellulitis b acute conjunctivitis c multi-drug resistant bacteria infection
Pustular e skin infection
4. Under what circumstances can the sterilized articles be regarded as contaminated? A B C D E
A feels wet, B touches something wet, and C accidentally falls to the ground.
D packaging is loose, and E packaging has obvious water stains;