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| Section | Objectives |
|---|---|
| Environment of Care | - Healthcare facility design and risk reduction - Air and water quality management |
| Education, Consultation, and Research | - Staff education strategies - Evidence-based practice and guideline interpretation |
| Identification of Infectious Disease Processes | - Host susceptibility factors - Chain of infection and transmission routes - Pathogenesis of infectious diseases |
| Infection Prevention and Control Program Management | - Policy and guideline implementation - Program development and leadership - Regulatory compliance |
| Occupational Health | - Healthcare worker exposure prevention - Immunization and post-exposure protocols |
| Cleaning, Disinfection, and Sterilization | - Environmental cleaning standards - Sterilization methods and validation - High-level disinfection practices |
| Surveillance and Epidemiologic Investigation | - Healthcare-associated infection surveillance methods - Data collection and analysis - Outbreak investigation and response |
1. An HBsAb-negative employee has a percutaneous exposure to blood from a Hepatitis B surface antigen (HBsAg) positive patient. Which of the following regimens is recommended for this employee?
A) Hepatitis B immune globulin (HBIG) and hepatitis B vaccine
B) Hepatitis B vaccine alone
C) Immune serum globulin and hepatitis B vaccine
D) Hepatitis B immune globulin (HBIG) alone
2. The infection preventionist (IP) is working with Environmental Services to evaluate a new disinfectant for purchase by the facility. With which of the following should the IP be MOST concerned?
A) Vendor proximity to the facility
B) Staff preference
C) Safety of the product
D) Vendor knowledge of product
3. An infection preventionist is notified of a patient with Gram negative diplococci from a cerebral spinal fluid specimen. The patient was intubated during ambulance transport and intravenous lines are placed after arrival to the Emergency Department (ED). The patient was immediately placed in Droplet Precautions upon admission to the ED. Which of the following statements is true regarding the need for evaluating exposure to communicable illness?
A) Ambulance personnel should be evaluated for possible exposure.
B) Follow-up evaluation is not necessary as the appropriate precautions were promptly instituted.
C) Follow-up evaluation is not required for this laboratory finding.
D) ED personnel should be evaluated for possible exposure.
4. An infection preventionist is observing the cleaning and disinfection process of semi-critical devices. To ensure these items have been reprocessed meeting the minimum requirements, which of the following is required?
A) Initial cleaning must begin as soon as possible after use
B) Soaking in a solution of liquid chemical sterilant between 3 and 12 hours
C) Use of detergents with pH lower than 7
D) Initial cleaning must begin 24 hours after use
5. An outbreak of carbapenem-resistant Klebsiella pneumoniae is linked to duodenoscopes. What is the infection preventionist's PRIORITY intervention?
A) Discontinue the use of duodenoscopes until further notice.
B) Conduct whole-genome sequencing of outbreak isolates.
C) Implement immediate enhanced reprocessing procedures and audit compliance.
D) Perform targeted patient screening for Klebsiella pneumoniae.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: C |
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