module 1 inservice manual

MODULE 1
INSERVICE MANUAL
SITE COORDINATOR DIRECTIONS
FOR COLLECTING RESULTS FROM PRE- AND POST-TESTS
 Pre test has 7 content questions; Post test has 17 content questions
 Pre and post tests are anonymous – no names
 When you go over the answers for each test with participants, ask them to
write the number of questions they answered correctly on the top right
corner of the front page
 Collect tests, keeping pre tests and post tests separate
 Sort the pre and post tests by job type
 For pre and post tests determine the high score, low score, and average
score for each job type. *See example below.
 IMPORTANT: Enter your inservice results in the survey form at this link:
https://unc.qualtrics.com/SE/?SID=SV_6iiXIKrsz3i8IBL
*Example:
6 LPNs participated in the inservice. Their pretest scores were:
7/7
5/7
5/7
4/7
6/7
6/7
Among LPNs the high score on the pretest was 7.
Among LPNs the low score on the pretest was 4.
Among LPNs the average scores on the pretest was 5.5 (Here you add
all the scores together, and divide by the total number in the group. In
this case 33/6 = 5.5)
Antibiotic Resistant Bacteria: Module 1 PRETEST
To give us an idea of what you know about this topic before you view the module, please complete this
PRETEST.
1. What is your job at the facility where you work? Circle one:
RN
CNA/CMA
Dietary
LPN
MD
Environmental
NP/PA
PT/OT/Rehab
Maintenance
Program/Rec Coord.
Administration
Other
2. Drugs that fight bacterial infections by killing the bacteria or stopping bacterial growth are called
________________.
statins
antibiotics
narcotics
non-steroidal anti-inflammatory drugs
3. Select the best answer: Bad bugs that cannot be treated by the most commonly used antibiotics are
generally known as:
Flagella
Antibiotic Resistant Organisms
Germs
Bed bugs
4. True or False:
Colonization is when a bad bug is present, grows, and multiplies, but is not detected (unless you do a lab test)
because the person (resident or healthcare worker) does not show any symptoms of illness.
True
False
5. Select the best answer to fill in the blank:
_________________ is when a bad bug invades body tissue and multiplies, causing signs of illness such as
fever, elevated white blood count, purulence (pus), pneumonia, inflammation (warmth, redness, swelling),
etc.
Colonization
Sterilization
Infection
Irradiation
6. What is most likely to get worse or increase for residents with Antibiotic Resistant Bacteria?
length of resident stay
cost of care
morbidity and mortality
all of the above
7. Select the best answer to fill in the blank:
_______________ is the #1 way to stop the spread of Antibiotic Resistant Bacteria.
Use of antibiotics
Coughing or sneezing into your sleeve
Good hand hygiene
Colonization
8. Residents infected with M.R.S.A. or other Antibiotic Resistant Bacteria should be on which type of Isolation
Precautions:
Droplet Precautions
Special Enteric Precautions
Contact Precautions
Airborne Precautions
Protective Precautions
*Example:
Standard Precautions
6 LPNs participated in the inservice. Their scores were:
7/7
5/7
5/7
4/7
6/7
6/7
Among LPNs the high score on the pretest was 7.
Among LPNs the low score on the pretest was 4.
Among LPNs the average scores on the pretest was 5.5 (Here you add all the scores together, and divide by the total number in the group.
In this case 33/6 = 5.5)
Antibiotic Resistant Bacteria: Module 1 PRETEST - KEY
To give us an idea of what you know about this topic before you view the module, please complete this
PRETEST.
1. What is your job at the facility where you work? Circle one:
RN
CNA/CMA
Dietary
LPN
MD
Environmental
NP/PA
PT/OT/Rehab
Maintenance
Program/Rec Coord.
Administration
Other
2. Drugs that fight bacterial infections by killing the bacteria or stopping bacterial growth are called
________________.
statins
antibiotics
narcotics
non-steroidal anti-inflammatory drugs
3. Select the best answer: Bad bugs that cannot be treated by the most commonly used antibiotics are
generally known as:
Flagella
Antibiotic Resistant Organisms
Germs
Bed bugs
4. True or False:
Colonization is when a bad bug is present, grows, and multiplies, but is not detected (unless you do a lab test)
because the person (resident or healthcare worker) does not show any symptoms of illness.
True
False
5. Select the best answer to fill in the blank:
_________________ is when a bad bug invades body tissue and multiplies, causing signs of illness such as
fever, elevated white blood count, purulence (pus), pneumonia, inflammation (warmth, redness, swelling),
etc.
Colonization
Sterilization
Infection
Irradiation
6. What is most likely to get worse or increase for residents with Antibiotic Resistant Bacteria?
length of resident stay
cost of care
morbidity and mortality
all of the above
7. Select the best answer to fill in the blank:
_______________ is the #1 way to stop the spread of Antibiotic Resistant Bacteria.
Use of antibiotics
Coughing or sneezing into your sleeve
Good hand hygiene
Colonization
8. Residents infected with M.R.S.A. or other Antibiotic Resistant Bacteria should be on which type of Isolation
Precautions:
Droplet Precautions
Special Enteric Precautions
Contact Precautions
Airborne Precautions
Protective Precautions
Standard Precautions
Module 1 Antibiotic Resistant Bacteria Post Test
Please complete this POST TEST now that you have finished the module.
1. What is your job at the facility where you work? Circle one:
RN
CNA/CMA
Dietary
LPN
MD
Environmental
NP/PA
PT/OT/Rehab
Maintenance
Program/Rec Coord.
Administration
Other
2. Fill in the blank:
_________________ is the #1 way to stop the spread of Antibiotic Resistant Bacteria.
Antibiotic use
Coughing or sneezing away from people
Good hand hygiene
Colonization
3. Residents infected with M.R.S.A. or other Antibiotic Resistant Bacteria should be on what type of Isolation
Precaution?
Droplet Precautions
Special Enteric Precautions
Contact Precautions
Airborne Precautions
Protective Precautions
Standard Precautions
4. Drugs that fight infections caused by bacteria are called ______________.
narcotics.
non-steriodal anti-inflammatory drugs.
antibiotics.
statins.
5. Which of the following is NOT one of the most common antibiotic resistant strains of bacteria?
MRSA
VRE
FLU
ESBL- E. coli
6. Bacteria hang out in RESERVOIRS. Which of the following is a place where the bacteria would NOT hang out?
residents
health care personnel
surfaces and shared patient care equipment
disinfectant
7. Select the best answer to fill in the blank:
When a bad bug is present, grows and multiplies, but is not detected because there is no sign of illness in the resident or
healthcare worker, this condition is called ___________________:
infection.
colonization.
disease.
8. Select the best answer to fill in the blank:
_________________________ is when a bad bug invades body tissue and multiplies, causing signs of illness like fever,
elevated white blood count, purulence (pus), pneumonia, inflammation (warmth, redness, swelling), etc.
Colonization
Sterilization
Infection
9. How many antibiotic resistant infections occur each year among the 3.2 million nursing home residents in the U.S.?
7,000
27,000
250,000
10. What percentage of nursing home residents are already colonized with an antibiotic resistant bacteria when they are
admitted to the nursing home?
75%
50%
25%
11. What percentage of nursing home residents acquire M.R.S.A. during their stay at the nursing home?
50%
20%
10%
12. Select from the options below to fill in the blank:
_______________________ Precautions are used for every nursing home resident and assumes that all residents are
potentially infectious.
Contact
Isolation
Standard
Droplet
13. Wearing gloves prevents hand contamination and transmission of germs when combined with:
good diagnostic skills
good hand hygiene
good timing
14. True or False: The spread of bad bugs from one resident to another resident occurs by way of contaminated
equipment, contaminated surfaces, and healthcare personnel hands.
True
False
15. Increased risk of getting M.R.S.A. due to an increasing number of residents with M.R.S.A. is called:
Peer pressure
Viral load
Colonization pressure
16. True or False: Health care personnel should try to balance effective infection control policies and procedures with
residents' needs to socialize and move freely in their home, the long term care facility.
True
False
17. True or False: It does not matter where residents are placed when it comes to controlling the spread of bad bugs.
True
False
18. Which of the following is technically considered "cohorting"?
Private room for residents who are colonized or infected.
Place residents infected with the same bacteria in the same room.
Place residents who are colonized or infected with a resident at low risk.
Module 1 Antibiotic Resistant Bacteria Post Test - KEY
Please complete this POST TEST now that you have finished the module.
1. What is your job at the facility where you work? Circle one:
RN
CNA/CMA
Dietary
LPN
MD
Environmental
NP/PA
PT/OT/Rehab
Maintenance
Program/Rec Coord.
Administration
Other
2. Fill in the blank:
_________________ is the #1 way to stop the spread of Antibiotic Resistant Bacteria.
Antibiotic use
Coughing or sneezing away from people
Good hand hygiene
Colonization
3. Residents infected with M.R.S.A. or other Antibiotic Resistant Bacteria should be on what type of Isolation
Precaution?
Droplet Precautions
Special Enteric Precautions
Contact Precautions
Airborne Precautions
Protective Precautions
Standard Precautions
4. Drugs that fight infections caused by bacteria are called ______________.
narcotics.
non-steriodal anti-inflammatory drugs.
antibiotics.
statins.
5. Which of the following is NOT one of the most common antibiotic resistant strains of bacteria?
MRSA
VRE
FLU
ESBL- E. coli
6. Bacteria hang out in RESERVOIRS. Which of the following is a place where the bacteria would NOT hang out?
residents
health care personnel
surfaces and shared patient care equipment
disinfectant
7. Select the best answer to fill in the blank:
When a bad bug is present, grows and multiplies, but is not detected because there is no sign of illness in the resident or
healthcare worker, this condition is called ___________________.
infection.
colonization.
disease.
8. Select the best answer to fill in the blank:
_________________________ is when a bad bug invades body tissue and multiplies, causing signs of illness like fever,
elevated white blood count, purulence (pus), pneumonia, inflammation (warmth, redness, swelling), etc.
Colonization
Sterilization
Infection
9. How many antibiotic resistant infections occur each year among the 3.2 million nursing home residents in the U.S.?
7,000
27,000
250,000
10. What percentage of nursing home residents are already colonized with an antibiotic resistant bacteria when they are
admitted to the nursing home?
75%
50%
25%
11. What percentage of nursing home residents acquire M.R.S.A. during their stay at the nursing home?
50%
20%
10%
12. Select from the options below to fill in the blank:
_______________________ Precautions are used for every nursing home resident and assumes that all residents are
potentially infectious.
Contact
Isolation
Standard
Droplet
13. Wearing gloves prevents hand contamination and transmission of germs when combined with:
good diagnostic skills
good hand hygiene
good timing
14. True or False: The spread of bad bugs from one resident to another resident occurs by way of contaminated
equipment, contaminated surfaces, and healthcare personnel hands.
True
False
15. Increased risk of getting M.R.S.A. due to an increasing number of residents with M.R.S.A. is called:
Peer pressure
Viral load
Colonization pressure
16. True or False: Health care personnel should try to balance effective infection control policies and procedures with
residents' needs to socialize and move freely in their home, the long term care facility.
True
False
17. True or False: It does not matter where residents are placed when it comes to controlling the spread of bad bugs.
True
False
18. Which of the following is technically considered "cohorting"?
Private room for residents who are colonized or infected.
Place residents infected with the same bacteria in the same room.
Place residents who are colonized or infected with a resident at low risk.
University of North Carolina at Chapel Hill
has completed the on-line learning module:
Enhanced Education of Infection Control in Nursing Homes
Module 1: Antibiotic Resistant Bacteria
www.spice.unc.edu