[Answered]: Enhanced Barrier Precautions” (EBP) refer to an…

Enhanced Barrier Precautions” (EBP) refer to an infection control intervention designed to reduce transmission of multi drug- resistant organisms (MDRO) that employs targeted gown and glove use during high contact resident care activities. *TrueFalseAll of these examples are considered “high contact resident care activities” except*bathing/showering, toileting, providing hygiene, brief changesChanging linensDevice care: central line, catheter, feeding tube, trach care, wound careHanding resident tv remoteEnhanced Barrier Precautions are enforced by CMS and required in Long Term Care*TrueFalseEnhanced Barrier Precautions are recommended for NOT residents known to be colonized or infected with a MDRO as well as those at increased risk of MDRO acquisition (e.g., residents with wounds or indwelling medical devices).*TrueFalseWhen should you implement Enhanced Barrier Precautions versus contact precautions*Infected or colonized with a CDC-targeted MDRO without a wound, indwelling medical device or secretions or excretions that are unable to be covered or contained.Has a wound or indwelling medical device, without secretions or excretions that are unable to be covered or contained and are not known to be infected or colonized with any MDRO.Has a wound or indwelling medical device, and secretions or excretions that are unable to be covered or contained and are not known to be infected or colonized with any MDRO and do not meet criteria for contact precautions.All of the above would require EBPEnhanced Barrier Precautions are recommended when in contact with Clostridioides difficile infection and scabies*TrueFalseMulti drug-resistant organisms targeted by CDC include*Pan-resistant organismsCarbapenemase-producing carbapenem-resistant EnterobacteralesCarbapenemase-producing carbapenem-resistant PseudomonasCarbapenemase-producing carbapenem-resistant Acinetobacter baumanniinAll of the aboveWhen should a building screen visitors for signs and symptoms of a communicable disease?*When there is a known outbreakAll the time as precautionWeeklyWhen advised by stateWhen should staff wash hands with soap and water?*Before and after contact with a residentAfter contact with blood, bodily fluid, or visibly contaminated surfacesAfter removing personal protective equipment (PPE)When staff member personally uses restroom or has a mealAll of the aboveGloves should be worn in all scenarios except*Coming into contact with bloodComing into contact with bodily fluidsComing into contact with mucous membranes/un-intact skinWhen handing resident water pitcherWith droplet precautions, a healthcare professional should apply a face mask and eye protection when?*At least 6 feet awayWithin arms length of residentBefore entering the roomNo need for PPEAn fit tested N95 mask is required when:*Caring for resident on airborne precautionsCaring for resident on droplet precautionsCaring for resident on on standard precautionsUndiagnosed respiratory infectionA resident on transmission based precautions must be*Placed in a private/single room if available/appropriateIn a shared room with a cohort with same pathogenOr in shared room with cohort with limited risk factorsAll of the above are appropriateThe same PPE can be worn between patients with similar microorganism to conserve resources*TrueFalseTo properly handle, store, and transport soiled laundry, staff should*Transport soiled linens in bags and away from his/her body/clothingTransport contaminated and clean linens in separate cartsBagged contaminated linen when collectedAll of the aboveIs it required for a facility to educate and offer COVID-19 immunization for residents?*YesNoYou notice a food service worker handling food with an open sore, what do you do?*NothingOffer to bandage open area for employeeNotify dietary supervisor as employee is not to handle food with an open soreEncourage residents not to eat the foodHow long should a resident remain on Enhanced Barrier Precautions?*One weekOne monthThe resident’s entire stay, or until medical device is removedUntil infection is considered colonizedDevices that are fully embedded in the body, without components that communicate with the outside, such as pacemakers, would not be considered an indication for Enhanced Barrier Precautions.*TrueFalseAre gowns and gloves recommended for Enhanced Barrier Precautions when transferring a resident from a wheelchair to chair in the dayroom or dining room?*YesNoUnder Enhanced Barrier Precautions, therapy workers should wear gowns and gloves during therapy sessions.*TrueFalseIf a resident does not have a history of a MDRO but does have an indwelling medical device or wound, should they still be placed on Enhanced Barrier Precautions?*YesNoCMS requires each facility have policies and procedures in place to monitor for Legionella and other waterborne pathogens that can grow and spread.*TrueFalseCMS requires each Long Term Care to have a antibiotic stewardship program with written protocols on antibiotic prescribing, including documentation of the indication, dosage and duration of use of antibiotics*TrueFalse