Fundamentals 1

What can a clean patient environment contribute?

• Reduction in environmental contamination including

• Prevention of healthcare-associated infection.

• Both answers are correct

• None of the above

Answer explanation

Cleaning results in reductions in environmental contamination, including the removal of many pathogens. A clean patient environment contributes to prevention of healthcare-associated infection.

A nurse is knowledgeable that a patient under her care in the isolation room will be discharged during her shift. What type of cleaning will be performed?

• Regular cleaning

• Intensive Cleaning

• Routine Cleaning

• Terminal Cleaning

Answer explanation

Terminal cleaning is performed when a patient with a transmissible illness is discharged (usually for isolation rooms), e.g. MRSA and other drug-resistant bacteria, tuberculosis, Clostridium difficile.

This type of cleaning includes mopping of floors and damp dusting of surfaces with detergent.

• Regular cleaning

• Intensive cleaning

• Routine Cleaning

• Terminal Cleaning

Answer explanation

Routine cleaning is the standard, everyday procedure for cleaning of clinical areas, including mopping of floors, damp dusting of surfaces with detergent, etc.

This is a method of dusting is employed in the care of hospital furnishings which are not upholstered, and for the removal of dust from all surfaces above the floor.

• Dump Dasting

• Low dusting

• High Dasting

• Damp dusting

Answer explanation

Damp dusting is a method of dusting is employed in the care of hospital furnishings which are not upholstered, and for the removal of dust from all surfaces above the floor.

This refers to dusting those areas over windows, pipes, wall and ceiling.

• Dump dusting

• Damp dusting

• Low dusting

• High dusting

Answer explanation

refers to dusting those areas over windows, pipes, wall and ceiling.

This type of dusting is done to all places easily reached by standing on the floor;

• Dump Dasting

• Damp dasting

• Low dasting

• High dasting

Answer explanation

LOW DASTING refers to dusting done to all places easily reached by standing on the floor; done daily.

Why is it necessary for someone to wear appropriate PPEs even when cleaning?

• PPEs are not necessary for cleaning as long as you are healthy.

• To protect if there are any spills of blood/body fluids.

• To prevent from being infected if the patient is on transmission-based precautions

• B and C

Answer explanation

To protect oneself if there are any spills of blood/body fluids or if the patient is on transmission-based precautions.

As you clean a patient’s bedside table, what rationale would you keep in mind as you perform the cleaner-to-dirtier.

• Minimize spread of microorganisms.

• To save time

• To save cleaning cloth

• B & C

Answer explanation

Cleaner-to-dirtier method is performed to minimize spread of dirt and microorganisms.

To prevent microorganisms from dripping and contaminating clean areas, what strategy should you observe?

• Dirtier to cleaner strategy

• High to low strategy

• Bottom to top strategy

• Methodical strategy

Answer explanation

this strategy prevents microorganisms to drip or fall and contaminate cleaned areas.

You observe a colleague cleaning a patient’s room where she jumps from one area to another. What errors could unfortunately happen?

• None, since she is still cleaning the room

• She will easily get tired.

• She is spreading the pathogens

• She may miss some areas of the room.

Answer explanation

She may miss areas if systematic manner is not practiced.