INFECTION CONTROL PATIENT CARE SCENARIOS

Each student from your group will complete this lab on his or her own handout or in Canvas.

PATIENT CARE SCENARIOS

Patient Care Scenario #1-Handwashing:

You are the nurse caring for Mrs. Janae Jones in room 213. You check the doctor’s order and see that you need
to administer an antibiotic for an infection at 2200 hours. As you enter the room you perform hand hygiene per
protocol using the hand sanitizer in the room. However, then you touch a visibly dirty surface in the room so
you decide to wash your hands.

Questions:
With your group and on your paper:
Instructional Video: Nurse Sarah, RN-Hand Hygiene for Healthcare Workers Video
1. Discuss this with your group: Why did you decide to wash your hands in your patient’s room after you
used hand sanitizer?
2. Use the Glo Germ Activity per your instructor’s direction.
a. Put a small amount of GloGerm on the palm of your hand and rub into your hands. This
represents “germs” on your hands.
b. Demonstrate, in the lab and with your group, the proper technique for washing your hands in
healthcare settings.
c. Return to the GloGerm station and put your hands under the blacklight to note any remaining
“germs.”
d. Variation: Have some students wash their hands using proper technique and some without using
proper technique. Note the differences under the blacklight.
e. Discuss your observations after looking at your hands under the blacklight. What differences did
you note?
f. List TWO observations you noted after participating in this handwashing lab activity.

Patient Scenario #2-Sterile Gloving:

Mrs. Anita Jones is post-op for right hip replacement surgery. Mrs. Jones VS are as follows. T- 99.0ͦ⁰F P-86bpm
R-16 BP-130/92 O₂ Sat-94% Pain level-7.
 INFECTION CONTROL PATIENT CARE SCENARIOS
Mrs. Jones has not been able to urinate for the past 12 hours even with methods used to encourage urination.
Suzanne Braney, RN, obtained an order from the MD on call for insertion of a urinary catheter.

Questions:
With your group and on your paper:
Instructional Video: Sterile Gloving Nursing Technique Steps
1. Identify ALL of the medical terms and abbreviations by underlining each in the patient scenario. (There
are 11 terms and abbreviations.)
2. Write out the correct term for EACH abbreviation. Post-op-Post-operative; VS=vital signs,
T=Temperature; P=pulse; bpm=beats per minute; R=respirations; BP=blood pressure; O ₂
Sat=O₂ Saturation; RN=Registered Nurse; MD=Medical Doctor;
3. Define EACH medical term you identified.
4. Explain the rationale for using sterile gloves AND sterile technique when inserting a urinary catheter.
Sterile gloving is used so that the nurse does not introduce a germ that could cause a urinary tract
infection while inserting the catheter into the bladder. Sterile technique is used so none of the equipment
gets contaminated during the procedure.
5. List the proper steps for sterile gloving. (See the Procedure Checklist)
6. Demonstrate, with your group members, proper sterile gloving procedure technique using the
Procedure Checklist provided.
7. EACH student will be evaluated by his/her peers.

Patient Scenario #3-PPE:

Brian Jermez, a 17-year-old male, was admitted with an erythematous wound with purulent drainage noted on
his right lower arm. Mr. Jermez ℅ pain at the wound site. The wound care nurse, Mr. James Cutter, RN, dons
PPE before entering the room. Nurse Cutter greets the patient and checks patient identification using two patient
identifiers. Nurse Cutter swabs the wound and sends the labeled specimen to the lab. Mr. Jermez was diagnosed
with MRSA.
 INFECTION CONTROL PATIENT CARE SCENARIOS

Questions:
With your group and on paper:
Instructional Video: Donning and Doffing PPE Training Video (with a 7 question quiz)
1. Identify ALL of the medical terms and abbreviations by underlining each in the patient scenario. (There
are nine medical terms and abbreviations.)
2. Write out the correct term for EACH abbreviation. ℅=complains of; RN=registered nurse;
PPE=personal protective equipment;
3. Define EACH medical term you identified. erythmatous=red; purulent=filled with pus; dons=puts on;
swabs=with a cotton tipped app you get a specimen; specimen=sample; diagnosed=identified the nature
of the illness;
4. Why does the nurse use a two patient identifier? To ensure s/he is caring for the correct patient.
5. What type of isolation precautions are instituted with a patient with MRSA? Define the type of
precautions you identified. Contact Precautions
6. Explain the rationale for donning PPE before entering the patient room. To protect yourself from any
pathogens that may be in the room.
7. List the proper order for donning PPE. clean hands; don gown; don mask; don eyewear; don gloves;
8. List the proper order for doffing PPE. doff gloves; doff eyewear; doff gown; roll gown and place in
trash; cleanse hands.
9. Will Nurse Cutter doff his PPE inside or outside of the patient’s room? Explain your answer. Inside the
patient room near the door. Then use hand sanitizer.
10. Watch the instructional video. Then, demonstrate, in the lab and with your group, the proper technique
for donning and doffing PPE, using peer evaluation (use the checklist provided.) Each group member
will don and doff all PPE.
11. What is the number one way to prevent the spread of infection? Handwashing
Patient Scenario #4-TB and the Chain of Infection:
Mr. Ken Cough was admitted from the ED after presenting with a chronic blood-tinged cough, temp of 103⁰F,
and chest pain. The following tests were performed: CXR, CBC, and ECG. The CXR showed lesions on both
lungs. The ECG was normal. The CBC showed an elevated WBC.
 INFECTION CONTROL PATIENT CARE SCENARIOS

Questions:
With your group and on paper:
1. Identify ALL of the medical terms and abbreviations by underlining each in the patient scenario. (There
are 7 medical terms and abbreviations.)
2. Write out the correct term for EACH abbreviation. ED=emergency department; temp=temperature;
F=degrees fahrenheit; CXR=chest x-ray; CBC=complete blood count; ECG=electrocardiogram;
WBC=white blood cells
3. Define EACH medical term you identified. chronic=persisting for a long time;
4. What type of isolation precautions are instituted with a patient with TB? Define the type of precautions
you identified. Airborne precautions-patients infected with airborne droplet nuclei
5. With your group and at the station in the lab, identify the TWO types of isolation masks using the labels
provided. Take a photo and upload it into the Canvas Assignment. Recall the instructional video above,
donning and doffing PPE.
6. What type of isolation mask should be used when caring for a patient with TB? Why? _N-95-because it
is considered most efficient; it keeps out >95% of the microorganisms.____

7. Is TB a virus, bacteria, fungus, or parasite? _mycobacterium

8. Based on what you know about TB, his type of infection would be treated with what classification of
medication? Choose the correct answer from the following: Antiviral, Antibiotic, Antifungal,
Antiparasitic, Antigerm. Antibiotic
Continued on the next page
 INFECTION CONTROL PATIENT CARE SCENARIOS

9. The Chain of Infection

a. TB is which link in the Chain of Infection pictured above? _Infectious Agent_
b. The cough associated with TB would be considered which link in the Chain of Infection pictured
above? Portal of exit_
c. Breathing in the TB germ would be which link in the Chain of Infection? Portal of Entry
d. The droplets in the air that contain the TB germ would be which link in the Chain of Infection?
Mode of Transmission
e. Mr. Cough’s wife is being treated for cancer with chemotherapy and has a decreased WBC. Mrs.
Cough would be considered which link in the Chain of Infection? Susceptible Host