Bag Technique: Preventing and Controlling Infections in Home Care and Hospice

doi: 10.1097/NHH.0000000000000014
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Bag Technique: Preventing and Controlling Infections in Home Care and Hospice

TEST INSTRUCTIONS

* To take the test online, go to our secure Web site at http://www.nursingcenter.com/HHN.

* On the print form, record your answers in the test answer section of the CE enrollment form on page 47. Each question has only one correct answer. You may make copies of these forms.

* Complete the registration information and course evaluation. Mail the completed form and registration fee of $17.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.

* You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.

* Registration deadline is January 31, 2016.

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PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of Home Healthcare Nurse, will award 1.5 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.5 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #50–1223. Your certificate is valid in all states.

The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.

CE TEST QUESTIONS

GENERAL PURPOSE: To provide information about current guidelines for managing nursing bags, including strategies to prevent and control the transfer of microorganisms through their use.

LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to:

1. Identify guidelines for managing nursing bags in the home care environment.

2. Select best practices for prevention and control of transfer of microorganisms by way of the nursing bag.

1. According to a study by Bakunas-Kenneley and Madigan, what percentage of nursing bags had positive cultures for human pathogens on the outside of the bags?

a. 56%

b. 67%

c. 76%

d. 84%

2. The author suggests that home care staff clean and decontaminate their bag at least

a. every day.

b. twice per week.

c. every week.

d. twice per month.

3. The recommended surface material for nursing bags is

a. nylon.

b. cotton.

c. canvas.

d. vinyl.

4. When carrying an “in-use” sharps container, nurses should

a. empty it when it is three quarters full.

b. store it in an exterior compartment of the bag.

c. never carry it by hand.

d. place it inside the bag as long as they disinfect it first.

5. An example of a reusable item home care staff may carry in a nursing bag is

a. bandage scissors.

b. disinfectant wipes.

c. face masks.

d. paper drying materials.

6. Bakunas-Kenneley and Madigan found that what percentage of the patient care equipment inside the nursing bags was contaminated with human pathogens?

a. 43.7%

b. 55.6%

c. 62.3%

d. 71.8%

7. When visiting a patient who has a Clostridium difficile infection, home care staff should

a. bring a freshly disinfected stethoscope for each visit.

b. leave a stethoscope in the home for use on only that patient.

c. use a stethoscope cover and dispose of it at the end of the visit.

d. soak the stethoscope in bleach in the patient's home.

8. Home care staff should always use a surface barrier when

a. setting the bag down on any surface in the patient's home.

b. sitting on any surface in the patient's home.

c. transferring a rolling bag from the floor to another surface.

d. placing a nursing bag on their lap in the patient's home.

9. An appropriate surface barrier is a

a. a disposable underpad.

b. a newspaper.

c. several paper towels.

d. a thick bath towel.

10. Which of the following practices is recommended when bringing a bag inside a patient's home?

a. Cover the bag with a disposable underpad if children or pets are present.

b. Use an alcohol-based hand rub on the handles of the bag.

c. Hang the bag on a doorknob if there is no clean surface apparent.

d. Place the bag on any surface, but disinfect the bottom of the bag after exiting the home.

11. When home care staff suspect a bed bug infestation in the home, what should they do with the nursing bag they had in the home with them?

a. Wipe it down with alcohol immediately after the encounter.

b. Spray it with a household insecticide as soon as possible.

c. Discard the bag and obtain a new one.

d. Place it in their vehicle inside a large plastic container with high sides.

12. When home care staff carry supplies that should not be exposed to extremes in temperature, they should store them in

a. the passenger area of the vehicle.

b. an insulated bag.

c. the vehicle's trunk.

d. a fanny pack worn constantly.

13. Home care staff should not bring their nursing bag into the patient's care area when the

a. patient is on droplet precautions.

b. patient has a stage-3 pressure ulcer.

c. home is located in an unsafe, inner city area.

d. home is grossly contaminated with excrement.

14. When home care staff do not bring their nursing bag into the patient's care area, what should they do with the items they need for the patient encounter?

a. Bring them into the home in a disposable bag and carry them out in the same bag.

b. Hand-carry them inside and find a disposable bag in the home to carry them out in.

c. Bring them inside in a disposable bag and leave the bag there and carry the items out.

d. Hand-carry them inside and dispose of them as soon as possible after the encounter.

15. The single most important infection prevention activity that home care staff can practice is

a. using alcohol wipes to clean reusable equipment.

b. disposing of single-use contaminated equipment in a biohazard bag.

c. using dedicated equipment for patients with known infections.

d. performing hand hygiene thoroughly and frequently.

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