Infection Control Patient Tracer



Infection Prevention Patient Tracer

Patient _____________________________________ MR _______________________ Adm. Date _________

Dx ________________________________________ Unit ___________________ Date __________________

Participants ________________________________________________________________________________

|Tracer Questions |Answers |Correct |Incorrect |

|What do you do to prevent the spread of hospital associated infections?|Hand hygiene, clean environment & equipment, precautions | | |

|How did you know that this patient had an infection? |Micro report, MDRO list, dx., Admission Assess, Eclypsis | | |

| |header | | |

|How do you communicate the infection to other depts like transport, |Sign, enter into computer, verbal report, hall pass | | |

|phlebotomy, x-ray, etc.? | | | |

|How does Infection Prevention know about the infection? |Daily print-out of census, rounds, meet with charge | | |

| |nurses, micro repts | | |

|How do doctors know about the infection? |Report, Eclypsis header | | |

|What is the role of the pharmacy when an antibiotic is ordered? |Check allergies, compatibilities etc. | | |

| |Check culture rept sensitivites | | |

|Who can put patients on isolation? |Nursing, physician | | |

|How do you know what kind of isolation to use? |Policy, IP nurse, reference guide | | |

|How is it documented? |Daily flow sheet, Eclypsis header | | |

|Describe what happens when a patient is put on isolation. |Sign, cart from CSP, pt. teach | | |

|What needs to happen if a patient is on Airborne isolation? |Neg. pressure room w log to verify negative, N95 mask, | | |

|How do you know the room really is negative? |Check box just outside the room & log ; Maint. does | | |

| |routine checking | | |

|When does this need to be documented? |Daily on log by nursing only when a pt needing neg. air | | |

| |is in the room. | | |

|How are patients and visitors educated about isolation? |By nsg & MD, Carenotes, IP nurse if needed | | |

|What patient teaching needs to be documented? |Hand hygiene, correct use of PPE, infection specific, | | |

| |preventing device infections (foley, IV etc) | | |

|What did you do to protect yourself from infection by this patient? |Hand hygiene, personal protective equipment; | | |

| |environment/equip clean | | |

|What measures do you take to prevent ventilator associated pneumonia? |Bundle - ↑ HOB, mouthcare, PU & DVT prophylax, ↓ | | |

| |sedation, closed suction | | |

|How do we prevent surgical site infections? |Correct antibiotic 1 hr cut & DC in 24 hrs, no razor, | | |

| |hand hyg. normothermia, | | |

|Do you see much MRSA? |Varies by unit | | |

|Do you isolate MRSA patients? |Yes – to prevent spread to compromised pts. | | |

|What do you do differently for a pt. w C. diff? |Wash hands w soap & water; bleach clean room | | |

|How do you know the pt. has C. diff? |Yellow “Wash hands w soap” sign | | |

|Do you know what infections the IP nurse tracks? |SSI, C diff, MRSA, VRE, VAP, BSI, CR-BSI, CCU CAUTI | | |

|Tracer Questions |Answers |Correct |Incorrect |

|Do you get information about infections pts. on your unit got during |Posted in conference room, hospital rate on e-mail | | |

|their stay? | | | |

|When do blood glucose monitors get cleaned? |After each use w sani-cloth wipe | | |

|When does shared pt care equipment (VS machines, WOWs, etc) get |When visibly dirty, after use in precaution room, daily | | |

|cleaned? | | | |

|What is the most frequent hospital acquired infection on your unit? |C. diff or MRSA on most units | | |

| |SSI in SDC | | |

|What improvements have you made to reduce the spread of infections? |Alcohol foam, signage, cleanliness, bundles, etc. | | |

|Where do you keep sterile supplies? |Clean utility room | | |

|How do you know they’re sterile? |Intact package, tape | | |

|Where can you eat and drink on your unit? |Break room, conference room | | |

|Why can’t you eat/ drink in patient care areas? |Bloodborne Pathogen standard | | |

Clinical and Non Clinical Areas

|Tracer Questions |Answers |Correct |Incorrect |

|When do you clean your hands? |When dirty, after bathroom, before eat, before & after patient contact, | | |

| |after removing gloves, before prep/give meds | | |

|What can be stored under sinks? |Plastic containers – clearly marked, cleaning solutions, non patient items, | | |

| |NO PAPER | | |

|When are linen carts to be covered? |At all times. To ↓ soil/contamination. Nothing on top of cart. | | |

Inspection

Paper or patient care items stored under sinks. No ___ Yes ___ Where __________________________

Original shipping boxes. No ___ Yes ___ Where __________________________

Storage shelves with open bottom shelf No ___ Yes ___ Where __________________________

Boxes/supplies on floor No ___ Yes ___ Where __________________________

Clean and dirty supplies separate Yes ___ No ___ Where __________________________

Linen cart covered. Yes ___ No ___ Where __________________________

Linen/pillows on top of linen cart No ___ Yes ___ Where __________________________

Staff food and drink in patient care areas No ___ Yes ___ Where __________________________

Patient food refrigerators clean Yes ___ No ___ Where __________________________

Patient food refrigerator temp log complete Yes ___ No ___ Where __________________________

Kitchen clean Yes ___ No ___ Where __________________________

Med refrigerator clean Yes ___ No ___ Where __________________________

Med room, bins, counters clean. Yes ___ No ___ Where __________________________

Windows closed Yes ___ No ___ Where __________________________

Overfull sharp boxes No ___ Yes ___ Where __________________________

Stained ceiling tiles No ___ Yes ___ Where __________________________

Other: ___________________________________________________________________________________

Action Plan:

|# |Task |Start |Completed |Person |Comments |

|1 | | | | | |

|2 | | | | | |

|3 | | | | | |

Reviewers ________________________________________________________________________________

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