Vі. Tasks for verification of eventual level of knowledges.

Situation tasks for verification of eventual level of knowledges

A sister-hostess in a manipulation cabinet for the hygienical washing of hands passed lump toilet soap. Is it correct she acted? What mean the hygienical washing of hands is conducted by?

Answer: a sister the hostess acted wrong. The hygienical washing of hands is conducted by antibacterial soap.

At the practically healthy operating-room nurse at bacterial research of mucous nasopharynx pathogenic microflora was exposed. What measures it is needed to take with the purpose of warning of development of nosocomial infection? Who a medical staff from point of source of exciter of infection is considered?

Answer: it follows to remove the medical sister of operating-room from work in surgical establishment and conduct the proper medical treatment. To get back to work to her will be settled after the bacteriological control. Such medical staff is considered bacterial carrier.

In the surgical department during the flash of epidemic of flu to visit a patient his relative came and insists on the appointment. He can allow it? What measures for prevention to distribution of virus of flu must be conducted in the department?

Answer: no, it is impossible. During the epidemic of flu of visit of patients it is forbidden categorically. In the surgical separation the mask mode is entered, the exposed patients with a flu are insulated in separate chambers.

A patient with a clean postoperative wound appeared on bandaging then, when bandaging to the patients with running sore are conducted. Is it possible to bandage him? How must the medical sister of bandaging act in this case?

Answer: bandaging a patient with a clean wound is now impossible from the danger of hit of pathogenic microorganisms in a wound. It follows a medical sister to ask a patient to let me see, while cleaning up of bandaging will not be conducted and used quartz lamp.

A doctor-surgeon the last time passed fluorografy of a 2 year to that backwards. It is possible to admit him to work in the surgical department?

Answer: no, it is impossible. Necessarily it follows to pass fluorografy annually.

At sick D., 46 years, which 10 hours ago carried the operation concerning the intermuscular phlegmon of right thigh, bed and worn next to the skin linen made oneself dirty by excretions from a postoperative wound. How needed to act in this case?

Answer: it is necessary to conduct the change of bed and worn next to the skin linen.

The junior nurse of surgical department conducts the change of bed linen at patients in a chamber. She laid down muddy linen under a washstand on a sheet. What error was assumed by a junior nurse?

Answer: muddy linen must be folded in the special waterproof sack or capacity with a lid.

The junior nurse of surgical department changed linen at patients in a chamber, placed him in a sack from waterproof fabric. What must she do with the collected dirty linen farther?

Answer: a sack with linen is belonged in the special room, dirty linen is assorted and placed in the proper waterproof sacks which then it is needed to tie up and send in laundry.

To the patient S., in 63, operative interference concerning the combined piles is planned. At a patient concomitant diagnosis – of high quality prostatic hyperplasia, that can provoke the sharp delay of urine in an early prostatic postoperative period. What the prophylaxis of nosocomial infection of urinary tracts will consists in?

Answer: the prophylaxis of nosocomial infection of urinary tracts will consist in the waiver of catheterization, and in the case of necessity – in reduction of its duration.

A junior nurse is going to conduct the moist cleaning up in a chamber with the use of solution of chloramine B. How her to prepare necessary solution?

Answer: for the moist cleaning up it is necessary to use 1 % solution of chloramine B, for preparation 1 l of which is needed by 10 g dry powder to add a 990 ml water.

By a patient in the chamber of surgical department a junior nurse replaced the linen worn next to the skin. How after it must cleaning up in a chamber be executed?

Answer: for the moist cleaning up a junior nurse must apply a 1% solution of chloramine or 3% solution of peroxide of hydrogen with a 0,5% synthetic cleanser.

At a patient with running sore at pressure in a wound the liquid fetid separated is selected with the bubbles of gas, an anaerobic infection is diagnosed. What features of care of such sick one? How to act with the used bandaging material?

Answer: a patient is insulated in a separate chamber, the handle of door and rag at the entrance is wrapped around by the gauze moistened 6 % by the peroxide of hydrogen. Bandaging to the patient is executed in the last turn. Bandaging material is collected in biks, an exciter and his dispute is sterilized in an autoclave for elimination, burn after.

A junior nurse conducted cleaning up in the chambers of surgical department by a moist method. What must she do with an inventory for cleaning up?

Answer: for cleaning up it follows to put an inventory into a 0,5% solution of chloric lime or 1% solution of chloramine on 60 minutes.

During the operation a hernioplasty surgeon by a chance unsealed the road clearance of bowel. On 3-and days after the operation in area of postoperative wound appeared excretions of intestinal content. What measures of prophylaxis of nosocomial infection need to be undertaken?

Answer: a patient must be transfered in the separation of festering surgery or on the «festering half» of generalsurgical separation. He needs to conduct bandaging after patients with clean, granulating and festering wounds.