LETS PLAY JEOPARDY

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LETS PLAY JEOPARDY!!
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Jeopardy
About VRE
Management of VRE
Fact or Fiction
Precautions For VRE
PPE
Q 100
Q 100
Q 100
Q 100
Q 100
Q 200
Q 200
Q 200
Q 200
Q 200
Q 300
Q 300
Q 300
Q 300
Q 300
Q 400
Q 400
Q 400
Q 400
Q 400
Q 500
Q 500
Q 500
Q 500
Q 500
Final Jeopardy
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100 Question from about VRE
What type of organism is VRE?
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100 Answer from about VRE
Bacteria Enterococci Vancomycin resistant
Enterococcus
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200 Question from about VRE

• How is VRE most commonly
• spread?

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200 Answer from about VRE
Colonized hands of health care workers from
contact with patients/equipment infected or
colonized with VRE
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300 Question from about VRE

• Name one risk factor for acquiring VRE?

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300 Answer from about VRE

• Severity of underlying illness
• Invasive devices
• Prior colonization with VRE
• Antibiotic use
• Length of hospital stay

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400 Question from about VREDOUBLE JEOPARDY
VRE can live in the gastrointestinal tract of
adults without causing illness. These
individuals are said to be ____________ with the
microorganism.
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400 Answer from about VRE
Colonized
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500 Question from about VRE
VRE can be found on blood pressure cuffs,
electronic thermometers, monitoring devices,
stethoscopes, call bells and bed rails True or
False
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500 Answer from about VRE
True
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100 Question Management of
When should clients/patients/residents be
screened for VRE risk factors?
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100 Answer Management of
Upon admission to a health care facility
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200 Question Management of
What are risk factors that would prompt a health
care worker to obtain VRE screening specimens?
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200 Answer Management of

• Any of the following answers is acceptable
• Those previously colonized or infected with VRE
• Those who spent more that 12 hours in a health
  care facility in the past 12 months
• Those exposed to a unit/area with a VRE outbreak

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300 Question Management of
An infection prevention and control program that
emphasizes early identification of colonized
patients through active surveillance cultures
reduces incidence of both colonization and
infection and reduces health care costs. True
or False
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300 Answer Management of
True
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400 Question Management of
How is VRE detected?
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400 Answer Management of

• Via specimens collect from stool or
• Swab from the rectum or anus

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500 Question Management of
A client/patient/resident requires a negative
VRE status before transferring to any health care
setting. True or False
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500 Answer Management of
False
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100 Question from Fact or FictionDOUBLE
JEOPARDY
Visitors should be advised that hand hygiene must
be performed before and after leaving the room
and to wear gloves and gown if they will be
providing direct care. Fact or Fiction
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100 Answer from Fact or Fiction
Fact
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200 Question from Fact or Fiction
A patient with diarrhea or faecal incontinence
is at increased risk of disseminating VRE Fact
or Fiction
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200 Answer from Fact or Fiction
Fact
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300 Question from Fact or Fiction
VRE can survive for weeks on inanimate
objects such as bedrails. Fact or Fiction
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300 Answer from Fact or Fiction
Fact
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400 Question from Fact or Fiction
One principle of cleaning and disinfecting is
each cloth is one time use only, do not dip a
cloth back into disinfectant solution after use
on a surface. Fact or Fiction
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400 Answer from Fact or Fiction
Fact
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500 Question from Fact or Fiction
The first step prior to transporting a
patient on Contact Precautions is to ensure that
the receiving area or facility is aware of the
appropriate precautions. Fact or Fiction
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500 Answer from Fact or Fiction
Fact
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100 Question from precautions
What is the most important measure for
controlling transmission of VRE?
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100 Answer from precautions
Hand hygiene
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200 Question from precautionsDOUBLE JEOPARDY
In addition to routine practices what additional
precautions are required for VRE?
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200 Answer from precautions
Contact precautions
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300 Question from precautions
Who can initiate contact precautions for a
patient/resident/client?
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300 Answer from precautions
Nursing, Infection Control, Front Line Staff
where specimens have returned as positive for VRE
or there are strong indications for risk factors
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400 Question from precautions

• Who can discontinue contact precautions for
  patients/residents/clients
• with VRE?

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400 Answer from precautions
Infection Control Department
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500 Question from precautions

• What are the recommendations for room placement
  of patients/residents/clients
• with VRE?

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500 Answer from precautions
Single room with dedicated toilet When single
rooms for contact precautions are limited,
consult with the infection control department for
patient/resident/client placement
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100 Question from PPE
Glove use replaces the need to perform Hand
Hygiene. True or False
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100 Answer from PPE
False Hand hygiene must be performed after
glove removal
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200 Question from PPE
In non acute care settings, there should be
emphasis on staff and client/resident hand
hygiene so that they can take part in therapeutic
and social activities. True or
False
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200 Answer from PPE
True
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300 Question from PPE
When should gloves be worn for
patients/clients/residents with VRE?
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300 Answer from PPE
When entering the room or bed space of a patient
infected or colonized with VRE
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400 Question from PPE
Is a gown required for patients/clients/residents
with VRE?
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400 Answer from PPE
Yes when providing direct care
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500 Question from PPE DOUBLE JEOPARDY
What is the correct process for removing PPE
(contact precautions) in order to prevent
recontamination?
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500 Answer from PPE

• Remove gloves (glove to
• glove/skin to skin technique)
• Remove gown (if required)
• Perform hand hygiene

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Final Jeopardy
What does VRE stand for
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Final Jeopardy Answer
Vancomycin-Resistant Enterococcus