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Which of the following should be included when designing a data collection form for surveillance?
A. Only the information needed
B. As much information as possible
C. Denominator information
D. Medication history
Antwort: C
Begr¨¹ndung:
The Certification Study Guide (6th edition) emphasizes that effective surveillance depends on the ability to calculate rates, not just counts. To calculate any infection rate, both a numerator (number of infection events) and a denominator (population at risk or time at risk) are required. Therefore, inclusion of denominator information is essential when designing a data collection form for surveillance.
Denominator data may include patient days, device days (e.g., central line days, ventilator days), number of procedures, or number of admissions-depending on the surveillance objective. Without denominator data, infection preventionists cannot calculate standardized rates, compare trends over time, or benchmark against national databases. The study guide clearly states that surveillance systems lacking denominator data produce incomplete and potentially misleading results.
The other options are either vague or inappropriate. While data collection forms should avoid unnecessary information, simply stating "only the information needed" does not address the critical requirement for denominator data. Collecting "as much information as possible" is discouraged because it increases workload, reduces data quality, and may compromise sustainability of surveillance programs. Medication history is not routinely required for most surveillance activities unless it is directly related to the infection being studied.
This question reflects a fundamental CIC exam principle: surveillance must be designed to support valid rate calculation and analysis. Including denominator information ensures that collected data are meaningful, actionable, and aligned with evidence-based infection prevention practices.
Reference: Certification Study Guide (CBIC/CIC Exam Study Guide), 6th edition, Chapter 4: Surveillance and Epidemiologic Investigation.
28. Frage
A facility's goal is to increase hand-hygiene compliance from the current 52% to 75% within 12 months. A gap analysis identifies several different issues. Which of the following is BEST suited for summarizing these issues?
A. Ishikawa diagram
B. Affinity diagram
C. Flow chart
D. Gantt chart
Antwort: A
Begr¨¹ndung:
AnIshikawa diagram (fishbone diagram)is used tovisually represent cause-and-effect relationshipsin problem analysis. It is best for summarizing and categorizing issues found in a gap analysis related to infection prevention.
* TheAPIC Textconfirms:
"A fishbone diagram (also called a tree diagram or Ishikawa) allows a team to identify, explore, and graphically display all of the possible causes related to a problem to discover the root cause".
* It's particularly useful in quality improvement and infection prevention project analysis.
References:
CBIC Study Guide, 6th Edition, Chapter on Quality Concepts
APIC Text, 4th Edition, Chapter 16 - Quality Concepts
29. Frage
An infection preventionist is writing a policy about prevention of intravascular device infection. Which of the following is important for healthcare personnel to know as part of central line insertion and maintenance procedures?
A. Use maximum sterile barrier precautions for the line insertion.
B. The femoral site is the preferred site of insertion in an adult patient.
C. Use 70% isopropyl alcohol for skin preparation before line insertion.
D. Change the central line every seven days.
Antwort: A
Begr¨¹ndung:
The Certification Study Guide (6th edition) identifies the use of maximum sterile barrier (MSB) precautions during central line insertion as a cornerstone practice for preventing intravascular device-associated infections, including central line-associated bloodstream infections (CLABSIs). MSB precautions include wearing a cap, mask, sterile gown, and sterile gloves, and using a large sterile drape to fully cover the patient during line insertion. These measures significantly reduce the risk of introducing skin flora and environmental microorganisms into the bloodstream at the time of catheter placement.
The study guide emphasizes that the highest risk for contamination occurs during insertion, making strict aseptic technique essential. MSB precautions are a required element of evidence-based central line insertion bundles and are consistently associated with reduced CLABSI rates when reliably implemented.
The other options reflect outdated or incorrect practices. Routine scheduled replacement of central lines every seven days is not recommended and does not reduce infection risk. The femoral vein is not the preferred insertion site in adults due to higher infection risk compared to subclavian or internal jugular sites. While alcohol is used during hub disinfection, chlorhexidine-based antisepsis (preferably chlorhexidine with alcohol) is recommended for skin preparation-not alcohol alone.
This question highlights a core CIC exam concept: standardized insertion practices using maximum sterile barriers are among the most effective strategies for preventing intravascular device infections.
Reference: Certification Study Guide (CBIC/CIC Exam Study Guide), 6th edition, Chapter 5: Preventing
/Controlling the Transmission of Infectious Agents; Chapter 10: Cleaning, Sterilization, Disinfection, and Asepsis.
30. Frage
Which of the following is included in an effective respiratory hygiene program in healthcare facilities?
A. Mask availability at building entrance and reception
B. Community educational brochures campaign
C. Separate entrance for symptomatic patients and visitors
D. Temperature monitoring devices at clinical unit entrance
Antwort: A
Begr¨¹ndung:
An effective respiratory hygiene program in healthcare facilities aims to reduce the transmission of respiratory pathogens, such as influenza, COVID-19, and other droplet- or airborne infectious agents, by promoting practices that minimize the spread from infected individuals. The Certification Board of Infection Control and Epidemiology (CBIC) emphasizes the importance of such programs within the "Prevention and Control of Infectious Diseases" domain, aligning with guidelines from the Centers for Disease Control and Prevention (CDC). The CDC's "Guideline for Isolation Precautions" (2007) and its respiratory hygiene/cough etiquette recommendations outline key components, including source control, education, and environmental measures to protect patients, visitors, and healthcare workers.
Option B, "Mask availability at building entrance and reception," is a core element of an effective respiratory hygiene program. Providing masks at entry points ensures that symptomatic individuals can cover their mouth and nose, reducing the dispersal of respiratory droplets. This practice, often referred to as source control, is a primary strategy to interrupt transmission, especially in high-traffic areas like entrances and receptions. The CDC recommends that healthcare facilities offer masks or tissues and no-touch receptacles for disposal as part of respiratory hygiene, making this a practical and essential inclusion.
Option A, "Community educational brochures campaign," is a valuable adjunct to raise awareness among the public about respiratory hygiene (e.g., covering coughs, hand washing). However, it is an external strategy rather than a direct component of the facility's internal program, which focuses on immediate action within the healthcare setting. Option C, "Separate entrance for symptomatic patients and visitors," can enhance infection control by segregating potentially infectious individuals, but it is not a universal requirement and depends on facility resources and design. The CDC suggests this as an optional measure during outbreaks, not a standard element of every respiratory hygiene program. Option D, "Temperature monitoring devices at clinical unit entrance," is a useful screening tool to identify febrile individuals, which may indicate infection.
However, it is a surveillance measure rather than a core hygiene practice, and its effectiveness is limited without accompanying interventions like masking.
The CBIC Practice Analysis (2022) and CDC guidelines prioritize actionable, facility-based interventions like mask provision to mitigate transmission risks. The availability of masks at key entry points directly supports the goal of respiratory hygiene by enabling immediate source control, making Option B the most appropriate answer.
References:
* CBIC Practice Analysis, 2022.
* CDC Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, 2007.
31. Frage
A surgeon is beginning a new procedure in the facility within the next two weeks and requires loaner instruments. Infection prevention processes should ensure that
A. the planning process takes place after the instruments have arrived.
B. staff education related to loaner instrument reprocessing has occurred.
C. items arrive in time for immediate use steam sterilization.
D. instruments are able to be used prior to the biological indicator results.
Antwort: B
Begr¨¹ndung:
The correct answer is D, "staff education related to loaner instrument reprocessing has occurred," as this is the infection prevention process that should be ensured when a surgeon is beginning a new procedure requiring loaner instruments within the next two weeks. According to the Certification Board of Infection Control and Epidemiology (CBIC) guidelines, loaner instruments-those borrowed from external sources for temporary use-pose unique infection prevention challenges due to potential variability in reprocessing standards and unfamiliarity among staff. Ensuring that staff are educated on proper reprocessing protocols (e.g., cleaning, sterilization, and handling per manufacturer instructions and AAMI ST79) is critical to prevent healthcare- associated infections (HAIs) (CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.3 - Ensure safe reprocessing of medical equipment). This education should cover the specific requirements for loaner instruments, including documentation and verification of sterilization, and should occur proactively before the instruments are used to ensure competency and compliance.
Option A (items arrive in time for immediate use steam sterilization) is a logistical consideration, but it does not address the infection prevention process itself; timely arrival is necessary but insufficient without proper reprocessing validation. Option B (instruments are able to be used prior to the biological indicator results) is unsafe, as biological indicators are essential to confirm sterilization efficacy, and using instruments before results are available violates infection control standards. Option C (the planning process takes place after the instruments have arrived) is impractical, as planning (e.g., coordinating with vendors, assessing reprocessing needs) must occur in advance to ensure readiness and safety, not as a reactive step.
The focus on staff education aligns with CBIC's emphasis on preparing healthcare personnel to handle loaner instruments safely, reducing the risk of contamination and ensuring patient safety (CBIC Practice Analysis,
2022, Domain IV: Education and Research, Competency 4.1 - Develop and implement educational programs).
This proactive measure is supported by AAMI and CDC guidelines, which stress the importance of training for reprocessing complex or unfamiliar devices.
References: CBIC Practice Analysis, 2022, Domain III: Infection Prevention and Control, Competency 3.3 - Ensure safe reprocessing of medical equipment; Domain IV: Education and Research, Competency 4.1 - Develop and implement educational programs. AAMI ST79:2017, Comprehensive guide to steam sterilization and sterility assurance in health care facilities.
32. Frage
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