Safety & Infection ControlQuestion 44 of 200

When caring for a resident with C. difficile diarrhea, the CNA must:

a.Wear gloves only, use alcohol-based hand rub after care, and wipe surfaces with a quaternary ammonium cleaner
b.Wear gown and gloves, use alcohol-based hand rub, and clean surfaces with any general-purpose detergent
c.Wear gown and gloves, use soap-and-water handwashing (alcohol gel does NOT kill C. diff spores), and clean surfaces with EPA-registered sporicidal (bleach-based) disinfectant
d.Wear gloves only, use alcohol-based hand rub between residents, and leave terminal cleaning to housekeeping

Explanation

C. difficile produces spores resistant to alcohol-based hand sanitizers; soap-and-water handwashing is mandatory after care. Contact Precautions (gown + gloves) apply. Environmental cleaning requires EPA-registered sporicidal agents (typically 1:10 bleach). Gloves without a gown (a, d), or a general-purpose detergent instead of an EPA-registered sporicide (b), allow spore transmission. C. difficile is a leading healthcare-associated infection with significant mortality in elders.

Law Reference: CDC C. difficile guidance

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