Safety & Infection ControlQuestion 44 of 200

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

a.Wear gloves only
b.Use any surface cleaner
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.Use alcohol-based hand rub only

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). Alcohol gel only (a), gloves only (b), or generic cleaner (c) 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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