Safety & Infection ControlQuestion 69 of 200

During a facility norovirus outbreak, infection control measures include:

a.Continue communal dining as usual, since norovirus spreads only through contaminated food
b.Soap-and-water handwashing (alcohol gel less effective), contact precautions, cohorting ill residents and staff, environmental cleaning with EPA-registered norovirus disinfectant, exclude ill staff for 48-72 hours after symptoms
c.Increase alcohol-based hand rub use, keep ill residents in their rooms, and clean surfaces with a quaternary ammonium disinfectant
d.Discontinue gowns and gloves to conserve supplies, relying on hand hygiene and cohorting ill residents on one hallway

Explanation

Norovirus is highly contagious via fecal-oral and aerosolized vomit. CDC/CDPH outbreak response: soap-and-water handwashing (alcohol rub less effective on non-enveloped norovirus), contact precautions, cohort ill residents, dedicate staff if possible, clean with EPA-list G norovirus disinfectant (bleach), exclude symptomatic staff until 48-72 hours symptom-free, restrict admissions/visitors as advised by Public Health. Wrong answers (a, c, d) would worsen the outbreak.

Law Reference: CDC; CDPH norovirus guidance

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