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BDS2 OSCE > IPC > Flashcards

IPC Flashcards

1
Q

When should hand hygiene be performed?

A

Before touching a patient

Before a clean/aseptic procedure

After bodily fluid exposure risk

After touching the patient

After touching the patients surroundings

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2
Q

Hand hygiene steps?

A

(wet hands, soap)

Palm to palm

Palm to back of each hand, fingers interlocking

Backs of fingers to opposing palms with fingers interlocked, thumbs clean knuckles

Tops of fingers and nails against palm

Rotate thumb

Wrists

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3
Q

Sequence for donning PPE

A

Gown
Mask/respirator
Goggles/face shield
Gloves

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4
Q

Sequences for doffing PPE

A 
Gloves 
Goggles/face shield
Gown 
Mask/ respirator
Hand hygiene
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5
Q

Risk of HBV

A

1 in 3

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6
Q

Incubation period of HBV

A

3-6months

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7
Q

Risk of HCV

A

1 in 30

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8
Q

Incubation period of HCV

A

20 years

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9
Q

Risk of HIV

A

1 in 300

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10
Q

Incubation period of HIV

A

10 years

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11
Q

If you recieved a sharps, you should….

A
  • Stop
  • Inform pt
  • Make sharp safe
  • Check injury
  • First aid - enc. bleeding, rinse under running water, wash area using soap and water
  • Waterproof dressing
  • Inform lead clinician, dental nurse team leader
  • Risk assessment
  • Contact OH
  • Consent source
  • Paper work & DATIX
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12
Q

Six links in chain of infection…

A
  • infectious agent
  • reservoir
  • portal of exit
  • mode of transmission
  • portal of entry
  • susceptible host
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13
Q

What is orange stream waste used for?

A

items which are contaminated/likely to be contaminated with blood/bodily fluids (disposal via treatment or incineraton)

  • dressings & swabs
  • disposables such as gloves, aprons, masks, contaminated wipes
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14
Q

What is blue stream waste used for?

A

medicinal waste that must be disposed via incineration

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15
Q

What is yellow waste stream used for?

A

infectious waste for disposal by incineration

  • teeth with fillings (NOT AMALGAM)
  • used or unused sharps
  • infected blood
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16
Q

What is red stream waste used for?

A

anatomical waste for disposal by incineration

17
Q

What steps should be taken if there is a blood or bodily fluid spillage?

A
  • Cordon spillage off
  • assess type of spillage
  • collect correct equiptment
  • protect yourself
  • disinfect and clean
18
Q

What should be done to manage a blood spillage?

A
  • Cordon off area
  • PPE
  • Apply chlorine releasing granules to spill
  • Follow manufacturers instructions on contact time or leave for 3 mins
  • discard gross contamination into orange waste stream bag using scoop
  • wash area with disposable paper towels and a solution of detergent and warm water
  • Dry area
  • hand hygiene
19
Q

What should be used to manage a blood spillage if chlorine releasing granules are not available?

A
  • Disposable paper towels should be placed directly over spillage to absorb and contain
  • 10’000 ppm available chlorine solution should be applied
20
Q

What should be done to manage a spillage of vomit or sputum?

A
  • cordon off area
  • PPE
  • soak up spillage with disposable towels
  • decontaminate area with solution of 1000 ppm available chlorine ( or use combined detergent/chlorine releasing solution with a concentration of 1000ppm)
  • follow manufacturers instruction on contact time
21
Q

What is a common chlorine releasing agent?

A

Sodium hypochlorite

22
Q

What is sodium hypochlorite used for (when managing spillages)?

A

to decontaminat blood and bodily fluid spillages

23
Q

Can chlorine releasing agents be poured directly onto a blood spillage?

A

yes

24
Q

What kind of spillage are gelling agents used for?

A

urine, vomit, sputum,

25
Q

What kind of spillage would you manage with disposable paper towels and a weak disinfectant solution?

A

Faces, vomit or sputum

26
Q

What kind of spillage would you manage using chlorine-releasing granules?

A

Blood

27
Q

What kind of spillage would you manage using gelling agent?

A

Urine

28
Q

What happens if a chlorine releasing agent is poured directly onto urine?

A

The disinfectant reacts with the acid in the urine, producing chloring gas

BDS2 OSCE (21 decks)

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