Flashcards in Clealiness Champions Deck (18)
What are the 10 SICPs?
Hang hygiene, PPE, Patient placement, safe disposal of waste, safe management of linen, respiratory hygiene and cough etiquette, management of patient care equipment, control of the environment, management of blood/bodily fluid spillages, occupational exposure management
What are the 6 links in the chain of infection?
Infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host
What are the 7 modes of transmission?
Inhalation, ingestion, mother to infant, inoculation, intercourse, direct, indirect
What are the 5 moments for hand hygiene?
Before touching a patient, before a clean/aseptic procedure, after bodily fluid exposure risk, after touching the patient, after touching patient surroundings
Washing with an alcohol based gel when hands are not visibly soiled - is this an example of social or hygienic hand hygiene?
Social - hygienic hand hygiene used with antiseptic detergent before aseptic procedures
When is it not appropriate to use alcohol based gel to wash your hands?
When hands are visibly soiled, when C. Diff may be present, if patient has a GI infection
Where should sharps boxes be kept? When should sharps containers be disposed of? What happens to them after they are taken away?
Should be disposed of when 2/3 full - they are then taken away to be incinerated - should be kept out of reach of children but easy reach for operator.
What must you do in event of a sharps injury?
Stop what you are doing. Run the injury under warm water and squeeze area to encourage bleeding. Wash thoroughly with soap and water but do not scrub. Cover site with waterproof dressing. Complete the incident report form and report to occupational health.
What are the three methods of decontamination?
Cleaning, disinfection, sterilisation.
What are the 4 categories of risk and an example of each? Which method of decontamination is needed for each?
Minimal risk (objects at a distance from patient and unlikely to cause any harm e.g. Keyboard) - cleaning and drying
Low risk (objects in contact with intact skin e.g. dental chair) - cleaning and drying
Intermediate risk (objects in contact with intact mucous membranes e.g. Impression trays) - disinfection
High risk (objects in contact with mucous membranes, blood and body fluids e.g. extraction forceps) - sterilisation
Name 3 PPE you would use with all patients.
Gloves, apron, visor/goggles
Name examples of chlorine releasing agents.
Sodium hypochlorite or sodium dichloro-iso-cyanurate (both 10,000ppm used for 5mins)
How do you manage a blood spillage?
Wear PPE. Contain with paper towels. Assemble all equipment needed (spillage kit). Sprinkle chlorine releasing granules (sodium dichloro-iso-cyanurate or sodium hypochlorite) 10,000ppm over spillage and leave for 5mins. Clear affected area with paper towels and dispose of as clinical waste. Wash area with water and detergent then dry. Make sure sharps are disposed of. Dispose of single use items. Perform hand hygiene.
What are the 3 types of hand hygiene?
Social hand hygiene - using soap or alcohol gel, performed during 5 moments of hand hygiene
hygienic hand hygiene - using antiseptic detergents, performed before all aseptic procedures
surgical hand hygiene - using antiseptic detergents, performed before all surgical/invasive procedures
After a sharps injury, what are the relevant risk for contracting Hep B, Hep C and HIV?
Hep B = 1/3
Hep C = 1/30
HIV = 1/300
What are the different colours of waste bins and what are they used for?
Black = domestic waste
Orange = clinical waste
Red lid/white body = special waste e.g. Amalgam
Give an example of a chain of infection.
Infectious agent: Measles
Reservoir: nose and throat of infected person
Portal of exit: droplets
Transmission: airborne and indirect contact via items contaminated it's respiratory secretions
Portal of entry: respiratory tract
Susceptible host: anyone who hasn't been immunised