extention Flashcards

(88 cards)

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10
Q

microorganisms in the human blood
that are infectious and can cause
human disease

A

BLOOD-BORNE
PATHOGENS

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11
Q

Hepatitis B virus: can survive a week
on objects
● Hepatitis C
● Hepatitis D
○ Hepatitis S/S : u-like, fatigue, loss of appetite, mild
fever,muscle join.abdominal
pain, nausea vomiting
○ MOT: needlesticks, sexual
contact
○ Vaccine: Hepa B
● Immunodeciency virus

A

COMMON
BLOOD-BORNE
PATHOGENS

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12
Q

Clean and disinfected environmental
surfaces

A

STANDARD
PRECAUTIONS

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13
Q

Sterile instruments and devices

A

STANDARD
PRECAUTIONS

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14
Q

Sharps safety (engineering and work
practice controls)

A

STANDARD
PRECAUTIONS

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14
Q

Respiratory hygiene / cough etiquette

A

STANDARD
PRECAUTIONS

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15
Q

Use of personal protective equipment

A

STANDARD
PRECAUTIONS

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15
Q

species precautions to use in caring
for ALL patients regardless of
diagnosis or presumed infection
status
● Hand hygiene

A

STANDARD
PRECAUTIONS

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16
Q

species precautions to use for
patients either suspected or known to
be infected with certain pathogens
transmitted by airborne, droplet, or
contact routes

A

TRANSMISSIONBASED
PRECAUTIONS

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16
Q

for patients diagnosed or suspected
of a specic transmissible disease
● Precautions based on whether the
disease is transmitted by:
○ Airborne: Pulmonary
Tuberculosis, Measles (
Rubeola)Chickenpox (Varicella)
○ Droplets: Inuenza
○ Contact: Diarrhea, skin or wound
infection

A

TRANSMISSIONBASED
PRECAUTIONS

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16
Q

● needle-stick injury
● blood or body uid splashes in
the eyes, nose or mouth
● blood or body uid comes in
contact with cut, scratch or
abrasion
● human bite cuts the skin

A

EXPOSURE TO
BLOOD
BORNE-PATHOGENS

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17
Q

● Remove sharp or foreign object
● Wash the site with soap and water for at least 30
seconds
● Flush with water or saline for at least 10 minutes
● Eyes: use eyewash station (remove contact lenses)
● Report the incident to the immediate superviso

A

NEEDLE STICK OR ANY SHARP OBJECTS

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18
Q

what to do if yoou have sharps/needlestick

A

bleed it
wash it
cover it
report it

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19
NEEDLE STICK OR ANY SHARP OBJECTS
Cleaning up spill and decontaminating soiled area immediately with disinfectant ● 1:10 bleach solution(sodium hypochlorite) ● Prepared daily ● Wear gloves ● Use absorbent material ● Broken glass: do not pick up with hands ● Use brush, dustpan or tongs
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GENERAL LABORATORY SAFETY RULES
● Never eat, drink, smoke, or chew gum. ● Never put pencils or pens in the mouth. ● Never place food or beverages in a refrigerator used for storing reagents or specimens. ● Never apply cosmetics, handle contact lenses, or rub eyes in the laboratory. ● Never wear long chains, large or dangling earrings, or loose bracelets. ● Never wear a lab coat to lunch, on break, or when leaving the lab to go home. ● Never wear personal protective equipment outside the designated area for its use. ● Always wear a fully buttoned lab coat. ● Always tie back hair that is longer than shoulder length. ● Always keep ngernails short and well manicured. ● Do not wear nail polish or articial nails. ● Always wear a face shield when performing specimen processing or any activity that might generate a splash or aerosol of bodily uids. ● Always wear gloves for phlebotomy procedures and when processing specimens.
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● Any material that could be harmful to one’s health
BIOHAZARD
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● Safe handling of biological substances that pose a risk to health ● Used to prevent and protect clinical laboratories from harmful incidents caused by laboratory specimens that are potential hazardous
BIOSAFETY
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● Aerosols and splashes can be created when specimens are centrifuged, when tube stoppers are removed, and when specimen aliquots are being prepared ● observe proper handling practices ● wear PPE properly ● use safety shields and guards
AIRBORNE
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● Biohazards can be ingested if healthcare workers neglect to sanitize hands before handling food ● Frequent hand sanitization, wash hands frequently ● avoid hand-to-mouth activities ● avoid placing items in the mouth
INJEESTION
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● through the skin (intact) due to needlesticks and other sharp objects ● use needle safety devices. ● wear heavy duty utility gloves when cleaning broken glass ● never handle broken glass with bare hands
PERCUTANEOUS
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● through breaks or cuts in the skin ● cover skin breaks or cuts with non-permeable bandages
NON-INTACT SKIN
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● through mucous membranes ;mouth , nose , eyes ● proper specimen handling ● avoid rubbing, touching eyes, nose and mouth
PERMUCOSAL
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ELECTRICAL HAZARD
● Avoid the use of extension cords. ● Do not attempt to make repairs to equipment if ● you are not trained to do so. ● Do not handle electrical equipment with wet ● hands or when standing on a wet oor. ● Do not overload electrical circuits. ● Inspect cords and plugs for breaks and fraying. ● Know the location of the circuit breaker box. ● Unplug and do not use equipment that is malfunctioning. ● Unplug equipment that has had liquid spilled in it. ● Unplug equipment when you are servicing it
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● Shut off the source of electricity ● Source of electricity cannot be shut off? ● nonconducting material to remove the source of electricity from the victim ● Call for medical assistance ● Start CPR if necessary ● Keep the victim warm
ELECTRIC SHOCK ●
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FIRE HAZARD
● Conduct regular re drills ● Be familiar with the location of emergency exits ● Be familiar with the evacuation plans or routes ● Post location of re extinguishers and heavy blankets ● Know how to use the re extinguisher
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how to use fire extinguisher
pull pin aim nozzle squeeze trigger sweep nozzle
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class a extinguisher
water, foam, dry chem
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class and symbol of triangle and green class A
ordinary combustibles
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class and symbol of square, red and class b
Flammable liquids
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class and symbol of circle, blue and class c
electrical equipment
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class and symbol of star, yellow and class d
combustible metals/chemicals
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class and symbol of octagon, black and class k
cooking oils
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class b extinguisher
blocking oxygen dry chem CO2 foam halon
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class c extinguisher
non-conducting agents dry chem CO2 halon
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class d extinguisher
power agents sand dry powder
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class K extinguisher
liquids designed to prevent splashing cooling smothering the fire
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Never use a water extinguisher on grease res, electrical res or class D res - the flames will spread and make the re bigger! TRUE OR FALSE
TRUE
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TRUE OR FALSE CO2 extinguishers don't leave a harmful residue a good choice for an electrical fire
TRUE
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all-purpose re extinguisher that works on class A, B, and C FIres.
DRY CGEMICAL
37
GENERAL LABORATORY SAFETY RULES
● Fire Tetrahedron ● heat, fuel, oxidizing agent (oxygen), chemical reaction ● A re naturally occurs when the elements are combined in the right mixture ● prevented or extinguished by removing any one element
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WHAT TO DO IN CASE OF FIRE
● RESCUE- rescue anyone in immediate danger ● ALARM - activate the institutional re alarm system ● CONTAIN- close all doors ● EXTINGUISH- attempt to extinguish the re, if possible
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FIRE SAFETY DOS AND DON'TS
● Do pull the nearest re alarm. ● Do call the re department. ● Do attempt to extinguish a small re. ● Do close all doors and windows if leaving the area. ● Do smother a clothing re with a re blanket or have the person roll on the oor. ● Do crawl to the nearest exit if there is heavy smoke. ● Don’t panic. ● Don’t run. ● Don’t use elevators
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● Radiation depend on distance, shielding, and time ● Radiation effects are cumulative ● collecting specimens from patients injected with radioactive dyes or from nuclear medicine department ● delivering specimens to radioimmunoassay sections
RADIATION HAZARD
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● Always wear proper PPE when working with chemicals. ● Always use proper chemical cleanup materials when cleaning up chemical spills. ● Never store chemicals above eye level. ● Never add water to acid. ● Never indiscriminately mix chemicals together. ● Never store chemicals in unlabeled containers. ● Never pour chemicals into dirty containers, especially containers previously used to store other chemicals. ● Never use chemicals in ways other than their intended use.
CHEMICAL HAZARD
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PHLEBOTOMIST SHOULD BE
● aware of institutional radiation safety procedures ● cautious when entering areas with radiation hazard symbo
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TRUE OR FALSE
USE a fire extinguisher for small, contained fires only
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CHEMICAL SPILL PROCEDURES
● Use special kits containing absorbent and neutralizer
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(GHS)
Globally Harmonized System of Classication and Labeling of Chemicals
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acute toxicity(fatal or toxic)
skull and crossbones
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environment (nonmandatory)
aquatic toxicity
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flame over circle
oxidizers
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exploding bomb
explosives self-reactives organic peroxides
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corrosion
skin corrosion/burns eye damage corrosive metals
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gas cylinder
gases under pressure
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irritant (eye and skin) skin sensitizer acute toxicity narcotic effects respiratory tract irritant hazardous to ozone later(nonmandatory)
exclamation mark
46
pyrophorics self heating emitsflammable gas self-reactives organic peroxides flammables
flame
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carcinogen mutagenicity reproductive toxicity respiratory senitizer target organ toxicity aspiration toxicity
health hazard
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SHOCK AND ITS SYMPTOMS
● insucient return of blood ow to the heart, resulting in an inadequate supply of oxygen to all organs and tissues of the body. ● Pale, cold, clammy skin ● Rapid, weak pulse ● Increased, shallow breathing rate ● Expressionless face and staring eyes
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● Firmly applying direct pressure to the wound until bleeding stops or emergency rescuers arrive. ● Pressure should be applied using cloth or gauze with additional material added if bleeding continues.
EXTERNAL HEMORRHAGE
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FIRST AID FOR SHOCK
● Maintain an open airway for the victim. ● Call for assistance. ● Keep the patient lying down with the head lower than the rest of the body. ● Attempt to control bleeding or other cause of shock if known. ● Keep the victim warm until help arrives.
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CARDIOPULMONARY RESUSCITATION
● emergency lifesaving procedure performed when the heart stops beating ● aims to keep blood and oxygen owing through the body when a person’s heart and breathing have stopped ● can keep oxygenated blood owing to the brain and other vital organs until more denitive medical treatment can restore a normal heart rhythm
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HOW TO PERFORM CPR
● Kneel beside the patient and place your hands in the middle of the patient’s chest. ● Cover the rst hand with the heel of the on the other hand, interlocking the ngers. The ngers should be raised so they do not touch the ribcage. ● Lean forward (shoulders directly over the patient’s chest) and press down on the chest for about two inches. Release the pressure to allow the chest to come back up. Do not release your hands. Repeat. Give 30 compressions at a rate of 100 compressions per minute. ● Tilt the patient’s head and lift the chin to open the airway allowing the mouth to fall open slightly. ● Deliver rescue breaths. Pinch the nose shut and place your mouth over the person's mouth to make a complete seal. Blow into the person's mouth to make the chest rise. Deliver two rescue breaths, then continue compressions
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BEFORE GIVING CPR
● Check the scene and the person. ● Patient lying on his/her back on a steady surface ● Call 911 for assistance ● Ask a bystander to call 911, or a there is no call 911 and begin administering assistance ● Check for breathing. If there is no breathing begin CPR
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RED CROSS CPR STEPS
● Continue cpr steps ● Replicate the cycle of 30 chest compressions, to be followed by two rescue breaths Repeat this cycle until person exhibits signs of life, such as breathing, an AED becomes available, or a trained medical responder arrives on scene
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FOR THE GENERAL PUBLIC OR BYSTANDERS WHO WITNESS AN ADULT COLLAPSE:
● compression-only CPR, or Hands-Only CPR. ● without mouth-to-mouth breaths ● Call 9-1-1 (or send someone to do that) ● Push hard and fast in the center of the chest
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FOR HEALTHCARE PROVIDERS AND THOSE TRAINED
● conventional CPR using chest compressions and mouth-to-mouth breathing at a ratio of 30:2 compressions-to-breaths. ● In adult victims of cardiac arrest, it is reasonable for rescuers to perform chest compressions at a rate of 100 to 120/min and to a depth of at least 2 inches (5 cm) for an average adult
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● Nutritious food ● plant-based diet rich in a variety of vegetables, fruits, legumes ● minimally processed starchy staple foods ● balance of carbohydrates, fat, protein, vitamins, minerals, and fiber
PROPER NUTRITION
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● Shower or bathe and use deodorant on a regular basis ● Brush teeth after eating ● Keep hair clean and neatly combed ● Fingernails should be clean, short, and neatly trimmed ● Avoid heavily scented lotions or colognes
PERSONAL HYGIENE
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● get the required hours of sleep ● take breaks during the day to rest, refresh, and stay fit
REST
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● Ways To Control Stress
○ Identify your problem and talk about it. ○ Learn to relax throughout the day. ○ Exercise regularly. ○ Avoid making too many changes at once. ○ Planning the time you have. ○ Set realistic goals—be practical about what you can accomplish. ○ Avoid procrastination by tackling the most dicult job first.
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○ Has damaging effect on personal wellness ○ Affects different organs and systems throughout the body ○ Weakens immune system
● Negative Stress
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● Use proper techniques and equipment when lifting heavy objects
PROPER POSTURE/BACK PROTECTION
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● strengthens the immune system ● increases energy ● reduces stress by releasing substances called endorphins ● reduces symptoms of depression and anxiety
EXERCISE