Infection Control/BLS/Medical Emergencies Flashcards

(57 cards)

1
Q

what does sharps AWARE stand for

A

apply pressure and allow to bleed
wash dont scrub
assess type of injury
risk of source blood
establish contact

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2
Q

who’s responsibility is it to dispose of the sharp

A

the user

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3
Q

what are the requirements of a sharps box

A

waist height on work surface
click closure 1x to temp lock and 2x to permanent lock
date assembled, date closed and department on label

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4
Q

what do you do if you think you have gotten a sharps injury

A

stop
take off gloves
get supervising clinician and explain
investigate injury site and confirm no injury has occurred
dispose of sharp and start again with new sharp

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5
Q

what is put on the DATIX form for a sharps injury

A

student details
patient details

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6
Q

what is the procedure after you have alerted a clinician that you have a sharps injury

A

go to occupational health for bloods
patient asked to consent for bloods
patient questionnaire filled out
DATIX form

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7
Q

what is the blue waste stream for

A

medication

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8
Q

what is the orange waste stream for

A

clinical waste

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9
Q

what is the black waste stream for

A

general waste

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10
Q

what is the red waste stream for

A

teeth/body parts

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11
Q

what is the white waste stream for

A

amalgam

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12
Q

what are the 5 moments for handwashing

A

before touching a patient
before aseptic procedure
after touching patient
after touching patient surroundings
after body/fluid exposure risk

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13
Q

how do you check the airway in BLS

A

look to see if object blocking it then do head tilt chin lift / jaw thrust to open airway

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14
Q

how do you check breathing in BLS

A

listen at mouth and look to see if chest is rising

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15
Q

how do you check circulation in BLS

A

carotid pulse

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16
Q

what is the rate of chest compressions

A

100-120bpm

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17
Q

what is the ratio of compressions to breaths

A

30:2

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18
Q

how deep do you compress the chest during BLS

A

5-6cm

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19
Q

what are the requirements of the oxygen that you give to the patient during BLS

A

100% O2 15L per minute

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20
Q

what mask is used during BLS

A

bag valve mask

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21
Q

how do you prepare for the AED

A

cut clothes
dry body
shave chest

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22
Q

what is post resuscitation care

A

reassure casualty
maintain airway
deliver O2 via BVM
do not remove AED pads
cover up to maintain dignity and keep warm

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23
Q

where do you check the pulse of an infant (<1 year old)

A

brachial pulse (in elbow)

24
Q

where do you check the pulse of a child (>1 year old)

A

carotid pulse

25
what is the anagram for paeds BLS
S - safety S - stimulate child S - shout for help A - airway B - breathing C - circulation R - reassess
26
how do you check a childs airway
have head in neutral position finger sweep (not blind) head tilt, chin lift / jaw thrust
27
what do you say on the phone for paeds BLS
child in cardiac arrest not breathing location telephone number
28
what do you do if a child is not breathing normally
deliver 5 rescue breaths
29
what is CPR for children
perform 1 minute of CPR if no pulse or below 60bpm do 15 compressions to 2 ventilations reassess after 1 minute allow chest to recoil
30
what is the rate of compressions to ventilations for a child
15:2
31
what is the positioning of your hands for child CPR (>1 yr old)
locate xiphisternum and compress one fingers breadth above this by 5cm
32
what is the positioning of your hands for infant CPR (<1yr old)
trace along the ribs one fingers breadth above xiphisternum place two fingers or thumbs compress by 4cm
33
what is ABCDE in medical emergencies
airway breathing circulation disability exposure
34
how do you know someones airway is fine
they are talking to you
35
what is normal resp rate
12-16 breaths per minute
36
if someone has hypotension how do you treat this
elevate legs
37
if someone has an arrythmia what do we do
phone ambulance as cannot treat this in dental practice
38
what does ACVPU stand for
alert new confusion verbal response pressure response unresponsive
39
what mask is used in emergency conditions
non re-breathing mask
40
when is it appropriate to give a patient adrenaline
swollen airway peripheral cyanosis absence of radial pulse
41
what is the adrenaline dose for anaphylaxis
adrenaline 1:1000 0.5mg
42
mode of action and side effects of adrenaline
allows vasoconstriction, bronchodilation and increased myocardial contractility anxiety, arrhythmias, hypertension
43
main sign of angina
central crushing chest pain
44
main signs of anaphylaxis
LOC, swelling of airway, stridor, sweating
45
drugs used to treat angina/MI
GTN spray 400mcg 2 puffs sublingually aspirin 300mg crushed or chewed
46
mode of action and side effects of GTN spray
vasodilation hypotension and headaches
47
mode of action and side effects of aspirin
antiplatelet, analgesic, anti-inflammatory and antipyretic GI bleeding and ulcers
48
dose of salbutamol for asthma
salbutamol 100mcg 2 puffs (mild-moderate) 10 puffs (severe)
49
mode of action and side effects of salbutamol
bronchodilator headaches, anxiety, nervous, dry mouth
50
dose of glucagon for hypoglycaemia
glucagon 1mg IM injection
51
mode of action and side effects of glucagon
glycogenolysis nausea and headaches
52
treatment for a seizure if over 5 mins long
buccal midazolam 10mg
53
mode of action and side effects of midazolam
muscle relaxation and sedation hypotension, respiratory depression, disinhibition
54
how do you clean a blood spillage
cover with chlorine releasing granules leave for 3 minutes scoop up waste then wash area with detergent should be wearing PPE and do hand hygiene with this too
55
what solutions can clean a blood spillage
sodium hypochlorite 10,000 PPM sodium dichloroisocyanurate
56
if a baby is choking what do you do
hold child on forearm and place hand around mandible in c shape and lay on knee heal of hand on top of back for 5 then flip over onto other arm and do sharp finger thrusts for 5
57
if a small child is choking what do you do
ask if choking and encourage them to cough down on knees, arm on front of shoulders and heal of hand back slaps for 5 stand them up and use dominant hand halfway between belly button and xiphisternum and do 5 thrusts