Lesson 9 (Part 1) Flashcards

1
Q

What is recommended to use in order to reduce contamination of probes to background levels?

A

Automated devices

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2
Q

What is necessary for both the probe head and handle?

A

Cleaning

- high level disinfection

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3
Q

What does cleaning and high-level disinfection reduce?

A

The risk of infection transmission

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4
Q

What percentage of bacteria contaminates the probe before disinfection?

A

98.8%

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5
Q

What are 3 types of pathogenic bacteria?

A
  1. Staphylococcus aureus
  2. Enterobacteriaceae
  3. Pseudomonas
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6
Q

What are intracavity probes considered if they are used without a probe cover?

A

Semi critical devices

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7
Q

Why are intracavity probes that are not covered with a probe covered considered semi critical device?

A

Because they come in contact with mucous membranes of the vagina, rectum or pharynx

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8
Q

What are 3 examples of mucous membranes?

A
  1. Vagina
  2. Rectum
  3. Pharynx
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9
Q

What is considered the sonographers responsibility with probes?

A

To take the proper precautions to ensure the patient is safe from cross contamination

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10
Q

What do the guidelines recommend when using a probe?

A

That a new condom or probe cover should be used for each patient

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11
Q

Why should probes go through a high level disinfection process as well as using a probe cover?

A

Because probe covers can fail

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12
Q

What do most ultrasound manufacturers recommend the use of for high level of disinfection?

A

The use of 2% glutaraldehyde

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13
Q

What might 2% of glutaraldehyde do to the transducer?

A

It may shorten the life of the transducer

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14
Q

What do routine ultrasound procedures require?

A

Wiping of the probe, the handle and electrical cord after every patient

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15
Q

What must any intra cavity examination undergo?

A

A high level disinfection

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16
Q

HLD

A

High Level Disinfection

17
Q

What has the same HLD technique as an intra cavity examination?

A

If patients are on isolation precautions

18
Q

How are regular patient equipment cleaned?

A

At the discretion of the sonographer

- depends on how dirty the patient is

19
Q

What is proper cleaning of the probe necessary to ensure?

A

The disinfection is successful

20
Q

What are sani cloth plus wipes?

A

Is a wipe commonly used as it kills the most bacteria while maintain the integrity of the inner workings of the transducer

21
Q

What do sani cloth plus kill? (10)

A
  1. E. coli
  2. MRSA
  3. TB
  4. Pseudomonas
  5. Staph aureus
  6. Salmonella
  7. VRE
  8. Herpes simplex
  9. Influenza A
  10. RSV
22
Q

What are 5 problems in the ultrasound department?

A
  1. Time
  2. Space
  3. Training
  4. Knowledge
  5. Clear identifiers
23
Q

How is time a problem in the ultrasound department? (2)

A
  1. Sometimes not enough time to do everything properly
    - time is crunched
  2. Takes time to clean in between patients
    - affects the workflow
24
Q

How is space a problem in the ultrasound department?

A

The rooms are normally relatively small

25
How is training a problem in the ultrasound department?
Not the best training for new devices or how to clean the machines
26
How is knowledge a problem in the ultrasound department?
Ultrasound is constantly changing so we need to stay on top of things - on our own time we need to complete a certain amount of credits each year
27
Why has the automated HLD become the next solution in many hospitals/clinics?
For reasons of patient safety and staff compliance
28
What widely varies among sonographers, even at the same institution?
The soaking practices for manual disinfections
29
How long can manual reprocessing take?
20 minutes to complete