manitoiba health - personal service facility guidelines

Question 1

records and logs

Answer 1

accurate client records shall be maintained in permanent ink for each procedure including:

• full name of client
• home address
• telephone number
• date of procedure
• type of procedure
• site of services
• date of birth
• type of identification with proof of age
• a copy of the signed consent form for invasive procedures and uv radiation exposure in tanning facilities
• monthly results of spore testing of autoclaves should be retained in a log
• all records should be kept in facility for a minimum period of 2 years

Question 2

cleaning

Answer 2

• removes visible soil from equipment and environmental surfaces
• must occur as a first step before disinfection or sterilization process or the disinfection or sterilization will be ineffective

Question 3

disinfection

Answer 3

• a process that destroys or kills some, but not all disease-producing microorganisms on an object or surface
• when using any chemical, operators shall follow the manufacturers directions for use and must be properly labeled

Question 4

sterilization

Answer 4

• a technique that destroys all microorganisms by heat, chemical or gasses
• heat sterilization should be used whenever possible

Question 5

non-critical items

Answer 5

• items which come in contact with intact skin but not with mucous membranes
• must be thorough;y cleaned and disinfected between clients
• instruments that accidentally break the skin during use must be thoroughly cleaned and sterilized after being in contact with blood

Question 6

semi-critical items

Answer 6

• items which come in contact with the mucous membranes, such as the eyes, ears, nose, mouth or any other body orifices
• must be purchased as sterile and disposed of after a single use or treated with high level disinfection

Question 7

critical items

Answer 7

• may puncture the skin or enter sterile tissue as needles and razors
• must be purchased as sterile

Question 8

waste handling

Answer 8

• paper towels, tissues and other potentially contaminated items into waste lined with plastic bag and emptied daily
• sharps shall be placed in approved punture resistant sharps container
• sharps containers must be handled and disposed in accordance with municipal waste disposal requirements

Question 9

handwashing

Answer 9

• remove all jewerly
• rinse hands with warm running water
• apply liquid soap and lather well
• rub hands vigorously making sure to cover all surfaces of the hands and fingers
• rinse hands well under warm running, leave the water running
• dry hands with single use towel
• turn off water using single use towel

Question 10

hand sanitizer

Answer 10

1. apply 1-2 pumps of product to palms of dry hands
2. rub hands together, palm to palm. rub in between and around fingers
3. rub back of each hand with palm of other hand
4. rub fingertips of each hand in opposite palm
5. rub each thumb clasped in opposite hand
6. rub hands until product is dry. do not use paper towels
7. once dry, your hands are safe

Question 11

cleaning process

Answer 11

1. soak items that cannot be immediately cleaned in basin of cool water with or without detergent
2. put on utillity gloves
3. take instruments apart and rinse in luke-warm runnning water
4. prepare cleaning sink by adding warm water and detergent
5. clean instrument surfaces by using friction. use small brush to clean any crevices or seams in instruments
6. drain dirty water, rinse cleaned instruments in clean, warm water
7. either air dry or dry with a lint free towel
8. store cleaned instruments in a covered container until disinfected or sterilized, if required
9. remove utility gloves; wash, rinse and hang to dry
10. wash hands

Question 12

disinfectant type and action

Answer 12

low level
- effective for non-critical items
- kills some bacteria and viruses

intermediate level
- effective for some semi-critical items
- kills the microorganisms for low level disinfectants plus fungi but is not tuberculocidal and does not kill spores

higih level
- used for semi critical items and for critical itemts that cannot withstand heat sterilization
- kills all viruses, bacteria but not spores

Question 13

bleach solutions

Answer 13

1:100
- for intermediate level disinfection used for disinfecting non-critical items and surfaces

1:10
- for high level disinfectant used to decontaminate semicritical items and surfaces

Question 14

major classes of chemical disinfectants

Answer 14

alcohols
chlorines
ethylene oxide
formaldehyde
glutaraldehydes
hydrogen peroxides
iodophors
peracetic acid
phenolics
quaternary ammonium compounds