Precautions & Asepsis Flashcards

(44 cards)

1
Q

define UNIVERSAL PRECAUTIONS

A

precautions from CDC to prevent HIV/HepB/blood-borne pathogens

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2
Q

what does the universal precaution state

A

consider all blood/bodily fluids contaminated

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3
Q

define STANDARD PRECAUTIONS

A

from CDC to provide safety & welfare of providers & public about health care standards

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4
Q

list some standard precautions

A
  • handwash before & after procedure
  • wear gloves
  • bandage all skin breaks
  • wash any skin when contact w/fluid
  • don’t work w/patients if you have skin condition
  • no eating/drinking
  • PPE
  • clean up spills immediately
  • immediately discard sharps
  • dispose all waste properly
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5
Q

define OSHA’s BLOOD-BORNE PATHOGEN STANDARD

A

employers need to have written exposure plan; choose safer needles & involve employees in choosing needles

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6
Q

define OSHA’S EXPOSURES CONTROL PLAN

A

written plan updated annually to eliminate/reduce exposure to blood pathogens

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7
Q

list the components of exposure control plan

A
  • engineering controls
  • work practice controls
  • PPE
  • hepatitis B
  • post exposure follow up
  • labels & signs
  • information & training to employees
  • documented employee medical & training records
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8
Q

define ENGINEERING CONTROLS

A

devices to isolate/remove blood pathogen from workplace

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9
Q

give examples of engineering controls

A

sharps container, self-sheathing needles, safer medical devices, needleless systems

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10
Q

define WORKPLACE PRACTICE CONTROLS

A

changes how tasks are done to reduce exposure

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11
Q

give examples of work practice controls

A

handwashing sharps, lab specimen packaging, laundry

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12
Q

define the Hepatitis B part of the exposure control plan

A

have to be available to all within 10 days

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13
Q

give examples of post-exposure follow up

A

lab test, evaluation, identity & test individual source, blood test, post-exposure prophylaxis, & counseling

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14
Q

where should signs/labels be according to exposure control plan

A

regulated waste, fridge, freezer

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15
Q

According to CDC, what should be done when exposed to blood

A
  • wash needlesticks & cuts w/soap & water
  • flush splashes to nose/mouth/skin with water
  • irrigate eyes w/clean water/saline/sterile irrigation
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16
Q

what is the OSHA requirement for surface disinfection

A

1:10 bleach solution/EPA approved disinfectant

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17
Q

define REGULATED WASTE

A

has liquid/semi liquid blood, OPIM that releases blood, or OPIM in liquid/semi liquid state if compressed

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18
Q

define OPIM

A

Other Potentially Infectious Materials

19
Q

how should regulated waste be disposed

A

red biohazard bag w/biohazard label

20
Q

laundry can be contaminated but transmission is ______

21
Q

what is the best way to prevent microorganism

22
Q

how long should hands be washed

23
Q

list circumstances when people should wash their hands

A
  • after seeing each patient
  • before & after eating
  • before & after bathroom
  • after blowing nose/cough/sneeze
  • after touching garbage
  • before & after handling specimen or soiled/contaminated amterial
  • after removing gloves
24
Q

lotion with ______ or _____ should be avoided because it breaks down latex & intensifies reactions to latex

A

petroleum, mineral oil content

25
what lotion should be used
water-based w/no perfume
26
list the reasons to don gloves
- protection & prevent contamination w/blood or fluid - reduce pathogens from you to pt - reduce pathogens from pt to pt
27
list steps of sanitization
- rinse in cool water - soak in warm detergent solution for 20 min - wash & scrub w/brush all serrations, grooves, & hinges - rinse in warm-hot water - dry completely
28
are spores killed with disinfection
no
29
what is generally disinfected
large instruments, scopes, & heat-sensitive items that can't go in autoclave
30
what are the 3 levels of disinfection
low, intermmediate, & high
31
give examples of low level disinfectants
household bleach & isopropyl alcohol
32
what would you use low level disinfectants for
items that touch only intact skin (stethoscope/table)
33
give examples of intermediate level disinfectants
ethyl/isopropyl alcohol
34
what should you use intermediate level disinfectants for
items that touch nonintact skin & mucous membranes (thermometers & ear speculums)
35
give examples of high level disinfectants
glutaraldehyde-based formulas, orthophthaladehyde, peracetic acid, chlorine dioxide, electrolytically generated hypochlorous acid
36
what should you use high level disinfectants for
endoscopes & laryngoscopes
37
which asepsis process destroys spores
sterilization
38
what is the shelf life for sterilized items
30 days
39
what are the different methods of sterilization
autoclave, chemical, dry heat
40
which is the most common method of sterilization
autoclave
41
list steps/tips to wrapping items for autoclave
- wrap in double-thickness porous autoclave paper/cloth wrap - separate multiple items wrapped together w/gauze - wrap snugly
42
list the steps to sterilizing something with chemical sterilization
- thoroughly clean in detergent - brush - thoroughly dry - submerge item in chemical sterilant (high level disinfectant) for recommended time, keeping hinges & handles open & cover container of sterilant
43
dry heat sterilization is used for what
dry heat
44
why is dry heat sterilization gen not favorable
time-consuming, spores not completely eliminated, not for rubber items