SCIP year 4 questions

Question 1

what are the 10 standard infection control precautions

Answer 1

1. patient placement
2. hand hygiene
3. respiratory and cough hygiene
4. PPE
5. equipment
6. environment
7. linen
8. body fluid spillage
9. clinical waste management
10. prevention of occupational exposure

Question 2

what are the 4 colour linen bags and what are there uses

Answer 2

red: bathrooms, washrooms: high risk areas and any soiled stuff put into alginate bag first
white: non contaminated
blue=heat liable may be damaged by thermal disinfectant

Question 3

5 stages of hand hygiene

Answer 3

• before and
• after touching patient
• before asceptic technique
• after touching bodily fluids
• after touching patients surroundings

Question 4

when should hand wash rather than alcohol be used

Answer 4

• hands that are visibly soiled
• the patient has diarrhoea
• the patient is suspected of clostridium difficile

Question 5

who is in charge of fire safety on the ward

Answer 5

the senior charge nurse

Question 6

what does horizontal and lateral evacuation mean

Answer 6

means patients can be moved on the same floor, can be kept inside the building as much as possible through special fire compartments to maintain care. Means the effort required to move the patient is minimised reducing strain on staff.

Question 7

what does HEL stand for when considering an incident or adverse event

Answer 7

HEL
humanitarian
economic
legal aspects

Question 8

who is responsible for information governanace

Answer 8

caldicott guardian

Question 9

what are the 7 caldicott principles for use of confidential information

Answer 9

1. justify the purpose of every proposed use of transfer
2. don’t use it unless absolutely necesssary
3. use the minimum amount of CI necessary
4. access should be a strict need to know basis
5. everyone with access to it should be aware of their responsibilities
6. understand and comply with the law
7. the duty to share information can be as important as the duty to protect the patient confidentiality

Question 10

how to move a patient onto a trolley

Answer 10

1. apply the brakes
2. raise the bed to just above the trolley
3. lie the bed flat
4. patslide halfway between and use of glidesheets on top of the patslide to reduce the effort needed to transfer the patient
5. at least 3 people

Question 11

Healthcare associated infection 5 main ones

Answer 11

• staph aureus -mrsa
• c.difficle infection
• vre
• MDRO/XDR multi drug
• CPE-enterobacteriacea

Question 12

2 clinical waste colour bags

Answer 12

orange and white

Question 13

what should patients be checked for when come into hospital

Answer 13

MRSA

CPE

Question 14

urine cleaning up protocol

Answer 14

clean up first with water and then chlor-clean

Question 15

cleaning up contaminated eg pooh and blood

Answer 15

use the haz tab

Question 16

how to take off ppe

Answer 16

• gloves
• apron and then
• mask

Question 17

what bags are used for soiled laundry

Answer 17

alginate bags

Question 18

what does occupational exposure mean

Answer 18

for the healthcare worker eg needlstick injury

Question 19

triangle

Answer 19

special precautions at top
transmission based precautions
standard infection control precautions

Question 20

transmission based precautions 3

Answer 20

contact precaution
droplet precaution
airborne precaution

Question 21

what changes from droplet to make airborne precaution

Answer 21

airborne is if patient is on a BIPAP or CRP or a procedure that turns droplets to airborne

Question 22

what precaution is needed for airborne precautions

Answer 22

need to wear an FPP3 respirator

Question 23

how is c.diff transmitted

Answer 23

faecal and spores

Question 24

what pathogens are contact precaution

Answer 24

c.diff
mrsa
nv

Question 25

what pathogens are droplet precaution

Answer 25

rsv, influenza

Question 26

how to clean up body fluid spillages eg blood or contaminated that are high risk

Answer 26

Haz tab | 10,000 ppm chlorine releasing agent

Question 27

meaning of detergent | disinfectant sterilisation

Answer 27

detergent: doesnt kill but removes dirt disinfect: reduce number of micros by killing some but not usually spores sterilisation: removes all contaminants including spores

Question 28

cleaning bed pans how

Answer 28

chlor clean unless infected patient

Question 29

who is a priority in a fire

Answer 29

if on o2 need a portable o2 cyclinder

Question 30

what does an intermittent alarm mean

Answer 30

means the fire is somewhere else in the hospital so dont need to evacuate that area due to fire doors stopping it

Question 31

what soap should be used for c.difficile

Answer 31

antimicrobial soap

Question 32

what should be done after coighing

Answer 32

dispose of tissue | wash hands with non-antimicrobial liquid soap and warm water

Question 33

where should all PPE be

Answer 33

-close to point o use stored to prevent contamination in a dry and clean area -single use item -disposed of into correct bin

Question 34

gloves must be 4

Answer 34

- worn when exposed to bodily fluid - changed after each patient - changed if puncture - appropriate for use, fit for purpose and well fitting

Question 35

when must full body gown be worn

Answer 35

when there is a risk of extensive splashing of blood and or other body fluid

Question 36

when should eye/face precaution be worn

Answer 36

if blood and or body fluid contaminate and in aerosol generating procedure

Question 37

equiment is classified as either

Answer 37

- single use eg needles - single patient use eg o2 - reusable invasive - reusuable non-invasive eg commode

Question 38

before using sterile equipment check that

Answer 38

packaging is intact no signs of contamination valid expiry date

Question 39

Decontamination of reusable non-invasive care equipment must be undertaken:

Answer 39

between each use; after blood and/or body fluid contamination; at regular predefined intervals as part of an equipment cleaning protocol; and before inspection, servicing or repair.

Question 40

for linen do not

Answer 40

rinse, shake or sort linen on removal from beds/trolleys; place used linen on the floor or any other surfaces e.g. a locker/table top; re-handle used linen once bagged; overfill laundry receptacles; or place inappropriate items in the laundry receptacle e.g. used equipment/needles.

Question 41

3 colour of waste streams

Answer 41

black=trivial risk for domestic waste or yello and black stripes orange=clinical waste yellow=chemical waste special hazardous generating

Question 42

link of chain of infection

Answer 42

``` infectious agent reservoir mode of escape mode of transmission mode of entry susceptible host ```

Question 43

risk assessment of HAI 4 steps for risk assessing using sharps in a procedure

Answer 43

1. considering patients mental state 2. beware of others using sharps in an emergency situation 3. gain informed consent if required 4. assess level of assistance the procedure may reqiure