1-Infection Control Protocols Flashcards

1
Q

Routine precautions are used whenever there is no physical contact and the client is >1m away. Describe these precautions.

A
  1. Hand washing

2. Respiratory etiquette (cover mouth/nose when coughing/sneezing, followed by hand washing)

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2
Q

What contact precautions would you use when you or the client has non-intact skin and physical contact occurs as part of care?

A
  1. Hand washing
  2. Gloves
  3. Proper removal and disposal of gloves followed by hand washing
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3
Q

Name 3 examples of when droplet precautions would be used (i.e. hand washing, respiratory etiquette, and possibly PPE such as gloves, surgical mask, eye protection)?

A
  1. Contact c/ client, procedure involving body fluids, splashing.
  2. Close contact c/ client experiencing respiratory symptoms.
  3. Close contact c/ client experiencing fever and respiratory symptoms.
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4
Q

Proper ventilation and droplet precautions with fit-tested mask applies to which infection control strategy?

A

Airborne Precautions: contact c/ client experiencing known airborne infection (e.g. active TB).

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5
Q

What are the 3 levels of reprocessing?

A
  1. Cleaning
  2. Disinfection
  3. Sterilization
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6
Q

The ____ ______ is used to determine the proper level of reprocessing for clinical equipment.

A

Spaulding Classification

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7
Q

What is the difference between high and low level disinfection?

A

High Level Disinfection (HLD) is used when processing semi critical medical equipment (such as impedance probe tips or curettes); HLD kills everything that LLD kills, as well as non-enveloped (non-lipid) viruses and mycobacteria, but NOT necessarily bacterial spores.

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8
Q

What must be done prior to disinfection?

A

Equipment/devices must be thoroughly cleaned.

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9
Q

Which level of processing is generally not applicable to audiology practice?

A

Cleaning followed by sterilization

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10
Q

What is the definition of “non-critical equipment”? Give a few examples.

A

Items that contact intact skin only or do not touch the client.

  • insert earphones (apart from foam tip)
  • bone conduction oscillator
  • patient response button
  • listening stethoscope
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11
Q

What is the proper way to process non-critical equipment?

A

Cleaning followed by low-level disinfection (such as quaternary ammonium compounds, 3% hydrogen peroxide, and diluted bleach (1:1000).

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12
Q

When should non-critical equipment be cleaned and disinfected?

A

Between clients.

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13
Q

Define “semi-critical” equipment.

A

Items that come in contact with non-intact skin or mucous membranes, but do not penetrate them.
Items that contact cerumen (potential contamination c/ blood/body fluids).

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14
Q

What is the minimum level of processing required for semi-critical equipment? What level is preferred?

A

Minimum: Cleaning followed by HLD.
Preferred: Sterilization or disposable/single use.

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15
Q

How is cleaning different from sterilization?

A

Cleaning is the physical removal of foreign material using water, detergents, and mechanical action, and must be done prior to decontamination, disinfection and/or sterilization.
Sterilization is the destruction of all forms of microbial life, and is used for critical medical equipment/devices.

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16
Q

What is the preferred sterilization technique?

A

Heat under pressure in an autoclave.

17
Q

Effective sterilization and/or HLD depends on which factors?

A
  • classification of the solutions used
  • physical properties of the item/equipment (e.g. smooth, impervious to moisture, all surfaces exposed)
  • exposure to surfaces
  • use of efficient solutions (clean and fresh - generally within 1-4 wks after activation)
  • integrity of reprocessing (e.g. packed, transported and stored correctly afterwards)
  • Note: instruments should be rinsed after with sterile saline or sterile water to avoid tissue damage.
18
Q

True or False: single use items can be reused on the same client if there is visible discharge on them.

A

False.

19
Q

Name 4 examples of single use items.

A
  1. probe microphone tubes
  2. plastic otoscope specula
  3. plastic earmold impression syringe tips
  4. insert earphone foam tips
  5. single-use OAE probe tips
  6. disposable ABR electrodes
  7. otoblocks
20
Q

Name 3 surfaces that should be cleaned daily, when visibly soiled, or following a suspected contamination.

A
  • floors
  • sinks
  • desks/countertops
  • storage shelves
  • telephones, computers, credit card reader
  • washrooms
  • fitting/repair rooms
  • sound suites
  • toys used for assessment
21
Q

Describe how soiled laundry should be collected and handled.

A
  • minimal agitation
  • in a basket or waterproof bag
  • using gloves if soiled with blood or body fluids
  • heaviest soil in centre of the bundle
  • remove solid soil, feces, or blood clots with a gloved hand prior to laundering