BISCL

Question 1

BICSL

Answer 1

Basic Infection Control Skills License.

Question 2

BICSL have (7) components:

Answer 2

Hand Hygiene, (HH)
2. Personal Protective Equipment, (PPE)
3. Spill Kit
4. Needle Stick Injury, (NSI)
5. Transmission Base Precaution
6. Fit Test
7. Powered Air Purifying Respirator (PAPR)

Question 3

Types of Hand Hygiene :

Answer 3

1. Hand washing with soap and water
2. Hand rubbing with alcohol-based solution
3. Surgical hand scrubbing

Question 4

When to hand rubwith alcohol and When to hand wash with soap?

Answer 4

1.When hands are visibly dirty or soiled, wash with soap and water.
2.When hands are NOT visibly soiled, use an alcohol-based hand rub.

Question 5

When is hand washing mandatory?

Answer 5

When caring for patients known or suspected to have spore-forming pathogens such as C-Diff.

Question 6

HAND RUBBING TECHNIQUE

Answer 6

(20-30 seconds)

Question 7

HAND WASHING TECHNIQUE

Answer 7

(40-60 seconds)

Question 8

(5 Moments)

Answer 8

Moment 1: Before touching the patient.
Moment 2 : Before clean/aseptic procedures.
Moment 3 . After body fluid exposure/risk.
Moment 4 : After touching the patient.
Moment 5. Touching patient surroundings.

Question 9

Types of PPE

Answer 9

Gloves – protect hands
Gowns/aprons – protect skin and/or clothing
Surgical Face Masks and Respirators– protect mouth/nose
Respirators – protect respiratory tract from airborne infectious agents
Goggles – protect eyes
Face shields – protect face, mouth, nose, and eyes

Question 10

Donning PPE

Answer 10

1. Gown (or apron/cover-all suit)
2. Mask/Respirator
3. Goggles (or face shield in lieu of mask and goggles)
4. Gloves

Question 11

Doffing PPE

Answer 11

To limit self-contamination, remove PPE in the following order:
1. Gloves
2. Goggles (or face shield in lieu of mask and goggles)
3. Gown (or apron/cover-all suit)
4. Shoe and/or hair covers (when worn)
5. Mask/respirator
Discard PPE immediately and properly so as not to contaminate the “clean” area.
Perform hand hygiene immediately after removing PPE.

Question 12

Types of Spill Kits:

Answer 12

1.Biohazard spill kits:
For management of blood spills. - Urine & Vomit spill kits: For management of spills of vomitus & urine, blood and other body fluids.

2. Chemical spill kits - Cytotoxic spill kits: For management of spills of cytotoxic drug

Question 13

Components of Biological spill kits:

Answer 13

1.Personal protected equipment:
2.Gown, Surgical mask or Face shield, Gloves. (shoe cover, Head cap are optional based on the amount of the spillage)
3.Yellow biohazard bag.
4.Forceps.
5.Scoop & scraper.
6.Absorbent powder /Absorbent pads.
7.Chlorine disinfectant.

Question 14

Steps of using spill kits:

Answer 14

1.Control access to area: Prevent people from walking through affected area. “Use the wet floor sign”
2. Put on appropriate Personal Protective Equipment (PPEs): Disposable Gown - Disposable face Mask with shield. - Disposable Gloves
3. Use plastic scoop or other mechanical means to remove any broken glass or other sharp objects from the spill area, and dispose into the sharp container.
4.Contain spill: Use absorbent granules or absorbent pads to contain the spill. Sprinkle absorbent granules over the spill and leave for two minutes or as per the manufacturer’s recommended contact time. Allow the spill to solidify before removing.
5. Remove the solidified waste material using the scoop and scraper and carefully dispose all contaminated materials into the infectious waste bag.
6. Add one tablets of chlorine disinfectant 2.5 gm/ 250 ml = 5000 ppm which is effective against any risky blood spill
7. Use disposable wiping cloth to wipe up all the disinfectant, and then discard into the yellow plastic bag.
8. Place all items including PPE into yellow biohazard plastic bag.
9. Close the yellow biohazard bag securely with fastener to prevent leakage.
10. Finally, Hand Hygiene.

Question 15

MANAGEMENT OF NSI

Answer 15

1. Immediate measures according to the MOH or health facility’ policy
    Don’t panic
    Stop immediately the procedure you perform.

Note: - Do not wait until the end of the shift or the end of the procedure.

2. Dispose properly the contaminated gloves
3. Dispose sharp into the sharp container
4. Encourage the wound to bleed under running water. (Don’t squeeze
5. Clean the Clean the wound with running water/ soap
6. Apply waterproof dressing
7. In case of splashes to the eyes, nose or mouth irrigate with clean water, saline, or sterile irrigants.
8. Identify the patient involved so that they can be evaluated for an infection.
9. Immediate reporting.

Question 16

Reporting process of NSI

Answer 16

Immediately report to your supervisor & the Infection control department or employee health clinic regular working hours
If the incident has happened out of working hours, then go to emergency department
Reporting
Screening in EHC
Follow-up

Question 17

SCREENING OF NSI

Answer 17

Baseline testing for anti-HCV, HCV RNA and ALT.
Follow-up testing for HCV RNA 4 to 6 weeks after exposure.
Follow-up testing for anti-HCV, HCV RNA and ALT 4 to 6 months after exposure.
No post-exposure prophylaxis is currently recommended for HCV.
. Follow up testing at a minimum should include: HIV testing at baseline: 6 weeks, 12 weeks, and 6 months’ post exposure

Question 18

DROPLET, COLOR AND PPE

Answer 18

SURGICAL MASK, RED

Question 19

CONTACT PREC,COLOR AND PPE

Answer 19

GREEN, GLOVES AND GOWN

Question 20

AIRBORNE PREC

Answer 20

N95, BLUE

Question 21

Type of Fit Test

Answer 21

Qualitative Respirator Fit Test: Used in our Hospital

Quantitative Respirator Fit Test: N/A

Question 22

Contents of Qualitative fit test Kit:

Answer 22

Contents of Qualitative fit test Kit:
1. One Hood
2. One Collar Assembly
3. Nebulizer #1 (Sensitivity)
4. Nebulizer #2 (Fit Test)
5. Two Sets Replacement
6. Nebulizer Inserts
7. Sensitivity Solution (#1)
8. Fit Test Solution (#2)

Question 23

Each PAPR includes:

Answer 23

Hood, helmet, or headpiece,
Breathing tube,
PAPR blower/filtration unit
Battery pack