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CFRD > Chapter 3- Infection Control Program > Flashcards

Chapter 3- Infection Control Program Flashcards

1
Q

Disease such as HIV, AIDs, Hep B are ?

A

caused by BLOODBORNE PATHOGENS

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2
Q

TB is caused by ?

A

AIRBORNE PATHOGENS

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3
Q

The fact that a person is infected or assumed to be infected with a COMMUNICABLE DISEASE ________?

A

shALL NOT JUSTIFY failure to render any/all appropriate and necessary treatment and /or transportation

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4
Q

Biological Exposures: 2 Categories:

A
  1. a CASUAL exposure is contact but WITHOUT eye, mouth , other mucous membrane, non-intact skin, or parenteral contact(by injection) with blood or other potentially infectious materials
  2. NON CASUAL at risk exposure is eye, mouth, other mucous membrane , non intact skin, or parenteral contact (by injection) with BLOOD OR OTHER POTENTIALLY INFECTIOUS MATERIALS
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5
Q

When a member SUSPECTS that they have had a biological exposure (incident) while ON DUTY or during an OFF DUTY fire or emergency that they have responded with the City of New York, member shall notify ?

A

COMPANY OFFICER

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6
Q

FOLLOWING Bodily Fluids are potentially infectious for bloodborne pathogens:

A 
SEMEN
VAGINA SECRETIONS
JOINT FLUID
BRAIN FLUID
AMNIOTIC FLUID 
SALIVA in dental procedures (mix with blood)

-treat all bodily fluids as infectious

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7
Q

Following bodily fluids are NOT considered at risk of transmitting bloodborne diseases UNLESS VISIBLY CONTAMINATED with blood:

-however they do transmit other disease and infections and should therefore be avoided

A

-SALIVA
-NASAL SECRETIONS
-URINE
SWEAT
FECES
TEARS
VOMIT

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8
Q

Transmission of AIDS:

A
  • sexual relations
  • blood transfusions
  • passage of blood through mucous membranes
  • mother to fetus or newborn

*no evidence that HIV can be transmitted through air, water, food, or casual body contact, drinking glasses, fountains, telephones, clothing, money , toilets , toothbrushes, linens

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9
Q

TB is Airborne, spread through air when a person with active pulmonary TB COUGHS and releases droplets into the air…other persons can breath in these droplets

A

Casual exposure does NOT normally result in transmission of TB

  • most individual who encounter TB organism do NOT become infected
  • less than 10% of the people infected with TB bacteria actually become ill with the active disease
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10
Q

When HAND WASHING facilities are NOT available, use ?

A

ANTISEPTIC HAND CLEANSERS or TOWELETTES ….members should wash their hands ASAP

  • members shall avoid contact with contaminated SHARPS
  • INTACT skin is excellent barrier
  • members with open lesions or weeping dermatitis and who have direct patent care responsibilities shall report to OFFICER and refrain from patient care until BHS physician can evaluate
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11
Q

MEMBERS ARE NOT PERMITTED to ?

A

WEAR SNEAKERS OR SNEAKER TYPE SHOES, while ON DUTY

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12
Q

SHARP CONTAINERS:

A
  • all needles, scalpels and other disposable sharp instruments shall be DISCARDED into a PUNCTURE RESISTANT SHARPS CONTAINER
  • contaminated needles shall NOT be recapped , purposely bent or broken
  • *replaced when 3/4 FULL**
  • properly closed /sealed and placed in DOUBLE RED BAG or infectious waste container
  • colored RED , with appropriate biohazard symbol , thus easily identifiable

SINGLE USE ONLY-discarded after each use

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13
Q

Infectious waster (contaminated gloves, cotton glove liners, eyes shields/face mask, bandages) placed in ?

A

RED BIOHAZARD BAGS
-CFRD companies shall give these red bags to FDNY EMS command personnel at scene of Dept. Ops

-if FDNY EMS command is NOT on scene, red bagged items shall be returned to quarters and placed in an infectious waster container located in a LIGHT TRAFFIC AREA (remote) on the apparatus floor

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14
Q

CFD Hazardous waster bag disposal policy (RED BAG) is as follow:

A
  • DROP OFF AT CFRD DEPOT

- citywide pickups will be at CFRD DEPOT

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15
Q

CFRD DEPOT OFFICERS :

A

contact SOLID WASTE TECHNOLOGIES to have red bags picked up

NEXT CARD

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16
Q

In the event of a MISSED PICKUP, CFRD depot OFFICER shall contact?

A

RESOURCE CENTER
-work order will be generated and sent to OSHA UNIT, who will contact VENDOR to expedite pick up

-retain WORK ORDER NUMBER until red bags have been picked up

*NEVER PLACE RED BAGS OUTSIDE COMPANY QUARTERS

17
Q

T OR F…Tools , MASKS , equipment that has been contaminated can be placed in RED BAGS..

A

FALSE….for INFECTIOUS WASTE ONLY

18
Q

Company OFFICERS, AT roll call, shall have members check the location of infection control equipment on the apparatus and the quantity of supplies on hand….

A

record of this inspection should be part of ROLL CALL ENTRY

-If the location or status of this equipment changes during the tour, the officer shall make a company journal entry to this effect

19
Q

HOME LAUNDERING of Dept. issued infection control PPE is ?

A

NOT PERMITTED

  • member may TEMPORARILY and briefly decline to use such infection control PPE, when under RARE and unusual circumstances, it was the members’ professional judgment that in the specific instance, its use would have prevented the delivery of health care or public safety
  • member will complete MD-X3 indicating that the PPE did NOT remain secure and intact
20
Q

DEPARTMENT ISSUED N-95 RESPIRATORS,?

A

only used by members who have been MEDICALLY CLEARED, TRAINED AND PASSED FIT TEST

21
Q

LATEX GLOVES /

A

disposable , do NOT RE USE

ALLERGY TO LATEX: notify Company Officer and BHS will determine allergy claim
-alternate disposal gloves or COTTON glove liners will be provided, received from TECH SERVICES

22
Q

Who carries DISPOSABLE BODY BAGS?

A

DEPUTY CHIEF ON SCENE

-victim placed in bag…bag then placed in another…remove outer bag after victim is placed in vehicle

23
Q

Contaminated UNIFORMS/ACCESSories may not be ?

A

MAY NOT BE HOME LAUNDERED

24
Q

DISPOSABLE CONTAMINATED MATERIALS PLACED IN?

A

DOUBLE RED BAGS and placed into hazardous waste container

25
Q

Waster MAY NOT be stored for more than ?

A

30 DAYS

26
Q

All EQUIPMENT (that is NOT DISPOSABLE) and clothing with MINOR contamination of blood or other body fluids are to be ?

A

SPOT CLEANED as soon as practical by a member TRAINED TO PERFORM PROPER DECON PROCEDURES

27
Q

TECH SERVICES will distribute ?

A

PACKETS OF BLEACH and ONE GALLON BLEACH SOLUTION SPRAY BOTTLES

  • these packets produce 1 part bleach to 99 parts water
  • using a stronger mixture has NO ADVANTAGE and will only deteriorate equipment

empty packet of bleach first, then fill with water

  • use proper PPE when cleaning equipment
  • mixtures should be disposed with after 24 HOURS

**Officer shall ensure this solution is prepared DAILY AND OLD SOLUTION DISCARDED **

28
Q

MINOR CLEANING of soiled FF PPE or work duty uniforms:

A
  • spotted or lightly soiled with blood or other body fluids can be DECONTAMINATED IN QUARTERS
  • OFFICER WILL SUPERVISE and determine if the minor cleaning procedure can effectively decontaminate the items in question, (soiled equipment /uniforms, deconned in slop sink)if not….

items should be placed in DOUBLE CLEAR BAGS and labeled for collection

  • the decon should not be conducted in KITCHEN, SLEEPING, OR PERSONAL HYGIENE AREAS
  • bleach solution will be used on items that should not be immersed in water
  • BOOTS/HELMETS may be immersed in slop sink

under NO CIRCUMSTANCES should PPe or work duty clothing that is contaminated with blood, blood products, etc. be taken home or to COMMERCIAL LAUNDRY FACILITY

-ITEMS that are NOT colorfast, may become discolored…call SOC FOR PICKUP

29
Q

MOTOROLA/PORTABLE RADIOS/HT become CONTAMINATED:

A

DECON IN QUARTERS

  • may be COMPLETELY IMMERSED IN FLUID
  • NON motorola HT should NOT be deconned in quarters (not sure what they are)..turn these off and place in double sealed bag for pickup by SOC
30
Q

When FF’s work duty uniform or PPE becomes contaminated with LARGE AMOUNTS OF BODY FLUIDS or other potentially infectious material :

A

A. IC or OFFICER shall notify SOC of the need for temporary replacement
B. DOUBLE CLEAR BAGS
C. BSI WHEN HANDLING BAGS
D. DOUBLE CLEAR BAS WITH BIOHAZARD LABEL ATTACHED, placed on apparatus in appropriate location to preserve integrity of bag…at quarters in LIGHT TRAFFIC AREA pending collection by SOC ..MARKED WITH members name, unit, contamination

31
Q

Bleach:

A

stored away from heat, sunlight, acids, reducing agents

SHALL NOT BE MIXED WITH HYDROGEN PEROXIDE, AMMONIA OR ANY OTHER CLEANSING AGENTS

32
Q

Members overexposed to bleach:

A
  • remove to fresh air
  • IMMEDIATELY FLUSH SKIN OR EYES WITH RUNNING WATER FOR AT LEAST 15 MINUTES (fluid from hurst tool is 20 minutes)
  • OFFICER should notify BHS
33
Q

SINGLE MOST EFFECTIVE METHOD for reducing TRANSMISSION of disease is ?

A

FREQUENT HAND WASHING

CFRD (4 decks)

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