Cleanliness Champions

Question 1

What are the SICPs?

Answer 1

1. Patient placement
2. Hand hygiene
3. Cough etiquette
4. PPE
5. Management of care equipment
6. Control of the environment
7. Safe management of linen
8. Management of blood and bodily fluid spillages
9. Safe disposal of waste
10. Occupational exposure management

Pt placement
HH
Cough
PPE
Care equipment
Environment
Linen
Spillages
Waste
Occupational ex

P, H, C
PPE, CE
E, L, S, W, O

Question 2

What is the chain of infection?

Answer 2

1. Infectious agent
2. Reservoir
3. Portal of exit
4. Mode of transmission
5. Portal of entry
6. Susceptible host

Question 3

What is the sinner circle?

Answer 3

1. Temperature
2. Time
3. Chemicals
4. Energy

Question 4

How is blood & bodily fluid spillages managed?

Answer 4

1. PPE & paper towels
2. Sodium hypochlorite/ sodium dichloroisocyanurate
3. 10,000ppm
4. 3-5mins - scoop
5. Water & detergent clean

NEVER with urine -> chlorine gas

Question 5

How do non-antimicrobial soaps work?

Answer 5

• Removes loosely adherent transient microbes along with dirt and organic matter
• Via physical action and detergent effect

Question 6

When are the ‘five moments for hand hygiene’?

Answer 6

1. Before touching pt
2. Before clean/ aseptic procedure
3. After body fluid exposure risk
4. After touching pt
5. After touching pt surroundings

Question 7

What are reasons for hand hygiene non-compliance?

Answer 7

1. Perceived lack of time
2. Habit
3. Poor/ no facilities
4. Harsh products that harm skin
5. Lack of positive role models
6. Lack of education/ training

Question 8

What are Standard Operating Procedures (SOPs)?

Answer 8

Detailed written instructions to ensure uniform and efficient routine operations

Question 9

How is a sharps injury managed?

Answer 9

• Encourage bleeding, squeeze
• Run under warm water, do not scrub
• Waterproof dressing
• Report -> senior
• Refer -> occupational health/ A&E/ GP

Question 10

What are the streams of waste and their associated risk?

Answer 10

1. BLACK = v low risk, domestic/ hygiene waste

—> Healthcare waste (below) must be made safe before disposal

2. ORANGE = low risk, heat treated before disposal (used PPE, swabs etc.)
3. YELLOW = high risk, specialist incineration (live tissue)
4. RED = chemical waste, recovery only; cannot be incinerated (Am, radioactive)

Question 11

What are the features suitable for an amalgam waste container?

Answer 11

• Spill proof
• Leak prof
• Hg vapour suppressant

Question 12

What is included in a consignment note and how long is it kept for?

Answer 12

1. Description of waste
2. Quantity
3. Nature
4. Destination
5. Mode of transport

5 years

Question 13

Legislations

Answer 13

• Health and Safety at Work Act 1974
• Medical Devices Regulations 2002
• Control of Substances Hazardous to Health Regulations 2002
• The Environmental Protection Act 1990
• The Controlled Waste Regulations 2012
• Reporting of Injuries, Diseases and Dangerous Occurrence Regulations 2013

Question 14

What is the difference between cleaning, disinfection and sterilisation?

Answer 14

Cleaning = removal of visibly soiling

Disinfection = elimination of all pathogenic microbes except spores

Sterilisation = eliminates all forms of microbial life

Question 15

What is in the ‘audit cycle’?

Answer 15

1. Set topic
2. Observe/ measure practice
3. Compare with guidelines
4. Implement changes
5. Re-audit

Question 16

What are the principles of waste disposal?

Answer 16

1. Segregation
2. Storage
3. Disposal
4. Documentation