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EMS captain > Exposure Control Manual and Risk Mgt guide > Flashcards

Exposure Control Manual and Risk Mgt guide Flashcards

1
Q

A significant exposure is deveined as :

A

Needle stick or sharps:
Blood or fluid containing visible blood
Semen
Vaginal fluids
CSF
Synovial fluid
Peritoneal fluid
Pleural fluid
Pericardial Fluid
Amniotic fluid
Mucous membranes
Abrased or abraded skin
Airborne contagions

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2
Q

The exposure control officer works under who?

A

Chief of training and safety division

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3
Q

Exposure to an Airborne contagion other than TB should be documented on ?

A

FR exposure form

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4
Q

For percuteanous needle sticks how to care for them?

A

10 min washing with soap and water or 10% iodine or chlorine compounds until soap and water are available

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5
Q

Washing mucous membranes from significant exposure how?

A

Irrigate with normal saline or water for 10-15min

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6
Q

“Right to know” is applicable for the source patient if?

A

Patient was transported to the hospital

Blood drawn for routine medical need.

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7
Q

If the hospital or the physician do not comply with state mandates for exposure testing what happens?

A

Contact the EMS captain who will contact the medical director if necessary.

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8
Q

Ryan White act notification is for what time frame?

A

Within 48hrs of notification of patient diagnosis

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9
Q

EMS captains responsibilities for exposure?

A

Make sure that employee is source tested
Make sure state mandates are followed at the ER
Notify the Exposure control officer as soon as possible during working hours or if unusual or receives treatment have paged
Contact facility for F/U instructions
Contact the OHC to make arrangements for F/U or as soon a possible for testing
Ensure Exposure form is filled out and turned in by the end of shift
Forward the exposure to the Exposure control officer

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10
Q

Definition of “Verification” for exposure?

A

Determining whether a reported exposure is and “Actual” or perceived health threat.

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11
Q

When should post exposure testing occur?

A

1-2 hours preferably at the OHC or Hospital

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12
Q

When it is deemed necessary to have follow up testing who contacts the employee and when?

A

EMS captain , Exposure control officer, or OHC within 24 hours

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13
Q

Written documentation of follow up testing for an exposure should follow when ?

A

Within 48hours

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14
Q

Follow up testing from exposure is done at what intervals?

A

Initially, 3mo, 6mo, 1 year

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15
Q

Post exposure treatments are for which diseases?

A

, HIV, Hep B, Hep C, Menningcoccal meningitis, TB

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16
Q

A post exposure treatment written opinon statement is to be completed by what time frame?

A

Within 15days

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17
Q

A written exposure treatment opinion includes what ?

A

Results of the medical evaluation

Verification that the employee has been informed about any medical condition resulting from the exposure.

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18
Q

Time frame for post exposure prophylaxis?

A

Within 1-2 hours

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19
Q

What cases are mandated to be reported to the CDC?

A

Contagious ds
AIDS
HBV
TB

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20
Q

A report of the department’s exposures are sent to who and how often?

A

Wellness coordinator- Annually.

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21
Q

Who ensures confidentiality with exposure reports for the employee?

A

EMS captain

Exposure control officer

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22
Q

What are the most likely transmission routes from TB?

A

Persistent cough >2 weeks with one of the following

  • Anorexia
  • weight loss
  • fever
  • hx of drug use
  • night sweats
  • bloody sputum
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23
Q

When treating a possible TB patient what should happen ?

A

N95 on employees
Oxygen to patient or if not needed N95 for patient
Air vents open -no recirculating

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24
Q

When are risk management reports due?

A

By the end of shift and forwarded to the appropriate party

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25
Q

When filling out risk management forms supervisors must sign forms using what?

A

Full first and last names AND employee ID

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26
Q

Employees filling forms for PTSD fill out what forms?

A

The same as employee injury

27
Q

Who gets notified for vehicle accidents?

A

BC

28
Q

What MUST be obtained on a vehicle accident?

A

A police report AND obtain insurance from other driver

29
Q

Who gets notified of exposure to communicable ds.?

A

EMS captain and notify Medical services division.

30
Q

The exposure contorl manual provides information on what areas?

A

Risk

Determination

Prevention

Care and cleaning

bio waste

31
Q

who designates one or more members as the exposure control officer.

A

the department

32
Q

exposures to airborne pathogens are doucumented on ?

A

exposure form

33
Q

documentation for exposures protects who?

A

the employee

department

34
Q

when does the patient have a right to refuse a blood test that might verify an communicable disease?

A

if blood was not drawn in the field for routine medical need.

35
Q

the physican notification form is delivered to who and how?

A

Emergency room physician

hand delivered

36
Q

who is responsible for ordering the HIV on the patient?

A

ER physican

37
Q

when filling out the exposure form which section should be given special attention?

A

how the exposure occured

38
Q

how does the Exposure control officer notify employees of a possible exposure from the hosptial?

A

verbally

39
Q

the ryan white care act is what type of law?

A

florida statue

federal.

40
Q

What does the ryan white care specify?

A

any licensed facility receving a patient who os subsequently diagnosed as having certain infectious diseases to notify the health care provider.

41
Q

prophylaxis treatment post exposure is within what time frame?

A

1-2 hours

42
Q

when does the exposure from need to be completed by?

A

prior to the end of shift

43
Q

If receiving prophylaxis treatment when can an employee discontinue treatment?

A

when directed by the OHC

44
Q

All completed documents with an exposure must be forwarded to who?

A

Exposure control officer

45
Q

All exposure forms must include what?

A

an injury tracking number

46
Q

The exposure control officer gets notified as soon as possible under what conditions?

A

unusual

emergency situation

receives post exposure treatment

47
Q
A
48
Q

Who contacts the hospital ICC to verify source patient testing?

A

Exposure control officer.

49
Q

who is in charge to investigate an exposure?

A

Exposure control officer

50
Q

if a competent patient refuses source testing where is this documented?

A

medical records of the individual sustaining the significant exposure

51
Q

how are results of the HIV testing if performed at the hospital given to the employee?

A

person to person

mail to the OHC

52
Q

medical treatment for a post exposure shall be conducted where?

A

OHC

53
Q

counseling and or treatment is in according to who?

A

US public health service

54
Q

what is the primary means of preventing occupationally HIV infections

A

prevention of blood exposures

55
Q

What guideline is followed by PBCFRs PEP plan?

A

Center for disease control

public health service

56
Q

contagious diseases that limit an employee to work with patient care or at a station are ?

A

influenza

HBV

exudative lesions

57
Q

who is consulted on the limitations on an employee to work from an exposure?

A

employees private physican

OHC

legal counsel

CBA

medical director

58
Q

how long are employee medical exposure records maintained for?

A

the duration of the employment plus 30 years

59
Q

the transmission of what cuases TB?

A

mycobacterium

60
Q

what environmental factors increase the transmission of TB?

A

exposure of person in a small space- like a ambulance

close contact during procedures- ET, deep tracheal suctioning

61
Q
A
62
Q

PBCFRs TB infection program includes?

A

Annual PPD testing

63
Q

additional PPD testing is done when ?

A

after a documented exposure

64
Q

persons who miss the annual TB screening can make it up where?

A

OHC

EMS captain (25 decks)

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