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Systemic III > Infection Control and Glucometry > Flashcards

Infection Control and Glucometry Flashcards

1
Q

True or false? Assume all pts have blood borne pathogens

A

True

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2
Q

What are appropriate guidelines to protect yourself from infection control?

A

Proper hygiene before and after pt care (wear gloves!)
Avoid needle pokes
Throw everything away properly
Use mouth filters when doing mouth to mouth
Protect from splash risks with masks, face shields, eye protection and gowns

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3
Q

When might an optometrist be exposed to splash?

A

Incontinent or nauseated patients

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4
Q

When do you need to worry about transmission based precautions?

A

Usually in hospital setting

Highly transmissible or epidemiologically important dz

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5
Q

How would you protect yourself from transmission based diseases?

A

Would depend on whether it is airborne, droplet or contact based transmission

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6
Q

How would you know what transmission based precautions to take?

A

Would be noted on color coded sign outside of pt door

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7
Q

What precautions would you take if pt was in isolation?

A

Wash hands before and after leaving the room

May have to wear protection when near patient

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8
Q

Why worry about infection control?

A

Protect self and patients

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9
Q

What are Healthcare associated infections?

A

Infections pts require from healthcare setting usually from providers

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10
Q

What personal hygiene steps should you take for infection control?

A

Bathe, moisturize and keep nails trimmed
Keep hair off collar, beware scarves and ties
No/simple jewelry
Close toed shoes

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11
Q

Note! Always report contact with patients with communicable diseases!

A

Free Card

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12
Q

Why is handwashing so important?

A

Most important way to prevent spread of infection

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13
Q

When would you wash your hands?

A

Before and after seeing patient (do in front of pt)
After touching pt care equipment
Before putting on gloves or doing invasive procedures

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14
Q

How do you wash your hands?

A

For duration of “Happy Birthday” and turn faucet off with paper towel and open door with paper towel

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15
Q

What’s the current preferred decontamination method?

A

Alcohol based hand sanitizer

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16
Q

How do you apply hand sanitizer?

A

Rub on and around fingers
Let air dry
Don’t rinse with water

17
Q

What should go into the sharps container? Where should the sharps container go?

A

Anything sharp including coverslips and slides as well as capillary tubes
They go near place of use

18
Q

When should you dispose of sharps and biohazard bags?

A

When 3/4 full

19
Q

What should go in biohazard bags?

A

Soft contaminated items

Anything that’s touched pt’s mucous membranes or got body fluids on them (except sweat)

20
Q

How do you recap needles?

A

With one hand only if you ever need to

21
Q

What should you avoid bringing into lab?

A

Open toed shoes

Food and drink

22
Q

How do you get rid of contaminated linens

A

Roll up with contaminated side in

Avoid shaking or pulling free

23
Q

How do you dispose of blood or urine?

A

Can wash into sewage system after flushing with lots of water

24
Q

How often do you need to disinfect clinic lanes and what do you disinfect them with?

A

Daily. 1:10 soln of bleach or other thing that kills all viruses and bacteria
Need to dry surfaces completely and use gloves

25
Q

How often do you clean instruments?

A

After each use

26
Q

What can you use as personal protective equipment?

A

masks/face shields

Gloves and gown

27
Q

When should you do an in-office glucose eval?

A

When pt doesn’t remember blood/plasma glucose or HbA1C level
When pt responds poorly to control of DM
If pt showing signs of DM

28
Q

What are signs of possible DM

A 
Weight change, increase thirst and urination
Change in refractive error/transient blurring
Diabetic retinopathy (Vascular changes)
29
Q

What does each glucose meter come with and what wouldn’t you use in clinic?

A 
Meter
Disposable lancets
test strips
control solution
Sampler (NOT USED IN CLINIC)
30
Q

How often do you test with control solution and how do you do it?

A 
Once a week
When use new pack test strips
Drop meter 
Results inconsistent with pt symptoms 
1st drop into trash, use 2nd drop on glove into meter
31
Q

How do you test pt glucose?

A

Put on gloves
Clean finger and gently squeeze before lancetting
Throw lancet into sharps container
Squeeze little drop out and put on test strip
Get a reading

32
Q

When should you send a patient for full lab/PCP DM workup?

A

> 140mg/dL

33
Q

Why can’t you use the meter to diagnose DM?

A

Not plasma glucose level (Can be ~15% lower)

34
Q

When would glucose levels appear lower than they are?

A

Pt dehydrated

35
Q

How are lab conditions different than just using a meter?

A

Fasting Plasma glucose levels done with 2 different samples

36
Q

How would you get in-office testing privileges?

A

Get CLIA waiver

Systemic III (8 decks)

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