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2024 Promotional Exam > Infection Control Program Policy & Procedures > Flashcards

Infection Control Program Policy & Procedures Flashcards

1
Q

The Infection Control Committee will consist of whom?

A

A. Chairman: Infection Control Officer
B. Medical Director
C. Assistant Fire Chief, Operations
D. Assistant Fire Chief, Services
E. Deputy Fire Chief, Safety & Wellness
F. Medical Service Officer
G. Medical Director, PFC
H. Representative IAFF Local 36
I. Representative AFGE Local 3721

Infection Control Program P&P pg. 6 Sec. 3.3

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2
Q

Medical records (employees) shall be kept CONFIDENTIAL, and must be maintained for at least?

A

The duration of employment plus 30 years.

Infection Control Program P&P pg. 15 Sec. 6.1

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3
Q

Medical records shall include what?

A
  1. The name and social security number of the employee.
  2. A copy of the employee’s HBV vaccination status, including the date of vaccination.
  3. A copy of any additional immunizations administered to the employee.
  4. A copy of the results of the annual screening for Tuberculosis.
  5. A copy of all results of examinations, medical testing, and follow-up procedures will be maintained at PFC Associates.
  6. A copy of the information provided to the healthcare professional, including a description of the employee’s duties as they relate to an exposure incident, and documentation of the routes of exposure and circumstances of the exposure.

Infection Control Program P&P pg. 15 Sec. 6.1

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4
Q

Infection control training is provided at the time of initial assignment and or within ___ ___ to tasks where occupational exposure may occur, and that it shall be repeated within ___ ____ of previous training.

A

30 days, twelve (12) months

Infection Control Program P&P pg. 16 Sec. 7.0

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5
Q

Who is responsible for maintaining and keeping the training records for Infection Control?

A

The Infection Control Office

Infection Control Program P&P pg. 17 Sec. 7.1

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6
Q

Training records shall be maintained for ___ ___ from the date of training.

A

three (3) years.

Infection Control Program P&P pg. 17 Sec. 7.1

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7
Q

What information on training records will be documented?

A
  1. The dates of training sessions.
  2. An outline of the material presented.
  3. The names and job titles of all persons attending the training sessions.
  4. The names and qualifications of the person or persons conducting the training.

Infection Control Program P&P pg. 17 Sec. 7.1

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8
Q

All employee training records should be made available to whom?

A

The employee in accordance with 29 CFR 1910.1030 and to OSHA or its designated representative.

Infection Control Program P&P pg. 17 Sec. 7.1

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9
Q

Medical waste will be removed from all stations when?

A

The second week of each month.

Infection Control Program P&P pg. 19 Sec. 8.5

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10
Q

For medical waste, stations producing more than __ ____ per month will require extra pick-ups and will be scheduled as needed.

A

3 boxes

Infection Control Program P&P pg. 19 Sec. 8.5

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11
Q

In compliance with Federal regulation, prior to being picked up, each box must be what?

A

taped securely. The bottom of the cardboard medical waste box is to be taped covering all seams. The red biohazard bag is to be placed in the cardboard medical waste box. When the cardboard box is approximately 3/4 full the red bag is to be closed by twisting the top of the red bag, doubling it over, and taping it shut. The cardboard box is to be taped securely. Boxes must not be wet or leaking. Sharps containers, if sealed and taped, may be placed in the medical waste box.

Infection Control Program P&P pg. 19, 20 Sec. 8.5

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12
Q

The senior officer and senior medical authority on an incident scene shall ensure that all responders use appropriate PPE. Under rare circumstances, a responder may what?

A

decline to use part or all required PPE if it is in the employee’s professional judgment that in the specific single incident its use would have prevented the delivery of healthcare or posed an increased hazard to the safety of the worker or co-workers.

Infection Control Program P&P pg. 20 Sec. 9.2

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13
Q

Who shall ensure that appropriate PPE in all the appropriate sizes are readily accessible at the work site?

A

The Medical Supply Specialist

Infection Control Program P&P pg. 21 Sec. 9.3

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14
Q

Hypoallergenic gloves, glove liners, powderless gloves, or other similar alternatives will be made readily accessible to those employees who are allergic to the gloves normally provided. What may be necessary to receive them?

A

A written document from a physician may be necessary for the issuance of said items.

Infection Control Program P&P pg. 21 Sec. 9.3

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15
Q

Certain invasive procedures require the responder to use an N-95 respirator:

A
  1. Intubation
  2. CPR
  3. Nebulizer treatments

Infection Control Program P&P pg. 22 Sec. 9.6

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16
Q

After washing contaminated station wear in the washing machine, what must be done?

A

The washing mashing shall be rinsed with a cup of bleach after clothing is removed from the machine.

Infection Control Program P&P pg. 22 Sec. 9.8

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17
Q

Hand washing with soap and water will be performed for __ to ___ ____

A

10 to 15 seconds

Infection Control Program P&P pg. 23 Sec. 10.1

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18
Q

Smoking, eating, handling contact lenses, applying cosmetics or lip balm is prohibited where?

A

at the scene of any emergency, other than in designated Re-Hab areas.

Infection Control Program P&P pg. 23 Sec. 10.1

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19
Q

Prior to transporting a patient with respiratory symptoms, the door between the driver and the patient compartment should be what? If the vehicle does not have a barrier between the cap and the patient compartment, what must the driver and front seat passenger do?

A

closed, wear surgical masks.

Infection Control Program P&P pg. 25 Sec. 10.4

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20
Q

Cleaning and decontamination will be performed in designated locations as soon as practical. In the event that the shift is changing, who shall ensure that the equipment is cleaned and decontaminated?

A

The oncoming employees.

Infection Control Program P&P pg. 25 Sec. 11.0

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21
Q

Environmental surfaces that have become soiled with blood or body fluids must be cleaned and disinfected using an approved disinfectant/decontaminant cleaner or a ____ ____of ____.

A

1:10 solution of bleach. If using bleach, do not mix the bleach with any other type of cleaning/disinfecting agent.

Infection Control Program P&P pg. 25 Sec. 11.0

22
Q

Exposures known to pose a risk of transmission for bloodborne pathogens; percutaneous injury.

A

The risk of infection from a hollow needle is greater than from a solid sharp.

Infection Control Program P&P pg. 26 Sec. 12.0

23
Q

Body fluids known to be infectious:

A
  1. blood
  2. any fluid visibly contaminated with blood
  3. semen
  4. vaginal secretions
  5. breast milk

Infection Control Program P&P pg. 26 Sec. 12.0

24
Q

Body fluids presumed to be infectious:

A
  1. Cerebral-spinal fluid (CSF)
  2. pleural fluid
  3. peritoneal fluid
  4. amniotic fluid
  5. joint fluid

Infection Control Program P&P pg. 26, 27 Sec. 12.0

25
Q

Body fluids known NOT to be infectious (if not visibly bloody)

A
  1. Tears
  2. Saliva
  3. Urine
  4. Feces
  5. Sweat
  6. Emesis

Infection Control Program P&P pg. 27 Sec. 12.0

26
Q

No matter what the provider has been exposed to, IMMEDIATE cleaning of the exposure site should be the 1st priority. Eyes should be irrigated how?

A

With at least a liter of normal saline.

Infection Control Program P&P pg. 27 Sec. 13.0

27
Q

The _____ will fill out a communicable disease exposure report (__________) & __________) before when? For what exposures?

A

member, (F&EMSD Form # IC 1 & F&EMSD Form 44.1) before the completion of the shift for any of the following exposures;
1. needle stick injury
2. break in skin caused by a potentially contaminated object
3. splash of blood or body fluid into eyes, mucous membrane, or non-intact skin
4. mouth-to-mouth resuscitation without pocket mask & one way valve
5. airborne exposure that the employee may feel is significant.

Infection Control Program P&P pg. 27 Sec. 13.0

28
Q

If a member is exposed the Infection Control Officer will perform or refer members for infection control retraining or for counseling if indicated. What else is available?

A

Spousal counseling will be available.

Infection Control Program P&P pg. 28 Sec. 13.0

29
Q

The Infection Control Program will be re-evaluated at least how often and by whom to ensure that the program is both appropriate and effective.

A

annually, the Infection Control Committee

Infection Control Program P&P pg. 29 Sec. 14.1

30
Q

In 23% of patients, C. difficile-associated disease will resolve within __-__ days of discontinuing the antibiotic to which the patient was previously exposed.

A

2 - 3 days

Infection Control Program P&P pg. 31 C. Difficile

31
Q

For decontamination of C. difficile, use a department-approved disinfectant for environmental surface disinfection after cleaning in accordance with label instructions; or ___ ____ _____ may be used. Alcohol-based disinfectants are what against C. Difficile?

A

bleach 1:100 solution. are not effective against C. difficile and should not be used to disinfect environmental surfaces.

Infection Control Program P&P pg. 32 - C. Difficile

32
Q

Hepatitis A signs and symptoms are what?

A
  1. Fever
  2. Fatigue
  3. Loss of Appetite
  4. Nausea
  5. Vomiting
  6. Abdominal Pain
  7. Clay-colored bowel movements
  8. Joint Pain
  9. Jaundice

Infection Control Program P & P pg. 35 - Hepatitis A

33
Q

How is Hepatitis A transmitted?

A

Ingestion of fecal matter, even in microscopic amounts, from close person-to-person contact or ingestion of contaminated food or drinks.

Infection Control Program P & P pg. 35 - Hepatitis A

34
Q

For hepatitis A, wear gloves if you may come in contact with body fluids that may contain hepatitis A, such as stool or bandages from infected wounds. Always wash your hands after removing gloves. Decontaminate unit and equipment with ___ __ __ or department-approved disinfectant.

A

bleach 1:10

Infection Control Program P & P pg. 36 - Hepatitis A

35
Q

Hepatitis B is a liver disease caused by the hepatitis b virus (HBV). It ranges in severity from a mild illness, lasting a few weeks (acute), to a serious long-term (chronic) illness that can lead to what?

A

liver disease or liver cancer

Infection Control Program P & P pg. 36 - Hepatitis B

36
Q

Hepatitis B signs and symptoms are what?

A

A. Fever
B. Fatigue
C. Loss of Appetite
D. Nausea
E. Vomiting
F. Abdominal pain
G. Clay-colored bowel movements
H. Joint Pain
I. Jaundice

Infection Control Program P & P pg. 36 - Hepatitis B

37
Q

Hepatitis C is a liver disease caused by hepatitis C (HCV). HCB infection sometimes results in an acute illness, but most often becomes what?

A

A chronic condition that can lead to cirrhosis of the liver and liver cancer.

Infection Control Program P & P pg. 37 - Hepatitis C

38
Q

Symptoms of hepatitis C are

A

A. Fever
B. Fatigue
C. Loss of Appetite
D. Nausea
E. Vomiting
F. Abdominal pain
G. Clay-colored bowel movements
H. Joint Pain
I. Jaundice

Infection Control Program P & P pg. 37, 38 - Hepatitis C

39
Q

Meningitis is an infection of what?

A

The spinal cord and the fluid that surrounds the brain.

Infection Control Program P & P pg. 38 - Meningococcal Meningitis

40
Q

Signs and symptoms of meningococcus are what?

A

High fever, headache, photophobia, and stiff neck are common symptoms of meningitis in anyone over 2 years of age. In infants, the only symptoms may be inactivity, irritability, vomiting, or poor feeding. Patients of any age may have seizures.

Infection Control Program P & P pg. 38 - Meningococcal Meningitis

41
Q

For meningococcal meningitis decontamination, the unit and equipment will use what?

A

bleach 1:10 or department-approved disinfectant.

Infection Control Program P & P pg. 39 - Meningococcal Meningitis

42
Q

Employees with a positive PPD will be referred to and evaluated where?

A

The Department of Health Tuberculosis Clinic at 1900 Massachusetts Ave. Bldg. 15, Washington, DC 20002

Infection Control Program P & P pg. 51 - Tuberculosis

43
Q

Who is the population at risk for occupational exposure of tuberculosis/airborne pathogens?

A

All DCFEMS employees participating in direct or indirect patient care.

Infection Control Program P & P pg. 52 - Tuberculosis

44
Q

The Infection Control Officer will be notified as soon as is reasonably possible after an employee exposure has been identified. The exposure incident shall be documented in writing by completing what forms? And when should initial documentation be prepared and filed?

A

The IC.2 and a 44.1 with copies forwarded to the Infection Control Officer (ICO).
Documentation should be prepared the day of the incident and must be filed with the ICO within 24 hours of the incident.

Infection Control Program P & P pg. 52 - Tuberculosis

45
Q

PPD skin tests will be read at _______ hours after initial administration and significant reactions will be measured and recorded in ________ of induration and erythema.

A

48-72 hours, millimeters

Infection Control Program P & P pg. 53 - Tuberculosis

46
Q

Employees will receive a written opinion from the Infection Control Officer within __ ____ of the completion of all medical evaluations pertaining to an exposure incident.

A

15 days

Infection Control Program P & P pg. 53 - Tuberculosis

47
Q

Equipment that comes in contact with mucous membranes or non-intact skin must be cleaned and disinfected more thoroughly. Decontamination will be accomplished by soaking the equipment in an approved disinfection/decontaminant cleaner (wavacide or equipment) for __ _____ in an enclosed container. ______ ______ (___) may be used if an approved disinfectant/decontaminant cleaner is not available. Rinse equipment with what and then what?

A

45 minutes, Isopropyl alcohol (70%), water and allow to air dry

Infection Control Program P & P pg. 56 - Disinfection and Decontamination Procedures

48
Q

During _____ inspections, BFC’s shall monitor the number of medical waste boxes in each facility assigned to their battalion. If ___ or more boxes are present, BFC’s and
Company officers are to notify whom?

A

weekly, 2, Infection Control Office

Infection Control Program P & P pg. 58 - Medical Waste Removal

49
Q

Medical waste containers are only to be used for the following items:

A
  1. Examination gloves
  2. Face masks and N-95 respirators
  3. Soiled gauze
  4. Bloody dressings
  5. Nasal cannulas
  6. IV tubing
  7. Closed and sealed sharps containers
  8. Any item soiled with blood and body fluids

Infection Control Program P & P pg. 58 - Medical Waste Removal

50
Q

OPIM

A

Other potentially infectious materials

Infection Control Program P & P pg. 58 - Medical Waste Removal

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