Infection Prevention and Control

Question 1

10 SICPs

Answer 1

1. Respiratory and cough hygiene
2. Hand hygiene
3. PPE
4. Patient placement
5. Safe management of care environment
6. Safe management of care equipment
7. Safe management of linen
8. Safe disposal of waste
9. Prevention and management of occupational exposure
10. Blood and bodily fluid spillages

Question 2

Chain of infection

Answer 2

Infectious agent
Reservoir
Portal of exit
Mode of transmission
Portal of entry
Susceptible host

Question 3

1. Management of blood spillage
2. Key chemical
3. Key chemical time
4. Key chemical concentration

Answer 3

1. Brush and pan to clear up debris (glass, etc.), paper towels to absorb blood, mop until visibly clean (water and detergent solution), saturate area with key chemical.
2. Sodium hypochlorite/sodium dichloroisocyanurate
3. 3-5mins
4. 10,000ppmCl

Question 4

1. Management of sharps injury

2. Risk of source blood/risk of disease transmission

Answer 4

1. Sharps safe/area safe, encourage to bleed, hold under warm running water, wash (don’t scrub), dry and cover with waterproof dressing, consider risk of source blood, establish contact with tutor/supervisor, occupational health, document .
2. HBV - 1/3, HCV - 1/30, HIV - 1/300

Question 5

Waste disposal

1. 4 streams of waste and an example of what to put in each
2. 2 features of an amalgam bin
3. 4 components of waste disposal
4. 3 key laws of waste disposal

Answer 5

1. Black - domestic - paper towels, instrument wrappers
   Orange - low risk clinical - PPE, soiled dressings
   Yellow - high risk/ethical clinical - sharps, identifiable body parts
   Red - special - amalgam
2. Leak-proof, lockable, red lid, internal mercury suppressant chemical/compound
3. Segregation, storage, disposal, documentation
4. Health and safety at work act 1974
   COSHH 2002 (control of substances harmful to health)
   Environmental protection act 1990