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LNAA Flashcards > Infection prevention and control SOP > Flashcards

Infection prevention and control SOP Flashcards

1
Q

Outline the contents of the Infection, Prevention and Control SOP

A

Standard IPC Precautions
Hand hygiene
PPE
ASNTT
Sharps management
EPPs
Cleaning and decontamination
Waste management
Bodily fluids management
Care equipment
Linen and laundry
Uniforms
Food in vehicles
Outbreak management

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2
Q

What are the ten elements of standard infection control precautions?

A
  1. Patient placement/assessment of risk
  2. Hand hygiene
  3. Respiratory/cough hygiene
  4. PPE
  5. Safe management of environment
  6. Safe management of equipment
  7. Safe management of linen
  8. Safe management of Bodily fluids
  9. Safe disposal of waste
  10. Prevention of exposure
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3
Q

Outline the hand hygiene section of the Infection Prevention and Control SOP

A

Hand washing technique
Alcohol gel technique
5 moments of hand hygiene
Hand washing facilities
Skin care
BBE

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4
Q

What are the 5 moments of hand hygiene?

A
  1. Before patient contact
  2. Before aseptic task
  3. After body fluid exposure risk
  4. After patient contact
  5. After contact with patient environment
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5
Q

To which areas should you pay particular attention when washing your hands?

A

Fingertips
Thumbs
In between fingers
Wrists

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6
Q

What PPE should be available on all vehicles?

A

Gloves
Aprons
Sleeve protectors
Coveralls
Surgical masks
Eye protection
FFP3 Hoods

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7
Q

What PPE should be worn for a procedure with a high risk of splashing?

A

Gloves
Apron
Sleeves
Eye/mouth/nose protection

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8
Q

What are the indications for ASNTT?

A

Routine IV/IO insertion
Wounds healing by primary intention
Intubation
Accessing invasive devices

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9
Q

Outline the contents of the safe management of sharps section of the IPC SOP

A

Prevention
Use of Sharps bins
Management of injury
Immediate actions
Follow-up
Injury to the public

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10
Q

Describe the dynamic risk assessment for the selection of PPE

A

If no exposure to bodily fluids - no protective clothing required
If exposure to bodily fluids but low risk of splashing - gloves and aprons
If exposure with high risk of splashing - gloves, aprons, sleeves, eye/mouth/nose protection

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11
Q

How can sharps injuries be prevented?

A

Needle safe cannula
Safe storage
Immediate disposal
No passing hand to hand
No modification of sharps
No re-sheathing
Special care during procedures
Check for loose sharps
Dynamic risk assessment with agitated patients

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12
Q

How do you define an inoculation injury?

A

Sharp
Contamination of broken skin
Mucous membrane
Swallowing
Bites/scratches

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13
Q

Describe the immediate action post sharps injury

A

Wash with copious amounts of water and cover with dressing
Report to person in charge and complete form
Medium/high risk - GP or A+E with written account for blood samples +/- prophylaxis
Low risk - no further action
Complete datix

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14
Q

Describe the follow-up post a sharps injury

A

Contact LNAA Occupational health
If closed attend nearest ED/MIU
Bloods from donor by third party
Consider PEP ASAP

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15
Q

What four factors are associated with occupationally acquired HIV infection?

A
  • Deep penetrating injury
  • Blood on device
  • Hollow bore instrument
    Terminal HIV related illness in donor
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16
Q

What action should be taken if a member of the public sustains a sharp injury?

A

First aid
Go to ED for risk assessment +/- PEP
GP/GUM f/u
LNAA datix if related to assisting

17
Q

What is defined as an exposure prone procedure?

A

Procedure where there is risk that an injury to a worker may result in exposure to the patients open tissue

18
Q

Outline the cleaning and decontamination section of the IPC SOP

A

All staff have responsibility
Colour coding - don’t transfer mops between areas
Mop heads - single use, dispose immediately if used for bodily fluids
Cleaning using detergent
Cleaning using disinfectant - after detergent, deteriorate after dilution

19
Q

Summarise the waste management section of the IPC SOP

A

Waste needs to be effectively segregated into streams
Always use PPE
Covers all colours of bags

20
Q

What type of waste can go into a yellow bag?

A

Anatomical clinical infectious waste which requires incineration

21
Q

What type of waste can go into an orange bag?

A

Waste which may need to be treated - potentially infectious

22
Q

What type of waste can go into a purple bag?

A

Cytotoxic/cytostatic waste

23
Q

What type of waste can go into a bag with black/yellow stripes?

A

Offensive waste

24
Q

What type of waste can go into a black bag?

A

Domestic waste

25
Q

What type of waste can go into a white bag?

A

Amalgam waste

26
Q

List the seven waste streams

A

Yellow - anatomical clinical
Orange - infectious
Purple - cytotoxic
Black/yellow stripes - offensive
Black - domestic
White - amalgam
Recycling

27
Q

Describe the method of cleaning blood/bodily fluid spills on flat/vertical surfaces

A

Don PPE
Use the bodily fluids spill kit
Leave for no more than 2 minutes
Discard kit and contents
Remove PPE and decontaminate hands

28
Q

Describe the method of cleaning faecal matter

A

Don PPE
Remove faeces and discard in appropriate clinical waste
Clean area using peracetic acid wipes and discard
Remove PPE and decontaminate hands

29
Q

Describe the four types of care equipment with regards to the IPC SOP

A

Single use
Single patient use (may need to be decontaminated in between)
Reusable invasive equipment (eg surgical equipment)
Reusable non-invasive equipment (eg NIBP cuff)

30
Q

Describe the risk assessment model to aid in identifying the most appropriate method of decontamination

A

Minimal (not in contact with patient) - clean and dry
Low (items that contact healthy skin) - clean and dry, or disinfect if in contact with bodily fluids
Medium (in contact with mucous membranes) - disinfect or single use
High (breaks skin or mucous membrane) - sterilise or single use

31
Q

Outline the content of the linen section of the IPC SOP

A
  • All linen must be clean and undamaged
  • Clean linin should be freshly laundered (available on ambulances)
  • Used linen (white bag) or infectious linen (alginate bag)
  • Remember to wear PPE
  • Look out for sharps
32
Q

Summarise the management and care of uniforms section of the IPC SOP

A
  • All staff need at least two clean sets of uniform
  • Wear a coverall if contamination may be extensive or foreseeable
  • If uniform becomes contaminated (report to EOC, return to base, put in alginate bag, wash boots with soap and water)
  • Wash with detergent at 60 or above (40 for high vis)
  • May be so contaminated it needs to be disposed of
33
Q

Summarise the transportation and consumption of food on vehicles section of the IPC SOP

A
  • Transport food in designated areas in intact containers
  • Use an ice block and cool box
  • Don’t eat/drink while driving
  • Don’t eat/drink in the clinical areas of vehicles
  • Hand hygiene before eating/drinking
34
Q

List the reportable infections as per the IPC SOP

A

Diarrhoea/vomiting
Scabies
Pertussis
Chicken pox
Mumps
Measles
Scarlet fever

Inform the IPC Lead if there are two or more cases of any of the above infections

LNAA Flashcards (54 decks)

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