IPC Flashcards

1
Q

What is the chain of infection?

A

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

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2
Q

Explain each role of the links in the Chain of Infection?

A

Infectious agent
–micro-organism that can cause infection e.g. BBV
Reservoir
–where the infectious agent lives and grows
Portal of exit
–How the IA leaves the reservoir
Mode of transmission
–how the IA is spread from one site to another
Portal of entry
–how the IA enters the body
Susceptible host
–Anyone

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3
Q

Name the actions that we can use to break the links in the Chain of Infection.

A

Standard Infection Control Precautions
SICPs

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4
Q

When should standard infection control precautions be used?

A

To be used by all staff, in all care settings, at all times for all patients whether infection is known to be present or not

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5
Q

Name the SICPs most relevant to dentistry.

A

Hand hygiene
Personal Protective Equipment
Safe Management of Care Equipment
Safe Management of Care Environment
Safe Management of Blood and Body fluid spillages
Safe Disposal of Waste (inc. sharps)
Occupational Safety: Prevention and Exposure Management (including sharps)
Respiratory and Cough Hygiene

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6
Q

How should blood and body fluid spillages be managed?

A

Local policy must be followed
Appropriate PPE to be worn, apron, mask, gloves and eye protection
Organic matter to be removed using disposable absorbent towels, dispose of in healthcare waste
Apply the appropriate granules or solution to disinfect the area, leave for the required time
Granules to be removed using a scope, dispose of granules in healthcare waste
Area to be cleaned using water and general-purpose detergent then dried with paper towels or air dried
All waste including PPE to be disposed of in healthcare waste
Perform hand hygiene

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7
Q

Name the agents used when dealing with a spillage.

A

Sodium Hypochlorite
Dichloroisocyanurate

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8
Q

What is the contact time for chlorine releasing agents?

A

3 minutes
OR
According to manufacturer’s instructions

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9
Q

What concentration of these granules should be used?

A

10,000 parts per million available chlorine (ppm)

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10
Q

Give examples of waste disposed of in the orange waste stream.

A

Gloves
Masks
Patient bib
Aprons/gowns
Gauze
Contaminated wrapping
Rubber dam sheets
Clinell wipes

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11
Q

What is disposed of in the black waste stream?

A

General waste
Paper
Instrument wrapping

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12
Q

Explain when the temporary closure mechanism on sharps boxes should be used.

A

When the container is left unattended, or it is not in use

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13
Q

How is the temporary closure mechanism engaged?

A

One click for temporary closure
Two clicks for permanent closure

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14
Q

What type of sharps are disposed of in the blue lid sharps box?
Where do all other sharps go?

A

Pharmaceutical’s
E.g. half filled local anaesthetic cartridges
All other sharps go into the orange lid container

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15
Q

Who is responsible for the disposal of sharps?

A

The user, operator, creator of the sharp is responsible for the sharp
No one other than the person who has used a sharp should be disposing of it

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16
Q

Who is responsible for carrying out a risk assessment following a sharps injury?

A

Supervising clinician
DN Team Leader
Clinician
Named nurse

17
Q

What action must be taken if you receive a sharps injury and your patient refuses to consent for bloods to be taken?

A

The same protocol is followed whether a patient consents to having bloods taken or if they refuse
Patients must never be pressured into giving consent to have bloods taken

18
Q

What procedure must be followed if you receive a sharps injury while treating a patient?

A

Immediately stop the procedure- investigate the area
Inform the patient- if injury has occurred
Make the sharp safe
First aid- encourage bleeding, wash injured area, dress with waterproof plaster/dressing
Notify supervising clinician
Risk assessment carried out by appropriate person
Contact occupational health
Consent patient for bloods- taken within the GDH
Paperwork
Datix

19
Q

What happens to the patient’s risk assessment paperwork after a sharp’s injury?

A

The risk assessment must be destroyed after occupational health have been called
All information contained within the risk assessment is strictly confidential
Information from the risk assessment must not be written in the patients case notes

20
Q

What are the 5 WHO moments of hand hygiene?

A

Before touching a patient
Before a clean/aseptic procedure
After a procedure or body fluid exposure risk
After touching a patient
After touching a patient’s surroundings