ipc Flashcards

1
Q

links in chain of infection

A

infectious agent
reservoir
portal of exit
mode of transmission
portal of entry
susceptible host

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2
Q

role of each of the links in chain of infection

A

IA - microorganism that can cause infection e.g. BBV
reservoir - where IA lives and grows i.e. people & equipment
portal of exit - how IA leaves reservoir e.g. body fluids
mode of transmission - how IA spread from one site to another e.g. direct contact
portal of entry - how IA enters the body i.e. inoculation
susceptible host - anyone

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3
Q

actions we can use to break links in chain of infection

A

SICPs - standard infection control precautions

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4
Q

when should these actions be used

A

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

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5
Q

name the SICPs most relevant to dentistry (8)

A

hand hygiene
personal protective equipment
safe management of care environment
safe management of care equipment
safe management of blood & body fluid spillages
safe disposal of waste (including sharps)
occupational safety: prevention and exposure management (inc sharps)
respiratory & cough hygiene

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6
Q

how should bloody & body fluid spillages be managed & explain stages

A
  • local policy must be followed
  • appropriate PPE must be worn i.e. apron, mask, gloves, eye protection
  • organic matter to be removed using disposable absorbent towels, dispose in healthcare waste
  • apply appropriate granules or solution to disinfect area leave for required time
  • granules to be removed using scoop & dispose of in healthcare waste
  • area to be cleaned using water & general purpose detergent then dried with paper towels or air dried
  • all waste inc PPE to be disposed in healthcare waste
  • perform hand hygiene
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7
Q

agents used when dealing with spillage

A

sodium hypochlorite
dichloroisocyanurate

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8
Q

contact time for chlorine releasing agents

A

3mins
or
according to manufacturer’s instructions

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9
Q

conc of granules used

A

10,000 ppm av cl i.e. 10,000 parts per million available chlorine

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10
Q

orange waste stream examples

A

gloves
mask
pt bib
aprons / gowns
gauze / CWR / CWB
contaminated wrapping
rubber dam
clinell wipes

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11
Q

black waste stream

A

glove boxes
hand hygiene paper towels
paper
instrument wrapping (uncontaminated)

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12
Q

temporary closure mechanism to be used when

A

container is left unattended or is not in use

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13
Q

how is temporary closure mechanism engaged

A

1 click for temp closure
2 clicks for permanent

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14
Q

yellow boxes with orange lid and blue lid

A

orange - all other sharps
blue - pharmaceuticals e.g. 1/2 cartridge of LA

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15
Q

who is responsible for disposal of sharps

A

user operator creator of sharp is responsible for it i.e. no one other than the person who has used the sharp should be disposing of it

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16
Q

who carries out risk assessment following sharps

A

NOT STUDENT
supervising clinical
DN team leader
named nurse

17
Q

if you receive sharps injury & pt refuses to consent for bloods

A

same protocol is followed whether pt consents to blood or not
pt must never be pressured into giving consent to have bloods taken

18
Q

received sharps injury what do you do

A
  • immediately stop procedure & investigate area
  • inform pt injury has occurred
  • make sharp safe
  • first aid; encourage bleeding, wash injured area, dress with waterproof dressing
  • notify supervising clinician
  • risk assessment carried out by appropriate individual i.e. not person injured
  • contact occupational health
  • consent pt for bloods (taken within GDH)
  • paperwork
  • datix
19
Q

online system used to record accidents in GDH

A

datix
info required - injured student
patient injured
student details as witness
matriculation no

20
Q

what happens pt risk assessment paperwork after sharp’s injury

A

risk assessment MUST be destroyed
info is strictly confidential
info from risk assessment must not be written in pt case notes

21
Q

name the WHO 5 moments of hand hygiene

A
  1. before touching patient
  2. before clean / aseptic technique
  3. after procedure or body fluid exposure risk
  4. after touching patient
  5. after touching patient surroundings