IPC revision Flashcards

1
Q

In correct order, name the links in 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 role of infectious agent in chain of infection?

A

Micro-organism that can cause infection e.g. BBV

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3
Q

Explain role of reservoir in chain of infection

A

Where infectious agent lives and grows

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4
Q

What are the actions we can use to break the links in chain of infection?

A

Standard infection control precautions (SICPs)

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5
Q

When should SICPs 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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6
Q

Name the 8 SICP’s 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 (including sharps)
Occupational Safety: Prevention and Exposure Management (including sharps)
Respiratory and Cough Hygiene

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7
Q

How should blood and bodily fluid spillages be managed (stages)?

A

Follow local policy
Appropriate PPE worn - apron, mask, gloves + 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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8
Q

What are the agents used when dealing with a spillage?

A

Sodium hypochlorite
Dichloroisocyanurate

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9
Q

What is the contact time for chlorine-releasing agents?

A

3 minutes
OR
According to manufacturer’s instructions

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10
Q

At what concentration should chlorine-releasing granules be used?

A

10,000ppm

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11
Q

Give examples of waste disposed in orange waste stream

A

PPE - gloves masks etc.
Patient bib
Gauze
Rubber dam sheets

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12
Q

When should the temporary closure mechanism be used on a sharps container?

A

When the container is left unattended or not in use

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13
Q

How is the temporary closure mechanism engaged on sharps bin?

A

One click for temporary closure
Two clicks for permanent closure

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14
Q

Who is responsible for the disposal of sharps?

A

The user/ operator of the sharps

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15
Q

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

A

NOT the person who received the sharps injury
e.g.
Supervisor
Named nurse
District nurse team leader

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16
Q

What action is 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 blood taken or refuse
Affected HCP gets bloods taken

17
Q

What is the procedure/ protocol to be followed after a sharps injury while treating a patient?

A

IMMEDIATELY stop the procedure​ - Investigate 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 (not the person injured)
Contact occupational health​
Consent patient for bloods​ - taken within the GDH
Paperwork​
Datix

18
Q

What is the online system used to record accidents/ near misses in the healthcare workplace?

A

Datix

19
Q

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

A

Paperwork is destroyed

20
Q

What are the 5 WHO moments for hand hygiene?

A

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