Patient Safety Flashcards
Stages of washer disinfector cycle
Pre wash
Main wash
Rinse
Thermal disinfection
Drying
What detergent is used for the washer disinfector
Netural ph7 enzyme
What are the weekly tests for the washer disinfector
daily tests and cleaning efficacy tests (protein stip tests)
Description of stages of washer disinfector
Pre wash - saturates the contaminated instruments <35
Main wash - supplemented with detergent to remove contamination
Rinse - removes any remaining residue before thermal disinfection <65
Thermal disinfection - acitively kills micro with heated water 90-85 for 1min
Drying - removes any remaining moisture from instruements before sterilisation 90-110
RIDDOR
reporting of injuries, diseases and dangerous occurences regulations
Virulence
ability of a microbe to cause disease
Principles of waste disposal
Segragation
Storage
Disposal
Document
Legislation for decon
PPE at work act
Consumer Protection Act
Medical Device Derective
Health and saftety at work act
Operator
ability to operate equipment and note readings
User
day to day mangement of equipment, daily testing and maintanenace records
Engineer
deals with quaterly and annually mainintance of equipment
Manager
Person in charge of running the LDUs
Cleaning
removes any biological matter, bodily fluids or infectious agents
Disinfection
targets microbial presence and reduces amount on insruments
Sterile
free from all viable micros
Water temp for manual washing
30-35
Detergent used for manaual washing
neutral enzymatic
Ultrasounic discribe
uses soundwaves at high freq to produce bubbles that implde and have scouring effects on the insturments
detergent used for ultrasonic
neutral or enzymatic detergetn
why do you always degas after filling from empty to remove oxygen
as oxygen can have cavitation effect and instruments not cleaned correctly
Type N sterilies
non vacumm
passive air removal
non wrapped instruments
stored 60 days
Type B sterilisers
vacuum
active air removal
process wrapped insturments
stored 21days
Why use demineralised water in steirliserrs
prevents deposists of minerals on surface of instruements
Tests for sterilisers
Bowie Dick test - steam penetration (type B daily)
Air leakage and vacuum leakage - weekly
Why is cleaning important before stierlisation
remvoes gross debris
removes retorative materials
resotres function
aids disinfection
medico - legal requirement
Why steriles insturements
reduces probability of infection transmission
high quality of care for patients
professional standards
Direct aspiration
adjacent to tooth but slighlty distal
Bevel adjacent to tooth
Indirect aspiration
useful if access is difficult
use 3 in1 to blow air onto the mirror to stop water and debris
Things used for retraction of soft tissues
3 in 1
aspirator
tongue depressor
mouth mirror
check retractor
Operator areas for right handed
static - 12-2
nurse - 2-4
operator 7-12
transfer 4-7
Operator areas for left handed
static - 10-12
nurse 8-10
transfer 5-8
operator 12-5
Complaints law and reg
Scottish Apology Act
Patients rights act
Complaints - CLEAR
C - connect - vocab, tone, offer help
L - listen - open ended questions
E -empathtic - summarise and awknowledge
A - ask - concerns and knowledge
R - review and check
Scotland complaints management
local level - 5 working days
investigation - awknowledge 3 days and completed 20 days
Give pt details of patient advice and support service, Scottish Public Services Ombudsman
NHS boards have complaints and feedback officer
Mandotory reporting
England complaints management
Ackoweldge 3 days
targer repsonse 40days (working days)
target missed must be informed every 10 working days
Respone for complaints included
apology if apporpiate
explanation of how complaint is being handled
complaint fall or upheld
conclusion reached
response if lessons learnt
confirm board/trust happy
inform and contact obudsman
How does adrenaline work
external vasoconstrictor
interal vasodilator
bronchodilator
Z track tech
apply tension, advance needle and aspirate before advancing,
bring needle halway out, release tension and remove rest of way to prevent escaping
Anaphylaxis
lay patient flat and raise feet
adminster 100% O2 - 15litres
adminster adrenaline - 0.5ml 1:1000
Angina/MI
adminster 100% O2
GTN spray 400mg - 2 puffs repeated after 3 mins (sublingually)
Aspirin 300mg orally crushed or chewed
Seizures
10mg midazolam into the buccal mucosa
adminster 100% O2
Hypoglycaemia
conscious - 10-20g oral glucose
unconscious - glucagon 1mg
adminster oral glucose 10-20g once regained consciousness
Asthma
salbutamol inhaler 100mg
100% O2
spacer can be used 10 puffs into spacer and pt to breath in for 20secs
