Patient Safety

Question 1

Stages of washer disinfector cycle

Answer 1

Pre wash
Main wash
Rinse
Thermal disinfection
Drying

Question 2

What detergent is used for the washer disinfector

Answer 2

Netural ph7 enzyme

Question 3

What are the weekly tests for the washer disinfector

Answer 3

daily tests and cleaning efficacy tests (protein stip tests)

Question 4

Description of stages of washer disinfector

Answer 4

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

Question 5

RIDDOR

Answer 5

reporting of injuries, diseases and dangerous occurences regulations

Question 6

Virulence

Answer 6

ability of a microbe to cause disease

Question 7

Principles of waste disposal

Answer 7

Segragation
Storage
Disposal
Document

Question 8

Legislation for decon

Answer 8

PPE at work act
Consumer Protection Act
Medical Device Derective
Health and saftety at work act

Question 9

Operator

Answer 9

ability to operate equipment and note readings

Question 10

User

Answer 10

day to day mangement of equipment, daily testing and maintanenace records

Question 11

Engineer

Answer 11

deals with quaterly and annually mainintance of equipment

Question 12

Manager

Answer 12

Person in charge of running the LDUs

Question 13

Cleaning

Answer 13

removes any biological matter, bodily fluids or infectious agents

Question 14

Disinfection

Answer 14

targets microbial presence and reduces amount on insruments

Question 15

Sterile

Answer 15

free from all viable micros

Question 16

Water temp for manual washing

Answer 16

30-35

Question 17

Detergent used for manaual washing

Answer 17

neutral enzymatic

Question 18

Ultrasounic discribe

Answer 18

uses soundwaves at high freq to produce bubbles that implde and have scouring effects on the insturments

Question 19

detergent used for ultrasonic

Answer 19

neutral or enzymatic detergetn

Question 20

why do you always degas after filling from empty to remove oxygen

Answer 20

as oxygen can have cavitation effect and instruments not cleaned correctly

Question 21

Type N sterilies

Answer 21

non vacumm
passive air removal
non wrapped instruments
stored 60 days

Question 22

Type B sterilisers

Answer 22

vacuum
active air removal
process wrapped insturments
stored 21days

Question 23

Why use demineralised water in steirliserrs

Answer 23

prevents deposists of minerals on surface of instruements

Question 24

Tests for sterilisers

Answer 24

Bowie Dick test - steam penetration (type B daily)
Air leakage and vacuum leakage - weekly

Question 25

Why is cleaning important before stierlisation

Answer 25

remvoes gross debris
removes retorative materials
resotres function
aids disinfection
medico - legal requirement

Question 26

Why steriles insturements

Answer 26

reduces probability of infection transmission
high quality of care for patients
professional standards

Question 27

Direct aspiration

Answer 27

adjacent to tooth but slighlty distal
Bevel adjacent to tooth

Question 28

Indirect aspiration

Answer 28

useful if access is difficult
use 3 in1 to blow air onto the mirror to stop water and debris

Question 29

Things used for retraction of soft tissues

Answer 29

3 in 1
aspirator
tongue depressor
mouth mirror
check retractor

Question 30

Operator areas for right handed

Answer 30

static - 12-2
nurse - 2-4
operator 7-12
transfer 4-7

Question 31

Operator areas for left handed

Answer 31

static - 10-12
nurse 8-10
transfer 5-8
operator 12-5

Question 32

Complaints law and reg

Answer 32

Scottish Apology Act
Patients rights act

Question 33

Complaints - CLEAR

Answer 33

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

Question 34

Scotland complaints management

Answer 34

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

Question 35

England complaints management

Answer 35

Ackoweldge 3 days
targer repsonse 40days (working days)
target missed must be informed every 10 working days

Question 36

Respone for complaints included

Answer 36

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

Question 37

How does adrenaline work

Answer 37

external vasoconstrictor
interal vasodilator
bronchodilator

Question 38

Z track tech

Answer 38

apply tension, advance needle and aspirate before advancing,
bring needle halway out, release tension and remove rest of way to prevent escaping

Question 39

Anaphylaxis

Answer 39

lay patient flat and raise feet
adminster 100% O2 - 15litres
adminster adrenaline - 0.5ml 1:1000

Question 40

Angina/MI

Answer 40

adminster 100% O2
GTN spray 400mg - 2 puffs repeated after 3 mins (sublingually)
Aspirin 300mg orally crushed or chewed

Question 41

Seizures

Answer 41

10mg midazolam into the buccal mucosa
adminster 100% O2

Question 42

Hypoglycaemia

Answer 42

conscious - 10-20g oral glucose
unconscious - glucagon 1mg
adminster oral glucose 10-20g once regained consciousness

Question 43

Asthma

Answer 43

salbutamol inhaler 100mg
100% O2
spacer can be used 10 puffs into spacer and pt to breath in for 20secs