PMLS Lab Quiz Flashcards
INFECTION CONTROL
• Nosocomial infection
• Community-acquired infection
• Healthcare-associated
• Hospital-acquired
NOSOCOMIAL INFECTION
• Develops 48 hours after admission or within
30 days after discharge from a hospital or health care facility
NOSOCOMIAL INFECTION
Infection picked up prior to admission
Community-Acquired Infection
Infection occurs before 48 hours after admission
Community-Acquired Infection
• Capable of spreading from person to person
Communicable disease
Types of Infection
Local
Systemic
Autogenous
Infection restricted to one area of body
Local
Infection that affects entire body
Systemic
Infection from patientʼs own flora
Autogenous
Source (Chain of infection)
People
Equipment
Water
Portal of exit (Chain of infection)
Excretions
Secretions
Droplets
Means of transmission (chain of infection)
Direct Contact
Ingestion
Fomites
Air
Portal of entry (chain of infection)
mucous membrane
gastrointestinal tract
respiratory tract
broken skin
susceptible host (chain of infection)
immunosuppressed patient
diabetic patient
burn patient
Means of Transmission of Infection
• Contact
• Direct and indirect
• Droplet
• Vehicle
• Airborne
• Vector-borne
must be worn for contact with all body fluids whether blood is visible or not.
Personal protective equipment
Assumes that all blood and most body fluids
potentially infectious.
Standard precautions
- Hand hygiene
- Use of Personal Protective Equipment
Types of Body Fluids
• Amniotic
• Peritoneal
• Pericardial
• Synovial
• Pleural
• Edematous
• Seminal
• Cerebrospinal
Five Points of Standard Precautions
• Wash hands
• Wear gloves
• Wear protective covering
•Wear a mask and eye protection when appropriate
• Use designated sharps containers
Tactics to Reduce Risk of Exposure to Blood- borne Pathogens
• Engineering controls
• Work practices
• Housekeeping
• Hepatitis B virus (HBV) vaccination • Private rooms
• Personal protective equipment
Physical and mechanical devices available to the health care associate to reduce or eliminate the potential to transfer infectious diseases
Engineering Controls
Types of Engineering Controls
• Sharps containers
• Transport bags and containers
• Self-sheathing needles and holders
Work Practice Controls
• Handwashing
• Antiseptic technique
• Proper disposal of sharps
• Avoiding eating, drinking, smoking, handling contact lenses, or applying cosmetics or lip balm in work areas
• Storing food and drink separate from infectious materials
• Clean up spills
• Decontaminate soiled areas immediately with a disinfectant such as 10 percent bleach made up fresh daily
• Avoid picking up broken glass with hands
Housekeeping
• Must be available free of charge to phlebotomist • Effective for more than 15 years in protecting the phlebotomist from contracting the disease or becoming a carrier
• Does not protect the phlebotomist from all types of hepatitis, only hepatitis B
Hepatitis B Vaccination
Reduce possibility of transmission of infection by separating patient with disease from other patients and health care associates
Private Rooms
Personal Protective Equipment
• Masks
• Goggles
• Face shields
• Gowns
• Gloves
Infectious agent (breaking the chain)
bacteria
fungi
parasites
viruses
reservoir (breaking the chain)
humans
animals
insects
fomites
blood/body fluids
portal of exit (breaking the chain)
nose
mouth
mucous membrane
specimen collection
portal of exit (breaking the chain)
nose
mouth
mucous membranes
speciment collection
means of transmission
• Droplet
• Airborne
• Contact
• Vector
• Vehicle
portal of entry
• Nose
• Mouth
* Mucous membranes
• Skin
• Unsterile equipment
susceptible host
Susceptible host
• Patients
・Elderty
* Newborns
• Immuno-
compromised
• Heath-care workers
Category-Specific Isolation
• Strict
• Contact
• Respiratory
• Tuberculosis
• Drainage/Secretion
• Enteric
• Protective or Reverse
Disease-Specific Isolation
• Strict
• Contact
• Respiratory
• Tuberculosis
• Enteric
• Drainage
• Blood and body fluid
Transmission-Based Precautions
• Airborne
• Droplet
• Contact
Meaning of OSHA
Occupational Safety and Health Administration (OSHA) Standards
• Agency of the federal government
• Investigates the possibility of unsafe practices in the work environment
• Develop and promote standards for all occupations
• Develop and issue regulations
Occupational Safety and Health Administration (OSHA) Standards