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Clinical Skills > SCIP year 4 questions > Flashcards

SCIP year 4 questions Flashcards

1
Q

what are the 10 standard infection control precautions

A
  1. patient placement
  2. hand hygiene
  3. respiratory and cough hygiene
  4. PPE
  5. equipment
  6. environment
  7. linen
  8. body fluid spillage
  9. clinical waste management
  10. prevention of occupational exposure
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2
Q

what are the 4 colour linen bags and what are there uses

A

red: bathrooms, washrooms: high risk areas and any soiled stuff put into alginate bag first
white: non contaminated
blue=heat liable may be damaged by thermal disinfectant

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3
Q

5 stages of hand hygiene

A
  • before and
  • after touching patient
  • before asceptic technique
  • after touching bodily fluids
  • after touching patients surroundings
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4
Q

when should hand wash rather than alcohol be used

A
  • hands that are visibly soiled
  • the patient has diarrhoea
  • the patient is suspected of clostridium difficile
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5
Q

who is in charge of fire safety on the ward

A

the senior charge nurse

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6
Q

what does horizontal and lateral evacuation mean

A

means patients can be moved on the same floor, can be kept inside the building as much as possible through special fire compartments to maintain care. Means the effort required to move the patient is minimised reducing strain on staff.

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7
Q

what does HEL stand for when considering an incident or adverse event

A

HEL
humanitarian
economic
legal aspects

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8
Q

who is responsible for information governanace

A

caldicott guardian

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9
Q

what are the 7 caldicott principles for use of confidential information

A
  1. justify the purpose of every proposed use of transfer
  2. don’t use it unless absolutely necesssary
  3. use the minimum amount of CI necessary
  4. access should be a strict need to know basis
  5. everyone with access to it should be aware of their responsibilities
  6. understand and comply with the law
  7. the duty to share information can be as important as the duty to protect the patient confidentiality
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10
Q

how to move a patient onto a trolley

A
  1. apply the brakes
  2. raise the bed to just above the trolley
  3. lie the bed flat
  4. patslide halfway between and use of glidesheets on top of the patslide to reduce the effort needed to transfer the patient
  5. at least 3 people
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11
Q

Healthcare associated infection 5 main ones

A
  • staph aureus -mrsa
  • c.difficle infection
  • vre
  • MDRO/XDR multi drug
  • CPE-enterobacteriacea
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12
Q

2 clinical waste colour bags

A

orange and white

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13
Q

what should patients be checked for when come into hospital

A

MRSA

CPE

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14
Q

urine cleaning up protocol

A

clean up first with water and then chlor-clean

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15
Q

cleaning up contaminated eg pooh and blood

A

use the haz tab

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16
Q

how to take off ppe

A
  • gloves
  • apron and then
  • mask
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17
Q

what bags are used for soiled laundry

A

alginate bags

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18
Q

what does occupational exposure mean

A

for the healthcare worker eg needlstick injury

19
Q

triangle

A

special precautions at top
transmission based precautions
standard infection control precautions

20
Q

transmission based precautions 3

A

contact precaution
droplet precaution
airborne precaution

21
Q

what changes from droplet to make airborne precaution

A

airborne is if patient is on a BIPAP or CRP or a procedure that turns droplets to airborne

22
Q

what precaution is needed for airborne precautions

A

need to wear an FPP3 respirator

23
Q

how is c.diff transmitted

A

faecal and spores

24
Q

what pathogens are contact precaution

A

c.diff
mrsa
nv

25
Q

what pathogens are droplet precaution

A

rsv, influenza

26
Q

how to clean up body fluid spillages eg blood or contaminated that are high risk

A

Haz tab

10,000 ppm chlorine releasing agent

27
Q

meaning of detergent

disinfectant sterilisation

A

detergent: doesnt kill but removes dirt
disinfect: reduce number of micros by killing some but not usually spores
sterilisation: removes all contaminants including spores

28
Q

cleaning bed pans how

A

chlor clean unless infected patient

29
Q

who is a priority in a fire

A

if on o2 need a portable o2 cyclinder

30
Q

what does an intermittent alarm mean

A

means the fire is somewhere else in the hospital so dont need to evacuate that area due to fire doors stopping it

31
Q

what soap should be used for c.difficile

A

antimicrobial soap

32
Q

what should be done after coighing

A

dispose of tissue

wash hands with non-antimicrobial liquid soap and warm water

33
Q

where should all PPE be

A

-close to point o use
stored to prevent contamination in a dry and clean area
-single use item
-disposed of into correct bin

34
Q

gloves must be 4

A
  • worn when exposed to bodily fluid
  • changed after each patient
  • changed if puncture
  • appropriate for use, fit for purpose and well fitting
35
Q

when must full body gown be worn

A

when there is a risk of extensive splashing of blood and or other body fluid

36
Q

when should eye/face precaution be worn

A

if blood and or body fluid contaminate and in aerosol generating procedure

37
Q

equiment is classified as either

A
  • single use eg needles
  • single patient use eg o2
  • reusable invasive
  • reusuable non-invasive eg commode
38
Q

before using sterile equipment check that

A

packaging is intact
no signs of contamination
valid expiry date

39
Q

Decontamination of reusable non-invasive care equipment must be undertaken:

A

between each use;
after blood and/or body fluid contamination;
at regular predefined intervals as part of an equipment cleaning protocol; and
before inspection, servicing or repair.

40
Q

for linen do not

A

rinse, shake or sort linen on removal from beds/trolleys;
place used linen on the floor or any other surfaces e.g. a locker/table top;
re-handle used linen once bagged;
overfill laundry receptacles; or
place inappropriate items in the laundry receptacle e.g. used equipment/needles.

41
Q

3 colour of waste streams

A

black=trivial risk for domestic waste or yello and black stripes

orange=clinical waste

yellow=chemical waste special hazardous generating

42
Q

link of chain of infection

A 
infectious agent
reservoir
mode of escape
mode of transmission
mode of entry
susceptible host
43
Q

risk assessment of HAI 4 steps for risk assessing using sharps in a procedure

A
  1. considering patients mental state
  2. beware of others using sharps in an emergency situation
  3. gain informed consent if required
  4. assess level of assistance the procedure may reqiure

Clinical Skills (3 decks)

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