SIPCEP

Question 1

Name the 9 SICPs

Answer 1

• Patient placement and assessment of infection risk.
• Hand hygiene.
• Respiratory and cough hygiene.
• PPE.
• Safe management of linen.
• Safe management of care environment.
• Safe management of care equipment.
• Safe management of blood and bodily fluid spillages.
• Safe disposal of sharps.

Question 2

Name the 7 modes of transmission

Answer 2

• Indirect.
• Direct.
• Inoculation.
• Ingestion.
• Inhalation.
• Intercourse.
• Parenteral.

Question 3

Name the 5 moments for hand hygiene

Answer 3

• Before touching the patient.
• Before clean/aseptic procedure.
• After bodily fluid exposure risk.
• After touching patient.
• After touching immediate patient surroundings.

Question 4

Social vs. hygienic hand hygiene ?

Answer 4

Social - washing with alcohol based gel when hands are not visibly soiled.
Hygienic - with warm water and antibacterial soap when hands are visibly soiled.

Question 5

When should a sharps bin be disposed of ?

Answer 5

When 3/4 full (at fill line) and should be incinerated.

Question 6

Name the 5 steps that should be taken post occupational exposure - be sharps AWARE.

Answer 6

1. Encourage wound to bleed.
2. Wash area with soap and warm water.
3. Cover with waterproof dressing.
4. Ensure item that caused injury is disposed of safely.
5. Inform clinic lead and follow protocol.
6. Complete DATIX form i.e. incident report form.

Question 7

Ways to prevent occupational exposures.

Answer 7

• Follow SICPs.
• Use safety devices where possible.
• Limit the use of sharps where possible.
• Adequate training for staff using needles.
• Minimal manipulation of boxes and needles.

Question 8

Post-exposure prophylaxis for HepB ?

Answer 8

• Not for people who had successful response to vaccine.
• Had vaccine but non-responder, HBIGx1 and vaccine booster.
• No vaccine, HBIGx1 and start vaccine regime.
  Follow up 12 weeks post-exposure.

Question 9

Post-exposure prophylaxis for HIV ?

Answer 9

Anti-retorviral medication started ASAP.

Follow up 12 weeks post-exposure.

Question 10

Types of occupational exposure ?

Answer 10

Percutaneous or mucocutaneous.

Question 11

Before using sterile equipment, should check …

Answer 11

• Packaging is in tact.
• No signs of packaging contamination.
• Expiry date remains valid.
• Sticker goes in patient notes.

Question 12

Routine for putting PPE on.

Answer 12

Hand hygiene.
Apron.
Mask.
Visor.
Gloves.

Question 13

Routine for taking PPE off.

Answer 13

Gloves.
Apron.
Visor.
Mask.
Hand hygiene.

Question 14

Order to disinfecting the clinic.

Answer 14

MOST CLEAN TO MOST DIRTY.
Light.
Chair.
Handpieces.
Bracket table.
Spitoon.

Question 15

Spalding classification - examples of critical (high risk) devices.

Answer 15

Probes, scalpels, needles, forceps.

Question 16

Spalding classification - examples of semi-critical (medium risk) devices.

Answer 16

Handpieces, mirror.

Question 17

Spalding classification - examples of non-critical (low risk) devices.

Answer 17

Light cure.

Question 18

Spalding classification - examples of minimal risk devices.

Answer 18

Dental chair, handles.

Question 19

How should high and medium risk devices be cleaned ?

Answer 19

Washer-disinfector.

Question 20

How should low risk and minimal risk items be cleaned ?

Answer 20

Disinfected with detergent.

Question 21

Stages in the chain of infection ?

Answer 21

Infectious agent.
Reservoir.
Portal of exit.
Transmission.
Portal of entry.
Susceptible host.

Question 22

How can reservoir stage in chain of infection be broken ?

Answer 22

Cleaning, detergents, surface design and material.

Question 23

How can the portal of exit stage in the chain of infection be broken ?

Answer 23

Aerosol control i.e. rubber dam and high level of aspiration.

Question 24

How can the mode of transmission stage in the chain of infection be broken ?

Answer 24

Hand washing.

Question 25

How can the portal of entry stage in the chain of infection be broken ?

Answer 25

PPE.

Question 26

How can the susceptible host stage in the chain of infection be broken ?

Answer 26

Vaccinations.

Question 27

How should a blood spillage be managed ?

Answer 27

Chlorine releasing granules

10,000ppm av. Cl (sodium hypochlorite or dichloroisocyanurate).

Question 28

How should a urine spillage be managed ?

Answer 28

1,000ppm av. Cl releasing agent - gelling agent can be used if able to absorb spillage.
Sodium hypochlorite or dichloroisocyanurate.

NEVER USE GRANULES - release Cl gas.

Question 29

How should faeces, vomit or sputum spillages be managed ?

Answer 29

1,000ppm av. Cl releasing agent.

Sodium hypochlorite or dichloroisocyanurate.

Question 30

5 step process in managing blood or bodily fluid spillage.

Answer 30

1. Cordon off spillage.
2. Assess type of spillage.
3. Collect correct equipment.
4. PPE.
5. Disinfect and clean area.

Question 31

What is black waste stream ?

Answer 31

Domestic waste i.e. disposable hand towels post-hand washing, cardboard, packaging.

Question 32

What is the orange waste stream ?

Answer 32

Clinical waste i.e. soiled dressings, disposable PPE, wipes or disposable towels, aspirator tips.

Question 33

What is the red waste stream ?

Answer 33

Anything containing amalgam i.e. waste with or without teeth, x-ray and photographic waste.

Question 34

What is the yellow with orange lid waste stream ?

Answer 34

Sharps not containing medicines.

Question 35

What is the yellow with blue lid waste stream ?

Answer 35

Sharps containing medicines.

Question 36

Requirements of a sharps box ?

Answer 36

Should be stored at waste height.
Should be stored as close to the operator as possible.
Should have locking device for lid.
Should be signed with who opened and who closed the sharps box.
Don’t fill above 3/4 full.