WORKING ENVIRONMENT

Question 1

What are the 2 rules for a home practice space?

Answer 1

• the room used for treatments is ONLY used for treatments

- needs to be completely separate from personal space (accessible by outer door or through hall)

Question 2

List 3 ideal qualities your Reprocessing Area (where you disinfect things).

Answer 2

• must be well-ventilated
• must be separate from hand-washing sink
• must be separate from a food-processing area

Question 3

How must you store chemicals? (3 details)

Answer 3

• store in accordance with manufacturers instructions
• chemicals must be clearly labelled
• decanted solutions must be clearly labelled (also include date of decanting and expiry date)

Question 4

What are 5 key consideration while de-escalating a non-violent crises?

Answer 4

• listen and validate
• setting limits (of acceptable behaviour)
• giving options (to reach solution)
• watch out for person’s personal space
• be non-judgmental, watch your body language and tone of voice

Question 5

How long must patient records be retained?

Answer 5

• 10 years, or longer if the patient is under 18

in which case, the 10 year count starts when they turn 18, ie. 10 years, or until a patient is 28

Question 6

When you destroy patient records, what must you do?

Answer 6

keep a record of all files that have been destroyed

Question 7

What do you have a duty to report?

Answer 7

• harm to self (if they have a plan) or others
• abuse by a professional
• child abuse or neglect
• elder abuse (or neglect causing harm)

Question 8

What is important about informed consent?

Answer 8

• must be a meaningful dialogue

- remind people about side-effects

Question 9

What are the steps to establishing a clean field? (5)

Answer 9

1) wash, dry, disinfect surface before placing anything on it
2) lay out instruments (needles, cotton swabs, cups, etc)
3) take off lids, etc
4) garbage and sharps container set up away from clean field
5) open needle right before use- only open as many as you need

Question 10

What are the steps to preparing the site of needling? (5)

Answer 10

1) wash hands
2) inspect site (clean if necessary)
3) swab w/ 70% isopropyl alcohol
4) wait until point is dry
5) needle site
* if you need to palpate afterwards, sanitize hands again

Question 11

List the steps to safe removal of a needle.

Answer 11

1) wash/sanitize hands
2) cotton ball in one hand, use counterpressure while other hand removes needle and hold cotton ball on site for 10 seconds (heat-clearing points are more likely to bleed)
3) immediately place needle in sharps container, throw out cotton ball
4) wash/ sanitize hands

Question 12

What level disinfectant would you use for cups?

Answer 12

• on intact skin, low/intermediate level

- on non-intact skin, intermediate (if used over a needle)/high level (if used for prick and bleed)