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56 Cards in this Set

  • Front
  • Back
Name 3 common blood borne pathogens.
Hep B (HBV) Hep C (HCV)
HIV
Blood borne pathogens may be present in?
Blood, body fluids, semen and vaginal secretions, torn loose skin
Potential sources of infectious disease in an acupuncturists office?
hands, blood, saliva, dust clothing hair, bodily secretions
Infections caused by pathogens aquired by another person or by the environment.
cross infections
pathogens caused a by pathogen a patient is already carring.
autogenous
HIV incubation period
2 - 15 years
Hep a incubation period
15 - 50 days
hep b incubation period
50 - 180 days
Hep C incubation period
20 - 90 days
Hep D incubation period
unknown
Hep E incubation Period
15-60 days
Which types of Hepatitis are transmitted through blood?
Hep B and C
Which types of Hepatitis are transmitted via Fecal/Oral?
Hep A and E
Hep D requires a concurrent _________ Infection.
HBV
HBV can survive how long in dried blood?
one week
Manifestations of Hep ____ include abdominal discomfort, loss of appetite, fatigue, nausea, dark urine and jaundice.
HepA
Manifestations of Hep ____: anorexia, nausea, vomiting and jaundice.
Hep C
Manifestations of Hep ____: fever, malaise, nausea, anorexia, jaundice
Hep E
Practitioners who work in an inner city clinic, with AIDs patients or drug addicts, have a PPD test every ________.
6 months
How often should HCWs test for TB.
yearly
The use of procedures that destroy all microbial life, including viruses.
sterilization
The introduction of disease-causing agents into or onto previously clean or sterile objects.
contamination
The use of techniques—antisepsis, disinfection, sterilization, washing, etc to reduce the risk of infection by killing or reducing the strength of pathogens.
clean technique
Your clean field includes:
1. The clean surface on which equipment will be placed. 2. The patient’s skin around the selected acupuncture points
3. anything that touches the skin
List the 5 basic principals of CNT.
Always wash hands between patients • Always use sterile needles • Always establish a clean field • Always wash hands just prior to inserting needles if hands have been contaminated • Always immediately isolate used needles
How often should working surfaces should be cleaned with disinfectants?
at least once a day or when visibly contaminated.
Single most important procedure for preventing infection?
hand washing
Soap and wash hands twice under running water for at least ______ seconds.
10
True or false: It is acceptable clean technique to touch the acupuncture point after cleaning the skin, as long as the hands have not been contaminated.
true
If the needle shaft must be supported, What should a practitioner use?
a sterile gauze pad or cotton ball should be used instead of clean one
True or false:  Gloving will not stop direct puncture injuries.  Gloves present a barrier only to blood and other potentially infectious fluids.
True
When should the sharps container should be replaced?
when it is three-quarters full
In the event of a used needle spill, all materials used in the clean-up job should be discarded in _____________?
double wrapping
If bleeding during cupping occurs, how does one handle disposing of material used in the cleaning process?
Handle and dispose of all materials used in the cleaning process as biohazardous waste.
If bleeding during cupping occurs, how does one clean the cups?
Sterilize the cups using a double sterilization procedure with chemical disinfectants.
True or false: Discarded sharps must be separated from all other waste and placed in leak- resistant, rigid, puncture-resistant containers.
true
Unacceptable procedures for sterilization:
Boiling water, Alcohol, Pressure cookers
Autoclave - ______ degrees Fahrenheit, ____ pounds pressure for ____ minutes.
1. 250
2. 15lbs
3. 30 minutes
Dry heat sterilization is for how long at what degrees Fahrenheit?
2 hours at 338 degrees fahrenheit.
70% alcohol is an intermediate-level or low-level disinfectant?
intermediate
True or false: It is recommended that instruments are soaked in a chemical disinfectant for the preliminary sterilization - Autoclave is not recommended for this step.
true
If there is unexpected contact with body fluids or if gloves are not available, wash hands and other affected skin for at least __________ with soap and water after the direct contact has ended.
10 seconds
If blood is splashed in the eye or mucous membrane, flush the affected area with running water for at least ____________
15 minutes
Decontamination should be accomplished by using:
1. A solution of 5.25% sodium hypochlorite (household bleach / clorox) diluted between 1:10 and 1:100 with water.

2. Lysol or other EPA-registered tuberculocidal disinfectant.
When cleaning up a spill of blood, you can carefully cover the spill with paper towel or rags, then gently pour the 10% solution of bleach over it, and leave it for at least _____________
10 minutes
When decontaminating equipment or other objects (tweezers, first aid boxes, etc), leave the disinfectant in place for at least __________ Before continuing the cleaning process.
10 minutes
Risk of infection from needlestick involving an infected patient is_____% for HBV and ______% for HIV.
1.  6% - 30% 2.  .5%
OSHA requires that employers maintain confidential medical records on all employees for at least the duration of the employment plus _____ years including information about the employee’s HBV vaccination status and a medical evaluation after an exposure incident.
30 years
For injury to a vein, apply direct pressure for ________ with dry and clean cotton ball
30 seconds to one minute
For injury to an artery, up to ______ of direct pressure may be required
5 minutes
electrical stimulation should be used cautiously on patients with _________
seizure disorders
True or false: During bleeding techniques, it is suggested that 2 layers of gloves be worn.
True
How often should you get a new consent form?
every year
In the management of a burn, one should?
1. Apply sterile gauze over a burn ointment

2. For severe burn, refer the patient to a physician
True or false: In double sterilization procedures, It is recommended that instruments are soaked in a chemical disinfectant for the preliminary sterilization.  Autoclave is not recommended for this step.
true
In a double sterilization procedure, in the final sterilization, chemical sterilants are not suitable for this procedure.
true