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ICVP - Disinfection

Disinfection + Waste Disposal

QuestionAnswer
Define Cleaning The physical removal of dirt and organic matter.
Define Disinfection The physical or chemical destruction of microorganisms (but not all pathogens and spores).
Define Sterilisation The destruction of all microorganisms including bacterial spores (from equipment and surfaces).
What Is A Disinfectant? A chemical agent that destroys or prevents the multiplication of microorganisms living on inanimate objects.
Define Sepsis The bodies overwhelming and life-threatening response to infection due to the presence of pathogens or their toxic products in the blood or tissues.
Define Asepsis The absence of pathogenic microbes on living tissue.
What Is Antisepsis? The removal of pathogenic organisms from the skin or mucous membranes and the prevention of sepsis through the use of an antiseptic.
What Is An Antiseptic? An agent that is safe to use on living tissue to reduce the number of microbes (used in the process of antisepsis).
What Is A Nosocomial Infection? An infection acquired by the patient during hospitalisation (also known as a hospital acquired infection (HAI))
What Patients Are At A Higher Risk Of Developing Nosocomial Infections? -Patients with medical devices (intravenous and urinary catheters, thoracic drains, feeding tubes). -Patients recovering from joint replacement surgery. -Patients recovering from surgical procedures. -Patients whose health is already compromised.
What Are The Ideal Properties Of A Disinfectant? -Broad spectrum action. -Non-irritating. -Non-toxic. -Non-corrosive. -Inexpensive. -Effective.
What Are Some General Rules For The Correct Use Of Disinfectant? -Use PPE. -Follow manufacturer’s guidelines (dilution rates/concentration, contact times). -Use fresh solutions. -Minimise splashes. -Never mix disinfectants. -Wash hands after use.
What Are The Four Steps To Properly Disinfect A Kennel? 1) Removal of organic matter. 2) Clean with a detergent, rinse and dry. 3) Apply the disinfectant and leave for designated contact time. 4) Rinse and dry.
What Legislations Are Involved In Waste Disposal? The Environmental Protection Act 1990 Control of Pollution (amendment) Act 1974 Special Waste Regulations (amended) Act 1996
What Is Hazardous Waste and What Veterinary Waste Bins Come Under This Classification? -Waste that contains substances or properties that may be harmful to health or the environment. -Sharps, cytotoxic and cytostatic waste, infectious/clinical waste, and photographic/radiographic chemicals.
What Veterinary Waste Bins Come Under The Non-Hazardous Classification? -Pharmaceuticals (non-cytotoxic/cytostatic), offensive waste, cadavers (unless harbouring a notifiable disease), and domestic waste.
What Goes In The Yellow Sharps Bin? -Needles and other sharp objects such as blades.
What Goes In The Orange-Lidded Sharps Bin? -Needles and other sharp objects not contamimated with pharmaceuticals.
What Is Cytotoxic Waste? -Waste that has the potential to be toxic to cells.
What Is Cytostatic Waste? -Waste that has the potential to inhibit cell growth and multiplication.
What Colour Is The Cytotoxic/Cytostatic Bin? Yellow with a purple lid.
What Goes In the Yellow Clinical Waste Bin? -Animal tissue, body parts, blood or other body fluids. -Clinical waste items (swabs, gloves, masks, aprons including blood contaminated items). -Waste from infectious disease and zoonotic patients.
What Goes In The Orange Clinical Waste Bin? -Everything that goes in a yellow clinical waste bin except for body parts and cadavers.
What Are The Requirements For Disposing Of Photographic and Radiographic Waste? -Waste includes fixer and developer solutions (chemicals used to develop a manual/film-based x-ray). -The two solutions should be disposed of separately. -No standard packaging requirements. -Waste containers must however be leak proof and labelled.
What Goes In The Blue Pharmaceuticals Bin? Non-hazardous items contaminated with pharmaceuticals such as vaccine bottles, empty injection bottles, syringe bodies, whole drugs and denatured controlled drugs.
What Legislation Regulates The Use Of Controlled Drugs? The Misuse of Drugs Regulations 2001
How Must Controlled Drugs Be Disposed Of? Through the use of a denaturing kit. They can then be thrown away into the pharmaceuticals bin. The disposal of schedule 2 drugs however must be witnessed (RCVS assessor, VMD inspector, controlled drugs liaison officer (CDLO) etc).
How Do Denaturing Kits Render Controlled Drugs useless? By turning them into a solid gel. Liquids can be put straight into the denaturing kit, while tablets must first be crushed and mixed with water.
What Goes In The Tiger-Stripe Offensive Waste Bin? -Faeces, animal bedding and clinical materials (masks, gloves, blood contaminated items providing they are not infectious). -Any waste that is non-hazardous or non-clinical but one that is unpleasant and may cause offence to the senses.
What Are the Different Ways In Which Cadavers Can Be Disposed Of? -Home burial. -Burial at pet crematorium. -Cremation (individual or communal). -If the cadaver is suspected or confirmed of to be harbouring a notifiable disease, disposal should be arranged via APHA/DEFRA.
What Are Some Examples Of Notifiable Diseases? -Rabies. -Foot and mouth disease (FMD). -Avian influenza. -Bovine tuberculosis. -Anthrax. -West Nile Virus.
What Is The Downfall Of Using Chlorine-Based Halogens (Sodium Hypochlorite) As Disinfectant? They are irritating to mucous membranes, skin, eyes, and the respiratory system.
What Disinfectant Should Not Be Used On Cats Because Of Its Toxicity? Jeyes fluid.
How Long Must Transfer Notes Used To Record The Movement Of Waste Be Kept For? Two years.
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