CI OSHA Test
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| List the two most common bloodborne pathogens | HBV, HIV | -
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| Define bloodborne pathogen | Pathogen transmitted through contaminated blood | -
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| Define universal precautions | Blood and other potentially infectious material for ALL pts must be treated as if know to be infectious for HIV, HBV, or other bloodborne pathogens regardless of the perceived "low risk" of pt | -
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| Identify 12 body fluids which are covered by the OSHA standard | - cerebrospinal fluid - pleural fluid - pericardial fluid - peritoneal fluid - amniotic fluid - semen - vaginal secretions - blood - synovial fluid - other body fluids - unfixed tissues - organs contaminated with these fluids | -
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| Define hepatitis B (HBV) | Virus that causes an infection of the liver | -
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| Define human immunodeficiency virus (HIV) | Retrovirus that destroys the body's immune system | -
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| List 10 signs and symptoms that are common with HBV infections | - jaundice of the skin/sclera - stomach pain - nausea - diarrhea - dark colored urine - light colored stool - low grade fever - fatigue - anorexia/weight loss - aching muscles or joints | -
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| List 9 signs and symptoms that are common with HIV infection | - lymphedema - leukoplakia - unexplained fever/night sweats/shaking - anorexia - unexplained/sudden weight loss of over 10 pounds - diarrhea for several weeks - unexplained persistent fatigue - chills lasting several weeks - persistent dry cough | -
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| List 8 modes of transmission for HBV and HIV | STINCCMB - sharing personal care items (razors, nail clippers, tooth brushes) - tattoos, ear piercing, acupuncture with infected needle/equipment - intercourse (vaginal oral and anal) - needles (sharing) - contaminated blood products | - contact (skin, eye, mucous membrane, parenteral) with blood or other infectious waste
- milk (breast) or infected mother
- birth (neonatal infection during birth)
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| List 19 tasks and procedures in which exposure could occur | SCCWRVI STEPPDD STEWM - suctioning - catheter changes - CPR - wound care/debridement - respiratory Txs - vascular access procedures - IM/Sub-q injections - surgical procedures - transporting/processing lab specimens - enemas/impaction removal | - personal care of pt
- pt transfer/exercise/positioning
- douche
- dental procedure
- (supp) insertion of vag/rectal supp
- oral/rectal temps
- emergency first aide procedures
- whirlpool
- post mortem/morgue care
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| Define antiseptic | chemical agents that eradicate organisms from the skin | -
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| List the 3 most common FDA approved antiseptics | CHG, alcohols, iodophors | -
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| Define disinfectant | Chemical agent used to eradicate organisms from environmental surfaces and instruments | -
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| Give an example of an effective and economical disinfectant for work surfaces | 10% solution of household bleach | -
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| List 6 procedures that must be followed by handwashing | - before and after pt contact - after removing gloves/protective wear - after handling blood and other body fluids - when visibly contaminated - when leaving pt care area - throughout day when handling body fluids | -
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| What is the most common route of exposure to bloodborne pathogens | Accidents involving contaminated sharps | -
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| List at least 5 practice controls associated with sharps | - avoid using sharps - do not bend, recap, or break needles - use scoop method - don't pick up broken glass with hands - dispose in puncture resistant containers (more on sheet) | -
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| Identify at least 5 types of items that must display the biohazard label | - specimens - laundry - contaminated equipment - extracted teeth - sharps disposal containers (more on sheet) | -
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| Define PPE | A barrier worn to protect skin, clothing, and mucous membranes that doesn't allow blood to pass through | -
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| Describe the most effective method for protection against HBV | HBV vaccine | -
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| List 6 different types of PPE available and state purpose of each | gloves - protect hands gowns - shield clothing face shields - protect eyes, nose, and mouth masks - protect eyes, nose, and mouth protective eyewear - protect eyes, nose and mouth ventilation devices - protects against airborne contaminants, CPR | -
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| Describe removal, decontamination, and disposal of PPE | Should be removed so the exposed portion is turned to the side | -
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| List 4 factors o consider in selection of PPE | - types of fluid or tissue involved - potential exposure volume of infectious material - probable route of exposure - overall working conditions | -
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| List the 3 most frequent adverse reactions to HBV vaccine | - injection site soreness - swelling - erythema (reddening of skin) | -
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| List 5 less frequently occurring adverse reactions to the HBV vaccine | - fever - headache - malaise (general discomfort) - nausea - vomiting | -
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| The recombinant vaccine is contraindicated in those hypersensitive to what? | Yeast | -
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| List 2 preferred schedules for administration of the HBV vaccine | - 0, 1, and 6 months - 0, 1, and 2 months | -
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| HBV is preferably administered by what route | IM | -
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| List 5 things that should be included in documentation of HBV vaccine and administration | - date of each vaccine - manufacturer and lot number - site of injection - who administered the vaccine - any adverse reactions | -
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