Infection Control
5 Moments for hand Hygiene in Clinical Settings
1. Just before entering patients room
2. Between patients in multi bed room
3. Exiting patients room
4. After patient contact or contact with patient environment
Who Mandated the Act of 1991 which Provided a Safe Working Environment
OSHA
In order list the vein preference for Venipuncture
Median, Cephalic, Basilic
What is the difference between Plasma and Serum
Plasma contains fibrinogen
Physical Dispositions the Patient might have that could possibly affect the Draw
Diet/ Exercise/ Smoking
age
Weight
Stress
Sequence of Steps for Donning PPE
1. Gown
2. Mask or Respirator
3. Goggles or Face Shield
4. Gloves
P.A.S.S Stands for
Pull
Aim
Squeeze
Sweep
How long should pressure be held on a site after Drawing
Until the bleeding has stopped
When Receiving a Specimen like Urine what Must the Label Include
Time of Collection
Type of Specimen
Initials of who oversaw collection
At what Degree should the Needle be held?
30 degrees or less
Sequence of Steps for Doffing PPE
1. Gloves
2. Goggles or Face shield
3. Gown
4. Mask or Respirator
R.A.C.E Stands for
Rescue
Alarm/ Announce
Contain
Evacuate
Common Tests performed on a Dark Green (GLH) Tube
CAION, LACWB, QF4TB, VITC
How long must a Serum Specimen sit and Clot before being Spun
Clot 30 min, 2 hours max
Test Requisitions should include all of the Following
-Patients ID
-Tests to be performed including source of specimen
-Date/time of collection
What is a nonsocomial Infection
A hospital acquired infection
MRSA, UTI, Pneumonia, Surgical Wound Infections
Items that would be discarded in biohazard sharps container
Needles
Syringes
Lancets
Glass Tubes
How do you avoid Specimen Hemolysis?
do not shake tubes; gently invert
Ensure that needles, holder and transfer devices are compatible
List some Non Blood Specimens you may Receive in the Lab
Sputum, Culture Swabs, Amniotic Fluid, Stool, Urine, Tissue
What are some Actions that could cause a Hematoma during Venipuncture
Probing the skin, removing the needle before the tourniquet, puncturing the upper and lower walls of the vein wall
How do Enteric precaution rooms differ from the others?
Any reusable times needs to be cleaned with 1:10 Bleach solution
Hands washed with soap and water
How much Discharge time do you have with a 10lb 5lb and 2.5lb Fire Extinguisher
10lb= 17-21 seconds
5lb= 13-15 seconds
2.5=8-12 seconds
List the Additive, Department and common tests ran on a RED TOP Tube
Additive- Silica Particles (Clot Activator)
Department- Chemistry
Common Tests- VANCO, CAION
Whare are tests that require to be protected by Light
Vit A, E, C
Vit B, 1,2,3,5,6,7
Bilirubin- False negative if exposed to light
How long is the Bandage kept on the patient using the syringe Method
At least 15 minutes