Work Practice Controls
Work Practice Controls are considered a recommendation or a regulatory requirement?
Regulatory Requirement
Work practice controls, as required by the OSHA Bloodborne Pathogens standard, reduce the likelihood of exposure by changing the method by which a task is performed, to minimize the risk of exposure to blood or other potentially infectious materials.
Which of the below is an engineering control?
Reduce the likelihood of exposure by changing the way a task is performed
Barrier between worker and hazard
Training, procedure, or policy designs that lessen the threat of a hazard to an individual
Engineering controls are designed to protect workers by placing a barrier between workers and a hazard
What type of glove should be used when double gloving?
Indicator glove
double gloving reduces the risk of glove perforation, percutaneous injury, and microbial transfer.
perforations are detected more frequently and reliably with indicator glove system
This is for safe passing of sharps.
neutral zone or hands-free technique
The use of engineering controls is regulated by AORN, OSHA, or CDC?
OSHA
The OSHA Bloodborne Pathogens standard requires the use of engineering controls to eliminate or minimize employee exposure to bloodborne pathogens.
Who does double gloving protect?
surgical team member and patient
-microbial transfer from team member to the patient
-transfer of potentially infectious materials from the patient to a team member
What technique is used when a needle safety device is not available and recapping is required?
one-handed scooping technique
If recapping is clinically necessary, the OSHA Bloodborne Pathogens standard allows for recapping if a one-handed scooping technique is used
Use of blunt suture needles in which area(s) is recommended when clinically indicated?
Fascia
Muscle
Perineal Laceration
Episiotomy Repair
__________ of the location of sharps on the sterile field with other members of the perioperative team during the procedure and at times of personnel change should always occur.
COMMUNICATION
List 2 areas that may be designated as a neutral zone.
an instrument mat, magnetic pad, basin, or designated area on the Mayo stand
This item is the 2nd leading cause of injury in perioperative setting, which sharp is it?
Scalpel injuries are the second most common type of injury in the perioperative setting, with suturing injuries being the most common.
Use a scalpel that incorporates safety-engineered features when clinically feasible.
Describe at least 2 features of a sharps containment device to contain and isolate sharps on the sterile field.
puncture resistant
labeled &/or color-coded (OSHA Bloodborne Pathogen)
leak proof (sides and bottom)
Give 3 examples of no-touch technique.
use a blunt instrument (eg, forceps) or suture packet to load and position the suture needle on the needle holder
use a blunt instrument (eg, forceps) to manipulate and guide the suture needle through tissue
a blunt instrument (eg, forceps) may be used to turn the suture needle 90 degrees toward the box lock of the needle holder before returning the loaded needle holder
Use an instrument for loading or removing a scalpel blade on a knife handle
defined - the no-touch technique is using an instrument instead of manually manipulating any sharp
Name 3 types of engineering controls used on sharps in the perioperative setting.
retraction
shield
sheath
hinged guard
needleless port
rounded/blunted tip
The scrub should maintain this in reference to their sharps on the sterile field at all times!
situational awareness
Hazard Elimination of sharps can occur by using what types of alternative devices? Give 2 examples.
alternative cutting devices - electrosurgery
alternative wound closure devices - tissue staplers, tissue adhesives, or adhesive skin closure strips