Bloodborne Pathogen Standard: Sharps and Biohazards
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Questions and Answers

What is a key requirement for sharps containers?

  • Be leak- and puncture-resistant (correct)
  • Be heat-resistant
  • Have a transparent design
  • Have a minimum capacity of 1 liter
  • Where should sharps containers be located?

  • In obstructive areas
  • Near doors or sinks
  • Within easy reach and below eye level (correct)
  • Above eye level
  • What should be clearly visible on sharps containers?

  • Expiration date
  • Manufacturer's logo
  • Fill level and biohazard symbol (correct)
  • Storage instructions
  • What is a key aspect of OSHA's Bloodborne Pathogen Standard?

    <p>Regulations for handling sharps containers</p> Signup and view all the answers

    What should be done with used strips, plastic blood tubes, and gauze?

    <p>Place them in a biohazard bag</p> Signup and view all the answers

    Why should sharp items not be placed in biohazard bags?

    <p>They might puncture the bag</p> Signup and view all the answers

    What is a key goal of NIOSH guidelines and regulations?

    <p>Maximize safety in the workplace</p> Signup and view all the answers

    What should be done with sharps containers when not in use?

    <p>Close them</p> Signup and view all the answers

    What should phlebotomists consider when handling body fluids?

    <p>Consider all body fluids from all patients as infectious</p> Signup and view all the answers

    What is the purpose of transmission-based precautions?

    <p>To protect healthcare workers from infectious body fluids</p> Signup and view all the answers

    What is essential for all patient encounters?

    <p>Standard precautions</p> Signup and view all the answers

    What should phlebotomists review regularly?

    <p>The facility's accidental exposure policies and procedures</p> Signup and view all the answers

    What should phlebotomists know the location of?

    <p>Resources needed in case of accidental exposure</p> Signup and view all the answers

    What is the primary concern of phlebotomists?

    <p>Exposure to blood through needlestick injury</p> Signup and view all the answers

    Why are standard precautions necessary?

    <p>To protect healthcare workers from infectious body fluids</p> Signup and view all the answers

    What should phlebotomists consider as a possible source of infection?

    <p>Any accidental encounter, splash, cut, or puncture involving body fluids</p> Signup and view all the answers

    What is the first step to take in case of an accidental needlestick?

    <p>Decontaminate the puncture site with an antiseptic</p> Signup and view all the answers

    What is the purpose of an exposure-control plan?

    <p>To identify the level of risk for each employee and outline precautions</p> Signup and view all the answers

    What is the recommended action to take after an accidental exposure to blood or body fluids?

    <p>Follow the correct steps outlined in the facility's safety manual</p> Signup and view all the answers

    What is the purpose of annual bloodborne pathogen training for employees?

    <p>To reduce accidental exposures to body fluids</p> Signup and view all the answers

    What should employees do to reduce accidental exposures?

    <p>Implement infection-control practices, use safeties on devices, and dispose of potentially infectious material</p> Signup and view all the answers

    What should be done with used needles after use?

    <p>Dispose of them promptly in appropriate sharps disposal containers</p> Signup and view all the answers

    What should an employee do after notifying the supervisor of an accidental exposure?

    <p>Have a medical examination as soon as possible</p> Signup and view all the answers

    Why is it important for employees to inform their employers about hazards from needles in the work environment?

    <p>To ensure employees receive appropriate follow-up care</p> Signup and view all the answers

    What is the primary purpose of the Bloodborne Pathogen Standard?

    <p>To regulate the use of sharps in medical settings</p> Signup and view all the answers

    What is an example of a sharp that can potentially transmit disease?

    <p>Syringe needles</p> Signup and view all the answers

    What should be done with sharps immediately after blood collection?

    <p>Dispose of them immediately into a sharps container</p> Signup and view all the answers

    What is the name of the federal agency that updates regulations for workplace safety annually?

    <p>NIOSH</p> Signup and view all the answers

    Why does NIOSH stress the importance of four criteria for sharps containers?

    <p>To minimize the risk of sharps injuries in the workplace</p> Signup and view all the answers

    What is an example of a criterion for sharps containers identified by NIOSH?

    <p>Accessibility</p> Signup and view all the answers

    What is the primary reason for using safety devices on sharps immediately after blood collection?

    <p>To prevent sharps injuries</p> Signup and view all the answers

    What is the purpose of the four criteria for sharps containers identified by NIOSH?

    <p>To minimize the risk of sharps injuries in the workplace</p> Signup and view all the answers

    What should you do immediately if any items drop to the floor?

    <p>Discard them in a sharps container</p> Signup and view all the answers

    Why should you avoid retouching the prepared site even while wearing gloves?

    <p>Because it can lead to contamination</p> Signup and view all the answers

    What should you use to soak up blood spills?

    <p>Paper towels or other absorbent material</p> Signup and view all the answers

    When is hand hygiene particularly important?

    <p>Before and after patient procedures, eating, and using the restroom</p> Signup and view all the answers

    Why should you avoid touching possibly contaminated surfaces?

    <p>Because it can lead to cross-contamination</p> Signup and view all the answers

    What should you do with contaminated material after cleaning up a spill?

    <p>Dispose of it in a biohazard bag</p> Signup and view all the answers

    What should you do before washing your hands?

    <p>Wet your hands</p> Signup and view all the answers

    What should you ensure when washing your hands?

    <p>The water is not too cold or too hot</p> Signup and view all the answers

    Facilities must provide employees with hepatitis B immunizations as part of their exposure-control plan.

    <p>True</p> Signup and view all the answers

    You should remove the tip of the glove to palpate for a vein during a venipuncture.

    <p>False</p> Signup and view all the answers

    Employees must decontaminate the puncture site with soap and water only after an accidental needlestick.

    <p>False</p> Signup and view all the answers

    OSHA's Bloodborne Pathogen Standard recommends that employees participate in annual bloodborne pathogen training.

    <p>True</p> Signup and view all the answers

    Latex gloves are recommended for handling body fluids.

    <p>False</p> Signup and view all the answers

    You should wear gloves only when handling specimen containers.

    <p>False</p> Signup and view all the answers

    Sharps containers should be placed in areas where they are not easily accessible to employees.

    <p>False</p> Signup and view all the answers

    You should wear goggles or safety glasses when aliquoting blood specimens.

    <p>True</p> Signup and view all the answers

    Employees should report all needlestick and other sharps-related injuries to their supervisor immediately.

    <p>True</p> Signup and view all the answers

    You should inspect your gloves only after performing procedures.

    <p>False</p> Signup and view all the answers

    Exposure control plans are only required for high-risk employees who handle bloodborne pathogens.

    <p>False</p> Signup and view all the answers

    You should remove gloves by pulling them off with your bare hands.

    <p>False</p> Signup and view all the answers

    Gauze pads are the most effective material to soak up large blood spills.

    <p>False</p> Signup and view all the answers

    In the absence of prepared solutions, a 1:1 mixture of sodium hypochlorite to water is recommended for cleaning blood spills.

    <p>False</p> Signup and view all the answers

    It is not necessary to wear gloves when cleaning up a blood spill.

    <p>False</p> Signup and view all the answers

    Facilities usually do not have prepared solutions available for blood-spill cleanups.

    <p>False</p> Signup and view all the answers

    Hand hygiene is only important after contact with bodily fluids.

    <p>False</p> Signup and view all the answers

    It is recommended to wash your hands after cleaning up a blood spill, but it's not necessary to wear gloves during the cleanup.

    <p>False</p> Signup and view all the answers

    It's acceptable to retouch the prepared site while wearing gloves.

    <p>False</p> Signup and view all the answers

    In the event of a large blood spill, goggles and a face mask are not necessary.

    <p>False</p> Signup and view all the answers

    Study Notes

    Sharps and Biohazards

    • Sharps are items that can easily break skin and potentially transmit disease, including venipuncture needles, double-sided needles, lancets, and microscope slides.
    • Use safety devices on sharps immediately after blood collection and dispose of them in a sharps container.
    • NIOSH identifies incorrect sharps disposal as a significant cause of sharps injuries in the workplace.

    Sharps Containers

    • Sharps containers must be:
      • Leak- and puncture-resistant
      • Durable for transport
      • Of appropriate size and shape
      • Have a secure closure that protects against exposure during closing
    • Containers must be upright, easy to operate, and within easy reach, with the fill level and biohazard symbol clearly visible.

    Handling Sharps Containers

    • Close containers after each use, during transport, and when not in use.
    • Dispose of used strips, plastic blood tubes, gauze, and other non-sharp items contaminated with blood in a biohazard bag.

    Transmission-Based Precautions

    • Follow basic standard precautions when handling potentially infectious materials.
    • Consider all body fluids from all patients as infectious and use standard precautions when handling and treating them.
    • Transmission-based precautions vary with the means of transmission (droplet, contact, airborne).

    Exposure Control Plans

    • Each facility must have an exposure-control plan in place that includes the level of risk, precautions to take, and steps to take after accidental exposure.
    • Employees must participate in annual bloodborne pathogen training and implement infection-control practices.

    Accidental Exposure

    • If an accidental exposure occurs, remain calm and follow correct steps to minimize the effect.
    • For an accidental needlestick, decontaminate the puncture site with an antiseptic or soap and water, and notify the immediate supervisor.
    • Document the incident in the sharps injury log and on the facility's incident report form.

    Hand Hygiene

    • Hand hygiene is the most effective means of preventing infection.
    • Perform hand hygiene when entering or leaving work areas; after contact with any bodily fluid; and before and after patient procedures, eating, and using the restroom.

    Standard Precautions regarding PPE

    • Wear gloves when handling body fluids, and replace them between each patient encounter and when performing different procedures for the same patient.
    • Wear gloves when handling specimen containers, such as vacuum tubes or urine collection containers.
    • Ensure gloves are nitrile or vinyl, fit properly, and are free of holes or rips.
    • Wear gloves during venipuncture, dermal puncture, and procedures that involve interaction with body fluids.
    • Take specific measures to avoid personal contamination when removing gloves.
    • Wear eye protection, such as goggles or safety glasses, when aliquoting blood specimens.
    • Dispose of used needles promptly in appropriate sharps disposal containers.

    Exposure Control Plans

    • Each facility must have an exposure-control plan in place that includes the level of risk for each employee, precautions to take, and actions to follow after an accidental exposure.
    • Employees must participate in annual bloodborne pathogen training to prevent accidental exposure.
    • Implement infection-control practices, use safeties on devices, and properly dispose of potentially infectious material to reduce accidental exposures.
    • Obtain hepatitis B immunizations and regularly review safety practices and precautions in the workplace safety manual.

    Accidental Exposure Procedures

    • When an accidental exposure to blood or body fluids occurs, remain calm and follow the correct steps to minimize the effect.
    • Decontaminate the puncture site with an antiseptic or soap and water after a needlestick.
    • Notify the immediate supervisor and document the incident in the sharps injury log and facility's incident report form.
    • Have a medical examination as soon as possible after an accidental exposure.

    Blood Spill Cleanup

    • Discard any items that drop to the floor in a sharps container.
    • Refrain from retouching the prepared site, even while wearing gloves, to prevent contamination.
    • Use paper towels or other absorbent material to soak up blood, and avoid using gauze pads.
    • Thoroughly disinfect the area after a blood spill, and use prepared solutions or a 1:10 mixture of sodium hypochlorite to water.

    Hand Hygiene Guidelines

    • Hand hygiene is the most effective means of preventing infection.
    • Perform hand hygiene when entering or leaving work areas, after contact with bodily fluids, and before and after patient procedures, eating, and using the restroom.
    • Infection control begins by not touching contaminated surfaces, and ensuring the water is not too cold or too hot.
    • Wet hands first, apply an effective soap or hand cleanser, and scrub hands vigorously, paying attention to nails, nail beds, knuckles, and the skin between the fingers.

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    Description

    This quiz covers the Bloodborne Pathogen Standard, focusing on sharps and biohazards that can transmit diseases. Learn to identify and handle sharps safely.

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