Infection Control and Prevention

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Questions and Answers

A clinic has a policy of requiring employees to get an annual flu vaccine. Which government regulation most directly supports the rationale for this type of preventative measure?

  • The Americans with Disabilities Act (ADA)
  • The Clinical Laboratory Improvement Amendments (CLIA)
  • Occupational Safety and Health Administration (OSHA) regulations (correct)
  • The Health Insurance Portability and Accountability Act (HIPAA)

A patient is diagnosed with tuberculosis. Which of the following combinations of transmission-based precautions is MOST appropriate according to the CDC?

  • Contact Precautions only
  • Airborne Precautions and Contact Precautions
  • Airborne Precautions only (correct)
  • Droplet Precautions only

An employee is splashed with potentially infectious material. What is the MOST important first step the employee should take?

  • Proceed to the nearest eyewash station or sink and flush the affected area thoroughly. (correct)
  • Apply a topical antiseptic to the affected area to prevent infection.
  • Consult the Material Safety Data Sheet (MSDS) for specific instructions.
  • Immediately notify their supervisor and fill out an incident report.

You are preparing to assist a physician with an irrigation of a wound that has purulent drainage. Which combination of PPE is MOST appropriate?

<p>Gloves, mask, and protective eyewear (D)</p> Signup and view all the answers

A medical assistant is preparing to dispose of contaminated sharps. Which of the following actions demonstrates correct technique and compliance with safety regulations?

<p>Disposing of the sharps container when it is approximately two-thirds to three-quarters full. (B)</p> Signup and view all the answers

Universal precautions, established in 1985, mandate that all blood and bodily fluids should be treated as potentially contaminated to protect against which specific pathogens?

<p>Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV), and bloodborne pathogens. (C)</p> Signup and view all the answers

Besides blood, universal precautions consider all moist body secretions as potentially contaminated, EXCEPT for which one?

<p>Sweat. (A)</p> Signup and view all the answers

A patient presents with fever, loss of appetite, jaundice, and dark urine. While these symptoms are common across several types of hepatitis, which specific type is most commonly transmitted through the fecal-oral route?

<p>Hepatitis A (HAV). (A)</p> Signup and view all the answers

A healthcare worker is accidentally stuck with a needle used on a patient with Hepatitis B. What is the MOST critical immediate action the healthcare worker should take, assuming they haven't been vaccinated?

<p>Receive Hepatitis B immunoglobulin and begin the Hepatitis B vaccine series. (C)</p> Signup and view all the answers

Which of the following scenarios poses the HIGHEST risk for Hepatitis C (HCV) transmission?

<p>Sharing needles for intravenous drug use. (C)</p> Signup and view all the answers

Why is Hepatitis C (HCV) often called a 'silent infection'?

<p>Because approximately 80% of those infected do not initially show any signs or symptoms. (A)</p> Signup and view all the answers

A patient newly diagnosed with HIV is experiencing symptoms such as weight loss, fatigue, and swollen lymph glands. What do these symptoms typically indicate?

<p>These are symptoms often seen <em>before</em> the development of AIDS. (A)</p> Signup and view all the answers

Considering the means of transmission for Hepatitis A (HAV), Hepatitis B (HBV), and Hepatitis C (HCV), which of the following scenarios presents a risk for transmitting all three viruses?

<p>Mother to baby during birth. (A)</p> Signup and view all the answers

What is the PRIMARY reason for the recommendation of routine Hepatitis B vaccination for healthcare workers?

<p>To protect healthcare workers from potential exposure to HBV through contact with contaminated body fluids. (A)</p> Signup and view all the answers

A person who has been infected with HIV may not show symptoms for several years. During this time, can they still transmit the virus to others?

<p>Yes, HIV can be transmitted even if the infected person is asymptomatic. (A)</p> Signup and view all the answers

Why is it important for office-based medical assistants to be familiar with transmission-based precautions, even if they don't use them often?

<p>To ensure they can respond effectively during outbreaks or when encountering patients with specific infections. (C)</p> Signup and view all the answers

A patient with suspected influenza arrives at the clinic. What is the correct order for a medical assistant to apply PPE before interacting with the patient?

<p>Cap, gown, mask, gloves (A)</p> Signup and view all the answers

Why should a medical assistant pull the gloves over the cuffs of the gown when applying PPE?

<p>To provide complete coverage and prevent contamination of the wrists and gown cuffs. (C)</p> Signup and view all the answers

When removing a gown after treating a patient in isolation, why should the medical assistant turn the gown inside out?

<p>To avoid contaminating their hands and clothing with the outside of the gown. (A)</p> Signup and view all the answers

After removing the gown in an isolation room, what is the next immediate step a medical assistant should take?

<p>Remove gloves. (C)</p> Signup and view all the answers

A medical assistant accidentally touches the outside of a contaminated gown while removing it. What is the MOST appropriate action?

<p>Stop, remove gloves and perform thorough hand hygiene before proceeding further. (B)</p> Signup and view all the answers

Following the removal of all PPE after exposure to a patient requiring airborne precautions, what is the final step a medical assistant MUST perform?

<p>Perform hand hygiene. (D)</p> Signup and view all the answers

A medical assistant is preparing to assist a physician with an incision and drainage of an abscess. Given this procedure, what PPE is MOST essential for the medical assistant to wear?

<p>Gloves and protective eyewear (B)</p> Signup and view all the answers

A healthcare worker is caring for a patient with a suspected respiratory infection. According to standard precautions, what is the MINIMUM distance that should be maintained between the healthcare worker and the patient?

<p>3 feet (B)</p> Signup and view all the answers

A nurse is preparing to administer an intramuscular injection. What is the MOST appropriate action to ensure safe injection practices according to standard precautions?

<p>Using aseptic technique and single-use items. (A)</p> Signup and view all the answers

Which of the following scenarios requires the use of personal protective equipment (PPE) according to standard precautions?

<p>Touching a patient's intravenous line insertion site. (D)</p> Signup and view all the answers

An emergency department nurse is assessing a patient presenting with contact dermatitis, swelling, and rhinitis. What should be the nurse's IMMEDIATE concern regarding infection control?

<p>Latex sensitivity (D)</p> Signup and view all the answers

A hospital committee is reviewing its infection control protocols. Which of the following strategies would be MOST effective in reducing the spread of microorganisms?

<p>Strict adherence to hand hygiene practices (D)</p> Signup and view all the answers

A patient in a clinic is suspected of having an infection transmitted via airborne droplet nuclei. Which type of transmission-based precautions should be implemented?

<p>Airborne precautions (D)</p> Signup and view all the answers

A healthcare worker is caring for a patient with a known Clostridium difficile infection. What specific precautions, beyond standard precautions, should be implemented?

<p>Contact precautions (B)</p> Signup and view all the answers

A patient with measles is admitted to the hospital. Which combination of precautions should be implemented to prevent the spread of infection?

<p>Standard and airborne precautions (B)</p> Signup and view all the answers

What is the PRIMARY purpose of the Needlestick Safety and Prevention Act passed by the United States Congress in 2000?

<p>To reduce the risk of occupational exposure to bloodborne pathogens. (A)</p> Signup and view all the answers

According to the Bloodborne Pathogen Standard, what is a MANDATORY component of a healthcare facility's infection control plan?

<p>Implementing and regularly evaluating an exposure control plan. (A)</p> Signup and view all the answers

A healthcare facility uses disposable sharps containers for the disposal of needles and other sharp objects. What ADDITIONAL measure is required by the Bloodborne Pathogen Standard?

<p>Keeping a log of sharps container usage and disposal. (A)</p> Signup and view all the answers

A healthcare worker is disposing of biohazardous waste. What action is MOST critical according to the standard disposal procedure?

<p>Ensuring liquid waste is contained in a closable container before disposal. (B)</p> Signup and view all the answers

A newly hired nurse is reviewing the facility's Bloodborne Pathogen Standard. Which of the following activities is MOST likely to be included as a requirement?

<p>Providing routine and documented employee input. (C)</p> Signup and view all the answers

A healthcare worker is assisting in a procedure that carries a risk of splashing body fluids. Besides gloves, what other PPE is MOST appropriate to wear?

<p>Face mask or shield (D)</p> Signup and view all the answers

A patient is undergoing radiation therapy. While this does not specifically fall under infection control, what PRIMARY precaution should be taken regarding this patient?

<p>Isolating the patient to minimize radiation exposure to others. (B)</p> Signup and view all the answers

According to the guidelines for disposing of glass in a healthcare setting, what is the MOST appropriate method?

<p>Deposit small glass items in a sharps container and larger items in a puncture-proof container. (A)</p> Signup and view all the answers

What is the primary reason for using a securing knot or twist-tie to close a red biohazard bag?

<p>To ensure complete containment of the contents within the bag. (B)</p> Signup and view all the answers

Why is it important to avoid overstuffing a red biohazard bag?

<p>To prevent the bag from rupturing, opening, or leaking during handling. (D)</p> Signup and view all the answers

In which of the following scenarios would double-bagging an infectious waste bag be MOST appropriate?

<p>When the office protocol mandates it or if there's a small tear in the primary bag. (A)</p> Signup and view all the answers

Why should infectious waste NOT be mixed with noninfectious trash in the same container?

<p>To comply with regulations regarding the segregation of hazardous waste. (A)</p> Signup and view all the answers

Where should closed red biohazard bags be stored while awaiting transport from the facility?

<p>In a dirty utility room or designated holding area accessible only to authorized staff. (B)</p> Signup and view all the answers

Why is it important to practice medical asepsis?

<p>To reduce the transfer of pathogens and provide a safe environment. (C)</p> Signup and view all the answers

Which activity DOES NOT typically fall under the practice of medical asepsis?

<p>Performing major surgery. (A)</p> Signup and view all the answers

Which of the following is the MOST important consideration when handling specimens and materials in a medical setting?

<p>Treating all specimens as if they contain pathogens. (B)</p> Signup and view all the answers

Why is it important to avoid wearing jewelry while practicing medical asepsis?

<p>Jewelry can harbor bacteria and increase the risk of pathogen transmission. (A)</p> Signup and view all the answers

What should be done with a reusable instrument after it has been used on a patient?

<p>Clean it as soon as possible with an approved disinfectant while wearing appropriate gloves. (C)</p> Signup and view all the answers

What is the appropriate action to take regarding an item that falls on the floor in a healthcare setting?

<p>Discard it if it cannot be cleaned, or resterilize/redisinfect it before use. (D)</p> Signup and view all the answers

Which of the following is NOT a routine part of maintaining medical asepsis in a patient examination room?

<p>Sterilizing the entire room after each patient contact. (B)</p> Signup and view all the answers

What is the MOST critical reason for removing jewelry, including rings (except for a plain wedding band), before handwashing?

<p>Jewelry can interfere with proper handwashing technique and harbor microorganisms. (B)</p> Signup and view all the answers

During handwashing, why is it recommended to use a paper towel to turn off the faucet?

<p>To prevent recontamination of clean hands from the faucet. (A)</p> Signup and view all the answers

Why is it important to keep hands pointed down during handwashing?

<p>To prevent water from flowing back up the arms, potentially causing contamination. (D)</p> Signup and view all the answers

When should a nail cleaner be used during the handwashing process?

<p>At the start of each day and when hands are heavily soiled. (D)</p> Signup and view all the answers

What is the purpose of using a paper towel to turn off the faucet after handwashing?

<p>To prevent recontamination of the hands from germs on the faucet. (D)</p> Signup and view all the answers

Why is it important to apply antibacterial hand lotion after handwashing?

<p>To prevent the skin from drying and chapping. (C)</p> Signup and view all the answers

How far up the wrists should an alcohol-based hand rub be applied?

<p>Up to 1/2 inch above the wrist. (C)</p> Signup and view all the answers

Assuming proper technique, what percentage of common microorganisms do waterless hand sanitizers kill, and in what timeframe?

<p>99.9% in 15 seconds (C)</p> Signup and view all the answers

Besides protecting the health worker, what is another key reason for using protective clothing and PPE?

<p>To protect patients from microorganisms on the health worker's uniform. (C)</p> Signup and view all the answers

What determines the selection of PPE for a specific procedure?

<p>The possibility of contamination during the procedure. (B)</p> Signup and view all the answers

What is the correct way to wear a mask to ensure proper protection?

<p>Snugly over the nose, mouth, and chin. (A)</p> Signup and view all the answers

What is the correct order for removing multiple pieces of PPE?

<p>Gloves, goggles/face shield, gown, mask (A)</p> Signup and view all the answers

What is the first step when applying nonsterile gloves?

<p>Perform hand hygiene. (D)</p> Signup and view all the answers

During removal, where should the ungloved index finger be placed to remove the second glove?

<p>Below the cuff of the remaining glove. (A)</p> Signup and view all the answers

If nonsterile gloves are contaminated by biohazards after use, how should they be disposed of?

<p>In a biohazard container. (B)</p> Signup and view all the answers

What should a healthcare worker review before selecting PPE?

<p>Orders and agency protocols regarding isolation procedures. (D)</p> Signup and view all the answers

When washing your hands, for how long and with what type of motion should soap be rubbed on your hands?

<p>20-30 seconds with a circular motion and friction (C)</p> Signup and view all the answers

Flashcards

Government Regulations for Infection Control

Rules set by governmental bodies to minimize the spread of infections in healthcare environments.

Transmission-Based Precautions

CDC's guidelines used when standard precautions may not be enough; includes airborne, droplet, and contact precautions.

Personal Protective Equipment (PPE)

Equipment worn to minimize exposure to hazards that cause serious workplace injuries and illnesses.

Types of PPE

Gloves, gowns, masks, respirators, eye protection (goggles, face shields).

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What does CDC stand for?

CDC (Centers for Disease Control and Prevention)

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Universal Precautions

Treat all blood and bodily fluids as potentially contaminated with bloodborne pathogens.

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Hepatitis A (HAV)

Transmitted via the fecal/oral route, often through contaminated food or sexual contact.

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Hepatitis B (HBV)

Transmitted through contact with contaminated body fluids, including blood, semen, and saliva.

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Complications of HBV

Can lead to lifelong infection, liver scarring, liver cancer, or liver failure and death.

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Hepatitis C (HCV)

Primarily transmitted through contact with contaminated blood, especially via shared needles.

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HCV Symptoms

Many individuals do not initially show symptoms, but if symptoms develop, they mimic HAV and HBV.

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HIV Transmission

Transmitted through sexual contact, mother to baby, and contact with contaminated blood.

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HIV/AIDS

May develop into acquired immune deficiency syndrome (AIDS).

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Symptoms Before AIDS

Loss of appetite, weight loss, diarrhea, skin rash, fatigue, night sweats, swollen lymph glands, poor resistance to infection.

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Contamination Routes

Fecal/oral, contaminated body fluids, contaminated blood, and sexual content.

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Standard Precautions

Precautions used for all patients regardless of diagnosis, applying to blood, body fluids, secretions, and excretions (except sweat), regardless of visible blood.

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Hand Hygiene

Reduces microorganism spread; includes handwashing and using alcohol-based rubs.

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Respiratory Hygiene/Cough Etiquette

Cover your mouth and nose when coughing, dispose of tissues properly, and perform hand hygiene. Maintain distance.

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Safe Injection Practices

Using aseptic technique, single-use items, and avoiding multi-dose vials in treatment areas.

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Symptoms of Latex Sensitivity

Includes contact dermatitis, swelling, itching, rhinitis, and potential anaphylaxis.

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Airborne Precautions

Reduce transmission of diseases like TB, measles, or chickenpox via airborne droplet nuclei.

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Droplet Precautions

Reduce transmission of organisms spread by droplets during sneezing, coughing, and talking.

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Contact Precautions

Used when infections are difficult to treat and have a high likelihood of transmission.

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Bloodborne Pathogen Standard

OSHA standard to protect employees from bloodborne pathogens.

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Bloodborne Pathogen Standard Requirements

Requires exposure control plan, log of sharps injuries, and incidents of occupational exposure.

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Disposing of Biohazardous Waste

Checking to ensure that the infectious waste container is lined with a red disposal plastic bag.

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Who Developed Standard Precautions?

Developed by the CDC; use with ALL patients regardless of diagnosis.

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Methods of Hand Hygiene

Handwashing with soap and water, or using alcohol-based hand rubs.

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PPE for Contact Precautions

Gowns and gloves are worn, and if chance of coming in contact with body fluids, a mask and protective eyewear should be worn.

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Glass Disposal

Dispose of glass in puncture-proof containers; small items can go in sharps containers.

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Needle Disposal

Always place needles/syringes immediately into a sharps container after use, safety mechanism activated.

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Securing Red Bags

Secure infectious waste bags completely to prevent leaks or tears during handling.

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Double-Bagging

Use a second bag to contain infectious waste if the first is torn or protocol demands.

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Waste Segregation

Keep infectious waste separate from regular trash to avoid contamination.

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Red Bag Storage

Store closed red bags in a secure area, inaccessible to the public, until disposal.

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Medical Asepsis Defined

Destruction of organisms after they leave the body to prevent spread of disease.

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Medical Asepsis Tools

Hand hygiene, disposable equipment, and gloves reduce pathogen transfer.

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Medical Asepsis examples (1)

Taking temperatures or obtaining cultures.

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Medical Asepsis examples (2)

Obtaining specimens, administering medications, or room cleaning.

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Specimen Handling

Treat all specimens as if they contain pathogens.

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Glove Usage

Wear gloves when handling contaminated materials.

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Disposable Equipment

Use disposable equipment whenever possible and dispose of it properly after.

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Equipment Cleaning

Clean and disinfect non-disposable equipment after each patient.

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When to Wash hands

Wash with soap and water if visibly soiled; after restroom use; before eating.

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First step of donning PPE?

Applying a cap to completely cover hair and ears.

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Second step of donning PPE?

Apply gown, covering wrists, and secure at neck and waist.

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How to properly apply a mask?

Place over nose bridge, pinch metal strip, and tie if needed.

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Last step of donning PPE?

Apply cuffs over gown cuffs, covering completely.

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PPE removal order?

Waist, gloves, hands, neck, gown, eyewear, mask, hands.

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Which part of the gown is NOT considered contaminated?

Area on the inside.

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Proper disposal of gown?

Fold with contaminated area on inside, place in biohazard container.

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Examples of PPE

Mask, gloves, gown, eyewear.

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Handwashing Duration

Lather all surfaces of hands with soap for 20-30 seconds using friction.

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Cleaning Under Fingernails

Use a brush or orange stick to clean under fingernails, especially when visibly soiled.

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Hand Rinsing Technique

Rinse hands with fingertips pointing down, avoiding contact with sink or faucets.

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Hand Drying Method

Dry hands thoroughly with a paper towel after washing.

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Faucet Closure Technique

Use a paper towel to turn off the faucet to prevent recontamination.

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Post-Wash Hand Care

Apply antibacterial lotion after drying to prevent skin chapping.

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Alcohol-Based Hand Rub

An alcohol-based gel used to disinfect hands when soap and water are not available.

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Hand Sanitizer Application

Spread 2-3 ml thoroughly over all hand surfaces, up to ½ inch above the wrist, for 15-30 seconds.

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Protective Clothing

Clothing used to protect patients from microorganisms and to protect staff from contamination.

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Nonsterile Gloving Technique

Technique using nonsterile gloves for procedures like drawing blood and specimen collection.

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Mask Usage

Fit snugly over nose, mouth, and chin to prevent exposure to fluids/droplets.

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Glove Removal Technique

Grasp at the palm and pull away, then invert the second glove over the first.

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PPE Selection

Review orders and agency protocols to determine necessary precautions.

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