Preventing Sharps Injuries Quiz

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Location is key to the success of this intervention (the closer the container is to the point of use, the lower the risk for sharps ______).

injury

Overfilling can provide an opportunity for ______ and should be avoided.

injury

During a Procedure: Be accountable for the sharps you use. Check procedure trays, waste materials, and bedding for equipment left ______.

behind

During Cleanup: Transport reusable sharps in a closed ______. Secure the container to prevent spillage.

container

While Disposing of Sharps: Never put hands or fingers into sharps ______.

containers

The goal of the clean technique is to reduce the number of germs whenever ______.

possible

Intravenous additives may include electrolytes, vitamins, minerals, or medications such as ______

insulin

Sterile compounded preparations are custom-made sterile medications prepared by compounding pharmacists to meet the specific needs of individual ______

patients

Sterile compounded preparations may include customized IV admixtures, intrathecal injections, epidural infusions, or wound care ______

solutions

The aseptic technique includes barriers like sterile gloves, sterile gowns, and masks for the patient and healthcare ______

provider

Barriers protect the patient from the transfer of pathogens from a healthcare worker and the ______

environment

Aseptic techniques are used for inserting central intravenous (IV) or arterial ______

lines

Aseptic Technique is the purposeful prevention of the transfer of organisms from one person to another by keeping the microbe count to an irreducible minimum. Some Common Examples Of Sterile Pharmacy Products include Injectable Medications: Such as intravenous (IV), intramuscular (IM), or subcutaneous (SC) injection. Examples include antibiotics, analgesics, anesthetics, anticoagulants, and ______ agents.

chemotherapeutic

Intravenous (IV) Solutions are used to deliver fluids, electrolytes, medications, or nutrition directly into the bloodstream. IV solutions may include saline solutions (e.g., normal saline, Ringer's solution), dextrose solutions, and ______ solutions.

electrolyte

Ophthalmic Preparations are used for application to the eyes to treat conditions such as infections, inflammation, glaucoma, or dry eyes. Ophthalmic preparations may include eye drops, ointments, or ______.

gels

Inhalation Solutions are used for the treatment of respiratory conditions such as asthma, and chronic obstructive pulmonary disease (COPD). Inhalation solutions may include bronchodilators, corticosteroids, and ______.

mucolytics

Topical Antiseptics and Disinfectants are applied to the skin or mucous membranes to disinfect or prepare the skin before invasive procedures or surgery. Examples include iodine-based antiseptics (e.g., povidone-iodine), chlorhexidine solutions, and ______ antiseptic wipes.

alcohol-based

Sterile Pharmacy Products may also include ______ which are used to disinfect or prepare the skin before invasive procedures or surgery.

antiseptics

Aseptic Techniques include patient and equipment preparation. Tools and equipment are sterilized with heat or alcohol before use unless they are prepackaged in ______ environments and must not touch a contaminated surface.

sterile

Maintaining a sterile environment requires keeping doors closed during an operation. Only necessary health personnel should be at the procedure. Compounding pharmacies follow strict environmental controls including using a laminar airflow hood in a ______ room.

clean

No Touch Technique is a method of changing surface dressings without directly touching the wound or any surface that might come in contact with the wound. ______ is the presence of microorganisms without signs and/or symptoms of infection.

Colonization

All chronic wounds are colonized to varying degrees. Infection is the presence of microorganisms with signs and symptoms of the disease. Signs and symptoms that may be indicative of infection include erythema, edema, changes in character/increase in drainage, increased odor, fever, altered mental status, and/or increased white blood cell ______.

count

Sterile objects become non-sterile if they contact a non-sterile item or surface. For example, if a syringe falls on the floor (non-sterile), the syringe becomes non-sterile. Employees must avoid contact with non-sterile surfaces while in ______ clothing.

sterile

Employees must avoid contact with non-sterile surfaces while in sterile clothing. Practice proper ______ hygiene.

hand

Give 2 doses of MMR, 4 weeks apart for HCW without serological evidence of ______ or prior vaccination.

immunity

For HCW without serological evidence of immunity, prior vaccination, or history of varicella disease. Give 2 doses of varicella vaccine, 4 weeks apart, Given ______.

SC

Get a one-time dose of Tdap as soon as possible if you have not received Tdap previously. Get a Tdap booster shot every 10 ______.

years

Pregnant HCWs need to get a dose of Tdap during each ______.

pregnancy

Give 1 dose for microbiologist who are routinely exposed to N.meningitidis isolates. COVID-19 Vaccine: Strongly recommended for all HCWs to protect against severe illness, during the ongoing ______.

pandemic

Even total adherence to the aseptic technique does not guarantee drug sterility since contaminants can still gain entry from the environment and during the administration of drugs to patients. Vaccination For Health Care Workers Vaccine Recommendations Hepatitis B to all HCWs at risk of occupational exposure to blood or bodily fluids. Give 3-dose series (dose *1,*2 in 1 month interval. *3 approximately 5 months after *2). Given IM, obtain anti-HBs serologic testing 1-2 months after dose *3. Influenza Give one dose of the annual influenza vaccine to all HCWs to prevent seasonal flu and reduce the risk of transmission to patients and colleagues. MMR (Measles, Mumps, and Rubella) For HCW without serological evidence of immunity or prior vaccination. Give 2 doses of MMR, 4 weeks apart. Varicella (Chicken pox) For HCW without serological evidence of immunity, prior vaccination, or history of varicella disease. Give 2 doses of varicella vaccine, 4 weeks apart, Given SC. Tetanus, diphteria, pertussis (Tdap) Get a one-time dose of Tdap as soon as possible if you have not received Tdap previously. Get a Tdap booster shot every 10 years. Pregnant HCWs need to get a dose of Tdap during each pregnancy. Given IM. Meningococcal infection Give 1 dose for microbiologist who are routinely exposed to N.meningitidis isolates COVID-19 Vaccine: Strongly recommended for all HCWs to protect against severe illness, during the ongoing ______.

pandemic

Study Notes

Intravenous Additives

  • Intravenous additives are nutritional supplements added to IV solutions to modify their composition or enhance their therapeutic effects.
  • Examples of intravenous additives include electrolytes, vitamins, minerals, or medications such as insulin.

Sterile Compounded Preparations

  • Sterile compounded preparations are custom-made sterile medications prepared by compounding pharmacists to meet the specific needs of individual patients.
  • Examples of sterile compounded preparations include customized IV admixtures, intrathecal injections, epidural infusions, or wound care solutions.

Sterile Technique

  • Sterile technique is the purposeful prevention of the transfer of organisms from one person to another by keeping the microbe count to an irreducible minimum.
  • Sterile technique is used in various medical procedures, including:
    • Helping with a baby's birth by vaginal delivery
    • Inserting a urinary catheter
    • Performing dialysis
    • Inserting central intravenous (IV) or arterial lines
    • Inserting a chest tube
    • Inserting other draining devices
    • Performing various surgical techniques

Aseptic Techniques

  • Aseptic techniques include:
    • Barriers: protect the patient from the transfer of pathogens from a healthcare worker and the environment.
    • Sterile barriers have not touched any contaminated surface.
    • Examples of barriers include:
      • Sterile gloves
      • Sterile gowns
      • Masks for the patient and healthcare provider
      • Sterile drapes
    • Patient and equipment preparation: tools and equipment are sterilized with heat or alcohol before use unless they are prepackaged in sterile environments.
    • Environmental controls: maintaining a sterile environment requires keeping doors closed during an operation and limiting the number of healthcare personnel present.

Sterile Pharmacy Products

  • Examples of sterile pharmacy products include:
    • Injectable medications (e.g., intravenous, intramuscular, subcutaneous)
    • Intravenous (IV) solutions (e.g., saline solutions, dextrose solutions, electrolyte solutions)
    • Ophthalmic preparations (e.g., eye drops, ointments, gels)
    • Inhalation solutions (e.g., bronchodilators, corticosteroids, mucolytics)
    • Topical antiseptics and disinfectants (e.g., iodine-based antiseptics, chlorhexidine solutions, alcohol-based antiseptic wipes)

No Touch Technique

  • No Touch Technique is a method of changing surface dressings without directly touching the wound or any surface that might come in contact with the wound.

Colonization and Infection

  • Colonization is the presence of microorganisms without signs and/or symptoms of infection.
  • Infection is the presence of microorganisms with signs and symptoms of the disease.
  • Signs and symptoms of infection may include:
    • Erythema
    • Edema
    • Changes in character/increase in drainage
    • Increased odor
    • Fever
    • Altered mental status
    • Increased white blood cell count

Contact Guidelines

  • Sterile objects become non-sterile if they contact a non-sterile item or surface.
  • Employees must avoid contact with non-sterile surfaces while in sterile clothing.
  • Practice proper hand hygiene.

Vaccination for Health Care Workers

  • Recommendations for vaccination include:
    • Hepatitis B: 3-dose series for all HCWs at risk of occupational exposure to blood or bodily fluids.
    • Influenza: one dose of the annual influenza vaccine to prevent seasonal flu and reduce the risk of transmission to patients and colleagues.
    • MMR (Measles, Mumps, and Rubella): 2 doses for HCW without serological evidence of immunity or prior vaccination.
    • Varicella (Chicken pox): 2 doses for HCW without serological evidence of immunity, prior vaccination, or history of varicella disease.
    • Tetanus, diphtheria, pertussis (Tdap): one-time dose of Tdap as soon as possible if you have not received Tdap previously, and then every 10 years.
    • Meningococcal infection: one dose for microbiologists who are routinely exposed to N.meningitidis isolates.
    • COVID-19: strongly recommended for all HCWs to protect against severe illness during the ongoing pandemic.

Prevention of Sharps Injuries

  • Use devices with safety features engineered to prevent sharps injuries.
  • The Rigid Sharps Disposal Containers come in a wide variety of sizes, shapes, and options for fixation and portability.
  • Location is key to the success of this intervention (the closer the container is to the point of use, the lower the risk for sharps injury).
  • Overfilling can provide an opportunity for injury and should be avoided.
  • The Sharp Safety Quantum:
    • Take precautions while using sharps.
    • Take precautions during cleanup.
    • Take precautions during disposal.
    • Take precautions after disposing of sharps.

Clean Technique vs. Sterile Technique

  • Keeping the environment as clean as possible is always important in preventing infections.
  • However, some situations call for an aseptic technique while others call for clean techniques.
  • The goal of the clean technique is to reduce the number of germs whenever possible.

Test your knowledge on preventing sharps injuries by using devices with safety features, proper disposal containers, and following precautions during cleanup. Learn about the importance of location and avoiding overfilling of disposal containers.

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