Staff Health and Safety Policy Quiz
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Questions and Answers

What is the purpose of routinely screening employees according to the staff health and safety policy?

  • To assess employee productivity during work hours
  • To evaluate employee satisfaction levels
  • To medically screen all employees for possible existing disease or chronic conditions (correct)
  • To ensure employees meet performance benchmarks

    • Which of the following best defines 'Other Potentially Infectious Materials' (OPIM)?

  • Only those fluids that are visibly contaminated with blood
  • Only bodily fluids collected in laboratory environments
  • Non-bodily fluids that pose a risk of infection
  • Human body fluids and fluids that might contain infectious agents (correct)

    • What should be done with staff files that contain vaccinations and illnesses information?

  • They should be available and kept safe and secure (correct)
  • They must be processed by external agencies for research
  • They must be discarded after five years of employment
  • They should be publicly accessible for transparency

    • What does the term 'percutaneous injury' refer to?

    <p>Needle pricks or cuts from sharp objects</p> Signup and view all the answers

    What is a key component in improving PPE usage according to the policy?

    <p>Offering training on effective usage and minimizing exposure</p> Signup and view all the answers

    According to the staff health and safety policy, what is 'immunization' primarily aimed at?

    <p>Fortifying the immune system against pathogens</p> Signup and view all the answers

    What is the primary aim of defining guidelines for managing needle prick injuries?

    <p>To provide a protocol for treating and documenting incidents</p> Signup and view all the answers

    Which of the following is NOT a type of protective equipment classified as PPE?

    <p>Safety shoes</p> Signup and view all the answers

    The purpose of the staff health and safety policy includes protecting employees from workplace violence but not from infectious agents.

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

    Immunization is primarily conducted through various techniques, with vaccination being the most common method.

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

    The PPD Test is aimed at identifying allergies to purified proteins in healthcare staff.

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

    Staff files that include vaccination records must be publicly accessible for transparency.

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

    All body fluids are classified as Other Potentially Infectious Materials (OPIM) if they are visually contaminated with blood.

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

    The role of Personnel Protective Equipment (PPE) is to enhance the beauty of healthcare staff uniforms.

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

    Guidelines for managing needle prick injuries are essential components of the staff health and safety policy.

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

    Percutaneous injuries include injuries caused by blunt force trauma in the workplace.

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

    What must be documented in the staff record regarding immunizations?

    <p>Serology results, PPD test results, and vaccine details</p> Signup and view all the answers

    Which practice is important for preventing the transmission of blood-borne pathogens in healthcare settings?

    <p>Observing Standard Precautions</p> Signup and view all the answers

    When must employees check their immunization status according to the policy?

    <p>Annually at the time of re-contracting</p> Signup and view all the answers

    What is required of new employees during their hiring process?

    <p>Medical examination upon hiring</p> Signup and view all the answers

    What must healthcare workers determine when deciding on the appropriate Personal Protective Equipment?

    <p>Potential exposure to infectious agents</p> Signup and view all the answers

    What initial data must the nurse collect during the health examination of a new employee?

    <p>Initial weight, height, blood pressure, pulse, and temperature</p> Signup and view all the answers

    What type of training is included in the healthcare facility's security management program?

    <p>In-service orientation and continuing education of all personnel</p> Signup and view all the answers

    What should be done with personal protective equipment in healthcare departments?

    <p>Always available for protection against infectious agents</p> Signup and view all the answers

    In which scenario is it imperative to use sterile gloves?

    <p>Any surgical procedure</p> Signup and view all the answers

    What should be done with gloves that have become torn or punctured?

    <p>They must be changed immediately.</p> Signup and view all the answers

    When should a gown be used during patient care?

    <p>When there is potential for soiling with body fluids.</p> Signup and view all the answers

    What is the appropriate action when moving from a contaminated area to a clean area on the same patient?

    <p>Change gloves immediately.</p> Signup and view all the answers

    What type of gloves should be worn when handling and cleaning instruments contaminated with blood?

    <p>Examination gloves</p> Signup and view all the answers

    What precaution should be taken regarding masks when working with patients on droplet precautions?

    <p>Surgical masks should be worn within three feet of the patient.</p> Signup and view all the answers

    Which of the following should be discarded when it becomes discolored or damaged?

    <p>General-purpose utility gloves</p> Signup and view all the answers

    What is the correct procedure for wearing surgical caps during surgery?

    <p>They should cover all hair completely.</p> Signup and view all the answers

    What type of eyewear should be worn during procedures with a risk of blood splashes?

    <p>Protective goggles or face shields</p> Signup and view all the answers

    Which is the best part of PPE that should be used for Airborne Infection Isolation?

    <p>Particulate respirators (N-95)</p> Signup and view all the answers

    What should be done with masks after they have been worn?

    <p>They should be discarded immediately.</p> Signup and view all the answers

    What is the responsibility of supervisors regarding employee PPE training?

    <p>They should ensure written certification of training is maintained.</p> Signup and view all the answers

    During what situation should gloves be removed before leaving the patient's room?

    <p>When they are no longer needed for the patient care task.</p> Signup and view all the answers

    What is one of the responsibilities of the staff health clinic physician regarding new employees?

    <p>Initiate the Hepatitis B vaccine on the first day of employment</p> Signup and view all the answers

    What should be done if an employee is found to have Hepatitis B or C?

    <p>Request confirmation from the Head of Lab and get formal advice on job fitness</p> Signup and view all the answers

    What is the role of the SHC physician after 72 hours regarding the PPD test?

    <p>Review laboratory results and physical examination</p> Signup and view all the answers

    Which test is automatically conducted as part of the laboratory investigations?

    <p>Hepatitis B core antibody</p> Signup and view all the answers

    What is the guideline for an employee reporting a needle prick injury?

    <p>Stop working immediately and follow the established procedure</p> Signup and view all the answers

    What procedure should be followed for mucocutaneous exposures to blood or body fluids?

    <p>Flush the site with copious amounts of water and follow the needle prick procedures</p> Signup and view all the answers

    What should be documented when an employee is educated about HIV positive status?

    <p>Documentation of education provided to the employee</p> Signup and view all the answers

    When should a Hepatitis B vaccine series be initiated for non-immune employees?

    <p>Upon hiring the employee</p> Signup and view all the answers

    What is done with the New Employee Checklist after it is signed by the Staff Health physician?

    <p>The employee submits it to the personnel department for additional signature</p> Signup and view all the answers

    What test is required for pregnant or lactating mothers who are HIV positive?

    <p>Documentation of education related to breastfeeding</p> Signup and view all the answers

    What is required if an employee has have not had vaccinations in the past?

    <p>Conduct a serology test and provide appropriate vaccines as ordered</p> Signup and view all the answers

    What vaccine is administered every 3 years?

    <p>Meningococcal conjugate vaccine</p> Signup and view all the answers

    How often should pneumococcal polysaccharide vaccine be administered to employees with low immunity status?

    <p>Every 5 years</p> Signup and view all the answers

    All employees are required to undergo a medical examination only at the time of hiring.

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

    Personal Protective Equipment should be available in designated areas known to all healthcare personnel.

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

    Healthcare workers have the discretion to choose appropriate Personal Protective Equipment based on potential exposure to infectious agents.

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

    The responsibility of making immunization appointments is held by the healthcare facility.

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

    The PPD test results and immunization records must be documented in the employee's record.

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

    Employees must report their immunization status every two years according to the policy.

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

    Only new employees need to complete the New Employee Checklist for the staff health clinic.

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

    Baseline screenings for Hepatitis B, C, and HIV are only conducted if an employee shows symptoms.

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

    Examination gloves should be used for procedures that involve direct skin contact with blood or body fluid.

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

    Sterile gloves are required for routine patient examinations that do not involve any invasive procedures.

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

    Gowns must be worn for all types of patient care regardless of the procedure being performed.

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

    It is acceptable to wear the same pair of gloves for the care of multiple patients if no contamination occurs.

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

    Particulate respirators like the N95 mask are used only during droplet precautions.

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

    Face shields can provide additional protection against splashes and are an alternative to goggles.

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

    Once gloves are contaminated, they can be decontaminated and reused as long as they are intact.

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

    Fluid-resistant gowns are required during procedures that may result in splashes of blood or other body substances.

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

    Employees must receive training on how to properly don, remove, and care for PPE.

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

    General-purpose utility gloves can be reused after decontamination if they show no signs of wear.

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

    Eye protection is only necessary for surgical procedures and not for general patient care.

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

    Surgical masks should be replaced after encountering any fluid penetration.

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

    Any gown used in patient care should be secured tightly and removed promptly when soiled.

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

    The SHC physician performs the PPD test for all new employees and is not required to test annually for highly exposed employees.

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

    An employee who becomes ill with a contagious disease should immediately report to the Staff Health Clinic and may continue to handle IV fluids until declared non-infectious.

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

    The vaccination card issued to employees serves as a reminder for the next vaccination schedule after completing a series of vaccinations.

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

    For an accidental needle prick, the last step involves proceeding to the staff health clinic with a filled out OVR form.

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

    The Hepatitis B surface antibody result of 10 IU and above indicates that the employee is immune.

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

    Chest X-rays are mandatory for all employees regardless of their age.

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

    The SHC nurse checks the employee record for the last vaccination and the Hepatitis B antibody titer during a health examination.

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

    Employees exposed to Hepatitis and HIV are not required to receive counseling during their follow-up.

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

    The SHC physician must update the employee on their immunization status after reviewing their laboratory results.

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

    A booster dose of the Hepatitis B vaccine is required if the antibody level is below 5 years.

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

    Meningococcal meningitis vaccine is provided only to travelers going to Mecca during Hajj.

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

    If an employee has an unknown vaccination status, the nurse will conduct serology tests without needing a physician's request.

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

    If the source individual is known to be Hepatitis C positive, the exposed individual requires no follow-up by the staff health clinic.

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

    Employees are permitted to donate blood after being exposed to viral Hepatitis or HIV without any restrictions.

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

    Study Notes

    Staff Health and Safety Policy

    • Policy Purpose:
      • Medically screen all employees for existing diseases/chronic conditions.
      • Establish a system for pre-employment and periodic employee health examinations at the healthcare facility.
      • Provide guidelines for managing needle/sharp injuries and blood/body fluid exposures in healthcare workers.
      • Define guidelines for annual employee immunization updates.
      • Improve PPE use to protect both HCWs and patients from exposure to infectious agents and reduce the opportunities for transmission of microorganisms in healthcare facilities.
      • Safeguard staff from workplace health, safety hazards, and violence.
      • Ensure staff files (vaccinations, illnesses) are secure and accessible.
      • Includes a security management program to prevent and prepare for security incidents. This includes security procedures, in-service training, continuing education, and monitoring and evaluation of incidents to improve care.
      • Standard precautions must be observed to prevent transmission of bloodborne pathogens (HIV, HBV, HCV) and other diseases caused by needle pricks, etc
      • PPE must be available in all departments or specific known locations.

    Definitions

    • PPD Test: Purified Protein Derivative. Also known as a Monteux test.
    • SHC: Staff Health Clinic.
    • OPIM: Other Potentially Infectious Materials, including: human body fluids (semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures), any body fluid visibly contaminated with blood, and all body fluids where differentiation is difficult or impossible.
    • Percutaneous Injury: Needle pricks or cuts with sharp objects.
    • Immunization: The process strengthening an individual's immune system against an agent (immunogen) through various techniques, most commonly vaccination. Vaccination prepares the body's immune system to fight or prevent infection.
    • PPE: Personnel Protective Equipment (gloves, gowns, aprons, face protection, masks); used to protect employees from infectious materials.
      • Healthcare workers are responsible for choosing appropriate PPE based on the situation and potential exposures (e.g., blood, other body fluids).
      • Specific types include:
        • Gloves (general purpose, examination, sterile)
        • Gowns/aprons (fluid-resistant, sterile)
        • Face masks (surgical, particulate)
        • Eye protection (goggles, face shields)
        • Caps/Footwear (surgical caps, closed-toed shoes)
      • PPE use for transmission-based precautions (contact, droplet, airborne).
      • Training is mandatory on proper use, limitations, care, and disposal of PPE.
      • Documentation and reporting of adverse reactions (allergies/sensitivities) are needed.
      • Proper technique for donning and doffing PPE is crucial.
      • Policies include specific procedures for various exposures (needle pricks, mucocutaneous/blood/body fluid, and human bites). Exposure reporting initiates a formal process involving medical evaluation and follow-up, if indicated.
    • Hepatitis B, C and HIV screening, PPD test, baseline serology testing, and annual re-contracting screenings are performed. Results are documented in employee records.
    • New Employee Checklist: Used to check new employee preparation and for staff health.

    Employee Screening and Immunization

    • Health examinations: New employees undergo medical examinations upon hiring, and all employees – including highly exposed staff – annually for chronic conditions.
    • Baseline screening: All employees are screened for Hepatitis B, C, and HIV, PPD testing during their first screening. Follow-up yearly.
    • Immunizations: Appropriate vaccines are provided based on screening results, with details (type, route, dose, side effects) communicated to employees. Immunization status is checked annually during re-contracting. Employees are responsible for scheduling SHC appointments.

    Staff Health Clinic Procedures

    • New employee procedures: New employees complete a checklist, receive a health record number, and have a health record created, including information about allergies, contact information, employment habits, and existing conditions.

    • Initial assessment: Weight, height, blood pressure, pulse, and temperature are taken and documented.

    • Physical Examination: The physician performs physical examinations, including vision and colour-coding.

    • Laboratory investigations: Includes a comprehensive list of required blood tests (CBC, renal profile, hepatic profile, random glucose level, malaria parasite, syphilis, HIV antibody screen, Hepatitis B surface antigen, Hepatitis B surface antibody, Hepatitis C antibody, ABO & RH group, urine analysis, stool analysis & C/S, measles antibody, varicella antibody, rubella, urine pregnancy test), chest X-ray, and ECG (if over 40).

    • Follow-up: After 72 hours, the SHC physician reviews results, updates employee's immunization record, and confirms Hepatitis B/C results (if positive, contacts infection control).

    • Student/Trainee policy: Prior testing results (up to six months old) from other healthcare facilities, including serology tests and the PPD test, are accepted in exchange for periodic examination.

    • Illness reporting: Sick employees, those with skin lesions, or injuries report to the Staff Health Clinic; handling IV fluids/medications restricted until cleared. Reports are sent to relevant departmental heads.

    • Exposure Reporting: Report percutaneous injuries and mucocutaneous exposures (blood/body fluids/human bites) to the medical director.

    • Exposure management: Detailed procedures for accidental needle pricks (bleeding, washing, covering, alcohol, reporting, OVR form, SHC evaluation) and mucocutaneous exposures are provided and followed. Follow-up for potential hepatitis C, HIV, and Hepatitis B exposures is tailored by the SHC.

    • Counseling and Restrictions: Employees exposed to viral hepatitis and HIV receive counseling; blood, plasma, and tissue donation restricted. Pregnant/lactating mothers (HIV+) receive counseling/education regarding breastfeeding. Safe sexual practices are advised/documented.

    • Vaccination Administration:

      • Hepatitis B (3-dose series for non-immune employees). Further vaccination or boosters depend on serology results (e.g if Hepatitis B surface antibody is below 10 IU, give a dose) and time since last dose
      • Additional vaccines (Varicella, Measles, Rubella) are administered based on screening results.
      • Meningococcal Meningitis (Hajj travelers if available).
      • Pneumococcal polysaccharide vaccine (every 5 years for low immunity status).

    • PPE Usage: Gloves (general purpose, examination, sterile), gowns/aprons (fluid-resistant, sterile), face protection (masks, eye protection), caps, closed-toe footwear are emphasized.

      • Specific use of PPE according to potential exposures (contact with body fluids, invasive procedures).
      • Comprehensive details of when and how to use different PPE types for various procedures and potential exposures are specified. Appropriate use of PPE for different precautions is detailed.

    • Employee Education: Employees receive education on PPE needs, proper use, limitations, maintenance, and disposal.

    • Incident Reporting: Reporting of adverse reactions to PPE.

    • Security Measures: Proactive risk assessments evaluate facility security against various incidents (assaults, bomb threats, burglary...).

    • Security procedures: Security procedures, in-service orientation, continuing education, and monitoring and evaluation of incidents are established in the security plan.

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    Description

    Test your knowledge on the important aspects of the Staff Health and Safety Policy. This quiz covers employee health screenings, management of needle injuries, PPE usage, and immunization guidelines, ensuring a comprehensive understanding of workplace safety in healthcare settings.

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