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Phlebotomy chpt. 3
Phlebotomy Chapter 3
Question | Answer |
---|---|
Bloodborne pathogen (BBP) | Term applied to infectious microorganisms in blood or other body fluids |
Biohazard | Short for biological hazard; anything potentially harmful to health |
Chain of infection | A number of components or events that, when present in a series, lead to an infection |
Engineering controls | Devices such as sharps disposal containers and needles with safety features that isolate or remove a bloodborne pathogen hazard from the workplace |
EPA | Environmental Protection Agency |
Fire tetrahedron | The latest way of looking at the chemistry of fire, in which the chemical reaction that produces fire is added as a fourth component to the traditional fire triangle components of fuel, heat, and oxygen |
Fomites | Inanimate objects such as countertops and computer keyboards, that can harbor material containing infectious agents |
HAI | Healthcare-associated infection |
Hazard Communication (HazCom) Standard | The OSHA Standard that requires employers to maintain documentation on all hazardous chemicals |
HBV | Hepatitis B virus; the virus that cause hepatitis B |
HCV | Hepatitis C virus; the virus that cause hepatitis C |
HICPAC | Healthcare Infection Control Practices Advisory Committee |
HIV | Human immunodeficiency virus |
Immune | Protected from or resistant to a particular disease or infection because of the development of antibody through vaccination or recovery from the disease |
Infectious/Causative agent | The pathogen responsible for causing an infection: also called the causataive agent |
Isolation procedures | Procedures intended to separate patients with certain transmissible infections from contact with others |
Microbe | Short for microorganism; a microscopic organism or one that is not visible to the naked eye |
Neutropenic | Pertaining to an abnormally small number of neutrophils in the blood |
NIOSH | National Institute for Occupational Safety and Health |
Nosocomial infection | An infection acquired in a healthcare facility |
OSHA | Occupational Safety and Health Administration |
Parenteral | Administration by any route other than the digestive tract |
Pathogenic | Capable of causing disease |
Percutaneous | Through the skin |
Permucosal | Through mucous membranes |
Personal Protection Equipment (PPE) | Protection clothing and other protective items worn by an individual |
Reservoir | The source of an infectious microorganism |
Reverse isolation | Type of isolation in which protective measures are taken to keep healthcare workers and others from transmitting infection to a pataient who is highly susceptible to infection |
Standard precautions | Precautions made to min. the risk of infection transmission when caring for all pts regardless of their status.They apply to blood,all body fluids(including secretions/excretions except sweat,whether/not they contain visible blood)nonintact skin,mucousmem |
Susceptibloe host | An individual who has little resistance to an infectious agent |
Transmission-based precautions | Precautions used in addition to standard precautions for patients known or suspected to be infected or colonized with highly transmissible or epidemiologically significant pathogens |
Vector transmission | Transmission of an infectious agent by an insect, arthropod, or animal |
Vehicle transmission | Transmission of an infectious agent through contaminated food,water,drugs, or the transfusion of blood |
Work Practice controls | Practices that alter the manner in which a task is performed so as to reduce the likelihood of bloodborne pathogen exposure |
Pathogens | Microbes capbale of causing disease |
Material safety data sheet (MSDS) | A written document containing general information as well as precautionary and emergency information for any product with a hazardous warning on the label |
Centers for Disease Control and Prevention (CDC) | The division of the U.S. Public Health Service charaged with the investigation and control of disease with epidemic potential |
These are the initials of the U.S. governmnet agency that mandates and enforces safe working conditions for employees | OSHA |
The series of component that lead to infection are referred to as the: | chain of infection |
The pathogen responsible for causing an infection is called the infectious | agent |
The term pathogenic means: | productive of disease |
A specimen processor removes the stopper from a tube without barrier protection and feels a mist of specimen touch his eyes. What type of exposer occurs through eye conduct | Permucosal |
Isolation procedures are used to separate patients from contact with others if they: | have highly transmissible infections |
Which of the following should be removed from a list of microbes | Ova |
Which of the following is most likely to increase susceptibility to infection | Use of antibiotics |
An individual who has little resistance to an infectious microbe is referred to as a susceptible: | host |
MSDS (Material Safety Data Sheet) information includes: | general and emergency information |
Transmission based precautions must be followed for patient with: | highly transmissible diseases |
Which of the following patients would require contact precautions pending a diagnosis | A diapered patient with symptoms of infection with an enteric pathogen |
An individual is infected with Escherichia coli (E. coli) after eating contaminated spinch. What type of infection transmission is involved | Vehicle |
An avulsion is a: | tearing away of a body part |
This type of precaution is required for a patient with Mycoplasma pneumonia | Droplet |
Typical neonatal ICU infection control procedure includes: | decontaminating hands and wearing new gloves for each patient |
What does the NFPA codeword RACE mean | Rescue, alarm, confine, extinguish |
Which of the following statements concerning an employee's exposure to a blood borne pathogen is untrue | Source patients, if known, must be tested for HIV and HBV |
When the chain of infection is broken, an: | infection is prevented from happening |
The focus of infection control turned from preventing patient to patient transmission to preventing patient to personnel transmission with the introduction of this concept | Universal precautions (UP) |
The term used to describle an infection that infects the entire body is: | systemic |
Which type of precautions would be used for a patient who has pulmonary tuberculosis | Airborne |
Exercise reduces stress by: | triggering the release of endorphins |
The abbreviation for the virus that causes acquired immune deficiency syndrome (AIDS) is: | HIV - Human Immunodeficiency Virus |
A person who has recovered from a particular virus and has developed antibodies against that virus is said to be: | immune |
According to current first aid procedures, severe external hemorrhage can be effectively controlled by: | applying firm direct pressure to the wound |
The main purpose of an infection control program is to: | prevent the spread of infection in the hospital |
All pathogens are: | microbes that can cause disease |
Which of the following diseases involve a blood borne pathogen | Hepatitis B Malaria Syphilis |
Which of the following is part of proper handwashing procedure | Stand back so clothing does not touch the sink |
An example of a disease requiring droplet isolation is: | pertussis |
Class C fires involve: | electrical equipment |
Standard precautions should be followed: | with all patients at all times |
Hepatitis B vaccination normally involves | a first shot of vaccine, one a month later, and one 6 months after the first |
Objects that can harbor and transmit infectious material are called: | formites |
The HazCom Standard is also commonly called the: | Right to Know Law |
The body organ targeted by HBV is the: | Liver |
These are the initials of two organizations responsible for guidelines for isolation precautions in hospitals: | CDC and HICPAC |
The primary purpose of wearing gloves during phlebotomy procedures is to protect the: | phlebotomist from exposure to the patient's blood |
The first three components fo fire that were traditionally referred to as the fire triangle are: | fuel, oxygen, and heat |
Which of the following would be excluded from a list of ways to help break the chain of infection | Keeping pathogen exit pathways open |
Which of the following statements complies with electrical safety guidelines | Electrical equipment should be unplugged while being serviced |
Which body fluid is excluded from standard precautions requirements | Sweat |
The ability of a microorganism to survive on contaminated articles and equipment has to do with its: | viability |
The fourth component that turns the fire triangle into a fire tetrahedron is a: | chemical reaction |
This equipment is required when one is collecting a specimen from a patient in airborne isolation | N95 respirator |
Most exposures to HIV in healthcare settings are the result of: | accidental needlesticks |
The most common type of nosocomial infection in the United States is: | urinary tract infection |
These are the initials of the organization that instituted and enforces the Bloodborne Pathogen Standard (BBP) | OSHA |
Which of the following would be an unsafe laboratory practice | Keeping your lab coat on at all times |
You accidentally splash a bleach solution into your eyes while preparing it for cleaning purposes. What is the first thing to do | Flush your eyes with water for a minimum of 15 minutes |
What is the best way to clean up blood that has dripped on the arm of a phelbotomy chair | Absorb it with a gauze pad and clean the area with disinfectant |
An example of employee screening for infection control is requiring employees to have: | PPD (or TB) testing (PPD - Purified Protein Derivative) |
Which mode of infection transmission occurs from touching contaminated bed linens | indirect contact |
Which of the following can be transmitted through blood tranfusion | Hepatitis viruses |
Which of the following is required by the Blood-borne Pathogen (BBP) Standard | Wearing gloves when performing phlebotomy |
What is the meaning of the symbol W (line through it) | Water-reactive |
Neutropenic isolation is a type of reverse isolation used for patients with: | a low WBC count |
What should the phlebotomist do if the outside of a patient specimen tube has blood on it | Wipe the tube with disinfectant |
A laboratory or patient care activity that requires goggles to prevent exposure from sprays or splashes also requires this protective attire | Mask |
A phlebotomist may be able to work without restrictions despite of having this condition | A positive PPD test - Pirquet tuberculin skin test (mantoux) |
How many classes of fire are identified by the National Fire Protection Association (NFPA) | Five Class A ordinary combustible materials Class B Flammable liquids Class C Electrical equipment Class D Combustible metals Class K Cooking oils, grease or fat |
Which of the following is condidered the best mean of preventing nosocomial infections | Proper hand hygiene |
The purpose of "reverse" isolation is to: | Protect susceptible patients from outside contamination |
Which of the following could result in exposure to a blood-borne pathogen by a "percutaneous" exposure route | Drawing blood without using a needle safety device |
In which instance could an electrical shock to a patient most likely occure | Touching some electrical equipment during a blood draw |
The "Right to Know" law primarily deals with: | Hazard communication |
The best course of action when entering an isolation room is to: | Follow the posted precations |
Which one of the following diseases involves a blood-borne pathogen | Malaria |
The degree to which a microorganism is capable of causing disease is the definition of: | Virulence |
Anything harmful or potentially harmful to health is the definition of a: | Biohazard |
What is the proper order for putting on protective clothing | Gown, mask, gloves |
The blue quadrant of thge NFPA diamond shaped symbol for hazardous material indicates a: | Health hazard |
Thes are the initials of the agency that developed a hazard labeling system that is a diamond shaped sighn containg the United Nations hazard class number and a symbol representing the hazard | DOT - Department of Transportation |
Which of the following practices is unsafe | Mixing bleach solutions with other types of cleaners |
Federal law requires that hepatitis B vaccination be made available to employees assigned to duties with occupational exposure risk | Within 10 working days of assignment |
What is the first thing a phlebotomist should do if he or she is accidentally stuck by a needle used to draw blood from a patient | Clean the site with soap and water for a least 30 seconds |
Which of the following should be delected from a list of symptoms of stock | Slow, strong pulse rate |
The main principles involved in radiation exposure are | Distance, time, and shielding |
Which of the following is a role of the Joint Commission | Accreditation of healthcare facilities |
Which of the following would be considered a nosocomial infection | A catheter sie of an ICU patient becomes infected |
Of every 100 hospital patients in the United States, approximately how many acquire a nosocomial infection | 5 |
The free availability of personal protective equipment (PPE) for employee use in the medical laboratory is mandated by the: | OSHA Bloodborne Pathogens (BBP) standard |
Which of the following is a new recommendation that can be found in the 2010 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) | Compression-only CPR encouraged for untrained bystanders |
The most frequently occurring laboratory acquired infection is caused by: | HBV |
Required parts of an exposure control plan exclude: | Isolation procedure policies |
Which class of fire occurs with combustible metals | Class D |
What precautions are to be used for a patient who has an enteric pathogen | Contact |
Three of the four following examples identify possible "parenteral" means of transmission. Which one would be different type of transmission | Drinking water from a glass that is contaminated |
Which of the following is unlikely to affect a person's general susceptiblity to infection | Gender |
An example of vector infection transmission is contracting | The plague from the bite of a rodent flea |
A patient might be placed in protective isolation if he or she had: | Severe burns |
What is the correct order for removing protective clothing | Glove, gown, mask |
The substance abbreviated as HBsAg when detected in a patient's serum confirms | Hepatitis B infection |
A radiation hazard symbol on a patient's door typically signifies a patient who: | Is being treated with raioactive isotopes |
Which of the following is an example of a work practice control that reduces risk of exposure to blood-borne pathogens | Wearing gloves to draw blood |
These are the initials of the organization that introduced universal precautions, the precursor to standard precautions: | CDC - Center for Disease Control |
Healthcare workers are considered immune to a disease if they: | Have had the disease and recovered from it |
What is the best way to extinguish a flammable liquid fire | Spray it with a class B extinguisher |
These are th einitials of the federal agency that inistiuted and enforces regulations requiring the labeling of hazardous materials: | OSHA - Occupational Safety and Health Administration |
Which mode of infection transmission involves transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough or sneeze | Droplet |
Links (components) in the chain of infection include: | An exit pathway A reservoir A susceptible host |
This is the abbreviation for the organization that is specifically charged with the investigation and control of disease: | CDC - Center for Diseasae Control |
What is the first action to take to help a patient in shock | Maintain an open airwary |
Which of the following would be an unhealthy way to deal with stress | Make a major life change |
A nosocomial infection is one that is: | Acquired in a healthcare worker |
This mode of transmission involves contaminated food, water, drugs, or blood transfusions | Vehicle |
A phlebotomist who has just been diagnosed with strep throat should be: | Off work until on an antibiotic for 24 hours and symptom free |
The manufacturer must supply a material safety data sheet (MSDS's) for: | Isopropyl alcohol |
Devices required by OSHA that remove BBP hazards from the workplace are called: | Engineering controls |
Chemical manufacturers are required to supply material safety data sheets (MSDS's) for their products, if applicable, by the: | OSHA Hazard Communication Standard |
A type of infection that can be spread from person to person is describled as: | communicable |
Which class of fire occurs with flammable liquids: | Class B |
The first thing to do in the event of electrical shock to a coworker or patient is to: | Shut off the lectricity source |
The main purpose of PPE is to: | Provide the user a barrier against infection |
The acronym used to remember the actions to take when using a fire extinguisher is: | PASS - Pull, Aim, Squeeze, Sweep |
Which of the following is the best action to take if a coworker's clothing is on fire: | Smother the fire with a fire blanket |
What type of hazard is identified by the symbol in 3-3 | Biohazard |
Which of the following bleach dilutions is recommended for cleaning the surfaces of contaminated specimen collection areas | 1:10 |
Alcohol based antiseptic hand cleaners can be used in place of hand washing if: | No dirt or organic matter is seen on the hands |
Which of the following actions is acceptable | Unplugging a centrifuge while it is still rotation |
Approximately how many workplace injuries and illness are related to back injuries | 20% |
HBV in dried blood on work surfaces, equipment telephones, and other objects can survive up to: | 7 days |
The most common chronic blood borne illness in the United States is: | HCV |
Respirators used to enter rooms of patients with airborne diseases must be approved by the agency | NIOSH - National Institute for Occupational Safety and Health |