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Bloodborne pathogen (BBP)
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Phlebotomy chpt. 3

Phlebotomy Chapter 3

QuestionAnswer
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
Created by: mmfleischer
 

 



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