MA Clinical Proc Worksheet questions

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List four examples of types of microorganisms:

Bacteria, Viruses, Protozoa, Fungi, animal parasites

Define Medical Asepsis

An object or area that is clean and free from infection

What type of microorganism is still present on an object that is medically aseptic?

Nonpathogens

What is the name given to the organism that uses organic or living substances for food?

Heterotrophs

Why do most microorganisms prefer a neutral pH?

If the environment becomes too basic or acidic they will die.

List 5 examples of how microorganisms can enter the body

Direct contact, discharge, cough or sneeze, contaminated hands/equipment, insects with pathogens and contaminated food/water

List 3 examples of how a microorganism can be transmitted from one person to another

Water vapor, a cough or sneeze, insect that has pathogens

List 4 examples of factors that would make a host more susceptible to the entrance of a pathogen:

Low ability to fight off disease, poor health, poor hygiene, poor nutrition, and stress

List 5 protective devices of the body that prevent the entrance of microorganisms:

Skin, mucus membranes, coughing/sneezing, cilia in nose, tears, sweat, acidic urine/stomach

What is the difference between resident flora and transient flora?

Resident grows in the epidermis and deep layers of skin. Transient grows on the superficial skin layers

List three examples of when handwashing should be performed in the medical office

When hands are visibly soiled, before eating and after using the bathroom, and in between patients.

How does antiseptic handwashing sanitize the hands?

Antiseptic kills or inhibits the growth of microorganisms

List 3 examples of when an alcohol-based hand rub can be used to sanitize the hands:

when your hands are not visibly soiled, when a sink isn't accessible and less time is required to perform hand hygiene

What are the advantages and disadvantages of alcohol-based hand rubs?

Faster and more accessible than soap and water, no rinsing. More expensive and brief stinging sensation.

What does OSHA stand for and what is its purpose?

Occupational Safety and Health Administration
To help protect people from occupational exposure to pathogens

What is the purpose of the OSHA occupational exposure to bloodborne pathogens standard?

It is a set of regulations to provide safe working environments

Who must follow the OSHA standard? List examples:

Any employee with occupational exposure to pathogens. Physicians, nurses, dentists, lab personal, MA's, CNA's, etc.

What is the purpose of the Needlestick safety and prevention act?

to incorporate stronger measures to reduce needlesticks and other sharps injuries among health care workers

List 5 examples of other potentially infectious materials (OPIM)

Semen/vaginal secretions, cerebrospinal and amniotic fluids, saliva, any body fluid visibly contaminated with blood, any unfixed human tissue

List examples of nonintact skin:

Dermatitis, abrasions, cuts, burns, hangnails, chapping, acne

What is the purpose of the exposure control plan (ECP)?

It is a written policy to eliminate or minimize employee exposure to bloodborne pathogens.

List 3 examples of items to which a biohazard warning label must be attached:

1. Containers of RMW
2. Refrigerators and freezers used to store blood and OPIM
3. Containers and bags used to store, transport or ship blood or OPIM

What is the purpose of a sharps injury log? What type of office must maintain this log?

Any office with more than 10 employees at risk for exposure are required to maintain the log. The purpose is to keep track of all needlestick injuries

Define an engineering control:

All control measures that isolate or remove health hazards from workplace.

List 3 examples of engineering controls:

1. Safer medical devices
2. Readily accessible handwashing facilities
3. Biohazard sharps containers/bags
4. Autoclaves

What is a safer medical device?

A device that, based on reasonable judgement would make an exposure incident involving a contaminated sharp less likely

What should be done before and after gloves are applied?

Your hands should be clean and after they must be removed in a manner that protects you from what is or could be on the gloves.

List 6 guidelines that must be followed when using PPE:

1. PPE must not allow blood or OPIM to pass through or reach skin.
2. Employer must provide PPE at no cost to you.
3. All eye protection must have side shields, prescription eyewear is NOT allowed
4. Torn/contaminated gloves must be replaced
5. All PPE must be removed before leaving the medical office.
6. When PPE is removed it must be placed in appropriately designated areas.

What procedure should be followed when a sharps container located in an examining room becomes full?

Place into a box, usually cardboard, provided by the medical waste service. Securely seal, and make sure biohazard labels are on opposite sides of box.

Explain how to prepare regulated medical waste for pickup by a medical waste service:

Place bags and sharps containers into cardboard box, seal and store in locked room/outside shed, that the medical waste service will pick up. Place biohazard labels on outside opposite sides of box.

How should regulated medical waste be stored while awaiting pickup by the medical waste service?

In a locked room inside the facility or in a locked room outside the facility for pickup by the medical waste service. Should be labeled with signs like "Authorized Personnel Only" &/or "International Biohazard Label"

What information is included on a regulated medical waste tracking form?

Type and quantity of waste, (weighed in pounds) and where it is being sent. Must be signed by reps at the medical office, and medical waste service.

List 4 guidelines that must be followed with respect to biohazard sharps containers:

1. Locate the container as close as possible to the area of use to avoid transporting a contaminated needle. 2. Maintain containers in an upright position. 3. Don't reach into container with hand. 4. Replace on a regular basis, when 3/4 full.

What is the most likely means of contracting hepatitis B in the health care setting?

Through needlesticks and cuts with contaminated needles. Blood splashes to eyes, mouth and nonintact skin and through semen/vaginal secretions

What side effects may occur after the administration of a hepatitis B vaccine?

Soreness at the injection site, induration, erythema, and swelling. Sometimes a low grade fever, headache and dizziness occur

What postexposure prophylaxis (PEP) is recommended for an unvaccinated individual who has been exposed to hepatitis B?

Administration of a passive and an active immunizing agent, within 24 hours and no later than 7 days

Why is chronic viral hepatitis B considered such a serious illness?

Every year 5000 Americans die as a result of Hep. B. Some will get over it, some will be carriers forever and some will develop liver cancer.

Why is chronic hepatitis C known as "an epidemic that occurred in the past?"

Lots of people were infected with it more than 25 years ago and are just now seeing symptoms.

How is HIV transmitted?

Sexual contact, and sharing drug needles

How is HIV NOT transmitted?

Tears, sweat, shaking hands, hugging, coughing, etc. It's not spread by indirect contact

What is the CDC's Definition of AIDS?

The presence of one or both of the following conditions:
1. HIV positive, and a CD4+T cell count below 200 cells/Mu. (Normal people have a cell count ranging between 500-1500 cells/mu.)
2. Presence of one or more AIDS defining conditions (opportunistic infections and unusual cancers)

Be sure to keep your feet together when lifting an object or patient as this saves space

False

Use your back when moving a patient as it is long and strong

False

Back injuries can occur if you reach or sit improperly

True

Telling the Patient what is expected of him when you assist him with positioning is not necessary

False

Before moving or lifting a client or an object, hold it away from your body about 12 inches

False

Body mechanics is important all the time, not only when giving care to a patient

True

Be sure to bend your back slowly but fully when you lift an object from the floor

False

There is no rule to follow when lifting very light objects from the floor- like a pencil

False

Surgical Asepsis

All microorganisms are destroyed

To contaminate

To make impure

Microorganisms on the hands are classified as:

Flora

Name of virus that causes Hep B:

HBV

Abbreviation for Headaches

HA

Cryotherapy

Cold/freeze therapy

RICE

Rest
Ice
Compression
Elevation

Atrophy

Without growth; Like after a cast comes off

Adduction

MOVEMENT TOWARD THE MIDLINE

Abduction

Make absence from the midline

Inversion

turning inward

eversion

turning outward

Plantar flexion

toes down

dorsal flexion

toes up

supination

palm up; holding a bowl of soup with hand, palm up

Pronation

rotation of the hands and forearms so that the palms face downward

Supine

lying face upward

Medical Asepsis

an object is clean and free from infection

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