Beruflich Dokumente
Kultur Dokumente
1) Palm to palm
2) In-between fingers
3) Back of hands
4) Base of thumb
5) Back of fingers
6) Finger nails
7) Wrists
2. What are the 5 moments of Hand hygiene?
1. Before touching a patient
2. Before clean / aseptic procedure
3. After body fluid exposure risk
4. After touching a patient
5. After touching patient surrounding.
3. What are the different HAI’S / Quality indicators?
I. HAI (Hospital Acquired Infections)
1. UTI (Urinary Tract Infection)
2. BSI (Blood Stream Infection)
3. VAE (Ventilator Associated Event) (VAP)
4. SSI (Surgical Site Infection)
II. Total 58 quality indicators are used in the hospital, which is distributed in
Ward, Dialysis, ICU, OT, Laboratory, Radiology, IT, Pharmacy etc...
Staff should be aware about their departmental quality indicators.
Needle Stick Injury (NSI) management Blood & Body fluid Exposure(BBFE)
management
Do not squeeze. Wash affected area with soap and water.
Hold under running water until blood stop. For eyes – Irrigation with normal saline/water.
Check the source patient serology (for e.g. HIV, Hepatitis B).
Report incident to In-charge and HIC department for further management.
5. Demonstrate – how you will clean Blood & Body fluid spill?
Step 1: Put caution board, if spillage is large.
Step 2: Get blood spill kit to the spot.
Step 3: Put paper on the spill
Step 4: Prepare isochlor 2% solution – (2gm/1lit)
Step 5: Wear all PPE 1) first wear shoe cover
2) Use Sterillium
3) Then wear all remaining PPE
Step 6: Pour isochlor solution on the paper, pour slightly in excess.
Step 7: Then wait for 5 minutes
Step 8: Discard the paper as infected waste
Step 9: Wipe the area again with isochlor & paper till all visible blood is removed,
repeat as many times as necessary.
Step 10: Hand wash with wearing the gloves with soap and water and then
immerse the gloves in isochlor solution for 5 minutes in the blood spill
box.
Step 11: Rinse the gloves under running water and keep for dry.
Step 12: Remove all PPE and discard in yellow bag.
Step 13: Wash the hands with liquid soap and water.
Note: In case of large spill (more than 10ml), wear all PPE and wipe the spill with plain paper
to remove as much fluid as possible. Then follow the above procedure.
6. Demonstrate – how you will handle accidental mercury spill?
1) Put caution board
2) Get mercury spillage kit to the spot
3) Wear all PPE
4) With the help of card boards collect all visible mercury at one place aspirate
with the syringe and put it into the container.
5) Place the torch on the floor and rotate it at 360° angle and collect the visible
mercury with the help of sticking plaster and discard it in yellow plastic
bag.
6) All waste generated during the mercury spillage should be discarded in yellow
bag and label it as mercury spillage waste & sent it to bio- medical
department.
7) Hand wash with wearing the gloves with soap & water and keep for dry.
8) Wipe apron and goggles with soap & water keep for dry. Remaining
PPE discard in yellow bag
9) Wash hands with liquid soap & water.
7. What are the different colors of Bio –medical waste segregation?
Yellow :– Infectious dressing waste, human anatomical waste, plaster casts.
Red :– Infectious & Non- infectious plastic waste
White: - General waste
Glass waste
Transparent container – Sharps.
8. How you will prepare the site – before giving injection or inserting IV line?
- Use 70% alcohol (spirit) for cleaning the site from centre to periphery and wait
for 30 seconds.
9. what are the 6 components of NABH safe I Program
1) Access assessment and continuity of care
2) Care of patients
3) Management of medications
4) Patient rights & education
5) Hospital infection control
6) Continuous Quality improvement
2 Management:
1. Clean wound: clean with Betadine 10%.
2. Wound surroundings to be cleaned with spirit and keep dry.
3. Further management – surgical intervention
4. Minor and Major.
3 Contaminated Wound:
1. Wound surface 1st to be cleaned with Betadine 10%.
2. Internal wound cleaned by H₂O₂ / Saline.
3. Removal of slough (Debridement, +dressing vac +Hydrogen)
4. Send pus for culture & sensitivity .
5. Antibiotics according to culture & sensitivity report.
4 Dirty Contaminated Wound:
1. Proper irrigation with saline.
2. Betadine 10%/H₂0₂ / saline cleaning.
3. Inj. TT/TT Immunoglobulin.
4. Adequate hydration –I.V. fluids/ PCV transfusion.
5. Antibiotics.
6. Prepare patient for wound debridement ± # Stabilization, ± dressing.
11. What are the different isolation precaution/ Nursing barriers?
13. Enumerate care bundle Practices for preventing VAP and CLABSI?
VAP
1)
Hand hygiene 2) Head end elevation
3) Oral care 4) Inj. PPI (Proton pump inhibitor)
5) DVT prophylaxis 6) ETT cuff pressure
7) Change filter 8) Suctioning done
CLABSI