19848715
| Question | Answer |
| Needlestick | Blood or body fluid inoculated into another person via needle, scalpel, lancet other sharp |
| Main needlestick risks | HBV 1:3 HBC HIV |
| Likelihood of infection depends on | Depth of injury Size of sharp Amount of fluid on sharp How infectious patient is at time of injury |
| Your colleague has just had a needle-stick What do you do | Encourage bleeding at site Wash with copious water and soap Notify manager/senior immediately of incident Report to doctor/nurse in charge Seek immediate treatment e.g PEP post exposure prophylaxis (within 72 hrs, ideal within 1 hr) |
| 3 behaviours which increase risk of needestick | Multitasking Rushing around (under pressure) Carefree |
| Define hand decontamination | The use of hand rub or hand washing to reduce number f bacteria on hands |
| When must hand decontamination be performed (5 key times) | 1. Immediately before direct patent contact 2. Immediately after direct patient contact 3. Immediately after exposure to body fluid 4. Immediately after contact with patients surroundings that could contaminate 5. Immediately after glove removal |
| When should soap be used not alcohol | When hands are visibly soiled In clinical situations where alcohol resistant organisms may spread e.g. C.difficile |
| Which areas of hand are often missed | Dorsum Finger webs Finger nails Thenar eminence |
| 7 steps of handwashing | 1. Palm to palm 2. Backs of hands 3. Interlace fingers 4. Interlock fingers 5. Finger tips to palm 6. Thumbs 7. Wrists |
| Veins for venipuncture |
Image:
Veni1 (binary/octet-stream)
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