HM PQS EVALUATION SET ANSWERS AND
QUESTIONS SET A+
✔✔9 groups of Regulated medical waste - ✔✔Nine Groups of Regulated Medical Waste
(RMW):
a. Group 1: cultures, Stocks, and Vaccines
b. Group 2: Pathological Waste
c. Group 3: Blood and Blood Products
d. Group 4 and 7: Sharps
e. Group 5: Animal Waste (from animals exposed to infectious agents during research,
production of biologicals, or testing of pharmaceuticals)
f. Group 6: Isolation Wastes (including bedding from patients or animals from BioSafety
Level 4 agents
g. Group 8: Other (including fluids that are designated by the local infection control
authority)
h. Group 9: Chemotherapy Wastes
✔✔Collection/Segregation of RMW - ✔✔shall be placed in containers, bags, or sharps
containers (as appropriate for the waste) that are either labeled with the universal
biohazard symbol and the word "BIOHAZARD" or red in color.
a. Line containers with plastic bags of sufficient thickness (typically 3 millimeters),
durability, puncture resistance, and burst strength to prevent rupture or leaks. Bags
shall be of sufficient quality and thickness so that a single bag will handle most
situations. Bags shall be labeled or color coded red. Do not overload bags.
b. Dispose of Sharps (used and unused) waste as well as discarded vaccines/vaccine
containers in rigid, puncture resistant sharps containers. Never clip, cut, bend or recap
needles, or overfill sharps containers. Close Sharps containers before removal or
replacement to prevent spillage or protrusion of contents during handling, storage, or
transport.
✔✔packaging and handling RMW - ✔✔Place Sharps containers in a second container
(plastic bag or rigid box) which is labeled and/or color coded. Minimize human exposure
to RMW during transport to treatment or storage areas. Do not transport RMW in chutes
or dumbwaiters.
,✔✔Storage of RMW - ✔✔RMW storage must not exceed storage times specified in
current contracts for removal/disposal. If existing local, State, or country rules and
regulations for storage are more stringent, they should be followed. When conflicts exist
between storage retention times, the most stringent storage time limits take
precedence.
✔✔Transportation of RMW - ✔✔Place RMW into rigid, leak-proof containers before
transporting off-site. Containers shall be labeled or color-coded. Comply with Federal,
State, and local laws, regulations, or status of forces agreements for transportation
requirements such as licensing and vehicle labeling.
✔✔TX and disposal of RMW - ✔✔Examples include sharps used in animal or human
patient care, treatment in medical research or support laboratories, or when used for
live training purposes. This includes hypodermic needles, syringes (with or without the
attached needle), Pasteur pipettes, scalpel blades, blood collection tubes and vials, test
tubes, needles attached to tubing, and culture dishes (regardless of presence of
infectious agents). Other examples include broken or unbroken glassware that was in
contact with infectious agents, such as used slides and cover slips. Discard all sharps
directly into sharps containers immediately after use. Discard disposable needles and
syringes intact, do not cut, break, bend by hand, or recap using a two-hand method.
Sharps containers must be tamper resistant and either secured to the wall or
maintained under continuous supervision by health care personnel. Wall mounted
sharps containers will be at a height that promotes safe usage by staff. Remove and
seal sharps containers when ¾ full or above fill line.
✔✔Discuss the safety precautions associated with handeling SHARPS - ✔✔-group 4-
sharps
-never cut, clip, bend, or recap needles, or overfill sharps containers. Close sharps
containers before removal or replacement to prevent spillage or protrusion of contents
during handling, storage, or transport.
✔✔discuss the procedure/protocol for needle stick incidents - ✔✔"FAST"
-Flush- 5mins
-Alert supervisor
-Straight to ER
-Treatment
✔✔Discuss the following steps for disposal of regulated medical waste - ✔✔it depends
on the type of waste.
1) cultures, stocks, and vaccines: disposed of in a sanitized sewer system
2) for pathological waste( tissues, organs, body parts, etc.) you dispose of it inside a
RMW container lined with plastic bags or double bag in RMW bags.
3) Blood, and blood borne products: sanitary sewer
4) animal waste must be managed as RMW and shall be incinerated
5) Isolation Wastes ( highly communicable diseases:) consult the facility IC directives.
,✔✔explain the purpose of the regulated medical waste program - ✔✔the purpose of the
regulated medical waste program is to provide standards for management of regulated
medical waste.
✔✔discuss the purpose of the hearing concervation program (HCP) - ✔✔to prevent
occupational hearing loss and assure auditory fitness for duty of all navy personnel
✔✔in the HCP: what sounds above _____ are harmful? - ✔✔85db
Interim Occupational Exposure Limit (OEL)/Criterion Level: 84 dB (A) for continuous
equivalent A-weighted sound pressure level in decibels as an 8-hour time weighted
average (TWA), or exposure to a peak of 140 dB sound pressure level (SPL)
✔✔define: infection control procedures - ✔✔measures to prevent pathogens from being
passed on from one person to another
✔✔define: Chain of infection - ✔✔process of transmission of infection through various
links
✔✔define: virulence - ✔✔severity of harmfulness of a disease
✔✔define: reservoir - ✔✔habitat where infectious agent lives, grows, and multiplies
✔✔define: latent infection - ✔✔hidden, inactive, or dormant infection
✔✔define: infectious disease - ✔✔caused by pathogenic organisms such as bacteria,
viruses, fungi, or parasites, that the disease can be spread. Directly or indirectly from
one person to another
✔✔define: direct contact - ✔✔occurs where there is physical contact between an
infected person and a susceptible person
✔✔define: indirect contact - ✔✔occurs where there is no direct human-to-human
contact.
✔✔define: immunity - ✔✔the ability of an organism to resist a particular infection or
toxin by the action of specific antibodies or sensitized white blood cells.
✔✔define: universial procautions - ✔✔approach to infection to treat all human blood
and certain human body fluids as if they were known to be infectious for HIV, HBV, and
other blood-borne pathogens
✔✔define: standard precautions - ✔✔Methods used to reduce the risk of transmission
of blood-borne and other pathogens from both recognized and unrecognized sources
1. Hand hygiene
, 2. use of PPE
3. respiratory hygiene / cough etiquette
4. sharps safety
✔✔define: blood-borne diseases - ✔✔diseases that can be spread through blood and
other bodly fluids
-ex: malaria, Syphillis, brucellosis, Hepatitis B (HBV) Hepatitis C (HCV) And HIV
✔✔define: occupational exposure - ✔✔reasonably anticipated skin, eye, MM, or
parental contact with blood or other potentially infectious materials that may result from
the performance of an employees duties
✔✔define: percutaneous - ✔✔made, done, or effected through the skin.
✔✔define: PPE - ✔✔personal protective equipment: equipment that protects the user
against health or safety risks at work.
ex: gloves, eyewear, gown, safety footwork, mask and cap
✔✔define: pt isloation and decontamination precautions - ✔✔it depends on what type of
precaution. for things like MRSA, VRE, or adenovirus (CONTACT) the transport of the
pt's will be limited, all non necessary equipment and PPE will be disposed of.
for things like influenza, mumps or rubells (DROPLET,) youd put them in a private room,
limit transport of patient ( if do wear mask.)
for things like measles, tuberculosis, varicella, or SARS (AIRBORNE) youd place them
in a AIIR room, and youd keep the door close.
✔✔contact precautions and examples - ✔✔-PPE: Gown and gloves
Precautions: -Hand hygiene
-Limit transport of patients to medically necessary purposes
-Ensure containment of stool
-Remove and dispose of contaminated PPE
-Use disposable non-critical equipment or implement patient- dedicated use of such
equipment
-Examples:
MRSA
VRE
Adenovirus, Rotavirus, Enterovirus
Diarrhea
C. Difficile
E. coli
Salmonella
Shigella
Hepatitis A
Herpes Zoster (shingles, localized)
QUESTIONS SET A+
✔✔9 groups of Regulated medical waste - ✔✔Nine Groups of Regulated Medical Waste
(RMW):
a. Group 1: cultures, Stocks, and Vaccines
b. Group 2: Pathological Waste
c. Group 3: Blood and Blood Products
d. Group 4 and 7: Sharps
e. Group 5: Animal Waste (from animals exposed to infectious agents during research,
production of biologicals, or testing of pharmaceuticals)
f. Group 6: Isolation Wastes (including bedding from patients or animals from BioSafety
Level 4 agents
g. Group 8: Other (including fluids that are designated by the local infection control
authority)
h. Group 9: Chemotherapy Wastes
✔✔Collection/Segregation of RMW - ✔✔shall be placed in containers, bags, or sharps
containers (as appropriate for the waste) that are either labeled with the universal
biohazard symbol and the word "BIOHAZARD" or red in color.
a. Line containers with plastic bags of sufficient thickness (typically 3 millimeters),
durability, puncture resistance, and burst strength to prevent rupture or leaks. Bags
shall be of sufficient quality and thickness so that a single bag will handle most
situations. Bags shall be labeled or color coded red. Do not overload bags.
b. Dispose of Sharps (used and unused) waste as well as discarded vaccines/vaccine
containers in rigid, puncture resistant sharps containers. Never clip, cut, bend or recap
needles, or overfill sharps containers. Close Sharps containers before removal or
replacement to prevent spillage or protrusion of contents during handling, storage, or
transport.
✔✔packaging and handling RMW - ✔✔Place Sharps containers in a second container
(plastic bag or rigid box) which is labeled and/or color coded. Minimize human exposure
to RMW during transport to treatment or storage areas. Do not transport RMW in chutes
or dumbwaiters.
,✔✔Storage of RMW - ✔✔RMW storage must not exceed storage times specified in
current contracts for removal/disposal. If existing local, State, or country rules and
regulations for storage are more stringent, they should be followed. When conflicts exist
between storage retention times, the most stringent storage time limits take
precedence.
✔✔Transportation of RMW - ✔✔Place RMW into rigid, leak-proof containers before
transporting off-site. Containers shall be labeled or color-coded. Comply with Federal,
State, and local laws, regulations, or status of forces agreements for transportation
requirements such as licensing and vehicle labeling.
✔✔TX and disposal of RMW - ✔✔Examples include sharps used in animal or human
patient care, treatment in medical research or support laboratories, or when used for
live training purposes. This includes hypodermic needles, syringes (with or without the
attached needle), Pasteur pipettes, scalpel blades, blood collection tubes and vials, test
tubes, needles attached to tubing, and culture dishes (regardless of presence of
infectious agents). Other examples include broken or unbroken glassware that was in
contact with infectious agents, such as used slides and cover slips. Discard all sharps
directly into sharps containers immediately after use. Discard disposable needles and
syringes intact, do not cut, break, bend by hand, or recap using a two-hand method.
Sharps containers must be tamper resistant and either secured to the wall or
maintained under continuous supervision by health care personnel. Wall mounted
sharps containers will be at a height that promotes safe usage by staff. Remove and
seal sharps containers when ¾ full or above fill line.
✔✔Discuss the safety precautions associated with handeling SHARPS - ✔✔-group 4-
sharps
-never cut, clip, bend, or recap needles, or overfill sharps containers. Close sharps
containers before removal or replacement to prevent spillage or protrusion of contents
during handling, storage, or transport.
✔✔discuss the procedure/protocol for needle stick incidents - ✔✔"FAST"
-Flush- 5mins
-Alert supervisor
-Straight to ER
-Treatment
✔✔Discuss the following steps for disposal of regulated medical waste - ✔✔it depends
on the type of waste.
1) cultures, stocks, and vaccines: disposed of in a sanitized sewer system
2) for pathological waste( tissues, organs, body parts, etc.) you dispose of it inside a
RMW container lined with plastic bags or double bag in RMW bags.
3) Blood, and blood borne products: sanitary sewer
4) animal waste must be managed as RMW and shall be incinerated
5) Isolation Wastes ( highly communicable diseases:) consult the facility IC directives.
,✔✔explain the purpose of the regulated medical waste program - ✔✔the purpose of the
regulated medical waste program is to provide standards for management of regulated
medical waste.
✔✔discuss the purpose of the hearing concervation program (HCP) - ✔✔to prevent
occupational hearing loss and assure auditory fitness for duty of all navy personnel
✔✔in the HCP: what sounds above _____ are harmful? - ✔✔85db
Interim Occupational Exposure Limit (OEL)/Criterion Level: 84 dB (A) for continuous
equivalent A-weighted sound pressure level in decibels as an 8-hour time weighted
average (TWA), or exposure to a peak of 140 dB sound pressure level (SPL)
✔✔define: infection control procedures - ✔✔measures to prevent pathogens from being
passed on from one person to another
✔✔define: Chain of infection - ✔✔process of transmission of infection through various
links
✔✔define: virulence - ✔✔severity of harmfulness of a disease
✔✔define: reservoir - ✔✔habitat where infectious agent lives, grows, and multiplies
✔✔define: latent infection - ✔✔hidden, inactive, or dormant infection
✔✔define: infectious disease - ✔✔caused by pathogenic organisms such as bacteria,
viruses, fungi, or parasites, that the disease can be spread. Directly or indirectly from
one person to another
✔✔define: direct contact - ✔✔occurs where there is physical contact between an
infected person and a susceptible person
✔✔define: indirect contact - ✔✔occurs where there is no direct human-to-human
contact.
✔✔define: immunity - ✔✔the ability of an organism to resist a particular infection or
toxin by the action of specific antibodies or sensitized white blood cells.
✔✔define: universial procautions - ✔✔approach to infection to treat all human blood
and certain human body fluids as if they were known to be infectious for HIV, HBV, and
other blood-borne pathogens
✔✔define: standard precautions - ✔✔Methods used to reduce the risk of transmission
of blood-borne and other pathogens from both recognized and unrecognized sources
1. Hand hygiene
, 2. use of PPE
3. respiratory hygiene / cough etiquette
4. sharps safety
✔✔define: blood-borne diseases - ✔✔diseases that can be spread through blood and
other bodly fluids
-ex: malaria, Syphillis, brucellosis, Hepatitis B (HBV) Hepatitis C (HCV) And HIV
✔✔define: occupational exposure - ✔✔reasonably anticipated skin, eye, MM, or
parental contact with blood or other potentially infectious materials that may result from
the performance of an employees duties
✔✔define: percutaneous - ✔✔made, done, or effected through the skin.
✔✔define: PPE - ✔✔personal protective equipment: equipment that protects the user
against health or safety risks at work.
ex: gloves, eyewear, gown, safety footwork, mask and cap
✔✔define: pt isloation and decontamination precautions - ✔✔it depends on what type of
precaution. for things like MRSA, VRE, or adenovirus (CONTACT) the transport of the
pt's will be limited, all non necessary equipment and PPE will be disposed of.
for things like influenza, mumps or rubells (DROPLET,) youd put them in a private room,
limit transport of patient ( if do wear mask.)
for things like measles, tuberculosis, varicella, or SARS (AIRBORNE) youd place them
in a AIIR room, and youd keep the door close.
✔✔contact precautions and examples - ✔✔-PPE: Gown and gloves
Precautions: -Hand hygiene
-Limit transport of patients to medically necessary purposes
-Ensure containment of stool
-Remove and dispose of contaminated PPE
-Use disposable non-critical equipment or implement patient- dedicated use of such
equipment
-Examples:
MRSA
VRE
Adenovirus, Rotavirus, Enterovirus
Diarrhea
C. Difficile
E. coli
Salmonella
Shigella
Hepatitis A
Herpes Zoster (shingles, localized)
