CIC EXAM LATEST
Patient management in a crisis - ANSWERS--Off site triage centers are
a good option to prevent clogging of hospital. Critical patients can be
transported to hospital and others can receive basic care off site until
beds open up.
- Pre-determine "crisis standards of care", meaning algorithms to decide
who will get limited resources like ventilators, PPE, prophylaxis, etc.
Also any options for re-using, rationing, or using lower levels of
disinfection should be considered and planned for.
- Identify alternate care sites; empty hospital as much as possible
beforehand. Know who can take what kind of patients for discharging/
freeing up bed space
Water emergency management - ANSWERS-2 L per person per day for
patients and workers, plus handwashing/bathing/etc. => 25 gallons per
patient per day. Should have 3-5 days of backup water supplies; can be
stored on site, off site, or specifically contracted to provide. Ensuring
water safety is key; test tap water immediately in disasters and check in
with public health.
Food emergency management - ANSWERS-Food is very important. At
least 1 freezer and 1 fridge on emergency power. In emergency, use 1)
ridge food on hand 2) food from unpowered freezers 3) disaster reserve
supplies. Discard food that has been held too warm for too long (2+ hrs
at room temp or 1+ hr at 90 degrees or warmer.)
END OF
PAGE
1
, CIC EXAM LATEST
sanitation and sewage emergency - ANSWERS-Plan for trash and
medical waste storage. Also for toilet needs- plan should include who
will assess, how results will be communicated, and what to do. Options
include evacuating, bags in buckets, bags, or chemical toilets. Bucket
flushing OK if sewers intact but water not flowing.
Decontamination emergency management - ANSWERS-Be prepared.
There are agent-specific recommendations, but may not be available.
Soap and water plus hair and eye cleaning is acceptable. Clothing goes
in an impervious bag. HCP with approp PPE should assist. Warming
measures should be provided after, especially for kids. Environmental
decon may also be needed.
Disaster drills and exercises - ANSWERS-TJC requires 2 per year or
response to an actual emergency. One must be community wide. A
debrief and after-action report with input from all departments should be
included.
Animals in healthcare - ANSWERS-Policies for volunteer "therapy
animals" exist; should include temprament, obedience, and health
testing. Should be facility policies governing when/where/with whom.
Pets may be allowed in certain special situations, such as terminal
illness. Pets must be bathed within 24 hrs, be escorted, and only interact
END OF
PAGE
2
, CIC EXAM LATEST
with the patient and their family. Service animals generally allowed but
may be excluded from ORs/burn areas/where sterility is key. Can ask if
the service animal is required and what they do, but cannot ask for
documentation of disability/service dog status.
Body piercing infection control - ANSWERS-Association of
Professional Piercers recommends only sterile disposable equipment be
used; prefer single use sterile needles. Stud guns can become
contaminated by aerosolized blood; should either use disposable
cartridges and be alcohol-wiped or be HLDs. Jewelry used should be
smoothly polished and easily cleaned; certain metals preferred.
Infections for normal piercings act like SSIs; skin flora most common,
some atypical mycobacteria. Piercings through mucous membranes have
risk of more serious infections like endocarditis; mouth piercings have
dental risks.
Tattooing infection control - ANSWERS-Highest risk is from the
needles. Difficult to clean and reuse them, so recommended that sterile
needles be used for only one session on only one client. Dyes also for
one client only; autoclave parts of gun and use a plastic bag to protect
the rest of gun. General skin, dye, environment preparation
recommendations the same as standard sharps stuff for healthcare. Data
on infections limited to case reports mostly, but HBV, HCV biggest
risks. Some HIV risk. Skin ad soft tissue infections linked to parlor also
seen- linked to HH, skin prep, and environment of tattoo.
END OF
PAGE
3
, CIC EXAM LATEST
Electrolysis hair removal infection control - ANSWERS-A needle is
inserted into the hair follicle, and electricity used to destroy the root of
the hair. needles should not penetrate tissue, but may become
contaminated by blood/fluids. Recommendations from the professional
org exist; include general hand hygiene, environmental hygiene, and
sharps management. Some infections reported, including HPV.
Work restrictions for HCP with TB - ANSWERS-PPD converter has no
restriction if asymtpomatic and xray neg. Active disease should be
excluded from duty until proved noninfectious.
HBV employee health - ANSWERS-Employees at risk for BBP should
be vax'd for HBV, checked to make sure it took, and revax'd if needed.
If still doesn't take, check for HBSAg. Some people may not respond, if
they work in dialysis centers they should be tested every 6 months.
Policies should protect both exposed and source patient privacy.
Unvaccinated people exposed should begin the vaccine series and
receive HBIG ASAP. No booster needed.
HCV employee health - ANSWERS-Exposed workers should not donate
blood or anything else. No recommendations for restricting work, but
situation might suggest on a case-by-case basis.
END OF
PAGE
4
Patient management in a crisis - ANSWERS--Off site triage centers are
a good option to prevent clogging of hospital. Critical patients can be
transported to hospital and others can receive basic care off site until
beds open up.
- Pre-determine "crisis standards of care", meaning algorithms to decide
who will get limited resources like ventilators, PPE, prophylaxis, etc.
Also any options for re-using, rationing, or using lower levels of
disinfection should be considered and planned for.
- Identify alternate care sites; empty hospital as much as possible
beforehand. Know who can take what kind of patients for discharging/
freeing up bed space
Water emergency management - ANSWERS-2 L per person per day for
patients and workers, plus handwashing/bathing/etc. => 25 gallons per
patient per day. Should have 3-5 days of backup water supplies; can be
stored on site, off site, or specifically contracted to provide. Ensuring
water safety is key; test tap water immediately in disasters and check in
with public health.
Food emergency management - ANSWERS-Food is very important. At
least 1 freezer and 1 fridge on emergency power. In emergency, use 1)
ridge food on hand 2) food from unpowered freezers 3) disaster reserve
supplies. Discard food that has been held too warm for too long (2+ hrs
at room temp or 1+ hr at 90 degrees or warmer.)
END OF
PAGE
1
, CIC EXAM LATEST
sanitation and sewage emergency - ANSWERS-Plan for trash and
medical waste storage. Also for toilet needs- plan should include who
will assess, how results will be communicated, and what to do. Options
include evacuating, bags in buckets, bags, or chemical toilets. Bucket
flushing OK if sewers intact but water not flowing.
Decontamination emergency management - ANSWERS-Be prepared.
There are agent-specific recommendations, but may not be available.
Soap and water plus hair and eye cleaning is acceptable. Clothing goes
in an impervious bag. HCP with approp PPE should assist. Warming
measures should be provided after, especially for kids. Environmental
decon may also be needed.
Disaster drills and exercises - ANSWERS-TJC requires 2 per year or
response to an actual emergency. One must be community wide. A
debrief and after-action report with input from all departments should be
included.
Animals in healthcare - ANSWERS-Policies for volunteer "therapy
animals" exist; should include temprament, obedience, and health
testing. Should be facility policies governing when/where/with whom.
Pets may be allowed in certain special situations, such as terminal
illness. Pets must be bathed within 24 hrs, be escorted, and only interact
END OF
PAGE
2
, CIC EXAM LATEST
with the patient and their family. Service animals generally allowed but
may be excluded from ORs/burn areas/where sterility is key. Can ask if
the service animal is required and what they do, but cannot ask for
documentation of disability/service dog status.
Body piercing infection control - ANSWERS-Association of
Professional Piercers recommends only sterile disposable equipment be
used; prefer single use sterile needles. Stud guns can become
contaminated by aerosolized blood; should either use disposable
cartridges and be alcohol-wiped or be HLDs. Jewelry used should be
smoothly polished and easily cleaned; certain metals preferred.
Infections for normal piercings act like SSIs; skin flora most common,
some atypical mycobacteria. Piercings through mucous membranes have
risk of more serious infections like endocarditis; mouth piercings have
dental risks.
Tattooing infection control - ANSWERS-Highest risk is from the
needles. Difficult to clean and reuse them, so recommended that sterile
needles be used for only one session on only one client. Dyes also for
one client only; autoclave parts of gun and use a plastic bag to protect
the rest of gun. General skin, dye, environment preparation
recommendations the same as standard sharps stuff for healthcare. Data
on infections limited to case reports mostly, but HBV, HCV biggest
risks. Some HIV risk. Skin ad soft tissue infections linked to parlor also
seen- linked to HH, skin prep, and environment of tattoo.
END OF
PAGE
3
, CIC EXAM LATEST
Electrolysis hair removal infection control - ANSWERS-A needle is
inserted into the hair follicle, and electricity used to destroy the root of
the hair. needles should not penetrate tissue, but may become
contaminated by blood/fluids. Recommendations from the professional
org exist; include general hand hygiene, environmental hygiene, and
sharps management. Some infections reported, including HPV.
Work restrictions for HCP with TB - ANSWERS-PPD converter has no
restriction if asymtpomatic and xray neg. Active disease should be
excluded from duty until proved noninfectious.
HBV employee health - ANSWERS-Employees at risk for BBP should
be vax'd for HBV, checked to make sure it took, and revax'd if needed.
If still doesn't take, check for HBSAg. Some people may not respond, if
they work in dialysis centers they should be tested every 6 months.
Policies should protect both exposed and source patient privacy.
Unvaccinated people exposed should begin the vaccine series and
receive HBIG ASAP. No booster needed.
HCV employee health - ANSWERS-Exposed workers should not donate
blood or anything else. No recommendations for restricting work, but
situation might suggest on a case-by-case basis.
END OF
PAGE
4
