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Universal Precautions vs. Standard Precautions - ✔✔Universal Precautions only
applied to strictly defined fluids (mostly blood borne pathogens); standard precautions
cover ALL the ones we need to be protected from
Standard Precautions -- Guidelines - ✔✔1. Use with all patients
2. Applies to all bodily fluids (If it's wet and not yours, don't touch it without gloves!)
3. Wear gloves with everything, change frequently (tasks, patients, bodily fluids)
4. Wash hands (after touching fluids, between patients, after taking off gloves)
5. Wear PPE
Which patients do you use standard precautions with - ✔✔All of them
What is the rule about bodily fluids with standard precautions - ✔✔If it's wet and not
yours, don't touch it without gloves!
When do you wear gloves - ✔✔With everything basically. All bodily fluids (except
sweat usually), before touching mucous membranes or non intact skin
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,When do you change gloves - ✔✔Between tasks, procedures, patients; after touching
contaminated surfaces, when gloves become torn, or when gloves get soiled
When do you remove gloves - ✔✔promptly after use and before touching non
contaminated items or environmental surfaces
What do you do immediately after removing gloves - ✔✔Wash hands
When do you wear masks, eye protections, or face shields - ✔✔When in activities likely
to generate splashes or sprays of body fluids, excretions, or secretions (ex. dialysis
nurse)
What kind of gown is used - ✔✔impermeable
Who must provide PPE (free of charge) - ✔✔employer
What do you do after removing gown - ✔✔wash hands
What should be done with extremely soiled clothing - ✔✔Cut off
What do you do with single use equiptment - ✔✔THROW AWAY AFTER ONE USE
Where do you bag linens - ✔✔At point of origin, using gloves. Handles as little as
possible
What ONE technique should be used to recap sharps - ✔✔One hand technique -- ONLY
IF YOU MUST
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, What are the characteristics of a sharps container - ✔✔Color coded (red), leak proof,
puncture resistant, sealable
When should the sharps container be replaced - ✔✔1/2 to 3/4 full
Regulated waste = - ✔✔Biohazardous waste
What is classified as regulated waste - ✔✔Liquid or semi-liquid body fluids, items that
would release body fluids, items caked with body fluids, contaminated sharps
How is regulated waste disposed - ✔✔incineration or related methods to minimize
exposure
How are spills handled - ✔✔GLOVES, sweep up any glass with dustpan or cardboard,
blot excess or use absorbent powder, clean with approved disinfectant
What is an approved disinfectant - ✔✔Diluted bleach (1:10 ratio)
Bloodborne pathogen standard includes - ✔✔Standard precautions
Education of the worker
PEP
Emphasis on preventing stick injuries
Employer responsibilities
Staff communication
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