Infection Control, Medical Asepsis, and Sterilization Flashcards

What is the correct order for donning (putting on) PPE?

Answer: Gown, mask/respirator, goggles, gloves

The CDC recommended order for donning PPE is: gown first, then mask/respirator, then goggles/face shield, and gloves last.

A patient with chickenpox requires which combination of transmission-based precautions?

Answer: Airborne and contact precautions

Varicella (chickenpox) spreads via both airborne transmission and direct contact with lesions, requiring both airborne and contact precautions.

Which chemical indicator is placed inside autoclave packs to verify adequate sterilization conditions?

Answer: Internal chemical integrator

Internal chemical integrators (Class 5 indicators) are placed inside packs and change color when all critical parameters (time, temperature, steam) are met.

What is the correct action after an unvaccinated medical assistant receives a needlestick from an HIV-positive patient?

Answer: Wash the wound and begin post-exposure prophylaxis as soon as possible

After a needlestick from an HIV-positive source, the wound should be washed immediately and post-exposure prophylaxis (PEP) initiated within 72 hours, along with mandatory reporting.

Which item would be classified as 'noncritical' in the Spaulding classification system?

Answer: Blood pressure cuff

Noncritical items like blood pressure cuffs contact only intact skin and require only low-level disinfection between patients.

Which practice violates the principles of a sterile field?

Answer: Placing sterile items at the edge of the sterile drape

The outer 1-inch border of a sterile field is considered contaminated; sterile items must be placed at least 1 inch from the edge.

Which government agency enforces the Bloodborne Pathogens Standard in the workplace?

Answer: OSHA

OSHA (Occupational Safety and Health Administration) enforces the Bloodborne Pathogens Standard (29 CFR 1910.1030) to protect healthcare workers.