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Hand-Washing
Gloving
Procedures
Aseptic
Technique
Risk
Assessment
-
Laboratories
Risk
Assessment
-
Paediatrics
Risk
Assessment
-
Physiotherpy
Risk
Assessment
-
Elderly
Sharps
Disposal
-
Venepuncture
Sharps
Disposal
-
Theatres
Waste
Disposal
Procedure
in
Event
of
a
Sharps
Injury
MRSA,
Clostridium
Difficile
Quiz
Infection
and
Control
Every
day
nurses
and
healthcare
workers
face
the
risk
of
a
needle
stick,
splash
or
human
bite
injury.
Around
100,000
per
year
occur
amongst
health
care
workers
in
the
UK.
The
risk
of
developing
an
infection
from
a
blood-borne
virus
such
as
Hepatitis
A,
Hepatitis
B,Hepatitis
C
or
HIV,
as
a
result
of
a
sharps
injury,is
high.
The
purpose
of
this
app
is:
To
highlight
the
importance
of
risk
assessment
prior
to
engaging
in
any
procedure.
To
promote
the
use
of
safe
practice
amongst
all
healthcare
workers.
To
identify
potential
hazards.
To
describe
the
procedure
in
the
event
of
a
sharps,
splash
or
human
bite
injury.
To
promote
the
use
of
safe
practice
amongst
all
healthcare
workers.To
identify
potential
hazards.
To
describe
the
procedure
in
the
event
of
as
harps,
splash
or
human
bite
injury.
Contents
Hand-Washing
Hand-washing
Video
Hand-washing
text
Hand-washing
remains
the
most
important
and
fundamental
infection
control
measure.
Hand
contact
with
patients,
contaminated
clinical
equipment
and
waste
is
a
daily
occurrence
for
health
care
workers.
This
can
and
does
lead
to
serious
cross-contamination
and
infections
in
patients
as
your
hands
can
pass
on
these
micro-organisms.
To
prevent
such
cross
infections
happening
an
effective
hand-washing
technique
must
be
employed.
Hand-washing
remains
the
most
important
and
fundamental
infection
control
measure.
Hand
contact
with
patients,
contaminated
clinical
equipment
and
waste
is
a
daily
occurrence
for
health
care
workers.
This
can
and
does
lead
to
serious
cross-contamination
and
infections
in
patients
as
your
hands
can
pass
on
these
micro-organisms.
To
prevent
such
cross
infections
happening
an
effective
hand-washing
technique
must
be
employed.
Turn
on
the
water
and
adjust
the
temperature.
Wet
all
hand
surfaces,
including
wrists,
under
running
water
before
applying
the
hand-washing
agent,
then
wash
your
hands
in
the
following
order.
Remember
to
use
friction
on
all
hand
surfaces
Rub
palms
together
to
create
a
lather.
Rub
right
hand
over
back
of
left
with
fingers
interlaced,
change
hands
and
continue.
Rub
palms
together
again
with
fingers
interlaced.
Clasp
hands
and
rub
backs
of
fingers
against
opposing
palms,
change
hands
and
repeat
Rotate
right
hand
around
left
thumb,
then
rotate
left
hand
around
right
thumb.
Use
finger
tips
to
cleanse
centre
of
palms.
Rotate
right
hand
around
left
wrist,
change
hands
and
repeat.
Rinse
hands
and
turn
off
taps
using
elbows
or
paper
towels.
Then
shake
off
excess
water
and
dry
your
hand
thoroughly.
The
hand-washing
process
should
take
a
minimum
of
10
seconds.
To
summarize:
Rub
palms
together
to
create
a
lather
Rub
right
hand
over
back
of
left
with
fingers
interlaced,
change
hands
and
repeat.
Rub
palms
together
again
with
fingers
interlaced.
Clasp
hands
and
rub
backs
of
fingers
against
opposing
palms,
change
hands
and
repeat
Rotate
right
hand
around
left
thumb,
then
rotate
left
hand
around
right
thumb.
Use
finger
tips
to
cleanse
centre
of
palms.
Rotate
left
hand
around
right
wrist,
and
finally,
rotate
right
hand
around
left
wrist.
Audio
introduction
to
hand-washing
More
Information
X
Microorganisms
are
living
forms
that
are
too
small
to
be
seen
without
the
aid
of
a
microscope.
They
are
classified
into
bacteria,
fungi
and
viruses.
Some
microorganisms
cause
disease
and
are
associated
with
the
outbreaks
of
infection
in
hospital.
Hands
should
be
washed:
Before
and
after
contact
with
susceptible
sites,
e.g.
wounds.
Before
and
after
manipulation
or
insertion
of
invasive
devices,e.g.
intravenous
cannula,
urinary
catheters.
Before
and
after
preparing
or
handling
food.
Before
leaving
a
work
area.
After
contact
with
contaminated
items,
e.g.
linen,
equipment.
After
contact
with
body
fluids.
After
contact
with
a
patient
being
isolated.
After
using
the
toilet.
More
Information
CONTENTS
Gloving
Procedures
Gloving
Video
Gloving
text
If
your
initial
risk
assessment
finds
that
the
procedure
is
sterile
then
sterile
gloves
must
be
worn.
Care
must
be
taken
when
opening
sterile
gloves.
The
package
should
be
opened
without
contaminating
the
inside
of
the
package
or
gloves.
The
gloves
open
up
and
you
have
a
left
and
right
glove.
Pick
up
a
glove
using
the
inside
of
the
cuff
and
proceed
to
slide
your
free
hand
inside.
Be
careful
not
to
contaminate
the
outside
of
the
glove.
Pickup
the
second
glove
via
the
cuff
using
your
gloved
hand
and
proceed
to
slide
your
other
hand
inside.Unfold
the
cuffs
and
adjust
both
gloves
to
ensure
a
neat
fit.
To
remove
sterile
gloves,
you
hold
the
cuff
of
one
glove
and
peel
it
inside
out.
This
glove
should
then
beheld
in
the
other
gloved
hand.
The
second
glove
is
then
peeled
off
in
the
same
way.
This
results
in
one
glove
being
wrapped
inside
the
other
and
means
that
any
contamination
is
held
inside
the
glove.
Both
gloves
can
then
be
safely
disposed
of
as
a
single
unit
in
a
yellow
clinical
waste
bag.
The
procedure
for
putting
on
non-sterile
gloves
does
permit
you
to
touch
the
outside
of
the
glove.
Always
ensure
that
the
gloves
cover
the
wrist
and
fit
well.
When
removing
non-sterile
gloves
follow
the
same
procedure
as
before
thereby
ensuring
that
the
gloves
are
disposed
off
as
a
single
unit
into
a
yellow
clinical
waste
bag.
The
latex
free
gloves
are
put
on
in
the
same
way
ensuring
that
they
cover
the
wrists
and
fit
well.
Again
it
is
permitted
to
touch
the
outside
of
the
glove.
These
gloves
should
also
be
removed
and
disposed
of
as
a
single
unit
into
a
yellow
clinical
waste
bag.Blue
gloves
must
be
worn
when
working
in
ward
and
general
areas.Yellow
gloves
are
worn
if
working
in
kitchen
or
dining
areas
and,
for
bathroom
and
toilet
areas,pink
gloves
should
be
worn.
Audio
introduction
to
gloving
procedure
More
Information
X
Non
Sterile
Gloves.
These
gloves
are
non-sterile,
come
in
boxes
of
100
and
areambidextrous.
The
palms
and
fingers
have
a
texture
on
themto
give
you
an
extra
grip.
These
gloves
come
in
four
sizes,extra
small,
small,
medium
and
large.
It
is
important
that
youwear
the
correct
size
to
fit
your
hand.
Sterile
Gloves
.
Sterile
gloves
which
are
nitrile(latex
free)
are
available
forindividuals
with
either
an
allergy
to
latex
or
working
withpatients
with
an
allergy
to
latex.
Nitrile
Gloves.
These
gloves
are
synthetic
nitrile
powder
free
gloves.They
have
textured
fingers
and
hands
and,
although
they
arenot
as
supple
as
latex,
they
do
provide
protection
for
yourselfand
the
patient.
They
should
be
used
if
you
or
your
patient
hasa
latex
allergy.
Symptoms
of
a
latex
allergy
can
includepotentially
life
threatening
anaphylaxis,
but
also
reddening
ofthe
skin,
rhinitis,
conjunctivitis
and
asthma
symptoms.
More
Information
CONTENTS
Aseptic
Technique
Aseptic
Video
Aseptic
text
If
your
initial
risk
assessment
finds
that
the
procedure
is
sterile
then
sterile
gloves
must
be
worn.
Care
must
be
taken
when
opening
sterile
gloves.
The
package
should
be
opened
without
contaminating
the
inside
of
the
package
or
gloves.
The
gloves
open
up
and
you
have
a
left
and
right
glove.
Pick
up
a
glove
using
the
inside
of
the
cuff
and
proceed
to
slide
your
free
hand
inside.
Be
careful
not
to
contaminate
the
outside
of
the
glove.
Pickup
the
second
glove
via
the
cuff
using
your
gloved
hand
and
proceed
to
slide
your
other
hand
inside.Unfold
the
cuffs
and
adjust
both
gloves
to
ensure
a
neat
fit.
To
remove
sterilegloves,
you
hold
the
cuff
of
one
glove
andpeel
it
inside
out.
This
glove
should
then
beheld
in
the
other
gloved
hand.
The
secondglove
is
then
peeled
off
in
the
same
wayThis
results
in
one
glove
being
wrappedinside
the
other
and
means
that
anycontamination
is
held
inside
the
glove.
Both
gloves
can
then
be
safely
disposed
of
as
a
single
unit
in
a
yellow
clinical
waste
bag.
The
procedure
for
putting
on
non-sterilegloves
does
permit
you
to
touch
the
outsideof
the
glove.
Always
ensure
that
the
gloves
cover
the
wrist
and
fit
well.
When
removing
non-sterile
gloves
follow
the
same
procedure
as
before
thereby
ensuring
that
the
gloves
are
disposed
off
as
a
single
unit
into
a
yellow
clinical
waste
bag.
The
latex
free
gloves
are
put
on
in
the
same
way
ensuring
that
they
cover
the
wrists
and
fit
well.
Again
it
is
permitted
to
touch
the
outside
of
the
glove.
These
gloves
should
also
be
removed
and
disposed
of
as
a
single
unit
into
a
yellow
clinical
waste
bag.Blue
gloves
must
be
worn
when
working
in
ward
and
general
areas.Yellow
gloves
are
worn
if
working
in
kitchen
or
dining
areas
and,
for
bathroom
and
toilet
areas,pink
gloves
should
be
worn.
CONTENTS
Risk
Assessment
-
Elderly
Elderly
Video
Elderly
text
A
risk
assessment
will
most
often
involve
a
dialogue
between
the
primary
care
giver
and
others
involved
in
the
patients
care.
The
purpose
of
this
dialogue
is
to
communicate
the
patient's
current
health
status
and
to
assess
their
physical
and
psychological
needs.
Prior
to
undertaking
any
procedure
the
nurse
should:
Explain
to
the
patient
what
the
procedure
involves
and
gain
informed
consent.
If
for
example
the
procedure
involves
venepuncture,
use
this
time
to
view
the
venous
access
so
a
good
clinical
judgement
can
be
made
as
to
the
most
suitable
vein.
Be
aware
of
the
risks
involved
mainly
that
the
patient
could
become
distressed
and
their
behaviour
may
become
unpredictable.
The
liability
market
arising
out
of
care
of
the
elderly
settings
is
steadily
increasing.
It
is
therefore
important
to
appreciate
the
need
for
a
full
and
accurate
risk
assessment
of
each
patient
within
the
elder
care
setting.
To
safeguard
yourself
and
your
patient
it
is
good
practice
to
involve
a
second
person
with
the
procedure.
This
may
also
help
to
reassure
the
patient
during
the
procedure.
Audio
introduction
to
risk
assessment
-
Elderly
More
Information
X
Informed
Consent.
Informed
consent
is
the
process
whereby
the
patient
is
informed
about
the
options
for
the
diagnosis
and
treatment
of
their
condition.
In
addition,
the
risks
of
the
procedure
as
well
as
the
benefits
are
described
to
the
patient
so
that
the
patient
can
make
a
rational
decision
regarding
what
he/shewants
to
be
done.
More
Information
CONTENTS
Risk
Assessment
-
Physiotherapy
Physiotherapy
Video
Physiotherapy
text
There
are
a
number
of
infection
control
risk
factors
for
healthcare
workers
working
within
a
hospital
Trust.
Prior
to
seeing
a
patient
an
assessment
of
the
patients
current
health
status
should
be
made.
A
full
and
accurate
assessment
is
necessary
prior
to
treating
any
patient
and,
providing
it
is
carried
out
accurately,
may
help
to
reduce
the
risk
of
accidents
or
incidents
for
both
patient
and
clinician.
Treating
patients
with
chest
conditions
is
a
major
part
of
the
role
of
the
physiotherapist.
With
any
routine
chest
physiotherapy
there
is
a
risk
of
staff
contact
with
sputum.
This
may
occur
either
orally
with
an
assisted
cough,
via
suction
with
yanker
to
mouth,
or
catheter
via
a
tracheostomy.
Other
risks
may
arise
when
checking
an
inner
tube
of
a
tracheostomy,
emptying
suction
containers
or
changing
suction
tubing.
Measures
to
reduce
risks
include:
The
physiotherapist
must
wear
gloves
and
a
plastic
apron
for
all
procedures
that
involve
contact
with
bodily
fluids;
The
suction
apparatus
should
be
checked
to
see
that
it
is
working
prior
to
engaging
in
any
procedure;
During
the
procedure
the
physiotherapist
should
avoid
standing
directly
over
the
patient
when
suctioning;
The
physiotherapist
should
also
double
glove
when
suctioning
with
a
catheter
via
a
tracheostomy;
Used
suction
catheters
should
be
disposed
of
immediately
into
a
yellow
clinical
waste
bag;
When
the
procedure
is
complete,
gloves,
apron
and
other
clinical
waste
should
also
be
disposed
of
into
the
yellow
clinical
waste
bag;
This
bag
should
then
be
sealed
before
being
finally
disposed
into
a
clinical
waste
bin.
Hands
should
then
be
washed
at
the
end
of
the
procedure.
CONTENTS
Risk
Assessment
-
Paediatrics
Paediatrics
Video
Paediatrics
text
To
meet
their
physical
and
psychosocial
needs
young
children,
undergoing
cannulation
or
phlebotomy,
require
thoughtful
holistic
preparation.
This
can
be
a
challenging
and
time
consuming
activity
but
it
is
an
important
investment
in
terms
of
gaining
the
child's
trust
and
compliance
with
future
procedures
and
treatments.
An
important
part
of
gaining
the
child's
trust
and
compliance
is,
when
possible,
to
facilitate
the
child's
assistance
with
the
procedure.
The
removal
of
a
cannula
secured
with
an
adhesive
dressing
has
the
potential
of
allowing
the
child
to
help
peel
back
the
adhesive
dressing
under
the
strict
supervision
of
the
nurse.
There
are
obvious
risks
involved,
but
if
the
procedure
is
not
carefully
controlled,
respecting
the
child's
need
for
involvement,
the
procedure
can
become
potentially
hazardous.
If
the
child
becomes
distressed
and
frightened
and
the
nurse
tries
to
remove
the
dressing
and
cannula
rapidly,
without
the
child's
full
agreement
and
co-operation,
the
child's
actions
may
become
unpredictable
leading
to
a
potential
sharps
injury.
It
is
preferable
that
the
nurse
who
has
been
consistently
involved
with
the
child's
treatment,
and
who
has
a
good
rapport
with
him/her,
carries
out
the
procedure.
The
child's
co-operation
should
be
agreed
and
the
required
dressing
available
prior
to
commencing
the
procedure.
The
nurse
must
wear
protective
gloves
and
apron
and
should
maintain
a
dialogue
with
the
child
throughout.
When
the
cannula
is
removed
it
must
be
disposed
of
safely
into
a
sharps
container.
A
water-proof
dressing
is
then
placed
over
the
puncture
site.
More
Information
X
Phlebotomy.
The
procedure
of
withdrawing
blood
from
a
blood
vessel
usinga
needle.
Cannulation.
The
insertion
of
a
flexible
tube
containing
a
needle
into
a
bloodvessel.
More
Information
CONTENTS
Risk
Assessment
-
Laboratories
Labs
Video
Laboratories
text
The
laboratory
within
a
hospital
receives
hundreds
of
clinical
specimens
every
day.
As
such
workers
within
the
lab
are
at
risk
of
exposure
to
sharps
or
splash
injury.
It
is
the
responsibility
therefore
of
each
member
of
staff
working
within
the
laboratory
to
ensure
that
health
and
safety
policies
are
adhered
to
rigidly.
A
laboratory
coat,
properly
fastened
up
to
the
neck,
should
always
be
worn
when
handling
specimens.
Gloves
must
also
be
worn,
particularly
when
handling
infectious
material
and
“leaking”
specimens.
Furthermore
eye
protection
should
also
be
worn
when
using
acids
or
bases.
In
the
event
of
a
specimen
becoming
damaged
during
transport
to
the
lab
the
following
procedure
must
be
adhered
to:
An
incident
form
must
be
completed.
The
damaged
specimen
is
then
disposed
of
into
a
sharps
container.
Any
blood
spillage
is
then
treated
with
Hypochlorite
solution.
The
spill
should
then
be
cleaned
up
using
paper
towels
as
necessary.
The
paper
towels
must
then
be
disposed
of
into
a
yellow
clinical
waste
bag
along
with
the
gloves
for
incineration.
When
a
specimen
is
received
in
the
lab
it
is
the
responsibility
of
laboratory
staff
to
check
that
the
details
on
the
specimen
match
the
details
on
the
attached
laboratory
form.
Any
discrepancies
must
be
reported
and
an
incident
form
completed.
When
the
laboratory
staff
are
satisfied
that
the
details
are
correct
the
requested
test
is
then
carried
out
on
the
specimen.
Again
it
is
important
that
the
laboratory
personnel
wear
gloves
throughout
the
procedure.
It
should
also
be
noted
that
eating,
drinking
and
smoking
are
strictly
prohibited
within
the
laboratory
area.
Furthermore
out-door
clothing
must
be
stored
separately
from
laboratory
clothing
thereby
reducing
the
risk
of
contaminating
outdoor
clothing
and
carrying
infection
outside
the
laboratory.
CONTENTS
Sharps-Venepuncture
Venepuncture
Video
Venepuncture
text
Prior
to
commencing
the
procedure
the
nurse
must
firstly
check
the
patients
details
on
their
hospital
arm
band
to
verify
correct
patient.
The
patient
should
then
be
given
an
adequate
explanation
of
the
procedure
to
help
reduce
anxiety
and
ensure
co-operation.
Always
check
that
the
tamperproof
paper
seal
is
intact
to
ensure
sterility
before
using
any
needle
to
sample
blood.
With
a
closed
vacuum
container
system,
such
as
the
Vacutainer,
the
blood
sample
is
transferred
from
the
vein
via
a
double-ended
needle
directly
into
the
collecting
tube
thus
minimising
the
potential
for
blood
spillages.
The
procedure
must
be
explained
to
the
patient
and
the
patient's
arm
should
be
free
of
clothing
from
the
elbow
down.
A
suitable
vein
should
then
be
identified
and
a
tourniquet
applied
above
the
elbow.
The
area
is
then
cleaned
using
an
alcohol
wipe.
Gloves
must
be
put
on
prior
to
inserting
the
needle
into
the
vein.
The
needle
should
be
inserted
at
an
angle
of
approximately
15
degrees
to
enter
the
vein.
Remember
latex
or
vinyl
gloves
must
be
worn
when
handling
any
blood
products
or
bodily
fluids.
Once
completed
remove
the
needle
from
the
patient's
arm
while
simultaneously
pressing
a
sterile
wool
or
gauze
swab
onto
the
site
to
stem
the
flow
of
blood.
Always
dispose
of
used
sharps
in
an
approved
sharps
bin.
The
sharps
bin
must
not
be
filled
beyond
the
designated
capacity
Staff
are
responsible
for
disposing
of
their
own
venepuncture
equipment.
Remember
to
keep
gloves
on
while
disposing
of
equipment.
Always
have
a
sharps
bin
to
hand
before
opening
and
using
a
sharp.
Never
re-sheathe
used
needles
but
discard
immediately
with
the
syringe
into
the
sharps
bin.
Ensure
that
clinical
waste
is
also
disposed
of
into
the
proper
clinical
waste
bag.
Do
not
complete
any
information
on
the
blood
collection
tubes
until
after
the
sample
has
been
taken
in
order
to
avoid
confusion
with
bottles
and
clients.
It
is
very
important
to
check
that
patient's
details
are
correct
both
on
the
laboratory
forms
and
the
specimen
bottle.
The
specimen
bottle
must
be
sealed
securely
within
the
laboratory
bag.
It
is
also
important
to
check
the
details
on
the
laboratory
forms
against
the
client's
details
on
their
hospital
armband.
It
is
then
the
nurses
responsibility
to
ensure
that
the
specimen
is
sent
to
the
laboratory.
Hands
should
then
be
washed.
Remember
that
wearing
gloves
does
not
eliminate
the
need
to
wash
your
hands
after
completing
a
procedure.
The
yellow
bag
containing
the
clinical
waste
should
be
disposed
of
into
a
large
clinical
waste
bin.
The
clinical
trolley
must
be
cleaned
using
an
appropriate
disinfectant
agent.
It
is
important
that
all
surface
areas
are
cleaned
as
per
Trust
policy.
The
trolley
should
then
be
stored
in
the
clinical
room.
Audio
introduction
to
venepuncture
More
Information
X
Venepuncture
The
collection
of
fresh
whole
blood
from
a
superficial
veine.g.
median
cubital
vein
on
the
anterior
surface
of
the
elbow.
More
Information
CONTENTS
Sharps
-
Theatres
Theatres
Video
Theatre
text
It
is
the
responsibility
of
all
staff
working
within
the
Trust
to
promote
the
use
of
good
practice
with
regard
to
the
safe
disposal
of
sharps.
All
staff
have
a
duty
to
protect
their
colleagues
from
potential
injuries
from
sharps
therefore
they
should
not
do
anything
that
would
put
others
at
risk.
Theatre
is
one
area
where
staff,
as
part
of
their
daily
work,
are
more
likely
to
handle
sharps
and
needles.
Sharps
and
needles
pose
a
serious
threat
to
staff
and,
as
such,
should
be
handled
with
respect.
Staff
are
also
exposed
to
body
fluids,
particularly
blood,
and
particular
care
should
be
taken
to
avoid
splash
injuries.
It
is
the
responsibility
of
the
individual
using
a
needle
or
sharp
to
dispose
of
it
safely
as
specified
in
the
Trust
policy:
Each
sharp
should
be
disposed
of
separately,
Sharps
must
be
disposed
of
into
a
sharps
container
There
should
be
no
attempt
made
to
re-sheathe
needles
The
onus
is
on
the
individual
to
ensure
that
all
used
sharps
have
been
disposed
of
safely
thereby
reducing
the
possibility
of
a
sharp
being
placed,
by
accident,
into
a
yellow
clinical
waste
bag.
CONTENTS
Waste
Disposal
Waste
Video
Waste
Disposal
text
Yellow
clinical
waste
bags
for
disposal
must
be
removed
from
the
bin
using
the
foot
pedal
provided.
Hands
must
not
be
used
to
open
the
bin
and,
under
no
circumstances,
should
you
place
your
hands
inside
the
bin.
The
full
bag
should
then
be
closed
using
the
“swan
neck”
technique
and
sealed
with
a
black
security
tie.
Clinical
waste
can
be
hazardous.
In
order
to
protect
yourself
and
your
colleagues
it
is
important
that
full
bags
are
sealed
safely
and
securely.
Remember
this
must
be
done
prior
to
removing
the
bag
from
the
room.
Always
ensure
that
you
leave
a
new
bag,
which
must
be
adequately
secured
within
the
bin.
Remember
clinical
waste
bags
should
always
held
away
from
the
body
when
being
transported
to
the
waste
disposal
area.
You
will
need
your
security
code
to
access
this
area.
Yellow
clinical
waste
bags
are
then
disposed
of
into
large
yellow
colour
coded
bins.
Non-clinical
waste
is
disposed
of
into
black
household
waste
bags.
Again
full
bags
should
be
removed
using
the
foot
pedal
and
gloves
must
be
worn
at
all
times.
The
full
bag
is
then
closed
with
a
double
knot
prior
to
removal
to
the
waste
disposal
area.
A
new
black
bag
must
then
be
fitted
into
the
bin.
Once
again
it
is
important
to
ensure
that
during
transportation
the
full
bag
is
always
held
away
from
the
body.
Household
waste
is
held
in
large
black
colour
coded
bins.
Each
Trust
has
a
designated
area
for
the
final
disposal
of
both
clinical
and
household
waste.
It
is
important
therefore
that
the
regulations
pertaining
to
waste
disposal
are
adhered
to
i.e.
clinical
waste
in
yellow
colour
coded
bins
and
household
waste
in
black
colour
coded
bins.
The
domestic
manager
should
be
informed
if
there
is
any
breach
in
this
regulation.
Audio
introduction
to
waste
disposal
More
Information
X
More
Information
CONTENTS
Sharps
Injury
Sharps
injury
Video
Sharps
injury
text
Yellow
clinical
waste
bags
for
disposal
must
be
removed
from
the
bin
using
the
foot
pedal
provided.
Hands
must
not
be
used
to
open
the
bin
and,
under
no
circumstances,
should
you
place
your
hands
inside
the
bin.
The
full
bag
should
then
be
closed
using
the
“swan
neck”
technique
and
sealed
with
a
black
security
tie.
Clinical
waste
can
be
hazardous.
In
order
to
protect
yourself
and
your
colleagues
it
is
important
that
full
bags
are
sealed
safely
and
securely.
Remember
this
must
be
done
prior
to
removing
the
bag
from
the
room.
Always
ensure
that
you
leave
a
new
bag,
which
must
be
adequately
secured
within
the
bin.
Remember
clinical
waste
bags
should
always
held
away
from
the
body
when
being
transported
to
the
waste
disposal
area.
You
will
need
your
security
code
to
access
this
area.
Yellow
clinical
waste
bags
are
then
disposed
of
into
large
yellow
colour
coded
bins.
Non-clinical
waste
is
disposed
of
into
black
household
waste
bags.
Again
full
bags
should
be
removed
using
the
foot
pedal
and
gloves
must
be
worn
at
all
times.
The
full
bag
is
then
closed
with
a
double
knot
prior
to
removal
to
the
waste
disposal
area.
A
new
black
bag
must
then
be
fitted
into
the
bin.
Once
again
it
is
important
to
ensure
that
during
transportation
the
full
bag
is
always
held
away
from
the
body.
Household
waste
is
held
in
large
black
colour
coded
bins.
Each
Trust
has
a
designated
area
for
the
final
disposal
of
both
clinical
and
household
waste.
It
is
important
therefore
that
the
regulations
pertaining
to
waste
disposal
are
adhered
to
i.e.
clinical
waste
in
yellow
colour
coded
bins
and
household
waste
in
black
colour
coded
bins.
The
domestic
manager
should
be
informed
if
there
is
any
breach
in
this
regulation.
Audio
introduction
to
sharps
injury
More
Information
X
More
Information
CONTENTS
MRSA
/
Clostridium
Difficile
Information
CONTENTS
MRSA
Clostridium
Difficile
Q8
-
Risk
assessment
is
the
ability
to
Identify
potential
hazards
Avoid
responsibility
Attribute
blame
Identify
potential
hazards
&
risks
Q6
-
Clinical
waste
should
be
disposed
of
into
White
bags
Black
bags
Orange
bags
Red
bags
Q5
-
To
reduce
the
risk
of
accident
the
priority
for
the
nurse
should
be
to
Spend
time
setting
up
for
the
procedure
Spend
time
getting
to
know
the
child's
parent/guardian
Spend
time
getting
to
know
the
individual
child
Spend
time
reading
the
child's
medical/nursing
notes
Q7
-
The
responsibility
for
the
disposal
of
sharps
lies
with
The
nurse
working
in
the
area
The
individual
using
the
sharp
Prior
to
disposing
of
venepuncture
equipment
The
care
assistant
Q4
-
Hand-washing
agent
should
be
applied
Not
at
all
Prior
to
wetting
hands
At
the
end
of
the
procedure
After
wetting
hands
Q3
-
The
correct
sequence
for
hand-washing
is
Apply
hand-washing
agent;
wash
hands
rinse
and
dry
Apply
hand-washing
agent;
wet
hands
,wash
hands,
rinse
and
dry
Wet
hands;
apply
hand-washing
agent,
wash
hands,
rinse
and
dry
Wet
hands;
wash
hands,
apply
hand-washing
agent,
rinse
and
dry
Q2
-
Following
a
sharp
or
splash
injury
the
O.H.N.
will
Examine
the
wound
site
Take
a
detailed
history
about
the
injury
Apply
a
dressing
Do
all
of
these
Q1
-
In
order
to
put
a
child
at
ease
the
nurse
should
Maintain
a
dialogue
with
the
parent/guardian
during
the
procedure
Maintain
a
dialogue
with
a
colleague
during
the
procedure
Remain
quiet
during
the
procedure
Maintain
a
dialogue
with
the
child
during
the
procedure
Reset
Quiz
Contents
Infection
control
quiz
page
1
of
6
Score =
/ 44
Q10
-
Household
waste
should
be
disposed
of
into
Yellow
bags
Black
bags
Red
bags
Sharps
boxes
Q14
-
It
is
important
to
seal
clinical
waste
bags
using
The
mallard
technique
The
double
blind
technique
The
swan
neck
technique
The
drake
technique
Q15
-
Domestic
staff
working
in
the
ward
&
clinical
areas
must
wear
Blue
gloves
Pink
Gloves
Latex
gloves
Green
gloves
Q16
-
The
liability
market
in
care
settings
is
increasing
in
Care
of
the
elderly
Paediatrics
Obstetrics
Theatres
Q13
-
Prior
to
undertaking
any
procedure
the
priority
for
staff
is
to
Document
the
plan
of
action
Be
aware
of
the
risks
involved
Wash
hands
Wear
gloves
Q9
-
Post-Exposure
Prophylaxis
will
be
offered
if
The
patient
has
MRSA
The
patient
has
had
recent
surgery
The
patient
is
over
60
years
old
The
patient
is
suspected
or
known
to
be
HIV+ve
Q12
-
To
reduce
the
risk
of
cross-infection
staff
must
Not
eat
smoke
or
drink
in
the
lab
Ensure
outdoor
clothing
is
stored
outside
of
the
lab
Wash
hands
after
removing
gloves
Adhere
to
all
of
these
Q11
-
Clinical
waste,
which
must
be
disposed
of
into
yellow
bags
constitutes
Waste
not
contaminated
with
blood
or
body
fluids
Waste
soiled
with
blood
or
body
fluids
such
as
dressings,
gloves
and
aprons
Broken
glass
or
bottles
Newspapers
and
paper
towels
Score =
/ 44
Infection
control
quiz
page
2
of
6
Reset
Quiz
Contents
Q17
-
The
failure
to
carry
out
a
risk
assessment
may
result
in
Litigation
Injury
to
the
patient
or
staff
Injury
to
property
All
of
these
Q18
-
The
most
effective
means
of
reducing
infection
in
hospital
is
Wearing
gloves
for
all
interventions
with
patients
Carrying
out
thorough
hand-washing
before
and
after
patient
contact
Carrying
out
thorough
hand-washing
before
contact
with
patients
Carrying
out
thorough
hand-washing
after
contact
with
patients
Q19
-
When
disposing
of
a
sharp
into
a
sharps
bin
it
is
important
to
Dispose
of
each
sharp
separately
Group
sharps
together
and
then
dispose
Resheathe
all
needles
prior
to
disposal
Double
glove
prior
to
disposing
of
a
sharp
Q20
-
Prior
to
selecting
gloves
for
a
procedure
you
must
FIRST
Set
up
for
the
procedure
Wash
your
hands
Make
a
risk
assessment
of
the
procedure
Put
on
an
apron
Q21
-
When
carrying
out
aseptic
technique
for
wound
care,
swabs
should
be
used
To
clean
the
centre
of
the
wound
Once
and
in
one
direction
only
Clean
the
trolley
As
the
primary
dressing
Q22
-
Hands
should
be
washed
After
patient
contact
Before
a
procedure
After
a
procedure
In
all
of
these
situations
Q23
-
Following
a
sharp
or
splash
injury
the
individual
should
Attend
the
occupational
health
dept
within
1
week
of
receiving
the
injury
Inform
his
or
her
line
manager
and
attend
own
GP
Inform
his
or
her
line
manager
and
attend
A&E
Inform
line
manager
immediately
and
attend
occupational
health
Q24
-
Risk
assessment
is
necessary
in
order
to
Protect
relatives
&
visitors
Protect
the
patient
Protect
staff
All
of
these
Score =
/ 44
Reset
quiz
Infection
control
quiz
page
3
of
6
Contents
Q25
-
If
you
receive
a
damaged
specimen
the
lab
worker
must
Complete
an
incident
form
and
inform
the
medical
staff
Complete
an
incident
form,
inform
ward
and
put
specimen
in
sharps
bin
Place
damaged
specimen
into
sharps
bin
Complete
an
incident
form
Q30
-
Gloves
should
be
removed
Anytime
after
the
blood
sample
has
been
taken
Immediately
when
the
blood
sample
has
been
taken
Prior
to
disposing
of
venepuncture
equipment
After
disposing
of
venepuncture
equipment
Q27
-
Following
venepuncture
sharps
should
be
Discarded
immediately
with
the
syringe/
vacutainer
into
the
sharps
box
Left
until
the
end
of
the
procedure
and
then
discarded
into
the
sharps
box
Re-sheathed
and
then
placed
into
the
sharps
box
Brought
back
to
the
clinical
room
where
it
is
then
discarded
into
the
sharps
box
Q29
-
When
disposing
of
needles
it
is
policy
to
Re-sheathe
used
needles
and
then
place
in
sharps
bin
Place
used
needles
into
clinical
waste
bags
for
incineration
leave
used
needles
until
shift
is
complete
and
then
dispose
into
sharps
bin
Place
used
needle
(unsheathed)
into
sharps
bin
Q26
-
A
person
with
an
allergy
to
latex
should
wear
Surgical
gloves
Latex
gloves
Nitrile
gloves
No
gloves
Q31
-
When
carrying
out
an
aseptic
technique
the
trolley
should
be
cleaned
Before
the
procedure
After
the
procedure
During
the
procedure
Before
&
after
the
procedure
Q28
-
At
the
end
of
a
procedure
staff
should
Dispose
of
gloves
&
apron
in
a
clinical
waste
bag
Dispose
of
all
used
equipment
in
a
clinical
waste
bag
Dispose
of
all
used
equipment
in
a
household
waste
bag
Dispose
of
gloves
&
apron
in
a
household
waste
bag
Q32
-
Sharps
bins
should
be
sealed
when
they
are
1/2
full
Too
heavy
to
carry
3/4
full
Past
expiry
date
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Q37
-
Prior
to
testing
a
specimen,
the
lab
worker
must
FIRSTLY
Check
that
the
specimen
has
not
been
damaged
during
transport
Check
that
the
correct
test
has
been
requested
Check
the
details
on
the
specimen
match
the
details
on
the
attached
lab
form
Check
that
the
equipment
is
functioning
in
order
to
carry
out
the
requested
test
Q36
-
Gloves
are
required
when
Carrying
out
venepuncture
Disposing
of
clinical
waste
Assisting
with
oral
hygiene
Engaging
in
any
of
these
Q38
-
An
aseptic
technique
should
be
used
for
Catheterisation
Oral
hygiene
Administration
of
injections
None
of
these
Q40
-
Sterile
gloves
are
worn
to
Protect
the
nurse
Protect
the
patient
Protect
the
nurse
and
the
patient
Clean
the
trolley
Q34
-
Risk
assessment
should
be
carried
out
Prior
to
seeing
any
patient
Immediately
after
seeing
a
patient
For
high
risk
patients
only
For
the
over
60
age
group
only
Q33
-
If
the
child's
co-operation
is
not
gained
there
is
an
increase
likelihood
that
A
sharps
injury
may
occur
The
child
may
become
distressed
with
the
procedure
The
child
may
be
reluctant
to
co-operate
with
future
procedures
All
of
these
may
occur
Q39
-
A
child's
co-operation
and
agreement
to
a
procedure
must
be
sought
When
the
procedure
has
been
commenced
Prior
to
commencing
the
procedure
It
is
not
necessary
to
gain
a
child's
agreement
It
is
only
necessary
to
gain
parent's/guardian's
agreement
Q35
-
For
procedures
involving
contact
with
bodily
fluids
staff
should
Wear
gloves,
protective
goggles
and
apron
Wear
an
apron
&
protective
goggles
Wear
an
apron
Wear
protective
goggles
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Q41
-
If
you
do
acquire
a
sharps
injury
it
is
important
that
you
Allow
the
area
to
bleed
and
encourage
bleeding
by
squeezing
Stop
the
bleeding
by
applying
pressure
to
the
area
Allow
the
area
to
bleed
Stop
the
bleeding
by
applying
a
plaster
Q44
-
When
handling
specimens
in
the
laboratory
it
is
policy
to
Wear
double
gloves
Wear
a
plastic
apron
Wear
eye
protection
when
using
acids
or
bases
Do
all
of
these
Q42
-
Prior
to
commencing
venepuncture
it
is
important
to
FIRSTLY
Complete
the
details
on
the
Lab
forms
Identify
a
suitable
vein
Explain
the
procedure
to
the
patient
Identify
a
suitable
artery
Q43
-
Details
on
the
sample
should
be
recorded
on
the
laboratory
form
Midway
during
the
procedure
Before
taking
the
specimen
Immediately
after
taking
the
specimen
and
in
the
patients
presence
Anytime
before
the
specimen
is
sent
to
the
laboratory
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