An illness due to a specific infectious agent or toxic products which arises through transmission of that agent.
Communicable Disease
The entry and development or multiplication of an infectious agent in the body of a host.
Infection
A clinically manifested disease of man or animal resulting from an infection.
Infectious Disease
An organism that is capable of producing infection or infectious disease.
Infectious Agent
AHLTA
Armed Forces Health Longitudinal Technology
CHCS
Composite Health Care System
HAI
Healthcare Associated Infection
HAIPC
Healthcare Associated Infection Prevention and Control
ICRA
Infection Control Risk Assessment
T or F? HAIPC program covers all aspects of healthcare operations?
True
HAI training must occur when?
During their initial indoctrination and at least annually thereafter and on an as-needed basis.
Commands must ensure that all personnel who come within how many feet of patients, receive and maintain appropriate vaccination against seasonal influenza?
3 feet
What is BUMEDINST 6220.9B?
Healthcare associated infection prevention and control program
What is the purpose of BUMEDINST 6220.9B?
To provide policies and guidelines to Navy MTF's, DTF's, branch medical clinics, and shipboard and marine corps field medical units to establish effective infection prevention and control IP/C programs that meet or exceed requirements.
IP/C plans and recommendations must be devised based upon the previous year's experience and expected construction/renovation activities how often?
Annually
Any MTF using a third party reprocessing facility must?
1) confirm that the company is registered with FDA
2) verify that the company has FDA 510k clearance
3) obtain a copy of FDA's clearance letter
Dental unit waterline monitoring and treatment must follow CDC dental guidelines for?
500 colony-forming units per millimeter (CFU/ml)
Include HAIPC information in orientation programs for?
New employees, new residents and interns, and new medical and dental staff appointees.
Use polyether disinfectant with short term exposure time which is?
<10 minutes
Heat tolerant equipment that has been placed in the patient's mouth must be sterilized?
Between each use
All unused material is discarded?
After the procedure and not used for other patients.
What is DD form 2322?
Dental Laboratory Work Authorization
What should be documented on the DD form 2322
Disinfected items and the method of disinfection
Always follow what when selecting disinfectant?
Impression material manufacturer recommendations
Whenever possible the dental laboratory should have three separate work areas which are?
A receiving area, a production area for new work, and a production area for repair work.
The lathe machine should be cleaned and disinfected how often?
Daily
Pumice should be replaced?
Daily
Clean, disinfect, and sterilize pumice brushes at least?
Daily
Ultrasonic cleaning unit should be cleaned when?
visibly dirty and daily at a minimum.
With case pans, discard the barrier upon completion of the prostheses, and clean and disinfect the case pan?
Between cases
Change pumice and brushes used on new prostheses daily when used for?
New or non-contaminated prostheses.
At a minimum, clean and disinfect rag wheels when?
Daily
Disinfect the X ray chair at least?
Daily and whenever visibly contaminated
Disinfect all the counter surfaces of the darkroom?
Daily
Are artificial fingernails allowed when having direct contact with patients at high risk?
No, they are prohibited.
Can you wear hand or nail jewelry if it makes donning gloves more difficult or compromises the fit and integrity of the glove?
No
Always wear protective eyewear within how many feet before turning on the lathe?
200 feet per minute continuous suction.
Two functional areas need to be considered when developing dental laboratory infection control procedures?
The DTR and the Dental Laboratory
Some organisms are known to survive for up to how many days within prosthetic materials?
7 days
What are the two most common patient care items that rely on dental laboratory support, and carry microorganisms from dental plaque, blood, and saliva?
Prostheses and oral impressions
With anti retraction valves, flush devices for a minimum of how long?
20-30 seconds
Flush water and air for how long after each patient from any device connected to the dental water system that enters a patient's mouth?
20-30 seconds
Begin each day with a hand wash of how long per minimum and from where to where?
15 seconds from fingertip to wrist with soap and lukewarm water.
For dental treatment output water, use water that meets EPA regulatory standards for drinking water which is?
<500 colony forming units (CFUs/ml) of heterotrophic water bacteria
Aerosols take considerable energy to generate, consists of particles less than what?
10 microns
T or F? These high risk encounters include the use of rotary instruments, scalpels, and other mechanical and non-mechanical instrumentation WITHOUT high-velocity evacuation or rubber dam isolation.
True
Semi critical devices
These medical devices contact mucous membranes or non intact skin.
Semi critical items of such reusable devices minimally require what kind of disinfection?
High level using chemical disinfectants.
In general, infections are not considered HAI's unless?
The onset of the infections occurs more than 48 hours after the time of admission or treatment.
Critical devices
Confer a high risk for infection if they are contaminated with any microorganism, including bacterial spores.
Non critical devices
Do not ordinarily touch the patient or touch only intact skin.
Most non critical reusable items may be decontaminated?
Where they are used and do not need to be transported to a central processing area.
The committee of the IPCC must include?
A chairman, representative from each of the major clinical services, all IPS, and others as assigned by the commander, CO or OIC.
All Navy IPCC's must meet at least?
Quarterly
At a minimum, each inpatient MTF should have an IP position that is a what fulltime equivalent to oversee the IPC program?
1.0
Additional IPs at a ratio of 0.8 to 1.0 FTEs are advised for how many beds? And/or 1.0 FTE IP for managing how many ICU beds?
100 occupied acute care beds, or portion thereof. Or 1.0 for 30 to 40 beds.
Freestanding ambulatory care facilities, must also have staffing at least 1.0 FTE for up to how many care and dental visits per year?
200,000
At a minimum, each ambulatory care or dental directorate of MTFs and DTFs must establish?
1.0 FTE IP position to oversee the infection prevention program.
Author
MarissaF
ID
326987
Card Set
BUMEDINST 6220.9B Health care-associated infection prevention and control program
