After a blood draw, where does a gauze pad soaked with blood belong?
- Biohazard bag
- Soiled linen hamper
- Regular trash can
- Sharps container
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A. Biohazard bag
Items saturated with blood are regulated waste and go in a labeled biohazard (red) bag. The sharps container is reserved for objects that can cut or puncture.
Reference: OSHA Bloodborne Pathogens Standard, 29 CFR 1910.1030, regulated waste
When must hands be washed with soap and water instead of an alcohol-based hand rub?
- Before entering every exam room
- After removing clean gloves
- When hands are visibly soiled
- Before taking a blood pressure
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C. When hands are visibly soiled
Alcohol rub does not remove visible dirt, blood or body fluids, so soap and water are required when hands are visibly soiled (and after caring for a patient with C. difficile). For routine contact with clean-looking hands, alcohol rub is acceptable.
Reference: CDC hand hygiene guidance for healthcare settings
Before instruments are disinfected or sterilized, they must first be:
- Wrapped and dated for storage
- Sanitized to remove debris
- Soaked in sterile saline overnight
- Rinsed in alcohol and air dried
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B. Sanitized to remove debris
Sanitization (cleaning with detergent and water, by hand or in an ultrasonic cleaner) removes organic material that would shield microorganisms. Wrapping comes after cleaning, just before the autoclave.
Reference: Medical asepsis: sanitization, disinfection, sterilization