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39 Cards in this Set
- Front
- Back
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What are the types/classes of communicable disease exposures?
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Type A, Type B, Type C, and Type D, from most to least serious.
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What is a Type A communicable disease exposure?
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PERCUTANEOUS EXPOSURE (through the skin), e.g. needle stick, cut. It is any blood or body fluid contact with chapped, abraded or irritated skin, or any prolonged or extensive skin contact with blood or bodily fluids
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What is a Type B communicable disease exposure?
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MUCOUS MEMBRANE EXPOSURE with blood or bodily fluids, e.g, splash to eye, nose or mouth, or resuscitation using mouth to mouth.
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What is a Type C communicable disease exposure?
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DIRECT RESPIRATORY EXPOSURE to droplets or discharges from nose or throat of infected person,
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What is a Type D communicable disease exposure?
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INDIRECT RESPIRATORY EXPOSURE to airborne spread of secretions by infected persons, e.g, vicinity exposure to someone infected with chicken pox or measles
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What PPE shall be worn to every EMS call to prevent exposure?
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Eye protection and disposable gloves within 6 feet of the patient, Splash protection if it looks like you might get it on you. N95/P100 mask when potential exists for contact with blood, body fluids, non-intact skin or other infectious material.
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Who is the Infection Control Officer?
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The Continuous Quality Control Officer
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Who is the Field Infection Control Officer?
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Med 30
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Duties of Infection Control Officer
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- Administrative support to Field Infection Control Officer
– Liaison between FD and Employee Health Services – Develop/recommend criteria for Infection Control PPE – Notify DSO if QA indicates a safety hazard requiring immediate attention or possible Safety Alert - ensure compliance with OSHA 29 CFR Part 1910.1030 |
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Duties of Field Infection Control Officer
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Primary contact for all suspected exposures
– evaluate possible exposures to communicable diseases and coordinate between SJFD, Employee Health Services, Hospitals, and County Public Health. – Maintain confidential medical and exposure records of SJFD personnel – Contact PEPline (National HIV/AIDS clinician’s consultation center) when there is an exposure and attending physician is uncertain/unaware of current available Post-Exposure Prophylaxis (PEP). |
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Who is the primary contact for all suspected exposures?
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Field Infection Control Officer (Med 30)
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When is the Field Infection Control Officer available?
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24 hours a day, 7 days a week
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Duties of Company Officers under the Infection Control Program?
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- Support and enforce compliance
– Correct any unsafe acts – Refer members for remedial infection control program training – Mandate safe operating practices on scene and at the station. – Investigate and document any lack of appropriate application of PPE or mechanical failure of PPE that may have resulted in actual/potential exposure of SJFD personnel. – Refer for medical evaluation any personnel possibly unfit for work due to actual/potential exposure |
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Duties of all Members under Infection Control Program
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Assume ultimate responsibility for own health and safety.
– Always use appropriate PPE – Report any suspected occupational exposure to superior – Report any diagnosis of infectious agent (occupational or other) to Field Infection Control Officer and Employee Health Services – Complete all medications and treatments as directed by treating physician. – Complete annual health evaluations (City Physical) from Employee Health Services. – TB test at time of hire, annually, within one week of confirmed TB exposure, and 12 weeks after exposure. – Hepatitis B vaccine or refusal form. – Other immunizations as required by the department (or waivers/declination forms thereof) |
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What to do if exposed to potentially infectious material?
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- Immediately wash the exposed area with soap and water, or saline rinse for eyes.
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What to do if you suspect an exposure?
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– Immediately report any potential exposure to your supervisor
– Supervisor will immediately report the exposure to the Infection Control Officer/Field Infection Control Officer through Fire Communications – |
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If you have an exposure to the eye, mouth or mucous membrane, non-intact skin, or parenteral contact with blood, body fluid or other potentially infectious materials in the course of their duties you shall _______.
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Follow the Standard Reporting Procedure.
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What is the Standard Reporting Procedure for Infectious Disease Exposure?
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- After personal and equipment decontamination, contact Fire Communications and ask them to page the Infection Control Officer. ALWAYS go through Communications.
– If no answer within 15 minutes of the first request, request a second page. – If no answer to the second page, ask Communications to contact the EMS Division manager or the Director of BET. |
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What/when is there an exception to the Standard Reporting Procedure?
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If you suspect an exposure and have accompanied the patient to the hospital, contact Communications and page the Infection Control Officer immediately. If there are significant delays in reporting an exposure it may jeopardize testing of the source patient.
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When the Infection Control Officer contacts you, what Pertinent Exposure Info do you need to have ready?
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- Level of Exposure – Station and Shift – Incident number, date time and location – Outside agency unit identification (e.g. Paramedic unit number & agency, Police badge, name and agency) - Expected destination of patient (hospital, morgue, jail) – Patient info; Name, age, date of birth, gender – Precautions taken – Suspected/confirmed disease exposed to – Names/home/cell numbers of personnel exposed – Any other pertinent information
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Where else should the Pertinent Information be recorded?
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The Pertinent Information should also be recorded in the company journal.
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What difference, if any, does it make if criminal investigation or arrest is indicated?
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If criminal investigation/arrest is indicated and AIDS or other kind of communicable disease exposure is suspected the Infection Control Officer will complete and route the “Request for AIDS Testing” form for attachment to the police report prior to review by the DA’s office.
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What paperwork needs to be completed for all exposures?
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Form 240-120A needs to be completed for all exposures per the IIPP.
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What paperwork needs to be done for exposures where symptoms are experienced, a doctor is seen, or time is missed from work?
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- 240-120A
– 240-120F – 5020 – DWC-1. |
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Can I follow up on my own with the hospital or other agency?
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NO! Don’t attempt to contact other agencies for follow-up or investigation. All follow-up and investigation will be done by the Infection Control Officer
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What are the levels of exposure?
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Level I, Level II or Level III
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What is a Level I exposure?
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A Level I exposure consists of contact limited to merely being in the presence of someone suspected of having a communicable disease.
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What needs to be done for a Level I exposure?
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Nothing special needs to be done for a Level I exposure. Measles and Chicken Pox are exceptions. Being in the presence of someone suspected of having either of these is a Level III exposure.
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What is a Level II exposure?
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Contamination of clothing or equipment by a patient’s bodily fluids is a Level II exposure.
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What needs to be done for a Level II exposure?
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The contaminated articles need to be decontaminated according to department protocol
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What is a Level III exposure?
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Exposure of skin, mucous membranes or conjunctival membranes to patient’s bodily fluids (e.g. blood, vomitus, feces) is a Level III exposure. Other Level III exposures include; patient with active symptoms of TB, chicken pox, measles, ingestion of possible “contaminated” food, needle stick, open cut or sores, human bite, and active coughing in close proximity to rescuers.
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What needs to be done for a Level III exposure?
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Contact Infection Control Officer through Communications as per Standard Reporting Procedure.
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When can we request AIDS testing?
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When a SJFD member has a reasonable belief that they have been exposed to a communicable disease through contact with an individual in police custody we can file a “Request for AIDS Testing”
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What is the procedure for a “Request for AIDS Testing”?
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If cause exists to request the testing, the affected member, while on the scene, through the chain of command (the captain or chief) will report the exposure to the arresting officer and – Advise that SJFD will be submitting documentation for “Request for AIDS Testing”. – Provide name(s) and assignment(s) of affected SJFD member(s). – Get the arresting officer’s name, badge number and department – Get the person in custody (Exposer) name, Date of Birth, case number and booking number. – Get the destination of the person in custody (Hospital, jail, etc) – Contact the Infection Control Officer through the “Standard Reporting Procedure”
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What is the solution used to disinfect equipment?
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One gallon of water with ¼ cup of bleach added.
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What shall be done with contaminated supplies?
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Contaminated disposable supplies shall be placed in a red biohazard bag and transported with the patient.
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How is clothing decontaminated?
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Contaminated clothing, just like any other contaminated item, shall be handled with disposable gloves on. Station uniform shall be machine washed and dried according to manufacturer’s instructions, or alternatively brought in a plastic bag to a professional cleaner. If taken to the cleaner, be sure to let them know it is contaminated with blood, body fluids, or whatever.
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What shall be done with contaminated PPE?
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On returning to the station it should be packaged (bagged and tagged) for cleaning according to SOP. On the tag note the contamination and kind of biohazard. The EMS jackets should also be cleaned through this process. Disposable items should be disposed of appropriately.
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How shall boots be decontaminated?
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Boots shall be scrubbed with a brush, soap and hot water. If necessary they can be sprayed with an aerosol disinfectant.
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