Bumedinst 6220.9B, Healthcare-Associated Infection Prevention And Control Program

Front 1

All cases in MTFs and DTFs involving serious injury, prolonged disability, or death secondary to HAIPC problem, regardless of whether the patient is in active duty or civilian status, need to be reported to what both

locally and at BUMED? (Page 9)

Back 1

Patient Safety and

Risk Management

Front 2

What program covers all aspects of health care operations? (Page 3)

Back 2

HAIPC

Front 3

Who interprets DoD, SECNAV, and CNO policies and provides guidance for Navy-wide HAIPC Program implementation? (Page 6)

Back 3

BUMED Infection

Control Consultant

(BUMED-M3/5)

Front 4

Who acts as liaisons for construction/renovation/mitigation projects by providing infection control risk assessments (ICRAs) and helping to

ensure patient safety from transmission of infectious diseases related to each project? (Page 3)

Back 4

BUMED Infection

Preventionists (IPs)

Front 5

Dental unit waterline monitoring and treatment must follow CDC Dental Guidelines and EPA standards of less than how many CFUs/ml? (Page 5)

Back 5

500

Front 6

HAI prevention principles and procedure training must occur during

initial indoctrination, as needed, and at least how often thereafter?

(Page 2)

Back 6

Annually

Front 7

Commanders, COs, or OICs will appoint an IPCC to implement the HAIPC Program per what reference? (Page 7)

Back 7

BUMEDINST 6010.13

Front 8

Regulated Medical Waste (RMW) and general trash must be collected, treated, stored, disposed of, and managed following relevant local

regulations and guidelines provided in what reference? (Page 4)

Back 8

BUMEDINST 6280.1A

Front 9

All bedded health care facilities as well as clinics attached to a bedded

facility are eligible for participation in HHSN as of what year? (Page 3)

Back 9

2010

Front 10

What allows data comparisons at multiple levels for purposes of

performance improvement? (Page 5)

Back 10

Benchmarking

Front 11

Freestanding ambulatory care facilities, including DTFs, must have the recommended staffing of at least 1.0 FTE IP for up to how many

ambulatory care and dental visits per year? (Page 7)

Back 11

200,000

Front 12

By what means shall all eligible MTFs and DTFs report HAIs? (Page 9)

Back 12

CDC's NHSN

Front 13

Who will oversee the Navy IP program to interpret requirements and

facilities interoperability? (Page 8)

Back 13

BUMED IP SME

Front 14

Routine microbiological surveillance of hospital or clinic environments adds little to infection prevention/control and should be restricted to

investigations of outbreaks when recommended by the IP or who else? (Page 4)

Back 14

IPCC Chairman

Front 15

How often must all Navy IPCCs meet? (Page 7)

Back 15

Quarterly

Front 16

Commands must ensure that all personnel, including direct and indirect care providers, administrators, ancillary services, volunteers, students, and others who come within how many feet of patients receive and

maintain vaccination against seasonal influenza? (Page 2)

Back 16

3

Front 17

What is critical in identifying outbreaks, emerging infectious diseases,

antibiotic-resistant organisms (AROs), and bioterrorism events so that

infection prevention measures can be instituted? (Page 1)

Back 17

Infection surveillance

Front 18

Commands must oversee reporting of communicable diseases per local or state requirements and per what reference? (Page 4)

Back 18

BUMEDINST 6220.12B

Front 19

What reference requires infection prevention and control committees (IPCCs) to be established in MTFs and DTFs? (Page 1)

Back 19

BUMEDINST 6010.13

Front 20

The HAIPC is guided by a written plan that includes at a minimum amongst other items an ICRA how often? (Page 6)

Back 20

Annually

Front 21

In general, infections are not considered HAIs unless the onset of the

infections occur more than how many hours after the time of admission of treatment? (Enclosure 2, Page 1)

Back 21

48 hours

Front 22

What term is defined as an illness due to a specific infectious agent or toxic products which arises through transmission of that agent or its products from an infected person, animal, or inanimate reservoir to a susceptible host, either directly or indirectly? (Enclosure 2, Page 1)

Back 22

Communicable Disease

Front 23

What is defined as an organism that is capable of producing infection or infectious disease? (Enclosure 2, Page 1)

Back 23

Infectious Agent

Front 24

What confer a high risk for infection if they are contaminated with any microorganism, including bacterial spores? (Enclosure 2, Page 1)

Back 24

Critical Devices

Front 25

What is an infection whose manifestations are not evident either at

admission or within a likely incubation period for acquisition outside the health care facility? (Enclosure 2, Page 1)

Back 25

HAI

Front 26

What type of medical devices contact mucous membranes or non-intact skin? (Enclosure 2, Page 2)

Back 26

Semi-critical

Front 27

Clinical dentistry is practiced under how many basic conditions that

require the application of infection control measures to mitigate the risk of cross-contamination? (Enclosure 4, Chapter 1, Page 2)

Back 27

Two

Front 28

Water and air must be flushed for how many seconds after each patient from any device connected to the dental water system that enters the

patient's mouth? (Enclosure 4, Chapter 1, Page 1-3)

Back 28

20-30 seconds

Front 29

What technique should be used to recap anesthetic needles?

(Enclosure 4, Chapter 1, Page 1-3)

Back 29

One handed

"scoop" method

Front 30

Aerosols take considerable energy to generate, consist of particles less than how many microns in diameter, and are not typically visible to the naked eye? (Enclosure 4, Chapter 1, Page 2)

Back 30

10

Front 31

What concept is the quantity of materials or supplies required to treat a single patient? (Enclosure 4, Chapter 1, Page 1-2)

Back 31

Unit dose

Front 32

What are incompatible with infection control principles and should not be in DTRs? (Enclosure 4, Chapter 1, Page 1-1)

Back 32

Electric fans

Front 33

What items must be heat sterilized after cleaning following local CSR standard operating procedures? (Enclosure 4, Chapter 1, Page 1-3)

Back 33

Critical and Semi-Critical

Front 34

For routine dental treatment output water there must be less than or equal to what amount of CFUs per ML of heterotrophic water bacteria to meet EPA standards for drinking water? (Enclosure 4, Chapter 1, Page 1-1)

Back 34

500

Front 35

Each day should begin with a hand wash with a minimum duration of how many seconds from fingertips to the wrist with soap and lukewarm water? (Enclosure 4, Chapter 1, Page 1-1)

Back 35

15

Front 36

The method of transporting contaminated instruments from the DTR to CSR is based on the result of the clinic's risk assessment and may require more stringent containment and labeling per what standards?

(Enclosure 4, Chapter 1, Page 1-4)

Back 36

OSHA

Front 37

What are the two functional areas that need to be considered when

developing dental laboratory infection control procedures?

(Enclosure 4, Chapter 2, Page 2-1)

Back 37

DTR and Dental

Laboratory

Front 38

What are the two most common patient care items that rely on dental laboratory support and carry a multitude of oral microorganisms

originating from dental plaque, blood, and saliva?

(Enclosure 4, Chapter 2, Page 2-1)

Back 38

Prosthesis and

oral impressions

Front 39

What indicates that all blood, saliva, and body fluids in the health care setting should be treated as potentially infectious as indicated by OSHA? (Enclosure 4, Chapter 2, Page 2-1)

Back 39

Standard precautions

Front 40

What should never be used to polish wax patterns on denture Wax-up? (Enclosure 4, Chapter 2, Page 2-5)

Back 40

Saliva

Front 41

Before turning on the lathe ensure that protective eyewear is worn,

plexiglass is properly positioned, and the vacuum ventilation system is activated (at least how many feet/minute continuous suction)?

(Enclosure 4, Chapter 2, Page 2-5)

Back 41

200

Front 42

Some microorganisms within prosthetic materials are known to survive up to how many days? (Enclosure 4, Chapter 2, Page 2-1)

Back 42

7

Front 43

What regulations are materials that originate from either the treatment area or dental laboratory that are not decontaminated subject to

regarding transportation and shipping of potentially infectious materials? (Enclosure 4, Chapter 2, Page 2-3)

Back 43

OSHA

Front 44

What must be used when there is potential for splash, spatter, spray, or exposure to aerosols created while working with contaminated materials or performing disinfection procedures? (Enclosure 4, Chapter 2, Page 2-6)

Back 44

Face masks

Front 45

How often should pumice brushes be cleaned, disinfected, and sterilized? (Enclosure 4, Chapter 2, Page 2-4)

Back 45

Daily

Front 46

What form should be used to clearly label the method of disinfection used for contaminated items? (Enclosure 4, Chapter 2, Page 2-3)

Back 46

DD Form 2322

Front 47

What should be used on film packets to minimize the risk of

contamination of the fabric light shield sleeves?

(Enclosure 4, Chapter 3, Page 3-2)

Back 47

Plastic infection

control barrier

Front 48

Digital sensors and other high-tech instruments that come int contact with oral mucous membranes are considered to be what type of devices? (Enclosure 4, Chapter 3, Page 3-3)

Back 48

Semi-critical

Front 49

How often must all counter surfaces be disinfected in the Darkroom?

(Enclosure 4, Chapter 3, Page 3-1)

Back 49

Daily