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ACUPUNCTURE CNT PART II: BEST PRACTICE PROTOCOLS QUESTIONS WITH 100% ACCURATE ANSWERS, Exams of Public Health

Yale UniversityPublic Health

ACUPUNCTURE CNT PART II: BEST PRACTICE PROTOCOLS QUESTIONS WITH 100% ACCURATE ANSWERS

Typology: Exams

2024/2025

Available from 07/13/2025

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ACUPUNCTURE CNT PART II: BEST PRACTICE
PROTOCOLS QUESTIONS WITH 100%
ACCURATE ANSWERS
What is the standard by which acupuncturists prevent occupational exposure to healthcare associated
pathogens, including blood borne pathogens and surface pathogens, and reduce the risk of some other
adverse events associated with acupuncture? - Accurate answers Clean needle technique (CNT)
Clean Needle Technique must be distinguished from what? - Accurate answers Sterile technique
True or false: CNT is a clean rather than sterile procedure. - Accurate answers True
True or false: Gloves do not need to be worn except under specific conditions where exposure of the
practitioner to blood or other potentially infected body fluids is possible. - Accurate answers True
Gloves are worn: - Accurate answers 1. When blood is involved
2. When needling in the genital region or mouth
3. Lesions on the patient's skin
4. Lesions or open wounds of the acupuncturist's hand
5. When cleaning blood or OPIM from a surface
What is the best way to reduce the number of microbes? - Accurate answers Washing hands with
soap and water
What to do when soap and water are not available? - Accurate answers Use 60% alcohol sanitizer
Critical safety guidelines for hand sanitation: - Accurate answers 1. How to wash hands or how to
use hand sanitizer
2. Use at least 60% alcohol sanitizer before and after treating patient
3. Do not use alcohol-based hand products to wash hands after exposure of non-intact skin to blood or
body fluids
4. Wash hands BEFORE entering patient's room
5. Wash hands immediately prior to inserting acupuncture needles. Rewash hands if come into contact
with pens, clothes, charts, etc
6. Wash hands after touching patient
7. Wash hands before and after eating
8. Wash hands with soap and water after using restroom
9. Wash hands after coughing or sneezing
10. Wear gloves when blood or body fluids involved
11. Remove gloves immediately after exposure. Wash hands or sanitizer
Critical of wash hands: - Accurate answers 1. Wash hands with running water (neutral or warm)
2. Lather your hands by rubbing
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Download ACUPUNCTURE CNT PART II: BEST PRACTICE PROTOCOLS QUESTIONS WITH 100% ACCURATE ANSWERS and more Exams Public Health in PDF only on Docsity!

ACUPUNCTURE CNT PART II: BEST PRACTICE

PROTOCOLS QUESTIONS WITH 100%

ACCURATE ANSWERS

What is the standard by which acupuncturists prevent occupational exposure to healthcare associated pathogens, including blood borne pathogens and surface pathogens, and reduce the risk of some other adverse events associated with acupuncture? - Accurate answers Clean needle technique (CNT) Clean Needle Technique must be distinguished from what? - Accurate answers Sterile technique True or false: CNT is a clean rather than sterile procedure. - Accurate answers True True or false: Gloves do not need to be worn except under specific conditions where exposure of the practitioner to blood or other potentially infected body fluids is possible. - Accurate answers True Gloves are worn: - Accurate answers 1. When blood is involved

  1. When needling in the genital region or mouth
  2. Lesions on the patient's skin
  3. Lesions or open wounds of the acupuncturist's hand
  4. When cleaning blood or OPIM from a surface What is the best way to reduce the number of microbes? - Accurate answers Washing hands with soap and water What to do when soap and water are not available? - Accurate answers Use 60% alcohol sanitizer Critical safety guidelines for hand sanitation: - Accurate answers 1. How to wash hands or how to use hand sanitizer
  5. Use at least 60% alcohol sanitizer before and after treating patient
  6. Do not use alcohol-based hand products to wash hands after exposure of non-intact skin to blood or body fluids
  7. Wash hands BEFORE entering patient's room
  8. Wash hands immediately prior to inserting acupuncture needles. Rewash hands if come into contact with pens, clothes, charts, etc
  9. Wash hands after touching patient
  10. Wash hands before and after eating
  11. Wash hands with soap and water after using restroom
  12. Wash hands after coughing or sneezing
  13. Wear gloves when blood or body fluids involved
  14. Remove gloves immediately after exposure. Wash hands or sanitizer Critical of wash hands: - Accurate answers 1. Wash hands with running water (neutral or warm)
  15. Lather your hands by rubbing
  1. Scrub hands for 10 to 15 seconds
  2. Rinse your hands well under clean, running water, with your hands lower than your elbows
  3. Dry hands using clean paper towel
  4. Turn off faucet using paper towel
  5. Open doors btw. you and patients using paper towel, or re-clean hands upon entering patient's room Critical of how to use hand sanitizer: - Accurate answers 1. Apply product to the palm of one hand
  6. Rub hands together
  7. Rub over all surfaces of hands and fingers until hands are dry Critical safety guidelines for preparing and maintaining a clean field: - Accurate answers 1. Follow safety guidelines for hand sanitation
  8. Select a clean, dry, flat surface to serve as the setting for the clean field. A treatment table is not suitable.
  9. A new clean field for each patient
  10. Place acupuncture materials on the clean field
  11. Place clean cotton balls or unopened swabs on the field.
  12. Clean the surface used for the clean field with a low-level disinfectant at least once daily. Strongly recommended safety guidelines for preparing and maintaining a clean field: - Accurate answers 1. Place clean cotton balls or unopened swabs on the clean field (clean jar)
  13. Keep sterile items near the center of the clean field with clean items near the edges
  14. Clean blister packs of sterile needles may be handled and replaced back onto the clean field.
  15. Clean previously sterilized guide tubes may be handled and replaced back onto the clean field. Should needles be inserted through inflamed, irritated, diseased, or broken skin? - Accurate answers Never If area is clean, should you still use alcohol swabbing? - Accurate answers Recommended but not essential If swabbing an area, what is required to swab? - Accurate answers 70 % alcohol or ethanol True or false: Isopropyl alcohol above 70% is unacceptable because it evaporates too quickly to have an antiseptic effect. - Accurate answers True True or false: Practitioner's hands and patient's skin at the acupuncture point need to be clean prior to administration of a needle. - Accurate answers True Can you use the same alcohol swab to swab the points? - Accurate answers Yes True or false: A separate swab should be used for areas of high bacterial load, such as axilla or groin. - Accurate answers True Critical safety guidelines for skin preparation: - Accurate answers 1. Hand sanitation
  16. Inspect area to be treated for visible dirt. Soap and water washing is required.
  17. Inspect area to be treated for inflammation, lesion, and infection or break in skin barrier. Do not needle
  1. Insert needle WITHOUT touching sterile shaft. 3 to 6 inch needles, the shaft may be held with sterile gauze or sterile cotton between the fingers and the needle shaft. A new needle MUST be used for each insertion.
  2. The needle is then stimulated for therapeutic effect.
  3. Do not place the needle in a tray for later transfer to the sharps container as this increases the risk of an accidental needle stick.
  4. In a multi-pack needles, all unused needles must also be disposed in the sharps container. Opened needle packs may not be used for different patient or a treatment at a later time. Acupuncturists with visibly dirty hands should wash their hands with: - Accurate answers Soap and water In regards to clean field, which of the following statements is FALSE? - Accurate answers A. After being handled, guide tubes from the blister pack can be put on the clean field B. After being handles, a blister pack of needles cannot be put back on the clean field. C. Blister packs of needles can be placed on the clean field D. Cotton balls can be put on the edge of the clean field You have needled ST-36 (zu san li). You notice that your location is slightly off. What should you do? - Accurate answers A. Withdraw the needle, put in a sharps container, and use a new needle In regards to a clean field, which of the following statements is FALSE? - Accurate answers A. Establish a new clean field for each patient B. Place cotton balls or unopened swabs on the clean field C. Do not use the treatment table for a clean field D. The clean field is disinfected after each patient. After opening a multi-pack of 5 needles, you place the pack on the clean field. You have used 3 needles in your treatment. What should you do with the sterile and unused needles? - Accurate answers Dispose in sharps container You are about to needle ST-36 (zu san li). You take an emergency telephone call. Which is the correct action to take after you have answered the phone? - Accurate answers Wash hands with soap Basic principles of Clean Needle Technique (CNT): - Accurate answers 1. Always wash hands between patients (before and after needling)
  5. Always establish a clean field before performing acupuncture
  6. Always use sterile single-use needles (seven-star hammers, press tacks/intradermal needles, and lancets)
  7. Always immediately isolate used needles and other sharps
  8. Follow standard precautions What is the single most important action in preventing cross-infection? - Accurate answers Handwashing with liquid soap under running water (no bar soap) True or false: CDC allows for the use of disinfecting hand wipes when soap and water hand washing is not an option. - Accurate answers True

What is the best way to remove contamination when the practitioner's hands are soiled? - Accurate answers Wash hands with soap and water What is the greatest source of infection risk to the practitioner and patient? - Accurate answers Contaminated needles The greatest risk of blood borne pathogen transmission comes from what? - Accurate answers Needlestick injuries How often should practitioners checked expiration date on all needles? - Accurate answers Regularly (monthly) True or false: Alcohol swabbing is recommended but not essential before acupuncture needle insertion as long as an area is clean. - Accurate answers True True or false: It is acceptable clean technique to palpate the acupuncture point after cleaning the skin, as long as the hands are clean and have not been contaminated. - Accurate answers True True or false: For children, needle depths should be less than for an adult. - Accurate answers True True or false: Safe needling depth of the thoracic region to avoid pneumothorax and cardiac tamponade on most patients can be as little as 20 - 30 mm. - Accurate answers False (10 - 20 mm) True or false: Inserting needle in soft tissue abdominal depths in an adult can vary from 4 - 6 cm and will be less if the patient is thin or the tissue is compressed by palpation. - Accurate answers False (2 - 4 cm) Can I touch the needle during needle insertion? - Accurate answers No (Can't touch the shaft of the needle) Support the shaft of the needle during needle insertion. Must use a sterile barrier between your fingers and the shaft of the needle. True or false: It is ok to hold the needle shaft with their clean (but not sterile) hands. - Accurate answers False True or false: It is ok to use your hand or finger to cover the hole after needle removal. - Accurate answers False (always use a cotton ball or other clean, absorbent materials-swab or gauze) Of the bloodborne pathogens, what is the most likely to be passed by needle stick exposure? - Accurate answers HBV True or false: Sharps container should be directly on the treatment table. - Accurate answers False (Right beside the treatment table) How often should you replace sharps container? - Accurate answers When it is 3/4 full What is the best method of avoiding a needle stick with an acupuncture needle that has been used? - Accurate answers Proper handling

When using the single guide tube in a bundle acupuncture pack, you should: - Accurate answers Drop the needle into tube, handle first What is the proper procedure for stabilizing the shaft of a long needle? - Accurate answers Stabilize with sterile gauze or sterile cotton ball If the acupuncturist wants to "close the hole" after removing the needle, he can do so with: - Accurate answers The index finger A sterile cotton ball A wet cotton ball A clean, dry cotton ball. True or false: The travel kit should be hard-sided inside and out so that all surfaces can be thoroughly cleaned. - Accurate answers True True of false: Cotton balls and paper towels, etc in its own smaller bags, then put in larger bags (gallon size ziplock). - Accurate answers True Travel kits contain at least how many needles? - Accurate answers At least 20 needles (20 of 1 inch and 20 of 1.5 inch) True or false: Commercially prepared clean fields, clean paper toweling or other clean surface (tray) can be served as clean field and must be packed in its own ziplock plastic bag or container. - Accurate answers True Travel/house call kits include (Clean items): - Accurate answers -20 needles -Clean paper towel/tray -20 clean, dry cotton balls (need not be sterile) -5 gauze pads (2x2) in its owe bag -One pair of gloves (individual pack) -30 alcohol pads (70% isopropyl alcohol) Travel call kits (Non-clean items): - Accurate answers -Small paper bag with a plastic liner for trash (Waste/Trash) -Small sharps container (Biohazard symbol)--Blood soaked cotton balls Blood-tinged cotton balls should be discarded where? - Accurate answers Trash Blood-soaked cotton balls should be discarded where? - Accurate answers Sharps container Travel kit items not need to be in bags: - Accurate answers -Alcohol based hand sanitizer -Hemostat or tweezers (remove broken, stuck needles or to pick up needles from the floor if dropped) Preparing the travel kit: - Accurate answers 1. The hard-sided container must be washed inside and out in hot, soapy water and dried with clean paper.

  1. Hands should be washed before assembling the kit.
  2. Clean paper towels
  3. Clean cotton balls
  1. Pre-packaged alcohol swabs directly from their original box.
  2. Disposable needles should be placed into the travel kit directly from the original box Treatment protocol in a travel setting: - Accurate answers 1. Select clean surface to serve as the clean field. Soap and water and dry it thoroughly if necessary.
  3. Open travel kit and remove alcohol based hand sanitizer. Set it up near where the clean field will be placed.
  4. Wash hands for at least 10 - 15 seconds under running water
  5. Remove clean paper towel that will serve as a clean field. (Only grab the four corners of the paper towel)
  6. Sterile items (Needles on the center of the clean field first). Cotton balls and swabs should be placed near the edges of the field. Waste bag and opened sharps container should be placed last, outside the clean field.
  7. Ensure acupuncture points to be used is cleaned. allow 70% alcohol to dry before needling.
  8. If a guide tube is to be reused, it should be placed on the clean field between uses.
  9. One needle one insertion
  10. Count # of needles used
  11. Remove needles, put in sharps container STAT
  12. A wet cotton ball or swab can increase infection
  13. Close lid of sharps container securely when you are done with the treatment
  14. Wash hands STAT after removing needles and before handling anything else
  15. Pack equipment correctly
  16. Wash hands since sharps container and waste bag were the last items handled. All of the following are acceptable containers for an acupuncture travel kit EXCEPT: - Accurate answers A. Tool box B. Art box C. Leather briefcase. D. Fishing tackle box You have done a house call. After the removal of the needle you see a small drop of blood on the skin. You wipe the blood with a clean and dry cotton ball that picks up the blood. What should you do with blood-tinged cotton ball? - Accurate answers A. Put in a sharps container B. Put in a plastic bag and then put in trash c. Put in a designated trash container. D. Put on the clean field to be discarded later When preparing an acupuncture travel kit, which of the following need NOT be placed in plastic bag? - Accurate answers A. One pair of commercially sealed gloves B. Hemostat, alcohol hand sanitizer. C. Single-use sterile acupuncture needles, alcohol swabs D. A small, red, and commercial sharps container What should you do if a patient faints while sitting up in a public health setting? - Accurate answers -Remove all needles STAT, legs elevated and head lowered -Placed patient on the floor if possible use finger to press DU 26 (Renzhong) -Call 911

-Guide tubes must be sterile at the beginning of the treatment and must not be used for more than one patient. -New clean field for each new patient. -Replace any cloth table covering after each patient visit. -Utilize gloves when blood is involved. - Accurate answers Strongly recommended -After needle removal, apply pressure with clean cotton or gauze. -Clean all treatment room surfaces with disinfectants daily. -If needle stick, seek medical advise STAT. - Accurate answers Strongly recommended -Practitioners should remove all jewelry and artificial nails prior to hand washing. -Explain acupuncture procedure and answer questions. -Inform patients that they should eat 1 to 2 hours prior to treatment -Practitioners should limit trace fingers or hands across a wide area of skin to locate points -Palpate SQ structures (blood vessels, tendons, muscles, and bones) before preparing sites for insertion.

  • Accurate answers Recommended