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CLEAN NEEDLE TECHNIQUE QUESTIONS WITH
100% ACCURATE ANSWERS
what is the purpose of CNT? - Accurate answers reduce risk of spreading infection from patient to patient, from patient to ourselves, or from ourselves to patient. Reason for CNT - Accurate answers Reduce risk of accidents Help maintain public safety Help meet medical, legal and ethical requirements of healthcare workers Sterilizatation - Accurate answers the process of destroying ALL microbial life (including viruses) via sterilants (chemicals) or sterilizing methods. Disinfection - Accurate answers the process that REDUCES the number of microbes on inanimate objects. Disinfected objects are considered "clean" Antiseptic - Accurate answers Chemicals used to reduce microbes on living tissue. They are used on patients and practitioners. Disinfectants - Accurate answers Chemicals used to reduce microbes on inanimate objects. They are used on tools and equipment. Aseptic Techniques - Accurate answers used to prevent infection during invasive procedures, such as for surgery, or other invasive procedures or dressing wounds. Clean techniques - Accurate answers used by acupuncturists during our needle insertion activities. Clean Field - Accurate answers Section of a work surface, including the skin of and surrounding the targeted acupoint, that has been prepared to manage acupuncture equipment in a way to protect the sterility of acu needles. Contraindications of needling - Accurate answers Excessively elevated blood pressure because of the risk of stroke Contraindications of needling - Accurate answers Intoxicated or chemically mind-altered state of you or your patient whether from illicit or prescription meds, alcohol or mental function. Contraindications of needling - Accurate answers Patient refusal Contraindications of needling - Accurate answers Wound at specific site of insertion (infection, bruise, rashes, etc.) Precautions of needling - Accurate answers Pregnant women Precautions if needling - Accurate answers Be aware if your patient is on blood thinners.
Precautions if needling - Accurate answers History of syncope/fainting Precautions if needling - Accurate answers Know if your patient has compromised ability to sense pain, temp, pressure, etc. Precautions if needling - Accurate answers Know anomolies and general health history of your patient. Precautions if needling - Accurate answers Time considerations True de Qi sensation - Accurate answers Felt when the needle is seated in the muscle layer, not the skin layer. That is, in the channel not the wei qi. How should de qi feel? - Accurate answers NOT excruciating pain. If it is excruciating, then something is wrong. If there is no sensation when the needle has punctured, you'll have likely - Accurate answers NOT contacted the qi. Patient de qi sensation descriptors - Accurate answers Dull ache, numbness, distention, heavy feeling, tight feeling, cold feeling, warm feeling, electric shock that doesn't last long, radiation to another location. Practitioner De Qi sensation descriptors - Accurate answers Heavy, tight pressure, perhaps slight muscle twitch (good visual cue), gentle reddening of the surrounding tissue, grasped or "fish tugging on the line" sensation. Theraputic effects of TDP Lamps - Accurate answers Dilating blood vessels and increasing blood flow and oxygen saturation. Accelerating the decomp of dead or unstable cells Enhancing white blood cell function, increasing immune response and stimulating hypothalamus, which controls the production of neurochemicals, which control sleep, mood, pain and bp. TDP lamp head is usually how far away from body - Accurate answers 8 inches awa. Mild stimulation with TDP lamps should be used .... - Accurate answers around the eyes if there are metals inside the irradiated part of body when treating chillblain and ulcer as well as infants. Increased herb/drug absorption is seen with what? - Accurate answers With the use of TDP lamps simultaneously with linaments. Warning with TDP lamp - Accurate answers Unplug when installing or dismantling device Warnings with TDP lamp - Accurate answers The irradiation head will be considerably hoe when operating. Make sure that you move the lamp head out of range of contact with your patients when they move to get off table.
What bodily substances are NOT on the OPIM list? - Accurate answers tears, sputum, feces, urine, sweat, vomit, breast milk. Not on the list because they are not known to carry or support bloodborne pathogens of concern to us. Direct transmission - Accurate answers Person-to-person contact where pathogenic factor needs no contaminated intermediate object to facilitate the passage. Indirect Transmission - Accurate answers Requires a contanimated object to help make the connection between source and susceptible host. Droplet transmission - Accurate answers Larger particles are expelled from the respiratory tract when a person talks, coughs, sneezes and tend to impact receptors within a yard of the mouth/nose from which they were ejected. Airborne transmission - Accurate answers This route refers to the very small particles (fine mists and contaminated dust particles) that may remain airborne long enough for inhalation by another person. Common Vehicle Transmission - Accurate answers Contamination of everyday things that are shared by a larger community and normally assumed to be clean that are in fact, not clean. Diseases spread by contaminated food or water. Vector Transmission - Accurate answers Spread of diseases spread by insects and animals. Parenteral Transmission - Accurate answers Refers to the penetration into the skin by an object, such as a needle, knife, etc. Autogenous Infections - Accurate answers Occurs from pathogens that reside in or on a person's body. Cross-Infections - Accurate answers Occur from pathogens that are not resident in or on our body. This can be from direct or indirect contact. Direct acquisition of cross infection - Accurate answers Can occur when we come in direct contact with the blood or bodily fluid of a person who carries a particular virus or bacteria. Indirect Acquisition of cross infection - Accurate answers Can occur when we come in contact with a pathogen that has been deposited on an inanimate object, such as HBV tainted blood left on a guasha spoon. What is our #1 defense against disease? - Accurate answers Intact skin Contamination - Accurate answers The introduction of environmental contaminants or disease- causing microbes into or onto previously clean or sterile objects With E-Stem, DON'T do what? - Accurate answers -Don't interfere with implanted electrical stimulators -Do not cross the center line of the body
-Never combine plated needles, or solid needles made from soft metals Incubation for Hepatitis A - Accurate answers 15-50 Days Transmission of Hepatitis A - Accurate answers Fecal-Oral Onset of Hepatitis A - Accurate answers Abrupt Vaccine for Hepatitis A - Accurate answers Yes Is Hepatitis A Chronic? - Accurate answers No Incubation of Hepatitis B - Accurate answers 50-180 Days Transmission of Hepatitis B - Accurate answers Bloodborne Onset of Hepatitis B - Accurate answers Insidious Vaccine for Hepatitis B? - Accurate answers Yes Is Hepatitis B chronic? - Accurate answers Depends on the age group Incubation of Hepatitis C - Accurate answers 20-90 days Transmission of Hepatitis C - Accurate answers Bloodborne Onset of Hepatitis C - Accurate answers Insidious Vaccine for Hepatitis C? - Accurate answers No Is Hepatitis C chronic? - Accurate answers 60-70% is chronic Incubation for Hepatitis D - Accurate answers Unknown Transmission of Hepatitis D - Accurate answers Unknown Onset of Hepatitis D - Accurate answers Unknown Vaccine for Hepatitis D? - Accurate answers No Is Hepatitis D chronic? - Accurate answers Unknown Incubation for Hepatitis E - Accurate answers 15-60 Days Transmission of Hepatitis E - Accurate answers Fecal-Oral Route Onset of Hepatitis E - Accurate answers Abrupt
Why is alcohol above 70% concentration not appropriate for preparing a patient's skin for needle insertion? - Accurate answers Because the alcohol will evaporate too quickly to have an antiseptic effect if above 70%. When needling in thoracic and back regions, what should you be cautioned of? - Accurate answers Muscles are sometimes thin and important viscera such as the heart, lungs, liver and spleen are in close proximity. It is advisable to puncture cautiously, preferably at an appropriate angle as indicated in standard texts. The head and facial region should generally be punctured how? - Accurate answers Superficially or obliquely, as the tissues and muscles are thin in those areas. HBV viruses can survive for how long? - Accurate answers They can survive on surfaces for more than one week at room temperature. When is blood considered medical waste? - Accurate answers When cotton soaked with blood can be wrung out. Less blood should be considered trash and placed in a trash bag. What are the signs and symptoms of a Lung puncture? - Accurate answers Pain in the chest and cough. In severe cases there may be dyspnea, pallor, cyanosis, coma, etc. Fatality may occur in very severe cases or if the case is not managed properly. What are the signs and symptoms of puncture the liver or spleen? - Accurate answers Abdominal pain, rigidity of abdominal muscles, and/or rebound pain upon pressure. What are the signs and symptoms of puncturing a Kidney? - Accurate answers May cause pain in the lumbar region, tenderness and pain upon percussion around kidney region, and bloody urine. Coma may result if blood loss is great. What points must you be worried about puncturing the spinal cord? - Accurate answers DU 15 and DU 16. There may be bleeding and other severe consequences. Clinical manifestations are convulsions, paralysis and coma. If you have punctured a vein, for how long must you apply pressure? - Accurate answers 30 seconds up to a minute If you have punctured an artery, for how long must you apply pressure? - Accurate answers Up to 5 minutes When might a broken needle occur? - Accurate answers 1) there are cracks or erosions on the shaft of the needle
- the quality of the needle is poor
- the patient has change position to too great of an extent
- there is a strong spasm of the muscle
- Excessive force is used in manipulating
- the needle has been struck by an external force
- A bend needle has been rigidly withdrawn
