Quiz 4: Support Services and Documentation

Please choose the one, most correct answer to each question or statement.

1. What are healthcare support services?
   • The services that find adequate funding to pay healthcare staff
   • The services that make sure that staff have a safe working environment
   • Services which care for staff if they become infected with Ebola
   • The services which help staff find employment
2. What is the procurement of provisions in a healthcare service?
   • Buying the goods needed for delivering healthcare services
   • Locking up equipment to make sure that it is not stolen
   • Repairing damaged equipment needed for a support service
   • Counting provisions to assess whether they are adequate
3. What considerations are needed in dealing with donated stock?
   • Making sure that the donor’s name is displayed
   • Making sure that the donor is told whether the stock is used
   • Making sure that any unused stock is returned to the donor
   • Making sure that the donated stock is appropriate to the local conditions
4. Questions to ask when electrical machinery is donated:
   • Is there a service contract and are spare parts available?
   • Is this the most expensive equipment available?
   • Is the equipment brand new or has it been used before?
   • Is the equipment made in a foreign country?
5. What is decontamination of equipment?
   • Taking the equipment apart before it is cleaned
   • Making sure that the equipment has not been stolen or damaged
   • Ensuring that the equipment is safe to be used again on the next patient
   • Removing the name of the make or donor of the equipment
6. Cleaning equipment means:
   • Getting rid of all bacteria, viruses and fungi
   • Polishing the surface so that it shines
   • Removing dirt and organic matter
   • Soaking the equipment in alcohol
7. What is disinfection?
   • Deciding that a patient is no longer infectious
   • Using heat or a chemical to remove most microorganisms
   • Making sure that all microorganisms are removed
   • A test to determine whether equipment is clean enough to be used on patients
8. What disinfectant is commonly used on surfaces (the environment)?
   • Liquid soap
   • Chlorine bleach (chlorine solution)
   • Tap water
   • 50% alcohol or methylated spirits
9. Sterilisation is a method of:
   • Killing all microorganisms including spores
   • Cleaning metal equipment with chlorine
   • Making sure that all organic material is removed
   • Destroying soiled linen, surgical swabs or bandages
10. What is the meaning of reprocessing of devices?
    • Replacing old devices with new ones
    • A process which makes sure that it is safe to reuse a medical device
    • Ordering and paying for new devices
    • Repairing damaged or defective devices
11. What is the effect of exposing Ebola virus to heat generated by sunshine?
    • Sunshine (heat) has no effect on the virus
    • Sunshine (heat) stimulates the virus to rapidly multiply
    • Sunshine (heat) slows the growth of the virus
    • Sunshine (heat) rapidly kills the virus
12. How should you clean soiled bedpans and urinals?
    • Washing them well with soap and water is adequate
    • They should first be washed and then disinfected
    • They must be sterilised
    • They must be discarded and not used again
13. How should plates and saucers be cleaned in an Ebola outbreak?
    • Wash well under running water
    • Allow to soak for a few minutes in warm water and a detergent
    • They must always be wiped well with a chlorine solution
    • Discard or sterilise them
14. What is terminal cleaning?
    • Cleaning which is carried out after a patient has been discharged or has died
    • Cleaning the room of a patient who is severely ill or dying of Ebola
    • The weekly cleaning of a clinic on Friday afternoon after all the patients have left
    • The use of disinfectants to clean up a bed soiled with stool
15. How should a spill of blood or body fluid be handled?
    • Always clean the most contaminated area first
    • Spray a disinfectant on all surfaces then wash well
    • Wipe all surfaces with detergent and then a chlorine solution
    • Use a mask and apron and mop the floor with a weak detergent only
16. How should soiled linen be handled?
    • Soak in detergent then a chlorine solution for 30 minutes each
    • Clean off any obvious contamination then send to the laundry for a hot wash
    • Wash well with detergent and allow to dry in the sun
    • Wipe down with an alcohol or chlorine solution then send to the laundry
17. What is the best way to disinfect a mattress?
    • Place it in the sun for a few hours
    • Sprinkle both surfaces with chlorine powder
    • If contaminated with Ebola virus the mattress should be burned
    • Clean first then wipe the surface well with a 0.05% chlorine solution
18. How should medical waste be handled?
    • Always use a green plastic bag to identify as infected material
    • Wipe the bag with a chlorine solution and keep it in the clinical area until collection
    • Use a red plastic bag and label it as ‘infectious’
    • It is safest to flush down the toilet
19. What method should be used to dispose of medical waste?
    • Once it has been stored for a week it can safely be put on a municipal rubbish site
    • It is best burned or incinerated
    • Soak all waste in a chlorine solution to kill any microorganisms
    • Bury it in a land-fill site
20. What should you do to safely dispose of sharps?
    • Place them in a plastic bag labelled ‘sharps’
    • Place them in a strong plastic box then add to normal ward waste
    • Collect them at the end of a procedure and place in a special sharps box
    • Drop them into a special sharps box immediately after use