Module 6 Clean Needle Technique

Question 1

What is the transient ?

Answer 1

Reduced by hand wash or hand rub

Question 2

What is the resident?

Answer 2

Protective

Question 3

What is that CNT protocol?

Answer 3

1. Hand sanitation
2. Establishing and maintaining a clean field
3. Skin preparation
4. Isolation of contaminated sharps
5. Standard precautions
6. Use of sterile single-use needles and other instruments that may break the skin, such as seven star hammers, press tacks, intradermal needles and lancets.
7. Follow appropriate emergency procedures in the event of a needlestick incident or some other clinical accident in the course of an acupuncture treatment.

Question 4

Gloves are worn:

Answer 4

1. When bleeding occurs, or is likely to occur (during bleeding techniques, wet cupping, seven star)
2. When needling in the genital region or in the mouth
3. While palpating near an area where there are lesions on the patient’s skin
4. In the event that there are skin lesions or open wounds on the acupuncturist’s hands
5. When cleaning blood or OPIM from a surface

Question 5

How many times should be cleaned for clean field?

Answer 5

Establish new clean field for each patient, clean field with a low level disinfectant at least once daily.

Question 6

According to the World Health Organization, what is adequate for preparing a patient’s skin for procedures such as needle insertion?

Answer 6

Both soap and water, and 60-70% isopropyl alcohol ( or ethanol)

Question 7

A separate swab should be used for …

Answer 7

Have high bacterial load, such as axilla or groin

Question 8

Outlined by the CDC for Standard precautions ?

Answer 8

1. Hand hygiene
2. Use of PPE
3. Respiratory hygiene
4. Sharps safety ( engineering and work practice control )
5. Safe injection practices
6. Sterile instruments and devices
7. Clean and disinfected environmental surfaces

Question 9

What is the CNT basic principles ?

Answer 9

1. Always wash hands between patients, and before and after needling
2. Always establish a clean field before performing acupuncture
3. Always use sterile single-use needles and other instruments that may break the skin, such as seven star hammers, press tacks and lancets
4. Always immediately isolate used needles and other sharps
5. Follow standard precautions

Question 10

Acupuncture needles should NEVER be inserted …?

Answer 10

Through inflamed, irritated, diseased, or broken skin.

Question 11

Can i touch the needle during needle insertion?

Answer 11

You must use a sterile gauze or sterile cotton between your fingers and the shaft of the needle.

Question 12

HBV is the most likely to be passed by …?

Answer 12

Needlestick exposure

Question 13

Studies have consistently demonstrated rates of handwashing compliance are….?

Answer 13

Less than 50% in many hospitals.