Sharps Handling - NAPLEX

1. What is the correct action if a needle must be recapped due to a procedure requirement?

   Use the one-hand scoop technique or a recapping device. This method minimizes hand exposure to the needle tip, reducing injury risk when recapping is unavoidable.

2. What is the correct action if a patient brings home-generated sharps to the pharmacy?

   Follow state/local policy; accept only via approved take-back process. Pharmacies must comply with regulations to avoid improper handling of potentially infectious waste.

3. Which placement best reduces sharps injuries when setting up a vaccination station?

   Sharps container within arm's reach at point of use. Proximity minimizes transport of exposed sharps, reducing the chance of accidental injuries.

4. Which work-practice control most directly reduces needlestick risk during injections?

   Use safety-engineered sharps with activated safety mechanism. Safety features like shields or retractors cover the needle post-use, preventing accidental sticks.

5. Which items must be discarded in a sharps container rather than regular trash?

   Needles, syringes with needles, lancets, and scalpel blades. These items have sharp edges that can cause injuries or transmit infections if not properly contained.

6. What should you do if you find an unattended needle or sharp on a countertop?

   Use a tool or gloved hand with forceps; place in sharps container. Direct hand contact risks injury, so tools ensure safe handling and proper containment.

7. What is the proper disposal for a used insulin pen needle after removal from the pen?

   Discard the pen needle immediately in a sharps container. Pen needles are sharps that require containment to prevent injuries and biohazard exposure.

8. Which action is appropriate if blood splashes into the eyes during sharps use?

   Flush eyes with water or saline immediately and report exposure. Flushing dilutes and removes contaminants, while reporting initiates exposure protocols.

9. Which item is typically NOT considered a sharp requiring a sharps container in healthcare settings?

   Empty IV fluid bag without a needle or spike attached. Without sharp components, it poses no puncture risk and can be handled as regular medical waste.

10. What is the correct personal protective equipment choice when there is a splash risk?

    Gloves and eye/face protection as indicated by exposure risk. PPE barriers protect against bloodborne pathogen exposure during procedures with splash potential.

11. What is the correct action if a sharps container is overfilled beyond the fill line?

    Close it if possible and replace; do not push contents down. Overfilled containers risk injury during handling, so replacement avoids forcing contents or exposure.

12. What is the correct fill level at which a sharps container should be closed and replaced?

    At the manufacturer fill line, typically about $\frac{3}{4}$ full. Replacing at this level prevents overfilling, which could cause sharps to protrude or spill during closure.

13. What is the correct action if a sharps container is leaking or visibly damaged?

    Place it into a larger secondary container and replace immediately. Secondary containment prevents leaks while replacement maintains overall safety protocols.

14. Which statement best describes how sharps containers should be mounted or positioned?

    Securely mounted to prevent tipping and accessible at point of use. Proper positioning enhances stability and accessibility, reducing risks during disposal.

15. What is the next required step after initial first aid for a needlestick in the workplace?

    Report promptly and follow exposure control/post-exposure protocol. Prompt reporting ensures medical evaluation, prophylaxis, and documentation per OSHA standards.

16. What is the safest way to transport used sharps within a facility?

    In a closed, upright, labeled sharps container. This setup prevents tipping, leaks, or exposure during movement, ensuring safe internal transport.

17. What is the minimum immediate first-aid step after a needlestick injury?

    Wash the area with soap and water; do not squeeze aggressively. Washing removes contaminants without forcing blood into the wound, minimizing infection risk.

18. Which practice is prohibited for routine sharps handling to reduce needlestick risk?

    Recapping, bending, breaking, or removing needles by hand. These actions increase the risk of needlestick injuries by directly handling exposed sharps.

19. Identify the correct action if a needle detaches and falls into a medication bin.

    Use tools to retrieve if safe; otherwise discard bin contents per policy. Tools avoid direct contact, and policy ensures contaminated items are handled appropriately.

20. Which feature must a compliant sharps container have to prevent injuries and leaks?

    Puncture-resistant, leak-resistant, and closable with secure lid. These features ensure containment of sharps, protecting against punctures, leaks, and unauthorized access.

21. What is the correct disposal method for a used lancet after a fingerstick blood glucose test?

    Dispose immediately in an approved sharps container. Lancets are contaminated sharps that pose a puncture risk and must be isolated from regular waste.

22. What is the correct response if a sharps container lid will not close securely?

    Replace the container; do not tape or force the lid closed. A faulty lid compromises containment, necessitating replacement to maintain safety standards.

23. What should you do immediately after activating a needle safety device?

    Dispose the device promptly in a sharps container. Immediate disposal after activation ensures the protected sharp is contained without further handling.

24. Identify the correct action if a used needle is still attached to a syringe after injection.

    Dispose of the entire unit intact in a sharps container. Removing the needle risks injury, so intact disposal maintains safety and containment.

25. What is the best practice for disposing of a used needle immediately after use?

    Place it directly into an approved sharps container. Immediate disposal prevents accidental needlesticks by ensuring sharps are contained without recapping or manipulation.

Study these flashcards