Bloodborne Pathogens practice questions for the ASP exam

A clinic's bloodborne pathogens training for a phlebotomist was completed on March 10 of last year. In January of this year, the clinic introduced a new safety-engineered blood collection device that changes how the phlebotomist performs venipuncture and handles sharps. It is now February 15 of this year, and the phlebotomist has not yet used the new device. Which action does the standard require?

1. A.Wait until the March 10 annual retraining date, since the previous training is still within one year
2. B.Provide a full repeat of the original training course, because any procedure change restarts the training cycle
3. C.Provide additional training addressing the new exposures created by the new device, even though the annual retraining date has not yet arrived
4. D.Provide no further training, since a safer device reduces exposure and the employee already completed training

A hospital ships contaminated linens to an off-site commercial laundry. The hospital does not use Universal Precautions for all soiled laundry, and the commercial laundry does not use Universal Precautions for all laundry it handles. A housekeeping supervisor proposes sending the linens in ordinary unmarked bags to avoid confusing the laundry's staff. The linens from the surgical suite are also saturated with blood and are likely to leak through the bag. Which approach is required for these linens?

1. A.Use bags or containers that are labeled or color-coded as required, and, because the linens are wet with a likelihood of soak-through, use bags or containers that prevent soak-through or leakage to the exterior
2. B.Use labeled or color-coded bags only, since leak-resistance is needed only when linens are sorted or rinsed at the receiving laundry
3. C.Rinse the blood from the linens in the surgical suite to reduce the leakage risk, then ship them in standard bags with a label
4. D.Use unmarked bags, because the laundry's own staff will wear gloves and PPE when handling all incoming linens

An outpatient clinic is replacing its conventional syringes with a safety-engineered product. The safety manager, the nursing director, and the purchasing manager compared three products and chose one. The staff nurses who give injections every day were not asked for input, and nothing about the selection has been added to the Exposure Control Plan. What must the clinic do to meet the standard?

1. A.Nothing further, because the managers who evaluated the products are responsible for the plan and can select controls on behalf of staff
2. B.Solicit input only from employees who have had a needlestick injury, and keep the record in the purchasing file
3. C.Obtain the manufacturer's written evaluation of the device and attach it to the plan in place of employee input
4. D.Solicit input from the non-managerial nurses who provide direct patient care and document that solicitation in the Exposure Control Plan