Safety, Ethics & Infection Control Flashcards

Which antiseptic is contraindicated for use around the eyes in dermatology procedures?

Answer: Chlorhexidine gluconate

Chlorhexidine gluconate is ototoxic and can cause serious corneal damage and permanent hearing loss if it contacts eyes or ears.

Transmission-based precautions for varicella (chickenpox) in a dermatology clinic include:

Answer: Airborne and contact precautions

Varicella spreads via both airborne droplet nuclei and direct contact with lesions, requiring both airborne and contact precautions.

A patient refuses a recommended skin biopsy after being fully informed. The tech should:

Answer: Document the refusal and respect the patient's decision

Respecting patient autonomy means honoring an informed refusal; the refusal should be documented and signed if possible.

What is the MINIMUM recommended contact time for a 70% isopropyl alcohol wipe to effectively disinfect a hard, non-porous surface?

Answer: 30 seconds

Surfaces must remain visibly wet with 70% isopropyl alcohol for at least 30 seconds to achieve effective disinfection through adequate contact time.

Which of the following is an example of a semi-critical instrument in dermatology?

Answer: Dermatoscope probe that contacts mucous membranes

Semi-critical items contact mucous membranes or non-intact skin and require at minimum high-level disinfection per the Spaulding classification.

When a dermatology tech has a known latex allergy, the safest glove alternative is:

Answer: Nitrile gloves

Nitrile gloves provide reliable barrier protection and are the recommended latex-free alternative for individuals with latex allergies.

Which document grants a healthcare proxy the authority to make medical decisions for an incapacitated dermatology patient?

Answer: Durable power of attorney for healthcare

A durable power of attorney for healthcare designates a specific individual to make medical decisions when the patient is unable to do so.