Safety Standards & Hygiene Practices Flashcards

Under OSHA's Bloodborne Pathogens Standard, which hepatitis vaccination must be offered free of charge to employees with occupational blood exposure within 10 days of assignment?

Answer: Hepatitis B vaccine

OSHA mandates that employers offer the Hepatitis B vaccination series at no cost to employees within 10 working days of initial assignment involving occupational exposure.

A client has keloid scarring from a previous hijama session on their upper back. What does this history indicate for future treatment planning?

Answer: The client has a genetic predisposition to abnormal scarring, requiring informed consent and modified incision technique

Keloid formation indicates a predisposition to hypertrophic scarring; practitioners must document this, provide informed consent about recurrence risk, and consider shallower incisions.

What is the correct concentration of sodium hypochlorite (household bleach) for decontaminating blood spills on non-porous surfaces?

Answer: 1:10 dilution (approximately 5,000 ppm)

CDC guidelines recommend a 1:10 bleach dilution (approximately 5,000 ppm available chlorine) for decontaminating blood spills on environmental surfaces.

Which of the following scenarios would require completing an incident report in a hijama clinic setting?

Answer: A practitioner's glove tears during incision and skin-to-blood contact occurs

Any occupational exposure incident — including glove failure with blood contact — must be documented on an incident report and followed up per the clinic's exposure control plan.

What does the Spaulding classification system categorize hijama lancets (used to make skin incisions) as?

Answer: Critical items requiring sterilization

The Spaulding classification defines items that penetrate sterile tissue or the vascular system as 'critical,' mandating sterilization before each use.

How often should practitioners perform a biological indicator (spore test) on their autoclave to verify sterilization efficacy?

Answer: At least weekly or with each load of implantable items

CDC and AAMI guidelines recommend biological indicator testing at least weekly to verify autoclave sterilization performance, and with every load containing implantable devices.

A client discloses they are 14 weeks pregnant. Which aspect of safety standards is MOST relevant for the practitioner to consider before proceeding?

Answer: Evaluating pregnancy as a contraindication, especially for cupping on the abdomen, lower back, and certain acupoints

Pregnancy, particularly in the first trimester, is a relative to absolute contraindication for hijama; the abdomen, lower back, and specific points associated with uterine stimulation must be avoided.