LEVEL OF KNOWLEDGE, ATTITUDE AND SKILLS Instruction: The following statements refer to your knowledge about Universal Precaution

as a staff nurse. For each of the following statements, indicate the degree to which you agree or disagree with the statement.

Please use the following rating scale: 4=Strongly Agree 3= Slightly Agree 2= Slightly Disagree 1= Strongly Disagree

Please check the appropriate box that corresponds to your best answer

STATEMENTS 4 1. I know that hand washing facilities, or antiseptic cleansers shall be available to employees who are exposed to blood and other potentially infectious materials. 2. I know that employees shall wash hands after removal of personal protective gloves and whenever there is a likelihood of contamination. 3. I know that when hand washing facilities are not available, the use of waterless antiseptic products are permitted as an interim means of washing the hands or other parts of the body after contamination with blood or other potentially infectious materials. 4. I know that if blood or other potentially infectious materials contact with mucous membranes, those areas shall be flushed or washed with water as appropriate as possible following contact. 5. I know that used needles should not be recapped, bent or broken off. They must

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be deposited in sharp containers immediately or as soon as possible. I know that eating, drinking, smoking, applying cosmetics or lip balm and handling contact lenses are prohibited in work areas where there is likelihood of occupational exposure I know that sharps containers must be closed prior to removal or replacement to avoid spilling or protrusion of the contents during handling or storage. I know that food and drinks must not be placed in refrigerators, freezers, shelves and cabinets or on countertops or bench tops where blood or other potentially infectious materials are present. I know that all procedures must be conducted in a manner that will minimize splashing, spraying, splattering and generation of droplets of blood or other potentially infectious materials. I know that all mouth pieces or suction tips for blood and other potentially infectious materials must be placed in fluid proof, biohazard labeled containers. I know that gloves must be worn where it is reasonably anticipated that employees will have contact with blood, other potentially infectious materials, non-intact skin and mucous membranes. I know that used gloves must not be washed or decontaminated for reuse and must be replaced as soon as possible when they are torn, punctured or when ability to function as a barrier is compromised. I know that utility gloves may be decontaminated for reuse if the integrity of the gloves is not compromised. I know that face and eye protection must be worn when splashes, sprays or droplets of blood or other potentially infectious materials pose as hazards to the eyes,

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nose and mouth. 15. I know that aprons, gowns and other protective body clothing must be worn when there is a risk of splashes to the body. 16. I know that surgical caps or hoods and shoe covers or booties must be worn when gross contamination is reasonably anticipated. 17. I know that all garments that are penetrated with blood are removed immediately or as soon as possible. 18. I know that work surfaces must be decontaminated with an approved disinfectant as soon as possible after contamination with blood or other potentially infectious materials. 19. I know that I should handle contaminated laundry as little as possible with minimal agitation. 20. I know that wet, contaminated laundry must be placed in leak-proof, labeled or color coded containers before transporting to the laundry facility. 21. I know that I should wear appropriate personal protective equipment when handling and or sorting contaminated laundry. 22. I know that contaminated linens should be washed with detergent in water at least for 25 minutes. 23. I know that regulated waste materials must be placed in a biohazard labeled container, which is to be closed before removal to prevent spillage or protrusion of contents. 24. I know that equipment which are contaminated with blood or infectious materials must be examined prior to service or decontaminated as necessary. 25. I know that sharps containers must be closed before being transported to the nearest disposal area, never to be opened,

cleaned or emptied manually. 26. I know that other infectious waste must be placed in a yellow bag and placed in the infectious waste disposal container. 27. I know that mechanical means such as tongs, forceps or a brush and a dustpan to pick up contaminated materials must be used always. 28. I know that warning labels should be placed on containers of regulated wastes and refrigerators containing blood or other infectious materials.

Please use the following rating scale: 4=Strongly Agree 2= Disagree 3= Agree 1= Strongly Disagree Please check the appropriate box that corresponds to your best answer. ATTITUDE 4 3 2 1 1. I prefer to use available hand washing facilities, or antiseptic cleansers when Im exposed to blood and other potentially infectious materials. 2. I prefer to wash hands after removal of personal protective gloves and whenever there is a likelihood of contamination. 3. I prefer to use waterless antiseptic products to wash my hands or other parts of my body after contamination with blood or other potentially infectious materials when hand washing facilities are not available. 4. I prefer to flush or wash with water as soon as possible my mucous membranes when those areas come in contact with blood or other potentially infectious materials. 5. I prefer to deposit used needles in sharp containers immediately or as soon as possible and I prefer not to recap, bend, or break them. 6. I prefer not to eat, drink, apply cosmetics or lip balm and handle contact lenses when Im in a work area where there is likelihood of occupational exposure. 7. I prefer to close sharps containers prior to removal or replacement to avoid spilling or protrusion of the contents during handling or storage. 8. I prefer not to place food and drinks in refrigerators, freezers, shelves and cabinets or on countertops or bench tops where blood or other potentially infectious materials are present. 9. I prefer to conduct all procedures in a manner that will minimize splashing, spraying, splattering and generation of droplets of blood or other potentially

infectious materials. 10. I prefer to place all mouth pieces or suction tips for blood and other potentially infectious materials in fluid proof, biohazard labeled containers. 11. I prefer to wear gloves where it is reasonably anticipated that I will have contact with blood, other potentially infectious materials, non-intact skin and mucous membranes. 12. I prefer not to wash or decontaminate used gloves for them to be reused, I prefer them to be replaced as soon as possible when they are torn, punctured or when ability to function as a barrier is compromised. 13. I consider decontamination of utility gloves for them to be reused if the integrity of the gloves is not compromised. 14. I prefer to wear face and eye protection when splashes, sprays or droplets of blood or other potentially infectious materials pose as hazards to the eyes, nose and mouth. 15. I prefer to wear aprons, gowns and other protective body clothing when there is a risk of splashes to the body. 16. I prefer to wear surgical caps or hoods and shoe covers or booties when gross contamination is reasonably anticipated. 17. I prefer to remove immediately or as soon as possible all garments that are penetrated with blood. 18. I prefer to decontaminate work surfaces with an approved disinfectant as soon as possible after contamination with blood or other potentially infectious materials. 19. I prefer to handle contaminated laundry as little as possible with minimal agitation. 20. I prefer to place wet, contaminated laundry in leak-proof, labeled or color coded containers before transporting to the laundry facility.

21. I prefer to wear appropriate personal protective equipment when handling and or sorting contaminated laundry. 22. I prefer to wash contaminated linens with detergent in water at least for 25 minutes. 23. I prefer to place all regulated waste materials in a biohazard labeled container which is to be closed before removal to prevent spillage or protrusion of contents. 24. I prefer to examine or decontaminate as necessary prior to service, equipments which are contaminated with blood or infectious materials. 25. I prefer to close sharps containers before being transported to the nearest disposal area, never to be opened, cleaned or emptied manually. 26. I prefer to place other infectious wastes in a yellow bag and place it in the infectious waste disposal container. 27. I prefer to always use mechanical means such as tongs, forceps or a brush and a dustpan to pick up contaminated materials. 28. I prefer to place warning labels on containers of regulated wastes and refrigerators containing blood or other infectious materials.

Please use the following rating scale: 4=Strongly Agree 2= Disagree 3= Agree 1= Strongly Disagree Please check the appropriate box that corresponds to your best answer. STATEMENTS 4 3 2 1 1. I use available hand washing facilities, or antiseptic cleansers when Im exposed to blood and other potentially infectious materials. 2. I wash hands after removal of personal protective gloves and whenever there is a likelihood of contamination. 3. I use waterless antiseptic products to wash my hands or other parts of my body after contamination with blood or other potentially infectious materials when hand washing facilities are not available. 4. I flush or wash with water as soon as possible, my mucous membranes when those areas come in contact with blood or other potentially infectious materials. 5. I deposit used needles in sharp containers immediately or as soon as possible and I do not recap, bend, or break them. 6. I do not eat, drink, apply cosmetics or lip balm and handle contact lenses when Im in a work area where there is likelihood of occupational exposure. 7. I close sharps containers prior to removal or replacement to avoid spilling or protrusion of the contents during handling or storage. 8. I do not place food and drinks in refrigerators, freezers, shelves and cabinets or on countertops or bench tops where blood or other potentially infectious materials are present. 9. I conduct all procedures in a manner that will minimize splashing, spraying, splattering and generation of droplets of blood or other potentially infectious materials. 10. I place all mouth pieces or suction tips for blood and other potentially infectious

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15. 16. 17. 18.

19. 20. 21. 22. 23.

materials in fluid proof, biohazard labeled containers. I wear gloves where it is reasonably anticipated that I will have contact with blood, other potentially infectious materials, non-intact skin and mucous membranes. I do not wash or decontaminate used gloves for them to be reused, I replace them as soon as possible when they are torn, punctured or when ability to function as a barrier is compromised. I decontaminate utility gloves for them to be reused if the integrity of the gloves is not compromised. I wear face and eye protection when splashes, sprays or droplets of blood or other potentially infectious materials pose as hazards to the eyes, nose and mouth. I wear aprons, gowns and other protective body clothing when there is a risk of splashes to the body. I wear surgical caps or hoods and shoe covers or booties when gross contamination is reasonably anticipated. I remove immediately or as soon as possible, all garments that are penetrated with blood. I decontaminate work surfaces with an approved disinfectant as soon as possible after contamination with blood or other potentially infectious materials. I handle contaminated laundry as little as possible with minimal agitation. I place wet, contaminated laundry in leakproof, labeled or color coded containers before transporting to the laundry facility. I wear appropriate personal protective equipment when handling and or sorting contaminated laundry. I wash contaminated linens with detergent in water for at least 25 minutes. I place all regulated waste materials in a

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biohazard labeled container which is to be closed before removal to prevent spillage or protrusion of contents. I examine or decontaminate as necessary prior to service, equipments which are contaminated with blood or infectious materials. I close sharps containers before being transported to the nearest disposal area, never to be opened, cleaned or emptied manually. I place other infectious wastes in a yellow bag and place it in the infectious waste disposal container. I always use mechanical means such as tongs, forceps or a brush and a dustpan to pick up contaminated materials. I place warning labels on containers of regulated wastes and refrigerators containing blood or other infectious materials. Thank you for your time and cooperation!