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IICRC TCST Trauma and Crime Scene Clean up Exam
With Complete Solutions
The most important concern in trauma scene cleanup has to do with personal safety because the _______________ of the body fluids and potential pathogens are unknown.
- Potential pathogens in body fluids - ANSWER as
Potential pathogens in body fluids include: - ANSWER s
IICRC published a Standard of Care for trauma, crime scene cleanup and decontamination work, which is known as the _________ Standard. - ANSWER
Under the US Federal Government, the Department of Labor, there is an organization that sets safety standards. This organization is mostly commonly known by four letters, which are: __________________. - ANSWER
The OSHA general industry standard is known by "Standard 29 CFR ________." - ANSWER
This same organization has created regulations concerning the handling of items or objects that may have been contaminated with blood and/or bodily fluids that is known by the letters ________ and is standard number 29 CFR ___________. - ANSWER
The BBP regulations cover many items, name three (3): - ANSWER
There is an organization that is involved with public health that is known by the letters CDC, these letters stand for what: - ANSWER
The primary issue discussed in Universal Precautions guidelines is to ___________ consider any blood or body fluids to be contaminated. - ANSWER
There are no federal requirements related to trauma scene work; however, many states require special ________________ related to trauma scene work. - ANSWER
The letters EPA stand for what: - ANSWER
According to the EPA, the states are to regulate what part of trauma scene work - ANSWER
Workers and employees who face possible exposure to blood or items coming into contact with blood should be provided proper _____________________ by the employer. - ANSWER
Biohazardous waste should be kept in properly labeled __________________ for disposal at an accepted site. - ANSWER
Contaminated sharp objects should be wrapped for protection from puncturing through the disposal _______________. This container is ___________ accordingly and discarded properly. - ANSWER
Sharp objects with contamination should be cleaned and treated with a _______________ to inhibit or kill the growth of infectious microorganisms. - ANSWER
_______warning signs _______ safety programs at the employer level _______ plastic barriers or containment _______ protective clothing and respiratory devices _______ grounded electrical equipment _______ face shields - ANSWER
Blood and OPIM are _______________________ hazards once they dry and become air borne. - ANSWER
When cleaning a putrefaction site, proper respiratory protection will include full face respirator with a ___________ filter cartridge and ___________ vapor cartridge. - ANSWER
The effectiveness of respirators is expressed by an __________________________ (_________). - ANSWER
Respiratory protection regulations state that the employer shall provide: - ANSWER
N-95" respirator is __________ % efficient at removing small particles and is ___________________________ to oil mists. - ANSWER
"P-100" respirator is High Efficiency Particulate Air (_____) removing 99.97% of small particles (to 0.3 microns) and is _________________, meaning resistant to oil mists. - ANSWER
The process of getting dressed in PPE is called "______________" and the process of undressing out of PPE is called "______________". - ANSWER
Technicians assigned to this type of work should have a discussion with a _____________ about appropriate immunizations prior to initiating work activities. - ANSWER
Best practices for limiting access to work areas are implementing ___________ tape or _____________ signs. - ANSWER
Work areas that are open to the public should have posted warning signs to alert people of hazards and to provide contact information of the ________________ company. - ANSWER
Technicians should be _____________ and ___________________ when discussing business matters with family members of a trauma scene victim. - ANSWER
Have one person be the "_____________" technician who handles all communication with anyone outside the working team. - ANSWER
Failure to ___________________ in detail with customers can be the source of later _________________. - ANSWER
When customers express medical concerns they have related to the trauma scene worksite, advise them to consult a qualified ______________________________. - ANSWER
Performing quality ____________________________ is the best help we can provide the grieving family at that time. - ANSWER
examination of the scene to determine what ____________ and _____________ are affected. - ANSWER
The sequence of room processing, from the ceiling down to the __________, from the most distant room from the door toward the __________. - ANSWER
areas that have been cross-contaminated before the assessment must be included in the ________ of ______________ and decontamination. - ANSWER
containment barriers serve to provide physical dividers and also to prevent ______________________________. - ANSWER
The unaffected areas are clean, and the work procedures should be done in a manner that does not _______________________________________clean areas. - ANSWER
Portions of the structure not affected by blood or OPIM should be _____________________________________by containment barriers. - ANSWER
Even though an AFD exhausts HEPA-filtered air, the output should be directed ____________________________________the building when ____________________________________. - ANSWER
Type of tools needed is determined by the answer to the following question: Is the object or material ________________? - ANSWER
Cleaning and decontamination of contents affected by blood or OPIM are almost always performed ______________. Rarely is a pack out of contents required. - ANSWER
Portable or truckmount extractors should be __________ filtered or _____________ of the building. - ANSWER
Urine, semen, and vaginal secretions are visible when shown under UV light or "black" light. - ANSWER
Portable vacuum cleaners and shop-type vacuums not equipped with HEPA filtration must be removed from the building. - ANSWER
Equipment Logs document the types of equipment used, the specific items were installed and removed from the work site, and hours of operation of hour meters - ANSWER
Until contents items have been cleaned, protective steps should be taken to prevent cross-contamination. Contents should be protected or moved offsite ______________ cleaning the structure. - ANSWER
Bio-contamination becomes difficult to clean over time, so storage of affected contents should be limited to a ____________ time. - ANSWER
Products known as bacteriostats or fungistats are used to ____________ microorganism ______________ on a surface. - ANSWER
Antimicrobial products registered as __________________ reduce the level of
The S540 Trauma Scene Standard establishes a principle that ____________ ______________ of blood and OPIM is the primary means of remediation. - ANSWER
If an odor issue exists, technicians would _____________ a solution to knock down the offensive odors before starting the detailed cleaning. - ANSWER
Steps of the Cleaning Process Question 8 _____ Re-clean (detailed cleaning) with a second (different) cleaning solution. (Use hydrogen peroxide as an indicator for verification of cleaning results.) _____ Wipe off gross amounts of contamination _____ Clean using a detergent cleaning solution. Hydrogen peroxide on color safe surfaces can be used as an indicator first _____ Apply proper biocide, possibly with an odor control component _____ Rinse with clear water _____ Apply appropriate biocide (disinfect) ______ Rinse - ANSWER
Cleaning is more likely to be effective if technicians apply the appropriate cleaning solution for its intended use, follow product ____________ instructions, and test for color fastness before proceeding. - ANSWER
Although a particular surface may be cleanable, the technician should consider whether blood or body fluids have ________________ and run _________ the surface, for example, seeping down from a second story of a building to lower floors. - ANSWER
For each of the following items fill in which of the three designations is
appropriate: C (cleanable), PC (probably cleanable), PNC (probably not cleanable).
Painted wood trim - _____________ Fiberglass one piece shower stall - _____________ Glass mirrors - _____________ Vinyl flooring _____________ Ceramic tile - _____________ Carpet, blood saturated - _____________ Upholstered chair with blood spatter - _____________ Clothing - _____________ Leather upholstered sofa - _____________ - ANSWER
An enzyme-based product will be helpful in removal of many of the "red" stains. If red stains persist, then application of a __________ remover type product may be helpful. - ANSWER
The correct process for removing tear gas residual involves ___________ vacuuming followed by a thorough cleaning. - ANSWER
Porous and semi-porous contents items fabric-covered furniture, mattresses that become saturated with blood and/ or bodily fluids cannot be sufficiently cleaned and must be __________________. - ANSWER
Porous items contaminated with only blood ______________ are potentially restorable. - ANSWER
All material being removed needs to be bagged and ______________ appropriately
When applying biocides, have the ______________________ apply the biocide with a signature on an ______________________ form. - ANSWER
The term that is used to describe a trauma site where a human body has started to decay is called: ____________________. - ANSWER
The two major additional issues that arise at a putrefaction site are: ________________________________ and ____________________________________ - ANSWER
Some states require the applicator to have a state pesticide ______________ to Apply a biocide. - ANSWER
The first step in controlling malodors is ____________________________. - ANSWER
During demolition, technicians should cut beyond the visible contaminated portion of porous structural materials by at least _____________________. - ANSWER
Removing building materials that are regulated, such as asbestos or lead-based paint, especially in demolition of older structures, requires compliance with _______________________________________________ regulations. - ANSWER
When the HVAC system is affected either by blood, bodily fluids or odors, the contamination should be removed by __________________ or the _____________ __________________ removed. - ANSWER
Technicians should follow the National Air Duct Cleaners Association (__________)
Standard of Care, ________ 2013 for cleanup and remediation work. - ANSWER
Remove and discard automobile upholstery (textiles) when the contamination has affected the ________________ materials or seat _______________________. - ANSWER
Blood ______________ on the automobile fabric surface may be removable through cleaning, while all upholstery __________________ with blood or bodily fluids should be removed and discarded. - ANSWER
Remove and discard vehicle carpets when blood or OPIM has penetrated to the ________________ of the carpet or the ____________________ under the carpet. - ANSWER
When washing contamination from exterior vehicle surfaces, ____________ the excess water runoff by using containment. - ANSWER
Hard surfaces inside the vehicle can be cleaned and sanitized to the extent they are _________________ or accessed by __________________ of vehicle components. - ANSWER
Waste from trauma scenes cannot go to the usual landfill. All waste and discarded items are treated as __________________ waste. - ANSWER
The procedures required for medical waste disposal will add ____________ over normal waste disposal. - ANSWER
Storage of medical waste temporarily should be done in _______________ proof and secure storage areas. - ANSWER
ATP testing numbers (results) only advise that there is "life" still present; the numbers cannot identify "_________________" type of life is present. - ANSWER
Once the __________________ work has been completed, any needed rebuild or repairs can be made. - ANSWER
- _____________________ policies may or may not cover the cost of trauma scene cleanup. - ANSWER
The S540 Trauma Scene Standard establishes a principle that work processes should be _________________ as the remediation work is ________________. - ANSWER
When the work performed deviates from the original scope of work, the company should document the changes in a written _________________________ or _____________________. - ANSWER
When work procedures deviate from recommendations of the S540 Trauma Scene Standard, all _____________________ should _______________ the agreed-upon deviation. - ANSWER
An "_________________ incident" occurs when an employee has contact with blood or ___________________________________________ (OPIM) through the eyes, mouth, mucous membranes, or broken skin. - ANSWER
The _________________ makes available to the employee a post-exposure evaluation and follow-up after an exposure incident. - ANSWER
The cleaning company can better determine the scope of work if they have some knowledge of the____________ or ____________ of the trauma event. - ANSWER
The lead technician interviews responsible parties to learn the history of the trauma event, which can provide insights into the areas that should ____________. - ANSWER
The plan of work for a trauma scene situation will _______________________ the unrestorable contaminated items first and then do detailed cleaning of remaining items. - ANSWER
Technicians conduct one final inspection to be sure nothing has been ___________. This last inspection is called a post-remediation evaluation. - ANSWER
Cleaned areas are examined from various angles and under _____________ lighting to _______________ any presence of missed contamination. - ANSWER
Shining ultraviolet (UV) light to cause urine, semen, or vaginal secretions to be florescent can result in false positives, since products containing ______________ ________________ also are fluorescent under UV light. - ANSWER
Additional contamination to structure or contents that was detected in the final inspection and re-cleaned should be _________________ and ___________________ to appropriate persons. - ANSWER
All equipment and tools exposed to contamination are ______________ and ____________________. - ANSWER
