Certified Medical Assistant (CMA AAMA)Safety and Infection ControlEasy

A medical assistant is preparing to clean a spill of body fluids that may contain bloodborne pathogens. Which of the following solutions is recommended by OSHA for disinfecting surfaces contaminated with blood or other potentially infectious materials?

  1. ASodium hypochlorite (1:10 dilution)
  2. BIsopropyl alcohol (70%)
  3. CQuaternary ammonium compounds
  4. DHydrogen peroxide (3%)
Show answer & explanation

Correct answer: A. Sodium hypochlorite (1:10 dilution)

OSHA specifically recommends a 1:10 dilution of sodium hypochlorite (bleach) for disinfecting surfaces contaminated with blood or other potentially infectious materials due to its effective germicidal properties.

Why the other options are wrong

  • B. While an antiseptic, isopropyl alcohol is not the primary disinfectant recommended by OSHA for bloodborne pathogen spills.
  • C. Quaternary ammonium compounds are disinfectants but are generally less effective against a broad spectrum of pathogens, including some bloodborne ones, compared to bleach.
  • D. Hydrogen peroxide is a disinfectant but not the primary or most widely recommended by OSHA for bloodborne pathogen spills.

OSHA-Recommended Disinfectant for Bloodborne Pathogens

For surfaces contaminated with blood or other potentially infectious materials, OSHA recommends a 1:10 dilution of household bleach (sodium hypochlorite) for effective disinfection.

  • 1:10 bleach solution is standard.
  • Effective against a wide range of pathogens.
  • Must be freshly prepared daily.

Memory trick: Bleach for Blood, Always Best Choice.

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