Ch. 6 Exposure Control

Question 1

Exposure Control

Answer 1

All procedures during clinical care necessary to provide protection from exposure to infectious agents (dental team and pts)

Question 2

Standard Precautions

Answer 2

Continually changing-adopt new guidelines and procedures as they come out

Question 3

Order of Donning and Doffing PPE

Answer 3

Gown
Mask
Glasses
Gloves

Question 4

Mask

Answer 4

Different materials
Filtration measured by BFE bacterial filtration efficiency
Surgical 95 bfe Clinic level 3

Question 5

Hand Care

Answer 5

Hands can transmit, serve as reservoir, and port of entry for infectious diseases
Reservoir- fingernails
Poe- skin break

Question 6

Hand Hygiene

Answer 6

Simple most important procedure for prevention of cross contamination

Question 7

Practice hand hygiene

Answer 7

Before and after treating pt
Before re-gloving
After barehanded touching inanimate objects

Question 8

Criteria for Selecting Gloves (Safety Factors)

Answer 8

Effective barrier
Impermeable to pts saliva blood and bacteria
Strength and durability to resist tears/punctures
Impervious to usual dental proc. Materials
Non irritating to skin (non latex when needed)
Length-goes over long sleeve

Question 9

Criteria for selecting glove (ergonomic factors)

Answer 9

Should fit hand well, no interference with motion
Tactile sense not decreased (feel vibrations)
No tightness over palm or between thumb and index finger

Question 10

Factors that lead to glove integrity

Answer 10

Length of time worn
Complexity of procedure
Packaging of gloves
Size of glove
Pressure of time
Storage of gloves
Agents used (pet. Jelly, alcohol)
Hazards from hands (fingernails rings)

Question 11

Latex Hypersensitivity

Answer 11

Type 1-IMMEDIATE reaction

Urticaria: hives.
Dermatitis: rash, itching occurs in 5 minutes to 2 hours
Nasal problems: sneezing, itchy nose, runny nose.
Eyes: watery, itchy.
Respiratory reaction: breathing difficulty, asthma-like wheezing, coughing.
Drop in blood pressure: shock.
Anaphylaxis

Type 4-DELAYED reaction (8hrs-5 days after)
Contact dermatitis

Question 12

Individuals at high risk for latex sensitivity

Answer 12

Frequent exposure to product
—Occupational exposure
—multiple surgeries or treatments requiring rubber tubes or drains (spina bifida)
Have other documented allergies

Question 13

Documentation

Answer 13

Irregularities of personal protection that could have influenced procedures of routine appointment
How special needs were taken care of with pt with latex allergy
Information on medical alert pt is sensitive to latex