History And Examination And Saftey On Clinic

Question 1

What are the step to follow in order when treating a patient

Answer 1

1. history
2. Extra-oral examination
3. Intra-oral examination
4. Risk assessment
5. Provisional diagnosis
6. Specialist tests
7. Definite diagnosis
8. Care plan
9. Set recall intervals

Question 2

What factors are involved to provide personal care?

Answer 2

1. Using clinical findings
2. Risk assessment
3. Working to suit patient preference and expectation
4. Patients general health
5. Disease diagnosis and rate of progression

Question 3

What are the review intervals for children?

Answer 3

Between every 3-12 months

Question 4

What are the review intervals for adults?

Answer 4

Between 3-24 months

Question 5

What items need to be decontaminated?

Answer 5

Multiple use items and also surface in the clinic bed for each patient

Question 6

What is the decontamination process?

Answer 6

This makes reusable items safe for further use and to be handled by staff it is used to minimise the risk of cross contamination between patient and other patients but also the staff

Question 7

What are the steps for decontamination?

Answer 7

1. Cleaning in washer or manually in a ultra-sonic bath
2. Checking for debris is present start step 1 again
3. Steam sterilised
4. Packaged and now can be stored for up to 1 year

Question 8

What are the ideal conditions in the steam sterilisation machine?

Answer 8

• 2.1 bar of pressure
• 3 minutes
• 134 degrees C

Question 9

What is a sharps bin?

Answer 9

This is where all sharp objects e.g. used needles are stored and this is thicker and safer than a normal bin as staff won’t get pocket by a needle as walls are thicker

Question 10

What is the protocol when someone has a sharps injury?

Answer 10

1. Stop all procedures
2. Wash site with lots of waster keeping the mucous membrane well irrigated
3. Bleeding is encouraged for puncture wounds and don’t suck the blood out
4. Report the incident to supervising dental clinician and then go through the sharps procedure with them

Question 11

What diseases can be spread with sharps injuries

Answer 11

• Hepatitis C (30% chance)
• Hepatitis B (3% chance)
• HIV (0.03% chance)

Question 12

How are blood spillages dealt with?

Answer 12

1. Absorbent paper towels are placed over it
2. Use 10000 ppm chlorine disinfectant solution on the towels and follow instruction for how long to leave
3. Wash area with disposable paper use warm water and detergent
4. Discard paper towels and dispose of PPE in clinical waste