Part 1 Flashcards
(75 cards)
How do you follow OSHA’s blood borne pathogens standard?
- read the blood borne pathogens standard, identify the major elements and implement them in the office
-have a written plan in the office titled “exposure control plan” that explains the major elements of the standard and how to implement them in the office - prove yearly training on bloodborne pathogens
Key requirements of the blood-borne pathogens standard
- Implementing universal precautions
- Use of protective personal equipment PPR
- Sharps and recapping needles
- hep b vaccine
- Engineering controls
- Use of safety needles and safety scalpels
- Medical records on each exposed employee
- What to do after a needle stick - OSHA refers to this as a “post exposure evaluation”
Universal precautions
Using the same infection control procedures for patients in given situations
Standard precautions
Taking precautions against all bodily fluids, including secretions and excretions
Personal protective equipment (PPE)
- Gloves
- Protective eyewear
- Protective gown
When should gloves be worn?
Anytime hands come in contact with blood, saliva, or mucous membrane
When should protective eyewear, face mask and gowns be worn?
When performing a procedure that generates splash or splatter
Describe protective gown
-protect street clothes and exposed skin
- have long sleeves
- are waist or knee length
- do not have to be fluid proof
What do you do with sharps at the end of a patient procedure?
Immediately place in a sharps container
What are shaprs?
Needles, scalples, blades, suture needles, and orthodontic wires
How can needles be recapped?
One-handed technique, a recapping device
Hepatitis B vaccine must:
- be offered to all employees with exposure to blood
- be offered within 10 days of starting work
- Be free of charge to employees
- Given at 0,1,6 months
In order to achieve seroconversion with the hep b vaccine:
Series must be completed
Why does OSHA mandate the use of engineering controls?
To prevent the transmittion of bloodborne diseases
In regards to safety needles and scalpels, The Bloodborne Pathogens Standard requires each dental office to …
Consider the use of safety needles and devices once a year
In regards to safety needles and scalpels, the Bloodborne Pathogens Standard does NOT require what?
The use of safety needles, just that their use is considered.
The Standard also requires that employee …
Employee input it solicited and considered in making the decision wheather the safety devices are to be used
In regards to medical records the Bloodborne Pathogens Standard requires …
A medical record on each employee exposed to blood and saliva
Initially the records need what 3 pieces of information
- Employee name
- Employee social security number
- Dates of Hep B vaccine
What is the needle stick or splash of blood or saliva procedure?
- Have instructions on who to report the incident to
- First aid procedures present in office
- Affected employee should be offered a medical evaluation (though not required to go)
- Explain the incident to patient and ask for consent to blood testing
Needle stick or puncture wound first aid procedure -
Thoroughly wash the wound and go for medical eval
Splash (onto mucous membrane of eyes, nose, or mouth) first aid procedure
Go to eye wash station and flush eyes
What are the blood tests for patients and employees?
-HIV
-Hep B
-Hep C