Part 1 Flashcards

(75 cards)

1
Q
A
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2
Q

How do you follow OSHA’s blood borne pathogens standard?

A
  • 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
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3
Q

Key requirements of the blood-borne pathogens standard

A
  1. Implementing universal precautions
  2. Use of protective personal equipment PPR
  3. Sharps and recapping needles
  4. hep b vaccine
  5. Engineering controls
  6. Use of safety needles and safety scalpels
  7. Medical records on each exposed employee
  8. What to do after a needle stick - OSHA refers to this as a “post exposure evaluation”
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4
Q

Universal precautions

A

Using the same infection control procedures for patients in given situations

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5
Q

Standard precautions

A

Taking precautions against all bodily fluids, including secretions and excretions

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6
Q

Personal protective equipment (PPE)

A
  1. Gloves
  2. Protective eyewear
  3. Protective gown
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7
Q

When should gloves be worn?

A

Anytime hands come in contact with blood, saliva, or mucous membrane

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8
Q

When should protective eyewear, face mask and gowns be worn?

A

When performing a procedure that generates splash or splatter

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9
Q

Describe protective gown

A

-protect street clothes and exposed skin
- have long sleeves
- are waist or knee length
- do not have to be fluid proof

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10
Q

What do you do with sharps at the end of a patient procedure?

A

Immediately place in a sharps container

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11
Q

What are shaprs?

A

Needles, scalples, blades, suture needles, and orthodontic wires

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12
Q

How can needles be recapped?

A

One-handed technique, a recapping device

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13
Q

Hepatitis B vaccine must:

A
  1. be offered to all employees with exposure to blood
  2. be offered within 10 days of starting work
  3. Be free of charge to employees
  4. Given at 0,1,6 months
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14
Q

In order to achieve seroconversion with the hep b vaccine:

A

Series must be completed

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15
Q

Why does OSHA mandate the use of engineering controls?

A

To prevent the transmittion of bloodborne diseases

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16
Q

In regards to safety needles and scalpels, The Bloodborne Pathogens Standard requires each dental office to …

A

Consider the use of safety needles and devices once a year

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17
Q

In regards to safety needles and scalpels, the Bloodborne Pathogens Standard does NOT require what?

A

The use of safety needles, just that their use is considered.

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18
Q

The Standard also requires that employee …

A

Employee input it solicited and considered in making the decision wheather the safety devices are to be used

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19
Q

In regards to medical records the Bloodborne Pathogens Standard requires …

A

A medical record on each employee exposed to blood and saliva

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20
Q

Initially the records need what 3 pieces of information

A
  1. Employee name
  2. Employee social security number
  3. Dates of Hep B vaccine
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21
Q

What is the needle stick or splash of blood or saliva procedure?

A
  1. Have instructions on who to report the incident to
  2. First aid procedures present in office
  3. Affected employee should be offered a medical evaluation (though not required to go)
  4. Explain the incident to patient and ask for consent to blood testing
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22
Q

Needle stick or puncture wound first aid procedure -

A

Thoroughly wash the wound and go for medical eval

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23
Q

Splash (onto mucous membrane of eyes, nose, or mouth) first aid procedure

A

Go to eye wash station and flush eyes

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24
Q

What are the blood tests for patients and employees?

A

-HIV
-Hep B
-Hep C

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25
How to follow OSHA’s hazard communications standard
- read the hazard communication standard and identify the major elements - have a written plan titled “hazard communication plan” that explains the major elements of the standard and how you implement them into the office - provide initial training on the hazard communication plan
26
What is primary labeling?
Placed by the manufacturer
27
What info is on primary labeling?
1. Product name 2. Manufacturer name an address 3. Hazardous warning
28
What is secondary labeling?
When a product is removed from its original container and placed into another
29
What info is on secondary labeling?
1. Product name 2. Hazardous warning
30
In regards to a material safety data sheet (MSDS) the standard requires…
A MSDS for every dental material and chemical must be on file in the office
31
What is the purpose of an Infection Control Program?
Breaking the chain of infection form - patient to patient - patient to dental staff - dental staff to patient
32
Infectious diseases fall into how many categories?
4
33
What are the 4 modes of disease transmission in a dental office?
1.contact with infectious lesion 2. Transmittion via infected object 3.bloodborne by splatter of blood, saliva, or nasal secretions onto broken skin or mucosa 4. Airborne by aerosolization or microbes
34
Examples of airborne diseases
TB, measles, chicken pox
35
Examples of bloodborne diseases
hep B, HIV
36
What do you do if a patient has TB, measles, or chicken pox?
Do not treat until condition is resolved
37
What do you do if a patient has hep b or HIV?
Follow universal precautions, PPE, and work practice controls
38
Examples of diseases that spread through direct contact
Herpes labialis (cold sores)
39
What do you do if a patient has herpes labialis? (Cold sores)
Do not treat until condition is resolved
40
Herpes labialis
Cold sores
41
Herpes whitlow
Herpes of the finger
42
Ocular herpes
Herpes of the eyes
43
What hepatitis viruses spread by fecal-oral
Hep A and Hep E
44
Which hepatitis viruses spread by blood and other bodily fluids?
Hep B, C, D, F, G
45
What vaccines are recommended by the CDC for dental staff?
Hep B, flu, measles, mumps, rubella (German measles), varicella zoster (chicken pox)
46
Which diseases do not have an available vaccine?
HIV/AIDS, Hep C and TB
47
What does the CDC recommend for illnesses such as; acute febrile respiratory illness, influenza, HIV, pink eye (bacterial conjunctivitis), diarrhea, hep A, herpes, mumps, strep, SARS, chicken pox, shingles etc.?
Work restrictions
48
What are some ways to prevent cross-contamination?
Perform proper hand washing Use disposable items wherever possible Use the unit dose concept Use barrier techniques
49
Per CDC recommendation what should you use to wash your hands when they are not visibly soiled?
Alcohol based hand rubs/hand sanitizer
50
Per CDC recomendation what should you use to wash hands when they are visibly soiled?
Regular or antimicrobal soap and water
51
What is the recommended hand wash time? (Non surgical)
15 seconds
52
What is the recommended hand wash time for surgery procedures?
2-6 minutes with antimicrobal soap and water
53
Should you “top off” soap containers?
No
54
What is the CDC recommendation for soap containers?
Use disposable containers or wash and dry before refilling
55
What is the dirtiest part of the hand?
Fingernails
56
When does the CDC recommend washing hands?
1. When visibly soiled with blood or infectious matter 2. After touching items contaminated by blood, saliva, or respiratory secretions 3. Before and after treating patients 4. Before and after glove use
57
What is the most important step in preventing cross contamination?
Handwashing
58
What is the pro of using disposable items when able?
Prevents cross contamination
59
What are some examples of disposable items?
Saliva ejector High volume suction tip Prophy angles Air/water syringe tip Impression tray
60
Can disposable items be reliably cleaned?
No
61
What is unit dose concept?
Dispensing the amount of material needed before a given procedure Ex: cotton rolls, 2x2s waxes, compounds, cements, Vaseline
62
What does unit dosing do?
Prevents cross contamination of cabinets and drawers
63
How should you get supplies out of a cabinet?
1. Remove gloves or 2. Use over gloves over the latex or nitrile gloves
64
What are barrier techniques?
Plastic wrap, impervious paper, or aluminum foil placed over work surfaces and difficult to clean items
65
What surfaces may be barrier wrapped?
Light switches, X-ray equipment, computer keyboards and mice, and any other surface that is touched or comes in contact with contaminated items
66
When should gloves be changed?
After each patient
67
When should eyewear be changed/cleaned?
They should be washed between patients
68
When should makes be changed?
Between patients, when wet, if splashed with blood
69
When should a protective gown be changed?
If spattered with blood
70
Describe a protective gown
Long sleeves, disposable, reusable cotton, cotton polyester
71
Sequencing for donning (wearing) PPE
1. Gown 2 mask 3 goggles/face shield 4. Gloves - combination of PPE will affect sequence - be practical
72
What is a mask for?
To protect nose and mouth
73
How to ensure a mask prevents fluid penetration
Mask should fully cover nose and mouth
74
4 types of protective eyewear
Safety glasses Goggles Face shields Prescription glasses with side shields
75
When should utility gloves be used?
1. Decontaminating the operatory 2. Cleaning instruments 3. Handling chemicals such as disinfectants