PMHP Flashcards

(56 cards)

1
Q

At population level, name 3 methods of fluoride delivery

A

Water flouridation

Flouridated salt

School milk

School water fluoridation

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2
Q

Name 6 components of clinical governance

A

Clinical effectiveness

Risk management

Education and training

Clinical audit

Openness

Research and development

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3
Q

What are the stages of an audit?

A

Identify problem/issue

Set criteria and standards

Observe practice/data collection

Compare performance with criteria and standards

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4
Q

What two things should be done after an audit cycle?

A

Implement changes

Repeat the audit

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5
Q

You see two nurses wearing uniform in public, what two concerns does this raise?

A

Infection control

Practice and profession reputation

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6
Q

You decide to give staff working in your practice a learning session on PPE. Name 6 learning outcomes from this session

A

* Wear PPE at all times when dealing with procedures

* Wear PPE when cleaning up

* Change PPE between patients

* Correct disposal of PPE after useage and soiling

* During decontamination; protect eyes, hands and clothing with the use of PPE

* Protect patients eyes and clothing

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7
Q

How would you check staff are following instructions regarding the use of PPE?

A

Clinical audit

Regular inspection by supervisor

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8
Q

What is PICO?

A

Population

Intervention

Comparison

Outcome

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9
Q

What two things could show that a study was random?

A

Randomised control trial

Computer generated assignment

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10
Q

Why is cleaning an important prerequisite before disinfection and sterilising?

A

Removes gross debris

Removes restorative material

Restores function

Aids disinfection

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11
Q

Why is it important to test the washer disinfector and steriliser?

A

To ensure the machines are clean

To ensure they are working as expected

Medicaolegal requirement

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12
Q

What are the 5 cycles of the washer disinfector and explain

A

Flush - sprays water at instruments

Wash - uses detergent and power of water

Rinse - removes detergent

Disinfection - uses steam

Dry - Dries instruments

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13
Q

What are the 3 categories of sterilisers?

A

S, B, N

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14
Q

Why shouldnt instruments be dried with paper towel?

A

Small pieces can come off and stick. Use non-linting towel

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15
Q

Why should a type B steriliser be used?

A

B = best

Active air removal

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16
Q

What is clinical governance?

A

Systematic approach to maintaining and improving the standard of patient care in a health system

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17
Q

What are the dimensions of healthcare/clinical governance?

A

Patient centred, safe, effective, efficient, equitable, timely

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18
Q

What are three divisions of NHS scotland dental services?

A

Primary care = General practice and public dental services

Secondary care = hospital services

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19
Q

How many hours of CPD should be completed in each cycle?

A

100 hours in any 5 year cycle with no fewer than ten hours in any two year cycle

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20
Q

What are the core CPD topic requirements and how many hours are advised?

A

Medical emergencies 10 hours

Radiology 5 hours

Decontamination 5 hours

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21
Q

List the 9 GDC standards

A
  1. Put patients interests first
  2. Communicate effectively with patients
  3. Obtain valid consent
  4. Protect patient information
  5. Have a clear and easy complaints procedure
  6. Work with colleagues in patients best interest
  7. Maintain, develop and work within own skills
  8. Raise concerns if patients are at risk
  9. Behave professionally and maintain patient confidence in you and the profession
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22
Q

Name 6 members of the dental team registered with the GDC

A

Dentist

Dental nurse

Hygienist

Therapist

Technician

Clinical technician

Orthodontic therapist

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23
Q

What chemicals are used to clean a blood spill?

A

Sodium hypochlorite or sodium dichloroisocyanurate >10,000ppm

24
Q

How long are chemicals for a blood spill applied?

25
Give waste streams and an example for each
Black - domestic waste Orange - Low risk ie PPE Sharps box - sharps Red hazardous - amalgam Yellow hazardous - teeth
26
What document is a GDP required to keep for waste disposal. How long for? What should be on it?
Consignment note Kept for 3 years Description, destination, quantity, origin, and transport
27
What are the four principles of waste disposal?
1. Segregation 2. Storage 3. Disposal 4. Document
28
List the chain of infection
Infectious agent - reservoir - portal of exit - mode of transmission - portal of entry - susceptible host
29
What is the sinner circle?
Time, temperature, chemical, energy
30
Name 10 SICPs
1. Cough etiquitte 2. Hand hygiene 3. Equipment management 4. Waste disposal 5. Fluid management 6. Linen management 7. Environmental control 8. Sharps exposure 9. PPE 10. Patient placement
31
What are the 4 pillars of ethics?
1. Non maleficence 2. Beneficence 3. Justice 4. Pt autonomy
32
What is negligence?
The omission to do something which a resonable practitioner would do, or doing something that a reasonable practitioner would not do
33
How long should patient notes be kept for?
Minimum of 3 years Ideally 11 years or until the age of 25 for children
34
What should notes be?
Confidential Accurate Legible Complete Retrievable Current Retained
35
Who is on the GDC board?
36
What are the 7 stages of significant event analysis?
1. Identify event 2. Collect information 3. Set meeting to discuss 4. Meet and analyse 5. Implement changes and monitor 6. Write up SEA 7. Seek external feedback
37
What factors make consent valid?
Recent Specific Remains appropriate
38
What type of study provides the highest level of evidence?
Systematic review of randomised control tials. Cochrane review
39
List 4 aspects of systematic review of RCTs
Randomised Controlled Blinded Inclusion/exclusion criteria
40
Give 3 study designs
Cohort - prospective Case control - retrospective Case study - one patient
41
What is incidence?
The number of new cases over a specific time
42
What is prevalence?
Number of cases at a time
43
What is SIMD
Scottish index of multiple deprevation A tool for identifying areas of povery and inequality across Scotland
44
Give 5 factors influencing deprevation
Unemployment Income Education Crime Access to health care Environment Housing
45
What are some signs and symptoms of Alzheimers?
Memory, comprehension, cognition, emotional instability, communication skills, aggression, confusion
46
What are some signs and symptoms of Parkinsons?
Resting tremor Mask like face Rigidity Slow movement Bradykinesia
47
What complications are there for dental treatment for patients with dementia or Parkinsons?
Consent Poor OH Poor denture care Pain unrecognised Tremor Communication
48
What are the principles of the adults with incapacity act 2000?
1. Treatment must benefit patient 2. Minimal necessary intervention 3. Account for patients past wishes 4. Consult with relavent others 5. Encourage residual capacity
49
What is capacity?
Pt can understand the treatment Pt is informed Pt can retain the information Pt can communicate their choice
50
Who can consent under the AWI 2000?
Welfare power of attorney or welfare guardianship
51
What are the advantages of a split mouth study design?
Both control and intervention exposed to same environment
52
What are the disadvantages of a split mouth study design?
Patient cannot be blinded
53
What is confidence interval?
Representation of study findings to real world population. Worked out using effect size and sample size relative to the true population. 95% likelihood of repeat results
54
What is the decontamination cycle?
Cleaning - disinfection - (disposal) - packaging - sterilisation - transport - storage - use
55
Give 4 legislations for decontamination
Consumer protection act Health and safety at work act 2014 NHS (GDC) Scotland Regulation act Medical devices directive
56
Give 5 common reasons for handpiece faults
1. Air pressure 2. Incorrect bur 3. Incorrect use 4. Poor cleaning 5. Poor lubrication