Bumedinst 6600.10A Dental Infection Control

Front 1

What are important considerations when planning a functional processing area?

Back 1

The height and overall dimensions of the work surface, plus a clear surrounding area

Front 2

Noncritical"

Back 2

Instruments, equipment, and materials that do not normally penetrate or contact mucous membranes but which are exposed to splatter, spray, or splashing of blood, or touched by contaminated hands. Items require intermediate-level disinfecton

Front 3

To identify total resource s required to meet the guidelines of this directive and those of OSHA and the EPA, commands must use the ________

Back 3

The planning, Programming, and Budeting System (PPBS)

Front 4

Spray-Wipe-Spray

Back 4

An acceptable method of cleaning and disinfecting

Front 5

Review and revise all infection control policies and procedures at least _______

Back 5

Annually

Front 6

Biological indicators"

Back 6

Monitor designed to assess whether sterilization actually occurred. Consists of bacterial endospores impregnated in paper strips or sealed in glass ampules or plastic vials

Front 7

The safest and provides an effective cleaning process.

Back 7

Automated Washer Processor

Front 8

What are the types of Sterilizaton Monitors

Back 8

Biological Monitors, Dosage indicators, and Process Indicators

Front 9

What are the determinants of the space requirements for sterilization areas?

Back 9

Size of and sufficient access for loading, unloading, and servicing the sterilizer.

Front 10

When do you use Bead Sterilizers?

Back 10

Only for intra-appointment sterilization of clean metallic instruments

Front 11

In Chemical Vapor Sterilization a mixture of formaldehyde, water, and other chemicals heated under pressure forms a gas that can achieve sterilization. Sterilization requires ___ minutes at _____F

Back 11

20 minutes at 270F

Front 12

The ICO must ensure that infection control functions are addressed at least ________

Back 12

quarterly

Front 13

Dental Item Classification"

Back 13

Dental items are classified as critical, semicritical, or noncritical based on the pathways through which cross contamination may occur and the location and technique of instrument use.

Front 14

Ultrasonic Cleaning

Back 14

Safer and more effective than manual scrubbing. Always use baskets in the ultrasonic unit to reduce instrument handling and improve cleaning efficiency.

Front 15

Bioburden"

Back 15

The number of micro-organism contaminating an object. AKA bioload or microbial load

Front 16

True or False. Rinse and scrub contaminated instruments or materials in the patient treatment areas before taking it to the receiving section of the sterilization area.

Back 16

False. Following the completion of a patient's treatment, take it directly to the receiving section of the sterilization area. Do not rinse, scrub, or unnecessarily handle contaminated instruments in the DTRs.

Front 17

What kind of gloves should you wear while handling all potentially contaminated items?

Back 17

Wear heavy, puncture proof gloves.

Front 18

Semicritical"

Back 18

Instruments, equipment, and materials that frequently contact mucous membrane but cannot be sterilized due to their design or inability to withstand heat. At minimum, items require high-level disinfection

Front 19

Dosage Indicators"

Back 19

Chemical dyes that chnge color when exposed to steam, dry heat, or chemical vapors for a specific period of time. Determines whether the conditions necessary for sterilization have been met.

Front 20

True or False. Liquid Chemical Sterilization should be treated as high-level disinfectants rather than sterilant.

Back 20

True

Front 21

A positive biological monitoring occured

Back 21

"1. Notify the ICO

Front 22

Maintain a consolidated sterilization log for each sterilizer which must contain:

Back 22

Identification number, sterilization date, duration and temperature of sterilization cycles operator's name, biological monitoring results, repair and preventive maintenance dates, and a synopsis of action taken.

Front 23

Biological monitoring of the sterillization process at least _____

Back 23

Weekly

Front 24

For ethylene oxide sterilization, sterilization can be achieved in ___ to___ hours at ____F

Back 24

2 to 3 hours at 120F. CO should not purchase new ethylene oxide equipment

Front 25

True or False. Dosage and process indicators are replacements for biological monitoring

Back 25

False. They are not replacements.

Front 26

Bowie-Dick Test"

Back 26

Diagnostic test of a prevacuum sterilizer's ability to remove air from the chamber and prevent air reentrant This is not a sterility assurance test.

Front 27

Engineering Controls"

Back 27

Equipment or methods which isolate or remove bloodborne pathogens from the workspace

Front 28

Sterilizer (gravity displacement type)"

Back 28

A type of sterilizer in which incoming steam displaces the residual air through a port or drain usually in or near the bottom of the sterilizer chamber. 30 minutes at 121-123C(250-254F) and 15 to 17 pounds per square inch or 15 minutes at 132-135C(270-274F) and 30 to 32 psi

Front 29

All contaminated, reusable items must be decontaminated by immersion in an EPA-registered disinfectant unless_________

Back 29

Items are cleaned in an ultrasonic cleaner with an EPA-registered disinfectant which is also approved as an ultrasonic cleaner

Front 30

Critical Item"

Back 30

Instruments and materials that penetrate the skin, mucus membranes, or bone. These items must be sterile before use

Front 31

When receiving and cleaning during sterilization, physical separation from the remainder of the sterilization area is ideal. If physical separation is not obtainable, __________ and _________ are critical

Back 31

proper outfitting and equipment selection

Front 32

Work Practice Controls"

Back 32

Controls that reduce the likelihood of exposure by altering the way one performs a task such as having patients brush their teeth, safe technique of recapping needles

Front 33

What is the most preferable sterilization?

Back 33

Heat sterilization

Front 34

Manual Scrubbing

Back 34

Time consuming and presents increased potential for contamination injury, but effective for cleaning instruments

Front 35

True or False. To achieve sterility, moist heat under pressure must come in contact with all surfaces of allitems for the appropiate lenght of time.

Back 35

True

Front 36

Process Indicators"

Back 36

Chemical Dyes that change color upon short exposure to sterilizing conditions

Front 37

Perform biological monitoring ______

Back 37

weekly

Front 38

DTFs must have a central sterilization are because ________

Back 38

Activity is safer, provides more efficient use of materials and personnel, and standardizes execution and monitoring procedures.

Front 39

True or false. Liquid chemical disinfectant or sterilants cannot be biologically monitored

Back 39

True

Front 40

How do you sterilize Rubber products?

Back 40

"Nonheat stable - ethylene oxide or chemical sterilization

Front 41

Perform the _________ test weekly when using prevacuum sterilizers

Back 41

Bowie-Dick test

Front 42

True or false. In steam heat sterilization, do not allow sterile instruments and packs to cool before moving to storage areas.

Back 42

False. Placing warm, wrpped, sterilized items on cool surfaces can induce condensate formation and result in contamination.

Front 43

Chemical indicator"

Back 43

Chemical dyes used to determine whether the conditions required for sterilization are met. AKA chemical monitor, dosage indicator, or process indicator

Front 44

Sterilizer (prevacuum type)"

Back 44

A type of sterilizer which relies on one or more pressure and vacuum exursions at the beginning or end of the cycle.Requires shorter cycle times at 132-135C

Front 45

Who appoints the Infectious Control Officer?

Back 45

Co and OIC

Front 46

In dry heat sterilization, the typical dry heat cycle is ____ minutes at _____F, plus the time required tto bring the load up to sterilization temperature.

Back 46

90 minutes at 320-345F

Front 47

The preferred method for cleaning Burs and Diamonds is _______

Back 47

Dry heat for 90 minutes at 320-345F. Clean in ultrasonic cleaner before sterilizing.

Front 48

Biological Monitor"

Back 48

A bacterial endospore test designed to assess whether sterilization has actually occurred. AKA biological indicator or biological spore test

Front 49

What is Sterile Sterility?

Back 49

Free from all living micro organisms.

Front 50

What are Engineering Controls?

Back 50

Equipment or methods which remove bloodbore pathogens from the workplace.

Front 51

"Who directs continous review and upgrade of the sterilization and infection control syllabus at the Naval School of Dental Assisting and technology (NSDAT) for dental ""A"" school?"

Back 51

BUMED (MED-54).

Front 52

What is Saturated Steam Sterlization?

Back 52

Steam heat under pressure for sufficient length of time to kill all forms of micro organisms

Front 53

Dental Item are classified as?

Back 53

Critical, Semi Critical and Non critical.

Front 54

15 minutes at?"

Back 54

"132-135 C 270-274 F

Front 55

What is Bioburden?

Back 55

"Number of Micro-organisms contaminating an object.

Front 56

What is a Chemical indicator?

Back 56

"Chemical dyes used to determine whether sterlization has been met. Also know as

Front 57

Semicritical Items are?

Back 57

Materials that frequently contact mucous membranes but cannot be sterlized due to their inability to withstand heat.

Front 58

What is a Prevacuum type Sterilizer?

Back 58

Sterilizer which relies on one or more pressure and vacuum excursions at the beginning or end of the cycle.

Front 59

Infection Control function are addressed how often?

Back 59

At least Quarterly.

Front 60

Inital Infection control training is done how often after initial training?

Back 60

Annually.

Front 61

Non Critical Items are?

Back 61

Materials that do not normally penetrate or contact mucous membranes but are exposed to splatter, spray or splashing of blood.

Front 62

What is a Unit Dose?

Back 62

Quantity of materials or supplies required to treat a single patient.

Front 63

What is Chemical disinfection?

Back 63

The destruction or inhibition of most viruses and bacteria while in their growth phase.

Front 64

Asepsis is?

Back 64

Process of preventing the access of micro-organisms

Front 65

Commmands must document infection control training with?

Back 65

Names of persons attending and conduction. Dates and a summary of the contents of the training.

Front 66

How long are infection control manuals maintained?

Back 66

For at least three years.

Front 67

Critical Items are?

Back 67

Materials that penetrate the skin, mucous membrane or bone.

Front 68

What is a Gravity Displacement type sterilizer?

Back 68

A Sterilizer in which incoming steam displaces the residual air through a port or drain in or near the bottom of the sterilizer chamber.

Front 69

30 minutes at?"

Back 69

"121-123 C (250-254 F)

Front 70

Operating temperatures for the Prevacuum type Sterilizer are?

Back 70

132-135 C.

Front 71

What is the PPBS?

Back 71

Planning, Programming and Budgeting system used to identify total resources required to meet Infection Control guidelines and those of OSHA and the EPA.

Front 72

What is Dental Item Classification?

Back 72

Dental Items are classified based on pathways through which cross contamination may occur and the location and technique of instrument use.

Front 73

What is an invasive procedure?

Back 73

A surgical entry into the tissues, cavities organs or repair of major tramatic injuries.

Front 74

What is Barrier technique?

Back 74

Use of fluid resistant materials to protect them from contamination. Rubber plastic, paper, foil.

Front 75

Inital Infection control training is done?

Back 75

within 90 days of reporting to a Command.

Front 76

What is BUMEDINST 6600.10A?

Back 76

Dental Infection control Instruction.

Front 77

What is a Biological Monitor?

Back 77

Bacterial endospore test which assess whether sterlization has occured. Also known as biological indicator or biological spore test

Front 78

Medical testing for HBV and HIV are at what intervals?

Back 78

6 weeks, 12 weeks and 6 months.