Lecture 6

Front 1

Organization responsible for issuing Bloodborne Pathogen Standard

Back 1

OSHA

Front 2

Name items included in PPE

Back 2

Gloves, masks, safety glasses, overgowns, face shields

Front 3

PPE attire for lab

Back 3

? Safety glasses are most important

Front 4

Is employer or employee responsible for furnishing the PPE?

Back 4

Employer

Front 5

Which governmental agency regulate gloves and considers them a medical device?

Back 5

FDA

Front 6

Give 5 reasons for wearing gloves

Back 6

Keep contaminants from entering cuts and abrasions of DHCW, protect DHCW from chemicals, prevent skin infection, protect hands from high temps, protect patients

Front 7

Why are gloves not washed?

Back 7

Break down and cause penetration of contaminants

Front 8

Can you rinse gloves with water just prior to treating a patient to remove excess powder?

Back 8

Yes, explain why to patient

Front 9

What is correct method to retrieve instrument from drawer when working on patient?

Back 9

Use overglove on the tray, retrieve the instrument, discard the overglove, complete procedure with existing glove

Front 10

What do you do if you tear your glove while with a patient?

Back 10

Get up as soon as possible, wash hands and put new one on.

Front 11

Are gloves sterile when you put them on?

Back 11

No

Front 12

Reason why latex gloves are preferred over vinyl or nitrile

Back 12

Better fit, feel better, soft and stretchy

Front 13

True or False: GRCC is a latex free zone.

Back 13

False, impossible. Can't control what is brought in.

Front 14

What procedure is necessary before donning utility gloves.

Back 14

Wash hands

Front 15

Percent of particles thatt must be filtered out of dental masks for them to be approved for use?

Back 15

95%

Front 16

Two ways to treat contamination in dental operatory asepsis?

Back 16

Prevent it with barriers or remove or disinfect after.

Front 17

What is most reliable to prevent spread of disease? Plastic barriers or disinfection?

Back 17

Both are reliable

Front 18

Which is safer? Plastic barriers or disinfectant

Back 18

Both are safe

Front 19

Which method of treating contamination is faster?

Back 19

Plastic barriers

Front 20

Unit dosin is an example of 3 things

Back 20

work place controls, preventing contamination of unused supplies, setting out only what is needed on the tray,

Front 21

Name some work practice controls

Back 21

Maintaining machines and equipment in the sterilization area, unit dosing, develop protocols for post exposure, septic technique, instrument sharpening

Front 22

Name factors that may cause irritant contact dermatitis

Back 22

allergic to caustic handwash, not rinsing all soap off hands before gloving, not drying hands

Front 23

What is the most frequently occurring immunologic sensitivity to gloves called?

Back 23

Allergic contact dermatitis or delayed hypersensitivity

Front 24

True or False: Latex allergy has a delayed response.

Back 24

False. It is immediate. That is the difference between allergic contact dermatitis (which is delayed) and latex hypersensitivity.

Front 25

True or False: It is necessary to use powder free and reduced protein type latex gloves in dental office if latex is going to be the glove of choice to prevent airborne latex allergy.

Back 25

True. Note: It is not the powder that is the allergan. It is the protein which is hiding in the powder.

Front 26

Name groups of people who are at high risk for latex allergy.

Back 26

Persons with spina bifida, persons with spinal cord injuries and urogenital anomalies, family history of latex allergy. Persons with sensitivity to bananas, nuts, avacadoes and kiwi may be at risk.

Front 27

True or False: Transient flora are the hardest to get rid of from the hands and are not important in disease transmission.

Back 27

False: Transient microorganisms are more easily washed off than resident but they cause more disease. They do not survive long on hands.

Front 28

Under what conditions do you treat a patient who has latex allergy?

Back 28

first patient of the day, employees have not yet worn latex that day, all items used are latex free.

Front 29

Which handcleaning agents have the longest antimicrobial effect?

Back 29

Chlorhexidine digluconate and triclosan

Front 30

At what times should handwashing occur?

Back 30

First and last in the day, hands visibly soiled, bare hand touching contaminated surface, before donning and after taking gloves off, after restroom, before eating, before putting on utility gloves

Front 31

What is the percent of smal particles an accepted mask must filter out?

Back 31

95%

Front 32

Masks give limited protection against:
splatter, droplets, aerosols, or splash?

Back 32

Aerosols

Front 33

When should you change your facial mask?

Back 33

After every patient, when visibly soiled, when moist from wet exhaled air

Front 34

Which eyewear gives the most protection against front and side splashes?

Back 34

Goggles, Note: Masks and goggles must still be worn with facial shields.

Front 35

True or False: It is necessary to wear water proof clothing in the clinic.

Back 35

False: Not waterproof but water resistant. "Impervious"

Front 36

What is the best way to remove contaminated disposable barriers and materials from patient work area?

Back 36

Turn them inside out and place them all in the largest bag

Front 37

True or False: the important thing to remember in the sequence of preparing for a patient is to put the gloves on first.

Back 37

FALSE. gloves are donned last

Front 38

True or False: Housekeeping surfaces only need to be treated at the beginning of the day.

Back 38

False: Need attention at end of day or when cleaning of floors, walls and sinks is done

Front 39

List number of surfaces that need barriers in the clinical operatory before seating a patient.

Back 39

Back of chair, bracket tray, x-ray head, handpiece front delivery display, light handles, evacuation hoses (vak paks)

Front 40

Bioburden is organic material containing what bodily fluids?

Back 40

Blood and saliva

Front 41

The four steps in the pre-cleaning and disinfecting phase are known as ____ ______ _______ _______

Back 41

Spray, wipe, spray, wait

Front 42

How long should disinfectant stay wet on surfaces generally speaking--answer when taking boards

Back 42

10 minutes

Front 43

The 3 levels of disinfectants as organized by the CDC and FDA are

Back 43

high, intermediate and low levels of disinfectants

Front 44

Which organization recognizes only one disinfectant and registers them? What do they call it?

Back 44

EPA, Hospital disinfectant

Front 45

True or False: If a solution is sporicidal, it means it is a

Back 45

Sterilant

Front 46

True or False: Sodium hypochlorite is a good surface phenol disinfectant when used at a dilution of 1:10.

Back 46

False, Sodium hypochlorite is bleach.

Front 47

True or False: Commercial bleach is EPA registered and is commonly used in the dental office as a low level disinfectant.

Back 47

False, household bleach is not registered for dental use by the EPA. It is "off label use". It is an intermediate level disinfectant

Front 48

True or False: Iodophors are a high level disinfectant with a tendency to stain and corrode surfaces.

Back 48

False. Iodophores are intermediate. they do stain and corrode

Front 49

The intermediate level disinfectant used at GRCC is a phenolic and is called ______(brand name).

Back 49

Cavicide

Front 50

True or False: Alcohol can be used as a disinfectant in dentistry because it evaporates very slowly.

Back 50

False. It evaporates to quickly to be useful.

Front 51

True or False: Sodium hypochlorite is an intermediate level disinfectant and will kill TB.

Back 51

True

Front 52

Face masks are removed and discarded when?

Back 52

After each patient, when wet, when visibly soiled

Front 53

How many hours does it take for something to become sterile in cold sterilization?

Back 53

10 hours

Front 54

People who may be at risk for latex allergy also may be allergic to which foods?

Back 54

bananas, chestnuts, avacadoes and kiwi

Front 55

What kind of gloves do you use to take out the trash?

Back 55

?

Front 56

Is it the NRL protein in cornstarch or the powder that is responsible for airborne latex allergy?

Back 56

It's the protein--not the powder.