BUMEDINST 6600.10a dental infection control chapter 2,5 Flashcards

0
Q

Approximately what percent of patient with HIV or HBV show no symptoms and are unaware that they are infected?

A

80%

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1
Q

What is the instruction for dental infection control?

A

BUMEDINST 6600.10a

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2
Q

Dental personnel who treat patients and are in contact with blood or saliva must revive what vaccine and get what test each year?

A

HBV

HIV

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3
Q

What must be worn As attire when treating patients or working in areas were contaminated or potentially contaminated materials may be present?

A

Smocks scrubs laboratory coats or other personal protective attire

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4
Q

What three things must personnel due in regards to their scrubs?

A

1) Where clinic apparel only in the DTF
2) Change clinic apparel daily and when visibly soiled
3) Turn in soiled linen at end of the work. Do not leave dirty clinic attire in personable clothing lockers or spaces overnight

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5
Q

What must be worn on the face during any patient treatment?

A

Facemask or full-length face shield with face mask

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6
Q

Are personnel allowed to take home their own scrubs and wash them?

A

No is the responsibility of the chain of command

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7
Q

What must be worn on the face when assisting or providing treatment or other procedures which may cause splatter or airborne particles?

A

Protective eyewear

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8
Q

Protective eyewear goggles must have what?

A

Solid side shields to provide maximum protection

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9
Q

Why can staff or patients not eat or drink in dental treatment rooms?

A

Since aerosol particles can remain airborne long after the procedure is completed

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10
Q

What must be done in the beginning of each workday in regards to water lines and hoses?

A

They must be flushed for at least one minute beginning with the cup filler and cuspidor even if their usage is not anticipated

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11
Q

Possible water supplies In dental units at times can contain in excess of how many colony forming units per milliliter?

A

1,000

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12
Q

On average what size aerosol particles are generated during dental procedures?

A

1.3 microns in diameter

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13
Q

When inhaled aerosol particles less than what size and diameter can penetrate directly into the terminal bronchioles and Alveoli in the Lungs?

A

5 macrons

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14
Q

Having patients brush your teeth or rinse with mouthwash before treatment reduces Microbial Concentrations of their oral flora. How many and how long of rinses will temporarily reduce a patient’s microbial count by up to 97%?

A

Three 10 second rinses

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15
Q

Where should you store open packages of supplies?

A

In closed drawers or cabinets in the dental treatment room

16
Q

Opened Properly detected irrigation solution is acceptable for how long for nonsurgical use?

A

One week

17
Q

Open properly decanted irrigation solution is acceptable over how long for surgical use?

A

1 day

18
Q

How should liquid infectious waste be disposed of?

A

Decant liquid infectious waste into sanitary sewer systems through clinical sinks not handwashing sinks

19
Q

What techniques must be used to clean and disinfect all unprotected high touch areas with the intermediate level EPA registered disinfectant?

A

Spray wipes spray technique

20
Q

Because of its caustic vapors do not use it what As a surface disinfectant?

A

2% glutaraldehyde

21
Q

Mops must not be used for how long without laundering?

A

One day

22
Q

When should you clean walls, blinds, and curtains?

A

Only if there are visibly soiled

23
Q

Define contaminated laundry

A

Laundry that is visibly soiled by blood or other infectious material

24
Q

What is the procedure for Contaminated laundry?

A

Packed in a red biohazard container or bag or any plastic bag with the biohazard label, before shipment to laundry

25
Q

How long and at what temperature must contaminated laundry be washed that?

A

25 mins

160*F

26
Q

Is a separate Washer specifically used for Contaminated articles required?

A

No

27
Q

What is infectious waste now termed?

A

Regulated waste

28
Q

What are the three levels the EPA classifies disinfectants as?

A

1) high
2) intermediate
3) low

29
Q

High levels of bacterial activity indicates exposure to what five things?

A

1) Bacterial spores
2) tubercle bacillus
3) no lipid viruses
4) lipid viruses
5) vegetative bacteria

30
Q

Intermediate levels of bacterial activity indicate what for things?

A

2) tubercle bacillus
3) no lipid viruses
4) lipid viruses
5) vegetative bacteria

31
Q

Low levels of bacterial activity indicate what to things?

A

4) lipid viruses

5) vegetative bacteria

32
Q

What four factors influence germicidal procedures?

A

1) Nature of the material
2) Bioburden
3) Organic debris present
4) Type and concentration of the germicide

33
Q

In all instances when diluting germicides what must you do?

A

Follow the manufacturers recommendations

34
Q

What are the four general categories for liquid chemical agents?

A

1) glutaraldehyde-based solutions
2) iodophors
3) chlorine dioxide-based solution
4) phenolics

35
Q

Which classification level of disinfectant is given to glutaraldehyde-based solutions?

A

High level

36
Q

Which classification level of disinfectant is given to iodophors?

A

Intermediate

If the label claims tuberculocidal activity

37
Q

Which classification level of disinfectant is given to chlorine-based solutions?

A

High

38
Q

Which classification level of disinfectant is given to phenolics?

A

Intermediate