CLEANLINESS CHAMPIONS OSCE

Question 1

how many steps are there in the Hand Hygiene routine and how long should it take?

Answer 1

• 6 steps
• minimum of 10-20 seconds
• ideally 45 seconds start to finish

Question 2

what are some rules associated with hand hygiene?

Answer 2

• short nails with no nail varnish
• removal of jewellery (plain wedding band allowed)
• arms clear to elbows

Question 3

You walk into a dental practise that has some clear hazards present in the clinic room, what hazards might draw your attention?

Answer 3

• sharps left on bracket table unattended
• messy bracket table
• overflowing sharps box/sharps box left wide open
• burrs left in handpieces
• blood saliva on outside of spittoon or light handle
• instruments in sink
• dentist/nurse touching drawers/holding pen with gloves on

Question 4

what are the 9 SICPs?

Answer 4

• patient placement/assessment for infection risk
• hand hygiene
• respiratory and cough hygiene
• PPE
• safe management of care equipment
• safe managment of care environment
• safe management of linen/uniform
• safe management of blood and body fluid spillages
• safe disposal of waste/sharps

Question 5

what are the six links in the chain of infection?

Answer 5

• infectious agent
• reservoir
• portal of exit
• mode of transmission
• portal of entry
• susceptible host

Question 6

what are the 7 modes of transmission?

Answer 6

• direct
• indirect
• inhalation
• ingestion
• innoculation
• intercourse
• mother to child

Question 7

what are the 5 moments for hand hygiene?

Answer 7

1. before touching a patient
2. before a clean/aseptic procedure
3. after body fluid exposure risk
4. after touching a patient
5. after touching a pateints immediate surroundings

Question 8

what is social hand hygiene?

Answer 8

washing with an alcohol based gel when hands are not visibly soiled

Question 9

what is hygienic hand washing?

Answer 9

washing with an antimicrobial scrub/with hot water and soap & then alcohol based gel

Question 10

when should sharp box containers be disposed of? how is this done?

Answer 10

• 3/4 full

- sent away for incineration

Question 11

In the dental practise, where should sharps boxes be placed?

Answer 11

• out of reach of children

- close enough to operator for easy reach

Question 12

You are working on clinic with a patient when you suddenly pierce your glove with a probe and give yourself a sharps injury, what steps do you follow?

Answer 12

• stop what you are doing immediately & inform pateint/nurse you have injured yourself
• run the injury under warm water and squeeze to encourage bleeding
• wash thoroughly with soap and water (do not scrub)
• speak to someone in charge and report to occupational health
• complete incident report form (datix form)

Question 13

what is the black waste stream used for?

Answer 13

domestic waste

Question 14

what is the orange waste stream used for?

Answer 14

items which are contaminated/likely to be contaminated with blood/bodily fluids (disposal via treatment or incineraton)

• dressings & swabs
• disposables such as gloves, aprons, masks, contaminated wipes

Question 15

what is the blue waste stream used for?

Answer 15

medicinal waste that must be disposed via incineration

Question 16

what is the yellow waste stream used for?

Answer 16

infectious waste for disposal by incineration

• teeth with fillings (NOT AMALGAM)
• used or unused sharps
• infected blood

Question 17

what is the yellow/black waste stream used for?

Answer 17

offensive/hygiene waste for disposal by deep landfill

Question 18

what is the purple waste stream used for?

Answer 18

containing cytotoxic or cytostatic waste for disposal via incineration

Question 19

what is the red waste stream used for?

Answer 19

anatomical waste for disposal by incineration

Question 20

what is the white waste stream used for?

Answer 20

amalgam waste for recycling

Question 21

You are on clinic and about to use a piece of sterile equipment, what must you check first?

Answer 21

• the packaging is intact
• no obvious signs of packaging contamination
• the expiry date remains vaild

Question 22

how would you clean up a blood spillage?

Answer 22

chlorine releasing granules poured directly onto blood spillage

Question 23

what would be used to clean a blood spillage?

Answer 23

• sodium hypochlorite (10,000ppm)

- dichloroisocyanurate (10,000ppm)

Question 24

what do you NOT use to directly to clean a urine spillage? why?

Answer 24

NEVER use chlorine releasing granules directly on urine spillage
- will react and produce toxic chlorine gas

Question 25

what order does PPE go on?

Answer 25

HAND HYGIENE

• apron
• mask
• eye protection
• gloves

Question 26

in what order is PPE removed?

Answer 26

• gloves
• apron
• eye protection
• mask
  HAND HYGIENE

Question 27

what is the Spaulding Classification definition?

Answer 27

Puts medical devices/equipment into categories depending on the infectious risk associated with it.

Question 28

what are the Spaulding Classifications?

Answer 28

Minimal Risk
Non-Critical (low risk)
Semi-Critical (medium risk)
Critical (high risk)

Question 29

what are examples of minimal risk equipment?

Answer 29

dental chair

Question 30

what is meant by Minimal Risk spaulding classifications?

Answer 30

Equipment not normally in contact with skin

Question 31

what is meant by Non-Critical Spaulding Classification equipment?

Answer 31

Equipment that is normally in contact with intact skin

Question 32

what is meant by Semi-Critical Spaulding Classification equipment?

Answer 32

equipment that comes into contract with intact mucous membranes

Question 33

what is meant by Critical Spaulding Classification equipment?

Answer 33

equipment that comes into contact with normally sterile body sites

Question 34

what are examples of Semi-Critical equipment?

Answer 34

dental mirrors/hand pieces

Question 35

what are examples of critical (spaulding classification) equipment?

Answer 35

forceps, scalpels, perio scalers, dental burrs