Competency C Flashcards
Comply with Safety and Health regulations-Infection control and hazardous Material
Does the center for disease control and prevention (CDC) have authority to make laws?
NO
What agencies have infection control regulations?
FDA
EPA
OSHA
What does the food and drug administration (FDA) regulate?
Drugs and medical devices
What does environmental protection agency (EPA) regulate?
Disinfectants
medical waste after it leaves the dental office
What does the occupational safety and health administration (OSHA) do?
Protects workers from physical, chemical, or infectious hazards in the workplace.
What was OSHA’s bloodborne pathogens standard designed to do?
Protect employee’s form occupational exposure to bloodborne pathogens
What are standard precautions?
Treating blood and certain fluids from all patients as if infectious for HBV, HIV and other bloodborne pathogens
Give two examples of engineering controls
Using sharps containers
using rubber dams
eye stations
Give three examples of contaminated sharps
Needles
Scalpels
Broken glass
How is recapping/removal of contaminated sharps handled when no feasible alternative is available?
A mechanical device or one-handed technique is used
What is personal protective equipment (PPE)?
Specialized clothing or equipment worn to protect against a hazard
Who must pay for PPE?
The employer
What may be worn instead of protective eyewear?
A chin-length face shield
Can employees take contaminated laundry home to clean?
NO
When must contaminated work surface be decontaminated?
After completion of procedures, when contaminated or after any spill of blood or OPIM and at the end of the workday is possibly contaminated since the least cleaning
When must protective covers be removed and replaced?
Whenever overly contaminated and at the end of the workday
What must be worn when cleaning contaminated equipment and surfaces?
Utility gloves
How are contaminated disposable sharpes disposed of?
In containers that are closable, puncture resistant, leakproof on sides and bottom and marked with the biohazard label or color- coded red
What is an exposure incident?
A specific eye, mouth, other mucous membrane, non-intact skin or parenteral contact with blood or OPIM as a result of preforming an employee’s duties
What does postexposure evaluation and follow-up consist of?
A report of the incident made documenting the route of exposure and circumstances in which the exposure occurred
an attempt by the employer to have the source patient’s blood tested to determine HBV, HCV, HIV infectivity
Results of the source patient’s blood test made available to the exposed employee if the patient consent to disclosure or if the law permits disclosure without the patient’s consent
How must potentially. biohazardous materials be labeled?
Colored-coded red or identified with the biohazard symbol and the word “ biohazards” in contrasting color on fluorescent orange or orange -red label
When must initial training for bloodborne pathogens take place?
Before beginning work involving occupational exposure
When is refresher training for bloodborne pathogens required?
annually and whenever changes in task or procedures require it
How long must training records be kept?
For three years following the training session
How many exposures risk categories were established by OSHA?
Three
Under what category is the chair side dental assistant placed?
Category 1
Who is included in category II?
Receptionist or office manager who may on occasion help with cleaning, processing radiographs, handle instruments or impression materials, or send dental cases to the commercial laboratory
In what exposure category are protective measures not required?
Category III
What is the difference between hazardous waste and contaminated waste ?
Hazardous waste includes infectious and toxic chemicals and materials. Contaminated waste is waste that has contacted with blood or other body fluids
How is contaminated waste disposed of in Iowa?
As general waste
How are sharps disposed of?
In puncture resistant, closable, leakproof, containers that are color-coded or labeled with the biohazard symbol
What is an exposure control plan?
A written plan that includes a listing of job classifications that may involve occupational exposure, task and procedures performed in each job. classification, and a schedule and method of implementation of compliance
How often must the exposure control plan be renewed and updated?
Annually and whenever there are new or revised employee positions with occupational exposure and new or modified tasks and procedures that affect occupational exposure
Why is it important to report exposures?
employees will be offered postexposure evaluation and follow-up at no cost
Where are materials safety data sheets (MSDS) obtained?
suppliers
What must labels on hazardous chemicals contain?
- Identity of the hazardous chemical(s)
- appropriate hazard warnings
- name and address of the manufacturer
What products require an MSDS?
all hazardous material
What are the three classifications of instruments, equipment and surfaces according to CDC guidelines?
- critical instruments
- semicritical instruments
- noncritical instruments
What classification must be heat-sterilization before reuse?
critical instruments
What instruments are included under critical instruments?
Surgical and other instruments that penetrate soft tissue or bone?
Give three examples of critical instruments?
- forceps
- burs
- scalers
What classification includes instruments that come in contact with the oral tissues but do not penetrate soft tissue or bone?
semicritical instruments
How is blood in a liquid or semiliquid form disposed of?
can be poured or evacuated into the office/clinic waste water system
How are teeth disposed of in a dental office?
sterilize, then dispose of in normal trash ideally in a sealed container
How can teeth containing amalgam restorations be disposed of in the dental office?
Disinfect, rinse and discard
Where should sharps containers be located?
As close as is practical to the work area
What are material safety data sheets (MSDS)?
Detailed information bulletins prepared by the manufacture or supplier of any product that contains a hazardous chemical
What must be done if the manufacturer or supplier does not provide MSDS?
The employer must obtain the MSDS as soon as reasonably possible
Mark each statement True or False
training on OSHA bloodborne pathogens regulations must be provided annually
True-
Mark each statement True or False
it is the employee’s responsibility to seek appropriate training on bloodborne pathogens
False
Mark each statement True or False
an employer may decide not to provide training if it is not cost effective
False
Mark each statement True or False
Additional training is required if there is a change in the tasks or procedures that affect employee occupational exposure
True
Mark each statement True or False
training must preformed during regular work hours
True
Mark each statement True or False
the training program must include information on what to do in the event of an occupational exposure to bloodborne pathogens
True-
Mark each statement True or False
disposable sharps must be placed in some type of biohazard bag or container the type of bag or container is unimportant as long as it says biohazard
False
Mark each statement True or False
if your workplace has been able to institute many types of engineering controls, you do not need to use any personal protective equipment
False
Mark each statement True or False
antiseptic hand cleanser or antiseptic towelette is used for hand washing, you must wash with soap and water as soon as possible
True
Mark each statement True or False
drinking coffee is prohibited in work areas where there is a reasonable likelihood of occupational exposure to blood or OPIM
True
Mark each statement True or False
after training,
employee’s should be familiar with the symptoms of bloodborne disease
True
Mark each statement True or False
Persons handling regulated laundry should practice standard precautions this would include the wearing of latex gloves
TRUE