Infection Control Flashcards
True or false:
If compliance with regulations are not met, dentists may be fined, lose their licenses to practice dentistry, or face imprisonment
True
What is a BSI?
A system which requires personal protective equipment to be worn for protection against contact with all body fluids, whether or not blood is visible
What does PPE stand for?
Personal Protective Equipment
ADA stands for:
American Dental Association
CDC stands for:
Centres for Disease Control and Prevention
Who makes recommendations through its councils?
American Dental Association (ADA)
Who provides the basis for many of the regulations
Centres for Disease Control and Prevention (CDC)
What is the NIH?
National Institute of Health
A government agency that provides research for the expansion and implementation of knowledge for the enhancement of health, prevention of disease, the lengthening of life, and maintenance of high professional standards
What is the NIOSH?
The National Institute of Occupational Safety and Health
Provides research and prevention programs to aid in the elimination of occupational diseases, injuries, and fatalities
What is the aim of NIOSH? (4)
To complete tasks with: High-quality research Practical solutions Partnerships Implementing research into practice
What is the OSHA?
The Occupation Safety and Health Administration
A regulating body that enforces requirements that state that employers must protect their employees from exposure to blood and other potentially infectious materials (OPIM) while employees are at work
What is OPIM?
Other Potentially Infectious Materials
List the OPIMs (10)
Blood and anything that is visually contaminated with blood
Saliva in dental procedures
Cerebrospinal fluid
Amniotic fluid
Synovial fluid
Pleural, peritoneal, pericardial fluid
Semen and vaginal secretions
Unfixed tissue or organ (other than intact skin) from a human living or dead
HIV-containing cell or tissue cultures, organ cultures, and HIV or HBV-containing cultures, mediums or other solutions
Blood, organs, or other tissues from experimental animals infected with HIB or HBV
What is cerebrospinal fluid?
Brain and spinal fluid
What is amniotic fluid?
Fluid around the fetus
What is synovial fluid?
Joint and tendon fluid
What is pleural fluid?
Lung fluid
What is peritoneal fluid?
Abdominal fluid
What is pericardial fluid?
Heart fluid
When are dental offices investigated for compliance? (3)
After an employee or a patient complaint is made
In any office having 11 or more employees, randomly
By invitation of the office requesting an inspection
Overview of the OSHA bloodborne pathogens standard, every facility must:
Review the ___________ _________ ________
Bloodborne Pathogens Standard
Overview of the OSHA bloodborne pathogens standard, every facility must:
Prepare a _______ _______ _______ ____ outlining the means to _______ and _____ employees
Written exposure control plan
Protect
Train
Overview of the OSHA bloodborne pathogens standard, every facility must:
Update the exposure control plan when _______ in __________ provide safer medical devices and ________ the consideration and implementation of the use of these devices
Changes
Technology
Document
Overview of the OSHA bloodborne pathogens standard, every facility must:
Solicit ___-___________ employees to ________, ________, and select safer products and devices for use in the workplace
Non-managerial
Identify
Evaluate
Overview of the OSHA bloodborne pathogens standard, every facility must:
Train all _________ in a ______ manner (initially, after a job task change, when new devices are implemented)
Employees
Timely
Overview of the OSHA bloodborne pathogens standard, every facility must:
Provide _________ with everything needed in order to meet standard regulations
Employee
Overview of the OSHA bloodborne pathogens standard, every facility must:
Provide ________ __________ ________ (___)
Personal protective equipment (PPE)
Overview of the OSHA bloodborne pathogens standard, every facility must:
Maintain and dispose of necessary ___
PPE
Overview of the OSHA bloodborne pathogens standard, every facility must:
Establish ________ _________ _________ (____) in infection control
Standard operating procedures (SOPs)
Overview of the OSHA bloodborne pathogens standard, every facility must:
Maintain a ______ ______ __
Sharps injury log
Overview of the OSHA bloodborne pathogens standard, every facility must:
Offer the ________ _ vaccination series to all employees
Hepatitis B
Establish a ___________ plan, including ______ _________ and follow-up procedures (for example, ____________ _________ to ____________)
Postexposure
Medical evaluation
Occupational exposure
Needlesticks
Overview of the OSHA bloodborne pathogens standard, every facility must:
Provide communication on __________
Biohazards
Overview of the OSHA bloodborne pathogens standard, every facility must:
Establish standards for ________ and _________ of hazardous waste
Handling
Disposing
Overview of the OSHA bloodborne pathogens standard, every facility must:
Maintain records of ________, _________ _ vaccinations, and ________ incidents
Training
Hepatitis B
Exposure
OSHA-Mandated Training for Dental Employees:
A copy of the _________ _________ ________ and specific information regarding the meaning of the standard
Bloodborne Pathogens Standard
OSHA-Mandated Training for Dental Employees:
Information about __________ pathogens, both the ____________ and _______ of the diseases
Bloodborne
Epidemiology
Symptoms
OSHA-Mandated Training for Dental Employees:
Information about the _____-____________ pathways of bloodborne pathogens
Cross-contamination
OSHA-Mandated Training for Dental Employees:
A written copy or a means for employees to obtain the _________‘/______‘ written exposure control plan
Employer’s
Office’s
OSHA-Mandated Training for Dental Employees:
Information on the ____, ________ _________ of _______ _______________, and how each is identified in relation to bloodborne pathogens and other potentially infectious materials (____)
Tasks
Category placement
Employee classifications
OPIM
OSHA-Mandated Training for Dental Employees:
Information regarding the _________ _ vaccine
Hepatitis B
OSHA-Mandated Training for Dental Employees:
Information about _________ _________, including ___: ____ __________; standard precautions, including _________ ___________; and ___________ __________
Exposure reduction PPE Work practices Universal precautions Engineering practices
OSHA-Mandated Training for Dental Employees:
Information about ____ __ __ and ____ __ _______, if an emergency involving blood or OPIM arises
What to do
Whom to contact
OSHA-Mandated Training for Dental Employees:
Information about the procedure to follow if an incident of _____ ________ occurs, how to report the ________, and what type of medical follow-up is available at no cost to the employee
Blood exposure
Incident
OSHA-Mandated Training for Dental Employees:
Information about the ____________ __________ and follow-up that the employer provides
Postexposure evaluation
OSHA-Mandated Training for Dental Employees:
A copy of the ____ ______ _____________ _________
OSHA Hazard Communication Standard
OSHA-Mandated Training for Dental Employees:
______ ____ ______ (___) (formerly known as material safety data sheets, ____) as part of the ________ __________ ______ of ______________ and ________ of _________ (___)
Safety Data Sheets SDS MSDS Globally Harmonized System Classification Labelling Chemicals GHS
OSHA-Mandated Training for Dental Employees:
The ___________ for employees to ask questions of the individual giving the information
Opportunity
When are cross-contamination pathways formed?
When pathogens travel from patients to dentists, dental assistants, dental hygienists, dental laboratory technicians, and other patients
Pathogens can also travel from ______ _________ to ________
Dental personnel
Patients
Where can the cross-contamination then go?
To the families and friends of the dental personnel or patients
What is the chain of infection?
Describes the elements of an infectious process
What is in the chain of infection?
Agent
Host
Environment
What must the chain of infection include?
Several essential elements or “links in the chain” for the transmission of microorganisms to occur
What tasks belong in Category 1 in Exposure Determination?
Tasks that involve exposure to blood body fluids such as saliva, and body tissues
What professions does Category 1 in Exposure Determination encompass?
Dentist
Dental assistant
Dental hygienist
Dental laboratory technician
What tasks belong in Category 2 in Exposure Determination?
All tasks that involve no exposure to blood, body fluids such as saliva, or body tissues, but occasionally may involve unplanned tasks from Category 1
What professions does Category 2 in Exposure Determination encompass?
Receptionist
Coordinating assistant
So on
What tasks belong in Category 3 in Exposure Determination?
All tasks that involve no exposure to blood, body fluids such as saliva, or body tissues
What professions does Category 3 in Exposure Determination encompass?
Accountant
Insurance assistant
So on
Describe the Written Exposure Plan
Documents the specific exposure determination for each employee and identifies a schedule of implementation (how and when provisions of the standard will be implemented)
Step 1 of Written Exposure Plan
All employees list tasks they perform in each job classification, and then identify which category they fall under. Any employee who may have any occupational exposure at any time is covered under the OSHA Bloodborne Pathogen standard
Step 2 of Written Exposure Plan
The office must have a schedule for implementation
How and when are the hepatitis B vaccinations being offered to employees?
How and when are the post exposure evaluation and office follow-up procedures accomplished?
How and when are new devices identified and implemented?
How and when is the recordkeeping accomplished and updated?
Step 3 of Written Exposure Plan
A manual and procedure plan must be written to cover methods of compliance for office PPE and safety issues Personal protective equipment Engineering controls Housekeeping controls Work practice controls
Step 4 of Written Exposure Plan
A written policy on how exposure incidents are evaluated is required. Included in each evaluation are the circumstances that surrounded the incident and how they can be corrected. A sharps injury log must be maintained. Why type of evaluation will be done by the office if an exposure incident occurs?
What does the FDA stand for?
Food and Drug Administration