Infection Control

Question 1

Infection prevention control protocols

Answer 1

1) prevent the transmission from
- worker to patient, patient to worker, and patient to patient
2) uses the latest EBDM principles

Question 2

standard precautions

Answer 2

1) precedures with a basis in our understanding of the disease
2) also universal precautions
3) always assume anything can happen regardless of health history

Question 3

causative agent

Answer 3

1) pathogen

Question 4

chain of infection

Answer 4

1) causative agent
2) source
- ex. gloves
3) portal of exit
- out of the person
4) mode of transmission
5) portal of entry
- into the person
- broken skin, mucous membranes, injury
6) susceptible host
*try to stop it at every possible connection

Question 5

primary bloodborne diseases of concern

Answer 5

1) hepatitis B, C
2) HIV
—
1) do you double glove?
- no, you should always practice good PPE so there is no discrimination

Question 6

do we treat people with active airborne diseases

Answer 6

1) tuberculosis, measles, covid-19
2) WE DON’T TREAT THEM
- send them to hospital emergency room if it is an emergency

Question 7

standard precautions include

Answer 7

1) hand hygiene
2) PPE
3) respiratory hygiene, cough
4) sharps safety
5) safe injection practice
6) sterilization and disinfection of instruments and devices
7) cleaning and disinfecting environmental surfaces

Question 8

immunization protocol

Answer 8

1) various vaccines are required

Question 9

general infection control guidelines

Answer 9

1) do not touch objects or surfaces with gloved hands
2) do not leave cubicle with gloves
3) do not handle contaminated objects with bare hands
4) assume all areas are contaminated UNLESS you yourself perform decontamination procedures

Question 10

what do you do if you drop an instrument / gauze

Answer 10

1) DO NOT PICK IT UP
2) roll it to the side with your foot
3) pick it up before degloving right before you Discontaminate

Question 11

hand hygiene

Answer 11

1) wash hands before gloves and after removing gloves
2) do jewelry or nails from hands
3) dry hands thoroughly
4) report any skin conditions of the hands immediately
- cuts, etc.
5) may use alcohol based hand sanitizer if hands are not visibly soiled

Question 12

PPE for chairside care

Answer 12

1) surgical mask
2) eye protection
- protective eyewear or full face shield
3) a gown or protective clothing
4) exam gloves
—
take off PPE in operatory, do not step out with it and go into PSL, radiology, etc.

Question 13

new focus on aerosols

Answer 13

1) post pandemic procedures

Question 14

should you wear PPE when disinfecting

Answer 14

yes

Question 15

masking

Answer 15

1) try to only touch the outside when masking and demasking

Question 16

N95

Answer 16

1) top strap first
2) bottom strap second
3) pinch metal bar

Question 17

gloves should be

Answer 17

1) over the cuff of the gown

Question 18

disinfection

Answer 18

1) cleaning
- first wipe
2) disinfecting
- new second wipe
*must let it evaporate on its own for 3 minutes

Question 19

can you touch light handles without gloves or without barriers

Answer 19

yes, and chairside counters, keyboard and mouse
- as long as you know it has been disinfected prior
- if you do not know… DO NOT TOUCH WITHOUT GLOVES

Question 20

which disinfectants do we use

Answer 20

1) intermediate level
2) kills tuberculosis

Question 21

hoses

Answer 21

1) clean hoses, knobs, and arm control

Question 22

dental unit water lines

Answer 22

1) needs to be same quality as drinking water
2) 2 minutes at beginning of session
- purge the water
3) at least 20 seconds in between patients

Question 23

evacuation line cleaner

Answer 23

1) 1 cup for saliva ejector
2) 1 cup for HVE
3) use at end of session ejector

Question 24

clinic dispensary

Answer 24

1) no glove zone

Question 25

soiled room

Answer 25

1) go here with utility gloves
2) never take anything back

Question 26

sharps container

Answer 26

1) discard all disposable sharps
2) never reach into the container
3) if scaler breaks, you put it in there

Question 27

cassettes on barriers

Answer 27

1) trays
2) tray liners
3) bibs
4) sterilization pouches
–
clinic items need to be placed on barriers

Question 28

plce personal items

Answer 28

1) on the floor or coat rack
2) open or unsealed drinks cannot be allowed in operatory

Question 29

tips to excel

Answer 29

1) infection prevention in your operatory in your responsibility
- no matter who is breaking protocol
- you need to set the guidelines
2) manage time
3) assume it is contaminated
4) the floor is contaminated