IP & C

Question 1

what are the steps to donning PPE?

5

Answer 1

1. wash hands
2. apron
3. mask
4. visor / eye protection
5. gloves

Question 2

what are the steps to doffing PPE?

5

Answer 2

1. gloves - peeling technique
2. apron
3. visor / eye protection
4. mask
5. wash hands

Question 3

what does this symbol mean and give examples

Answer 3

single use item
* patient cups
* aspirator tips
* impression trays
* articulating paper
* cotton wool rolls
* dental dam

Question 4

what do clinical waste bags look like and what would go in them?

Answer 4

orange bag - non-sharp, potentially infectious items including low hazard wastes, dressings, swabs, disposables

Question 5

what are the two places you can dispose of sharps and what would go in them?

Answer 5

• blue lid sharps box - pharmaceutically contaminated sharps and glassware, half used LA within safety syringe, sedation drug ampules
• orange lid sharps box - infectious sharps, broken glass, needles, scalpel blades, sutures, burs, endo files, empty LA cartidges

Question 6

where would you dispose of amalgam waste and what would go in it?

Answer 6

red stream waste box - waste amalgam, amalgam capsules, extracted teeth with amalgam

Question 7

where would you dispose of domestic waste? give examples

Answer 7

black bag - paper towels, wrapping from dental kits

Question 8

what are the rules about filling sharps containers?

3

Answer 8

• temporary closure mechanism should be closed when container is not in use
• lid should be firmly closed in place
• do not fill above the line, close once reached

Question 9

what should you do if you have a sharps injury?

Answer 9

1. immediately stop procedure
2. inform the patient
3. make the sharp safe
4. check injury, carry out first aid
5. inform lead clinician, dental nurse leader
6. carry out risk assessment
7. contact occupational health
8. consent source - bloods
9. fill out paperwork
10. complete online DATIX form

Question 10

what should you do if you think you have sustained a sharps injury?

5

Answer 10

1. stop what you are doing
2. take off gloves
3. get supervising clinician immediately, axplain situation
4. investigate injury site, confirm NO injury before restarting
5. dispose of used sharp and start again with new

Question 11

what should happen if there is significant ocupational exposure to a student?

4

Answer 11

• student has immediate access to medical advice
• student has been offered post exposure prophylaxis (PEP) within the hour
• any other medical treatment as advised by a registered medical practitioner
• consider counselling

Question 12

give examples of 3 blood borne viruses

Answer 12

• HBV
• HCV
• HIV

Question 13

what is the order of cleaning down the dental environment?

7

Answer 13

1. dental light, handles, arm
2. dental chair
3. worksurfaces/workshops
4. bracket table
5. cables
6. suction tubing
7. spittoon

Question 14

how do you manage large blood spillages?

8

Answer 14

1. report blood spillage
2. apply sodium hypochlorite / sodium dichloroisocyanurate in granule form 10,000ppm
3. leave for 3 mins or follow manufacturer instructions
4. gather gross contamination using scoop
5. place in healthcare waste
6. wash area with water and general purpose detergent
7. dry area with paper towels adn dispose
8. record on DATIX

Question 15

what is the chain of infection?

6

Answer 15