IPC

Question 1

What is placed in the orange lid container with yellow main bit?

Answer 1

Sharps, empty local, burs, matrixes, scalpels etc

Question 2

What is placed in the blue lid and yellow container?

Answer 2

Prescription only meds, local cartridges with some left, Epi pen

Question 3

What is placed in the red lid yellow container?

Answer 3

Teeth with amalgam fillings

Body waste e.g. blood bags

Special waste

Question 4

What is placed in the white container with red lid?

Answer 4

Amalgam waste

Question 5

How do you clean a bodily fluid spill that is not urine, sputum, vomit or faeces?

Answer 5

Place down chlorine releasing granules

Or

Paper towels followed by 10,000ppm sodium hypochlorite and dichloroisocyanurate for duration of 3 min or manufacturers instructions

Then remove paper towels and spillage and place into healthcare waste bag

Disinfect area with hot water and detergent along with paper towels

Dry area

Remove PPE and discard towels

Hand hygiene

Question 6

How do you clean a bodily fluid spill of urine, sputum, vomit or faeces?

What is important about one?

Answer 6

Do not place chlorine directly onto urine as it will prod. Ammonia

Place down paper towels and wipe up spillage

Then disinfect with 1000ppm chlorine or detergent/chlorine mix. If URINE use GELLING AGENT

Three dispose of the paper towels and disinfect area with:

• hot water and detergent mix

Dry area

Discard paper towels and PPE

Hand hygiene

Question 7

What is the sharps acronym?

Answer 7

Be sharps AWARE

Question 8

What is A1 in sharps injury?

Answer 8

Apply pressure and promote bleeding

At the sink, gentle pressure

Question 9

What is W in AWARE?

Answer 9

Wash, don’t scrub

Wash with soap and hot water at the sink

If it is mucosal splash then wash with warm water or saline

Question 10

What is A2 in AWARE?

Answer 10

Assess injury type

• Deep or shallow injury
• hollow bore needle or solid instrument
• visible blood or saliva / fluid
• type of instrument and cause

Question 11

What is R in AWARE

Answer 11

Risk of source blood

Treat ALL patients as HIGH risk

• don’t prejudice patients

IV drug users = higher risk

Question 12

What is E in AWARE?

Answer 12

Establish contact

• Contact senior staff
• Call occupational health immediately
• (not you) interview source patient and get consent for bloods and record on Datix system

Employees should then go through:

• bloods
• prophylaxis
• counselling
• prevention

Question 13

What is the correct order for wiping down a unit?

Answer 13

Begin with the light and the light arm

Then the dental chair

Then work surfaces and handles that have been touched

Cables and tubing on bracket table for handpiece etc

Then bracket table

Then aspirator tubing and spittoon