IPC

Question 1

what is an infectious agent

Answer 1

virus/bacteria/fungus

Question 2

what is reservoir

Answer 2

where infectious agent lives

Question 3

what is portal of exit

Answer 3

how it leaves body e.g., coughing

Question 4

what is mode of transmission

Answer 4

how IA is spread from one site to another (direct contact)

Question 5

what is portal of entry

Answer 5

how IA enters body

Question 6

what is susceptible host

Answer 6

anyone

Question 7

what actions can we use to break the chain of infection

Answer 7

standard infection control precautions (SICPs)

Question 8

when should SICPs be used

Answer 8

all staff in all care settings at all times whether infection is known to present or not

Question 9

what SICPs are most relevant to dentistry using correct terminology

Answer 9

hand hygiene
PPE
safe management of care equipment
safe management of care environment
safe manage of blood and body fluid spillages
safe disposal of waste including sharps
occupational safety prevention and exposure management including sharps

Question 10

what is the order of the chain of infection

Answer 10

infectious agent
reservoir
portal of exit
mode of transmission
portal of entry
susceptible host

Question 11

how should blood and body fluid spillages be managed, explain the stages

Answer 11

follow local policy
PPE
organic matter disposed using disposable paper towels
appropriate disinfecting solutions
granules removed using a scoop
clean the area with water and detergent
dispose of PPE
perform hand hygiene

Question 12

agents used when dealing with blood spillage

Answer 12

sodium hypochlorite
dichloroisocyanurate

Question 13

what is contact time for chlorine releasing agents

Answer 13

3 minutes

OR

manufacturers instructions

Question 14

at what concentration should sodium hypochlorite granules be

Answer 14

10,000 ppm

Question 15

examples of waste in orange stream

Answer 15

gloves
masks
apron
aspiratory tip
3 in 1 tip
gauze

Question 16

examples of waste in black stream

Answer 16

glove boxes
hand hygiene
paper towels
instrument wrapping

Question 17

when should temporary closure mechanism be used on sharps box

Answer 17

when left unattended or is not in use

Question 18

how do you use the temporary closure mechanism on sharps box

Answer 18

close until 1 click for temporary
2 clicks for permanent

Question 19

what waste is disposed of in orange sharps box

Answer 19

needles
scissors
burs
empty LA cartridge

Question 20

what waste is disposed of in blue sharps box

Answer 20

not empty LA cartridge
pharmaceuticals

Question 21

who is responsible for disposing sharps

Answer 21

operator

Question 22

who is responsible for carrying out risk assessment after sharps injury

Answer 22

anyone apart from the person who got the sharps injury
(nurse/dentist)

Question 23

what action should be taken if you receive a sharps injury and patient doesnt consent for bloods to be taken

Answer 23

same protocol
do risk assessment questions
get in touch with occupational health

Question 24

what procedure must be followed if you receive a sharps injury while treating a patient

Answer 24

immediately stop procedure
inform the patient
make the sharp safe
first aid - encourage bleeding, wash injured area, dress with plaster
notify supervising clinician
risk assessment
contact occupational health
consent patient for bloods
paperwork
datix

Question 25

what is the online system used for recording accidents/incidents

Answer 25

DATIX

Question 26

what happens to patients risk assessment paper work after sharps injury

Answer 26

destroyed as it is strictly confidential and must not be written in patients case notes

Question 27

what are the 5 WHO hand hygiene moments

Answer 27

before touching patients
before clean procedure
after blood of body fluid exposure
after touching a patient
after touching a patients surroundings

Question 28

where do extracted teeth go

Answer 28

red lid with yellow base

Question 29

where does amalgam go

Answer 29

red lid with white base