Lesson 1 Flashcards
What does the abbreviation COSHH stand for?
Control of Substances Hazardous to Health
What are COSHH regulations concerned with?
Risk assessment of chemicals
List 3 substances covered by COSHH commonly found in a dental practice?
- Acid/etch
- Alcohol spray/wipes
- Mercury/amalgam capsules
Fixer/Developer
List 3 stages of risk assessment?
- Identify the risk
- Identify who is at risk
- How to avoid or minimise risk
What does the abbreviation RIDDOR stand for?
Reporting of Injuries, Diseases and Dangerous Occurrences Regulations
List 3 incidents that should be reported to the HSE under RIDDOR?
Bone fracture/Contracting Hep C or Hep B/Explosion of a pressure vessel/Surgery Fire
List 2 incidents not covered under RIDDOR or reported to HSE?
Patient tripping up/Burn from autoclave/Needlestick injury
Which act is concerned with the disposal of special waste?
Environmental Protection Act
Which Scottish Agency is responsible for the regulations concerning the disposal of special waste?
SEPARATE
How should acid/etch be stored and handled?
Stored
-Away from direct heat
-Cool,dry,dark area
Handles
-Wearing PPE
-With care
How should ethyl chloride be stored and handled?
Stored
-Away from direct heat
-Cool,dry,dark area
Handled
-Wearing PPE
-With care
Who in the dental surgery is covered by the Health & Safety at work act (1974)?
Employer & Employees (persons at work)
Patients (visitors to practice)
Who does the Health & Safety at Work Act apply to?
Hospital departments, Community Clinics & Practices with 5 or more employees
List 3 hazards associated with working within a dental environment?
- Radiation
- Blood/Cross Infection
- Mercury
List 2 ways of storing equipment safely and securely?
- Locked cupboard
- In original packaging
State one risk associated with each of the following:
1. Frayed electric cables
2. Windows that cannot be opened
3. Wet floor
4. Bunsen burner
- Electric shock
- Lack of ventilation/fire risk
- Slip/fall
- Burn
State 2 points you should consider when moving and handling heavy items in the dental surgery?
- Divide load
- Ask for assistance/Use correct lifting technique
State how you would prevent the potential harm the could occur from the following hazards in the dental practice:
- Eye injury
- Needlestick injury
- Heavy lifting
- Wear visor/goggles
- Safe handling and disposing of sharp
- Divide load/use correct lifting technique
List 2 ways you can reduce the potential risk from each of the following hazards:
- Bunsen burner
- Computer
- Disposal of a sharp
- Do not leave unattended and Turn off after use
- Take regular breaks and Correct workstation height
- Safe handling and Correct disposal in sharps box (yellow)
Why is it important we follow and adhere to guidelines from the HSE, SDCEP and HPS?
To ensure patient, staff and public safety
List 4 items that can be used to deal with a small spillage of mercury?
- Disposable syringe
- Brush and shovel
- Alloy wool
- Sealed container
Who should be informed if there is a large mercury spillage?
HSE (Health & Safety Executive)
There has been a minor mercury spillage in the surgery. After reporting the incident to your manager, state 2 further actions which should be taken to deal with the hazard safely?
- Evacuate patient & increase ventilation by opening a window.
- Using the brush, move the globules of mercury together to form a large pool. Aspirate the mercury into the disposable syringe and dispense it into a container.
Which stream of waste is an amalgam capsule safely disposed in?
Red stream (special waste)
How should a used bur be disposed of?
Yellow stream (clinical waste)
How often should matrix bands be replaced?
After every patient
Which stream of waste is sent to landfill after heat disinfection?
Orange stream (clinical waste)
Which stream of waste is disposed of by specialist incineration?
Yellow stream (clinical waste)
Complete the following sentence:
Clinical waste bags must be no more than…..full or weight more than…..
3/4 and 4kgs
List 3 incidents that should be recorded in the accident book?
- Burn
- Fall
- Needlestick injury
List 3 details that should be included in the accident book?
-Date & time of incident
-Details of injury
-Action taken/Name of person completing accident book
Give 2 examples of each of the following types of waste:
1. Low risk clinical (orange)
2. High risk clinical (yellow)
3. Special (red)
- Used cup and used tissue/used bib
- Used needles and matrix bands/endo files
- Developer/fixer/lead foil and amalgam capsules/waste amalgam
Complete the following by indicating which stream is “high” risk and which is “low” risk clinical waste:
1. Orange stream is…..risk clinical waste
2. Yellow stream is…..risk clinical waste
- Low
- High
List 2 types of firefighting equipment?
- Fire extinguisher
- Fire blanket
List 3 actions you would take in the event of a fire?
- Raise alarm
- Evacuate building
- Call 999
List 3 security measures that the surgery may have in place to protect staff and patients?
- CCTV
- Zero tolerance policy
- Buzzer entrance
State one hazard associated with each of the following:
1. Acid/etch
2. Mercury
- Corrosive, irritant or harmful
- Toxic, harmful to the environment