Patient Safety Flashcards

1
Q

Who has the responsibility over patient safety?

A

Clinician (and dental student)

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2
Q

Describe 3 things a patient must be to have ability to safely receive treatment

A
  1. Medically fit
  2. Capacity
  3. Consent
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3
Q

Describe best practice with regards to patient safety

A
  • Try to avoid adverse incidents
  • Get help from supervisor promptly
  • Be open with patients
  • Ensure notes are written in detail recording incident
  • Reporting systems with IR1 forms
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4
Q

Describe the issue with a clinician accidentally sticking a LA needle in themselves following giving it to a patient

A

Clinician could potentially get infected with patient blood which may contain BBV

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5
Q

Describe what happens next following a clinician accidentally sticking a LA needle in themselves following giving it to a patient

A
  • First aid measures
  • Inform supervisor and patients
  • Complete treatment if possibly
  • Complete necessary Sharps paperwork / Occupational health
  • IR1 form
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6
Q

Describe how the issue with a clinician accidentally sticking a LA needle in themselves following giving it to a patient could be prevented

A

Better awareness, retraction of soft tissues and care while giving LA

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7
Q

Describe the issue with a clinician accidentally embedding bur in soft mucosa while carrying out a restoration

A
  • Emergency situation

- Patient has a foreign body embedded in their mucosa

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8
Q

Describe what happens next following a clinician accidentally embedding bur in soft mucosa while carrying out a restoration

A
  • Stop what you are doing
  • Retrieve the bur if safe
  • Immediately seek help from supervisor
  • Inform and reassure patient
  • Temporise and postpone treatment
  • Complete detailed notes recording what happened
  • IR1 form, reflect and learn and review patient
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9
Q

Describe how the issue where a clinician accidentally embedding bur in soft mucosa while carrying out a restoration may be prevented

A
  • Better awareness, retraction and care while drilling

- Have good communication to allow the breaks if they need to close up their mouth

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10
Q

Describe the issue with a bur becoming dislodged into the patient’s mouth and could not be found

A
  • Equipment has gone missing and cannot be found
  • Could be aspirated by patient into lungs
  • Emergency situation
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11
Q

Describe what happens next following a bur becoming dislodged into the patient’s mouth and could not be found

A
  • Stop immediately and call over supervisor
  • Inform patient
  • Search for missing bur (floor / suction)
  • Complete treatment if possible
  • If bur cannot be found need to go to A+E for chest x-ray
  • Complete detailed notes recording what happened
  • IR1 form, reflect and learn and review patient
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12
Q

Describe how a bur becoming dislodged into the patient’s mouth and could not be found may be prevented

A

Ensure the bur is securely seated in the handpiece

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13
Q

Describe how patient’s soft tissues can be protected

A

Retraction, appropriate light sources and protection with visor / bib

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14
Q

Name 4 ways retraction can be achieved

A
  1. Cotton wool rolls placed buccally
  2. Fast suction used
  3. Mirror used
  4. Rubber dam isolated teeth
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15
Q

Describe 3 basic potential hazards with regards to soft tissue damage in a dental surgery

A
  1. Soflex discs and pogos can cause serious tissue damage
  2. Grazing arm against burs in holder
  3. Leads on the floor are potential trip hazard
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