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Patient safety revision notes Flashcards

1
Q

10 SICPS

A

Hand hygiene
Resp and cough hyg
PPE
Safe disposal of waste
Safe management of equipment
Safe management of care enviornment
Prevention of occupational exposure
Assessment for infeciton risk
Management of blood and bodily fluids
Safe managment of linen

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2
Q

Chain of infection

A

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

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3
Q

Mode of transmission types

A

inhaltion
ingestion
indirect
mother to infant
inncoulation
intercourse

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4
Q

Sharps risk

A

Hep B = 1in 3
Hep C = 1 in 30
HIV = 1 in 300

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5
Q

Priciples of waste disposal

A

Segragation
Storage
Disposal
Document

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6
Q

Spaulding classification

A

non critical - things that come into contact with intact skin
semi critical - things that come into contact with intact mucous memebrane
critical - things that come into contact with noramlly sterile body sites

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7
Q

Blood spillage

A

Contain the large spillage with paper towels
Apply either sodium hypoclorite or sodium dichlorisocysnurate, 10,000ppm for 5mins
remve and clean area
wsah hands

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8
Q

Social handwashing

A

plain or antimicrobial soap or ABHR if not soild for 15secs

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9
Q

Hygienic handwashing

A

removes transient microgransims and reduces resident micro
antiseptic or antimicrobial

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10
Q

Surgical handwashing

A

longer and more thorough
includes the forearms
designed to remove resident flora before surgery

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11
Q

Retraction of soft tissues

A

3 in1
aspirator
tongue depressor
mirror
cheek retractor

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12
Q

Sharps box requirmenrs

A

have a tmeporary closure mechanism
dispoise of when reached full line or open for 3 months
labelled with date of opening, closure and orgin
have a handle for moveability

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13
Q

Sotre waste

A

seperate, designant locked secure palce
no more than 3/4s full and tie with swan neck

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14
Q

Wast streams

A

black = domestic waste for landfill
yellow waste = waste been in contact with saliva or body - heat disinfeciton then landifll
orange waste = waste that is highly infectious or contimination risk - incerated
red waste = chemical waste

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15
Q

Sinner circle

A

time
temp
energy
chemical

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16
Q

How adrenaline works

A

bronchodilator
internal vasodilater
external voascontrictor

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17
Q

Drugs in emergecny kit

A

salbutamol
GTN
Glucagon
adrenaline
aspirin

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18
Q

Emergency equipment

A

AED
Oxygen and BVM
BLood glucose monitor
Pulse oximeter

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19
Q

Seizures/ fit

A

give pt 10mg of midazolam in the buccal mucosa if longer than 3mins
supply 100& oxygen

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20
Q

Angina/MI

A

400mg GTN spray supplied sublingually x2 puffs every 3mins
300mg crushed or chewed asprin - do not give with water ans does not metabolise as quickly (works as slowing down platelet aggregation)
adminster 100% oxygen

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21
Q

Hypogylcaemia

A

unconscious = 1Mg of glucagon suppplied IM using ztrack tech once gain consciousness supply 10-20 of oral glucose
adminster 100 oxygen

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22
Q

Asthma

A

salbutamol inhaler 100mg x10 puffs and breathe in 20 secs - used spacer to help control the med going into the lungs
100% oxygen supplied

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23
Q

Anaphylaxis

A

supply adrenaline 1:1000 0.5ml IM using the z track technique
supply 100% oxygen

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24
Q

What is anaphylaxis

A

a severe life therening reaction to a trigger such as an allergy

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25
What is asthma
a lung coniditon which casues narrowing and inlammation of the airway passage to the lungs causing wheezing and difficulty breathing correctly.
26
Complains - CLEAR
C - connect L - listen E - empathy A - ask R - review and monitor
27
Acts for complaints
Patients rights act Scottish apology act
28
Scotland complaint management
local lvel - 5 working days investigation - awknowedlge - 3days and completed in 20days
29
England complaints managmeent
awknoledge in 3 days and responnse in 40 days andif target missed then informed every 10days
30
Response includes
apology if neccessary the response of the complaint if the complaint was full or upheald response of lessons learnt the nature and type of complaint info for pt regarding services avilable and the ombusdman was a conclusion reached
31
4 handed dentistry - operator
about 11-18 inchs between pt and operator thighs parallel to floor and feet fully seated on floor straight back elbows bent at 90 degrees 90 degrees between hips and knees
32
Aspiration
direct - where the aspirator is held adjacent to the tooth, bevel adjacent to tooth indirect - used when difficult to gain aceess for nurse like the lower ants, the 3 in 1 can be used for retration and to remove water and debris from the mirror
33
Operator clock for right handed
dentist - 12-7 dental nurse -2-4 transfer - 4-7 static -7-12
34
Operator clock for left handed
dentist - 12-5 dental nurse -8-10 transfer -5-8 static - 10-12
35
Cleaning
removes any bodily fluids, biological matter and infectious substances from instruments
36
Disinfection
targets microbial presence
37
Steriliesed
free from all viable micro-organsisms
38
Engineer
person who is in charge of maintinance of equipment on an annual and quaterly basis
39
Manager
person in charge of running of the LDU's
40
Operator
person how perates the equipment and notes readings
41
User
person who is in charge of the day to day running of equipment, daily tests, and maintance records
42
Manual washing
non metallic, long brsitled brush with soft brsitles 12 litres of water 60 litres of chemial detergent - netural enzymatic temp = 30-35 degrees
43
Ultrasonic
soundwaves at high frequence produce bubbles that implode on intruments cuasing an scourring effect to cleaning them. Neutral /enzymatic detergent
44
why degas from empty
ultrasonics must be degassed after filling from empty to remove oxygen as does not allow correct cleaning of instruments
45
tests for sterilisation
bowie dick test - carried out on type B sterilliers on a daily basis - steam penetration Air leakgage and vacuum leakage test - carried out on weekly basis
46
Type n steriliers
non vacuum sterilisers- passive air removal for non wrapped instruments only stored for 60 days
47
Type b steriliers
vacuum steriliers which is active air removal for wrapper instruments stored for 21 days
48
Why use deminerialised water
prevents the deposit of minerals on surface of instruments
49
Virulence
ability of microbe to cause disease
50
RIDDOR
reporting of injuries, diseases and dangerous occurences regulation
51
Decon legisilation
Medical Device directive Health and saftety at work act Consumer protection act PPE at work act
52
Weekly test for wd
cleaning efficacy test (protein strip test)
53
WD cycle
rinse <35 degrees - saturates the insturments Main wash - suppledment with detergent to remove contamination Flush - <65 degrees - removes any remaining residue contamnation before thermal disinfeciton Thermal disifeciton - 90-95 degrees for 1 min - activley kills microgroanisms with heated water Drying 90-110 degrees - drying off the insturments and remove moisutre before sterilisation
54
Why sterilies instruments
to remove viable microganissm high quality of care for pts professional standdards prevent the transmission of inefectious diseases
55
Why cleaning important before sterilisation
removes any gross debris removes any harden dental material off insturments restores function aids disinfeciton medico - legal requirement
56
Daily things to notes for sterilises etc
date and time operator chemical used was cycle complete cycle no sterilisation temp
57
A.C.T WD weekly
stages temp reached completed daily checks operator date and time detergent used chemical volume temp of eacch stage pressure at start, 1min, 2mins, 3mins
58
Shtm 2030
Scottish Health Technical Memorandum
59
Comptenent person
a person designated to carry out maintance, validation and periodic tests of WD and sterilisers
60
Decon legislation
Health and safety at work act Medical Device Derective Consumer Protection Act PPE at work act
61
Decon cycle
cleaning disinfection inspection packing sterilisation transport storage usage
62
Handpiece faults
air pressure incorrect use incorrect burs poor cleaning poor lubrication
63
WD daily checks
automated control test - notes temp of 1st cycle each day spinnning arm freely rotates no debris present chemical detergent enough door seal

FINALS!!! (20 decks)

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