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FINALS!!! > Patient safety revision notes > Flashcards

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
Q

What is asthma

A

a lung coniditon which casues narrowing and inlammation of the airway passage to the lungs causing wheezing and difficulty breathing correctly.

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26
Q

Complains - CLEAR

A

C - connect
L - listen
E - empathy
A - ask
R - review and monitor

27
Q

Acts for complaints

A

Patients rights act
Scottish apology act

28
Q

Scotland complaint management

A

local lvel - 5 working days
investigation - awknowedlge - 3days and completed in 20days

29
Q

England complaints managmeent

A

awknoledge in 3 days and responnse in 40 days andif target missed then informed every 10days

30
Q

Response includes

A

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
Q

4 handed dentistry - operator

A

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
Q

Aspiration

A

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
Q

Operator clock for right handed

A

dentist - 12-7
dental nurse -2-4
transfer - 4-7
static -7-12

34
Q

Operator clock for left handed

A

dentist - 12-5
dental nurse -8-10
transfer -5-8
static - 10-12

35
Q

Cleaning

A

removes any bodily fluids, biological matter and infectious substances from instruments

36
Q

Disinfection

A

targets microbial presence

37
Q

Steriliesed

A

free from all viable micro-organsisms

38
Q

Engineer

A

person who is in charge of maintinance of equipment on an annual and quaterly basis

39
Q

Manager

A

person in charge of running of the LDU’s

40
Q

Operator

A

person how perates the equipment and notes readings

41
Q

User

A

person who is in charge of the day to day running of equipment, daily tests, and maintance records

42
Q

Manual washing

A

non metallic, long brsitled brush with soft brsitles
12 litres of water
60 litres of chemial
detergent - netural enzymatic
temp = 30-35 degrees

43
Q

Ultrasonic

A

soundwaves at high frequence produce bubbles that implode on intruments cuasing an scourring effect to cleaning them.
Neutral /enzymatic detergent

44
Q

why degas from empty

A

ultrasonics must be degassed after filling from empty to remove oxygen as does not allow correct cleaning of instruments

45
Q

tests for sterilisation

A

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
Q

Type n steriliers

A

non vacuum sterilisers- passive air removal
for non wrapped instruments only
stored for 60 days

47
Q

Type b steriliers

A

vacuum steriliers which is active air removal
for wrapper instruments
stored for 21 days

48
Q

Why use deminerialised water

A

prevents the deposit of minerals on surface of instruments

49
Q

Virulence

A

ability of microbe to cause disease

50
Q

RIDDOR

A

reporting of injuries, diseases and dangerous occurences regulation

51
Q

Decon legisilation

A

Medical Device directive
Health and saftety at work act
Consumer protection act
PPE at work act

52
Q

Weekly test for wd

A

cleaning efficacy test (protein strip test)

53
Q

WD cycle

A

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
Q

Why sterilies instruments

A

to remove viable microganissm
high quality of care for pts
professional standdards
prevent the transmission of inefectious diseases

55
Q

Why cleaning important before sterilisation

A

removes any gross debris
removes any harden dental material off insturments
restores function
aids disinfeciton
medico - legal requirement

56
Q

Daily things to notes for sterilises etc

A

date and time
operator
chemical used
was cycle complete
cycle no
sterilisation temp

57
Q

A.C.T WD weekly

A

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
Q

Shtm 2030

A

Scottish Health Technical Memorandum

59
Q

Comptenent person

A

a person designated to carry out maintance, validation and periodic tests of WD and sterilisers

60
Q

Decon legislation

A

Health and safety at work act
Medical Device Derective
Consumer Protection Act
PPE at work act

61
Q

Decon cycle

A

cleaning
disinfection
inspection
packing
sterilisation
transport
storage
usage

62
Q

Handpiece faults

A

air pressure
incorrect use
incorrect burs
poor cleaning
poor lubrication

63
Q

WD daily checks

A

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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