SIPCEP

Question 1

order of cleaning down a unit (9)

Answer 1

1. dental light / head rest
2. fabric of chair
3. arm rests
4. partition between units
5. bracket table handpiece
6. motors handpiece
7. cables
8. housing for handpiece
9. spittoon

Question 2

sinner’s circle

Answer 2

chemicals, time, temp. energy

Question 3

donning PPE

Answer 3

hand hygiene
apron 
face mask 
visor 
gloves

Question 4

doffing PPE

Answer 4

gloves 
apron 
visor 
mask 
hand hygiene

Question 5

5 moments of hand hygiene

Answer 5

1. before touching patient
2. before procedure
3. after a procedure or body fluid exposure risk
4. after touching patient
5. after touching a patient’s surroundings

Question 6

spaulding classification

Answer 6

critical - items in contact with normally sterile body sites i.e. forceps / periodontal scaler
semi critical - items in contact with mucous membranes i.e. dental handpiece
non critical - in contact with intact skin i.e. light cure
minimal risk - not normally in contact with intact skin i.e. dental chair

Question 7

how to manage a sharps injury

Answer 7

• apply pressure and squeeze to encourage bleeding
• wash with soap and running water - DO NOT SCRUB
• assess injury : deep? solid instrument? hollow bore needle? device visibly contaminated?
• determine risk of source blood: i.e. known BBV/IV drug user
• notify clinical lead, call occupational health, source bloods, DATIX form. record injury
• employee followed up with PEP, counselling and prevention

Question 8

blood/body fluid spillage

Answer 8

PPE and wet floor sign
contain with disposable paper towels
sodium hypochlorite / sodium dichlorisocyanurate in liquid/granules/powder
chloride concentration 10,000 ppm av Cl- and leave for 3-5 mins
water and general purpose detergent

Question 8

blood/body fluid spillage

Answer 8

PPE and wet floor sign
contain with disposable paper towels
sodium hypochlorite / sodium dichlorisocyanurate in liquid/granules/powder
chloride concentration 10,000 ppm av Cl- and leave for 3-5 mins
water and general purpose detergent

Question 9

chloride concentration for blood/ body fluid spillage

Answer 9

10, 000 ppm av Cl-

Question 10

chloride concentration for urine/vomit/faeces spillage

Answer 10

1, 000 ppm av Cl-

Question 11

vomit / faeces / urine spillage management

Answer 11

ppe
disposable scoop or towel and dispose in clinical waste
sodium hypochlorite of 1, 000 ppm av Cl-
clean with water and general purpose detergent

Question 12

what should you not use in spillage management

Answer 12

alcohol wipes

Question 13

why can you not use high concentration chlorine on urine spillages

Answer 13

can react and create toxic chlorine gas

Question 14

yellow waste bag

Answer 14

items have been used in treatment of infectious patient i.e. IV bags, lining, tubing. chemically contaminated items

Question 15

yellow bag with purple stripe

Answer 15

cytotoxic and cytostatic waste i.e. bags lining and tubing with cytotoxic/static medication added

Question 16

orange bag

Answer 16

waste produced from treatment of patient i.e. PPE, wipes, dressings, bandages

Question 17

yellow and black stripe Tiger bag

Answer 17

offensive waste i.e. soiled towels, nappies, non-infectious ppe wipes and dressings

Question 18

orange lid container

Answer 18

blood sharps

Question 19

blue lid container

Answer 19

pharmaceutical waste

Question 20

red waste stream

Answer 20

amalgam