SIPCEP Flashcards
1/2 used LA cartridge is disposed in…
blue lidded sharps container
a matrix band would be disposed in…
orange lidded sharps box
waste amalgam goes in…
red stream waste box/container
aprons are disposed in…
orange healthcare waste bag
safety features of an amalgam waste container
mercury vapour suppressant
air and watertight
labelling
what goes in the black/domestic waste bag?
paper towels used to dry hands after hand hygiene
uncontaminated wrappings from dental kits
coffee cups
food wrappers
in order, give the 6 links of the chain of infection
infectious agent
reservoir
portal of exit
mode of transmission
portal of entry
susceptible host
what are the 10 standard infection control precautions?
patient/resident placement/assessment for infection risk
hand hygiene
respiratory and cough hygiene
PPE
safe management of care equipment
safe management of the care environment
safe management of linen
safe management of blood and body fluid spillages
safe disposal of waste including sharps)
occupational safety - prevention and exposure management
What should you use to clean a blood spillage?
chlorine releasing granules
or a solution of 10000 ppm available chlorine
and disposable paper towels
what do you need to clean up a urine spillage
disposable paper towels
a non-chlorine releasing gelling agent to absorb spillage
a chlorine releasing solution containing 1000ppm av chlorine
Why should you never use a chlorine releasing agent directly on a urine spillage?
it will react with the urine producing a toxic chlorine gas
what should you use to clean up vomit?
disposable paper towels
a chlorine releasing solution containing 1000 ppm
key steps when cleaning a blood spillage
PPE
disinfect spillage area using appropriate products
discard all waste into heal care waste bag
wash area with a solution of general purpose detergent and warm water with paper towels
dry area with upper towels
discard paper towels and PPE in a healthcare waste bag
hand hygiene
what is a ‘sharp’
any object that has the ability to cut or pierce
give examples of significant occupational exposure
injuries from needles
bites that break the skin
exposure of broken skin
exposure of mucous membranes
- e.g. eye from splashing of blood
Hep b transmission risk following a sharps injury
1 in 3
hepatitis C transmission risk following a sharps injury
1 in 30
HIV transmission risk following a sharps injury
1 in 300
How to prevent sharps injuries
never leave needles or sharps lying around
request assistance when using sharps with an uncooperative individual
do not pass an exposed sharp to another person
never walk around with unguarded sharps
used sharps must not be re-sheathed and must be discarded directly into shape container
how to prevent sharp injuries - management of the sharps container
container must not be filled above the mark
never attempt to retrieve an item from a container
never attempt to push any sharp protruding from container
temporary closure mechanism must always be activated when not in use
how to minimise risk of mucocutaneous exposure
PPE
- goggles, face shields, asks
practice safe handling of fluids
dispose of fluids safely
management of s sharps exposure - steps
ensure object is disposed safely
gently squeeze puncture site to allow to bleed
wash with warm water and non-antimicrobial liquid soap and dry
cover wound with waterproof dressing
inform senior member of staff and report incidence
follow local protocol for advice on when to attend occupational or health or emergency departments
document through local incident reporting system
mucocutanous exposure management - steps
irrigate eyes/nose/mouth with normal saline or running water
if contact lenses are worn, rinse, remove less then irrigate again
inform senior member of staff
follow local occupational injury protocol for advice on when to attend occupational health and/or emergency departments
document through local incident reported mechanism
What agents can be used when dealing with a blood spillage?
sodium hypochlorite
sodium dichloroisocyanurate
What is the contact time for chlorine releasing agents?
3 minutes
or
according to manufacturers instructions
give examples of waste that would be disposed in the orange waste stream
gloves
masks
patient bib
aprons
gauze
contaminated wrappings
rubber dam sheets
wipes
give examples of waste disposed in the black waste stream,
glove boxes
paper towels used for hand hygiene
paper
uncontaminated instrument wrapping
What would be disposed in the red waste stream
amalgam waste:
- waste amalgam
- amalgam capsules
- extracted teeth with amalgam
who is responsible for the disposal of sharps?
the user/operator
when should a sharp be disposed of?
immediately after use
before patient has left the dental chair
what are the 5 WHO moments of hand hygiene?
before touching a patient
before a clean/aseptic procedure
after a procedure or body fluid exposure risk
after touching a patient
after touching a patient’s surroundings
