TOK health and safety Flashcards

1
Q

To comply with RIDDOR requirements which of the

following are reportable occurrences?

A

Employment related dermatitis. Dental nurse trips over sharps bin and breaks leg.

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2
Q

How often should all staff refamiliarise themselves with

local rules

A

every year

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3
Q

Which of the following is not one of the five steps of a

Health and Safety Risk Assessment

A

Submit your risk assessments to the Health Board Dental Practice Adviser (DPA)

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4
Q

What is the minimum number of employees working in a

practice (including associates and DCPs) for it to have to

undertake a written Health and Safety Policy?

A

5

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5
Q

Sharps boxes must

A

Have a dedicated handle Have a temporary closure mechanism, which must be employed when the box is not in use Be labelled with date of assembly, point of origin and date of closure Be disposed of when the manufacturers’ fill line is reached or following 3 months of assembly (whichever is first)

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6
Q

When designing a risk assessment for your workplace you

must

A

Identify what further action you need to take to control the risk Identify who might be harmed and why

Look at what you are currently doing to control the risk

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7
Q

Which of the following is/are true regarding health

clearance/immunization

A

Occupational health fit slips contain potentially sensitive employee health information

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8
Q

In relation to electrical safety in dental practice

A

Formal visual inspections involving dismantling of plugs should be carried out by a competent person who may be a member of staff with appropriate training Following PAT testing, equipment should be labelled and a safety certificate and report issued The HSE recommended inspection and testing intervals varies for different appliances in relation to, for example, whether they are earthed and/or moved regularly Staff should be encouraged to make basic visual checks for signs of damage to the plug, flex and socket outlet before using an appliance

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9
Q

For incidents that are serious enough to warrant reporting

to the Health and Safety Executive which of the following

is/are true?

A

Written record of reported injuries and dangerous occurrences to be kept. Employers must report a listed occupational disease to the HSE if they, or an employee is diagnosed with such a condition and the sufferer has been doing the listed work activities. For an accident at work, serious enough to warrant reporting, a report should be received by the Health and Safety Executive within 10 days.

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10
Q

What is/are the correct procedure(s) for dealing with a

needlestick/sharps injury?

A

Wash with warm water and soap. Record incident in accident book. Encourage bleeding. Contact your local occupational health service to discuss the incident and, where necessary, ask them for appropriate advice and follow up

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11
Q

Which of the following is/are true of the Health and Safety

at Work Act (HSW act)?

A

All employed staff are covered by the act whilst on the practice premises. Employees of utility companies or suppliers are covered by the act whilst on the premises.

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12
Q

For dental suction motors which of the following is/are

true?

A

Amalgam separator units are mandatory on suction motors. Suction motors should vent externally tor educe exposure to mecury vapour

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13
Q

Under the current Health and Safety legislation which of

the following is NOT the responsibility of the employer?

A

Asking employees daily if there have been any Health and Safety breaches

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14
Q

Which of the following are true regarding COSHH

assessment?

A

Records of the assessment should always be kept. Failure to comply with the regulations constitutes an offence and is subject to penalties under the Health and Safety at Work Act. Dental staff should be aware of the risks involved with hazardous substances and be trained in handling them correctly.

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15
Q

Prior to treatment a patient refuses to wear protective

goggles as they are not ‘cool’. Do you?:

A

Refuse to treat the patient until they wear them

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16
Q

Which type of insurance is essential for a dental practice

compressor unit and autoclaves?

A

Pressure vessel insurance Third part liability insurance

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17
Q

The Health and Safety Executive (HSE) is the statutory

body responsible for enforcing the HSW act. An inspector

of the HSE has the power to:

A

Interview any member of staff and request any information they see fit. Issue a legally binding improvement notice to address any

contravention of the act. Enter the practice at any reasonable time. Prosecute anyone contravening a legal requirement of the act should they feel it appropriate.

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18
Q

Which of the following is/are true under the terms of the

Health and Safety at Work Act?

A

The employer must provide any Personal Protection Equipment (PPE) deemed necessary by a risk assessment. Latex gloves are covered by COSHH regulations.

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19
Q

According to the CPI document, PAT testing should be

carried out at least every:

A

3 years

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20
Q

Which of the following statements are correct about first

aid supplies in a General Dental Practice?

A

The location of First Aid supplies must be clearly indicated

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21
Q

In relation to First Aid in the Dental Practice, which of the

following are true?

A

A notice should be prominently displayed indicating the location of the First Aid Kit. Health and Safety regulations state an employer has a duty to make adequate first aid provision for employees.

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22
Q

Your Dental Nurse has cut their finger on an instrument

while packaging it after autoclaving. What actions must

they take?

A

Record the incident in the accident book Repeat the decontamination cycle

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23
Q

Select all that apply. Fire Safety – The practice must

provide

A

Adequate fire detectors Training for all employees to know how to use escape routes Enough exits and routes for all to escape Written records of the fire risk assessment if more than five employees

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24
Q

Which of the following is/are true of fire risk management

in dental practices

A

Staff should be trained in what to do in the event of a fire A fire action notice should be displayed in the practice A fire drill should be carried out at least every year

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25
Q

To minimize the risk of Legionella pneumophila

proliferating in Dental Practice water systems the water

temperature should never be between

A

20 and 45 degree Celsius

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26
Q

Measures used to control or mitigate risks associated with

legionella in the dental practice include

A

Ensuring water is at a temperature that does not favour bacterial growth (<20 - >45) Treating water in Dental Unit Water Lines with biocide Ensuring water cannot stagnate in outlets and dental water lines

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27
Q

Which of the following statements are correct around

Legionella

A

Legionella bacteria are widespread in the environment Legionella bacteria thrive at temperatures between 20-45 degrees centigrade

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28
Q

How can practitioners, staff and patients best be protected

from the possible effects of hazardous materials?

A

Insist staff wear appropriate PPE Ensure patients wear safety glasses Identify the risks of each material Appropriate staff training Keep exposure to hazardous materials to a minimum

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29
Q

When considering environmental cleaning of the dental

surgery, which of the following procedures can be

considered high risk for contamination of surfaces?

A

Caries removal and amalgam restoration USS
Crown prep

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30
Q

X-ray equipment which is no longer in service can be

considered non-hazardous if

A

The electrical supply cable is cut as close to the machine as possible so that there is no possibility of reconnection Request, receive and retain evidence of safe and correct disposal if using a contractor Pass safe use, testing and maintenance information to new users if selling or transferring equipment

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31
Q

Adherence to which of the following regulations is

required to ensure compliance with Health and Safety

Law?

A

COSHH RIDDOR

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32
Q

On which materials should you carry out a written COSHH

assessment?:

A

Those with warning labels on bottles.

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33
Q

Mercury is a poison, but is a commonly used element in

dentistry. Which of the following is/are true with regard to

mercury in Dental Practice?

A

Collection of waste Amalgam or Mercury can only be carried out by licensed persons and consignment notes must be kept for 3 years. Recycling air conditioning systems in surgeries are not recommended. Under current regulations Practices are obliged to fit amalgam separators to suction motors. COSHH regulations state that employing dentists must carry out a risk assessment for ALL employees with regard to Mercury.

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34
Q

Which of the following is/are recommended in relation to

mercury safety?

A

Staff are trained in spillage procedures. Mercury spillage kit is available in practice. Good ventilation in working area.

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35
Q

With regard to the use of mercury in dental practice,

which of the following are true?:

A

Use of mercury should be confined to areas that have impervious surfaces. A disposable syringe can be used to pick up large drops of mercury. In surgeries where mercury is used tile floors should be avoided and carpet should never be used. Gloves should always be worn.

36
Q

How should waste amalgam be disposed of?

A

Uplifted by a recognised waste collector.

37
Q

What must be provided in terms of first aid in every dental

practice?

A

Information on first aid arrangement for employees. An appointed person. An appropriate first aid box

38
Q

In order to comply with Health and Safety legislation

Dental Practices must have

A

A legionella policy statement. A legionella risk assessment. A written control scheme.

39
Q

A General Dental Practitioner would be required to notify

which of the following incidents to the Health & Safety

Executive?

A

The compressor in the practice goes on fire due to an electrical shock circuit causing the surgery to have to close for a few days because of smoke damage from the ignited clinical waste. A dental receptionist of the practice slips on the wet tiles at the surgery entrance breaking her leg and causing her to be hospitalized for 4 days.

40
Q

Who has responsibility for health and safety at work?

A

Cleaners, Assistants, The principal dentist, Associates, Nurses.

41
Q

With which of the following regulations must the

responsible person comply when reporting an incident to

the Health and Safety Executive under RIDDOR?

A

A report can be initiated by e-mail or phone and must be reported on form F2508 within 10 days

42
Q

Which of the following injuries are reportable to the

Health and Safety Executive?

A

An employee is killed at work An injury resulting from electric shock in the practice An employee contracts a work related disease

43
Q

The acronym COSHH stands for…?

A

Control of Substances Hazardous to Health

44
Q

In relation to COSHH assessments, which of the following

apply?

A

COSHH assessments are required on any substance that may present a hazard in the workplace. A COSHH assessment must be in writing and available to all staff.

45
Q

If contact with, or use of, a hazardous substance is necessary, what steps could be taken to reduce the risk of exposure to the operator?:

A

Wear eye protection Use gloved at all times Use protective clothing Prevent inhalation (mask) Work in a well ventilated room

46
Q

What measures are appropriate after a mercury spillage?

A

Spread flowers of sulphur over affected area Wear rubber gloves and a mask Place all spillage into a sealed container Remove gross spillage with small brush and scoop

47
Q

The occupational exposure for mercury is 25

ug/m3 (micrograms per cubic metre). To minimise

exposure which of the following are appropriate?

A

Open a window Ventilate the room to the outside

48
Q

Where should waste amalgam be stored in the dental

surgery?

A

In a specific controlled waste container, lined with Mercury-absorbing foam

49
Q

How many amalgam spillage kits do you require for a six

surgery practice?

A

1

50
Q

Which items should be contained within the First Aid

Supply Box in a dental practice?

A

Safety pins Eye pads Sterile Plasters Triangular bandage Unmedicated wound dressings Disposable gloves

51
Q

A fire risk assessment should include assessment of:

A

Possible fire hazards Storage of flammable liquids in the practice Location of personnel at risk if a fire breaks out Current fire safety measure in place

52
Q

The predominant pathogen in Legionnaire’s disease is

A

Legionella Pneumophila

53
Q

According to the Pressure System Safety Regulations

2000(PSSR) which of the following is/are true?

A

Autoclaves are covered by the regulations Dental Delivery system units are not covered by the regulations Refrigarators? Washer disinfectors are covered by the regulations

54
Q

The arm of your new X-ray machine fails and the head

crashes on to the work surface below. No one is hurt and

you immediately switch off the machine at the mains.

Which official body is it necessary to contact?

A

The Medicines and Healthcare Products Regulatory Agency

55
Q

First Aid is covered by the Health and Safety at Work Act.

Which of the following is/are true?

A

All practice must have an “appointed Person” for First Aid. Employers are obliged to provide adequate first aid cover for staff during domiciliary visits. If no eye wash solution is available, tap water can be used as emergency irritant.

56
Q

Natural Rubber Latex (NRL) is a potent allergen and is still

widely used in dentistry. Which of the following apply to

NRL?

A

Individuals with a history of asthma, hayfever or flexural eczema have a high incidence of allergy to NRL. If a staff member to proven NRL allergic, the practice should carry out a risk assessment and switch to non-latex products if appropriate to reduce risk to the individual. Suspected cases of NRL allergy should be investigated by the General Medical Practitioner or Occupational Health Service.

57
Q

Which of the following instances require reporting in the

practice accident book?

A

Your receptionist tripped and fell, hurting her ankle whilst carrying some files You suffered a sharps injury when reaching for an instrument

A patient trips and falls on entering the practice bumping her head

58
Q

It is a legal requirement to have a written practice health

& safety policy and risk assessment when there are:

A

Five or more employees

59
Q

It is a legal requirement to have a ‘competent person’

responsible for overall Health and Safety in a practice.

Who could act as the competent person? Tick all that

apply.

A

External advisor A designated employee of the practice Practice manager Practice Principal

60
Q

Your autoclave explodes. You should?:

A

Report to the Health and Safety Executive within 10 days although only damage caused was to autoclave

61
Q

Which of the following major injuries should be reported

to the Health and Safety Executive?

A

Unconsciousness due to exposure to harmful substance

62
Q

A patient slips and falls on your wet surgery floor,

fracturing her hip and wrist. What should be included in

your record of this accident?:

A

Date and method of reporting to Health and Safety Executive Brief description of the nature of accidents/ events Personal details of those involved Date, time and place of the accident / event

63
Q

Under RIDDOR 2013, Which of the following occurrences

in the practice must be reported to the Health and Safety

Executive within the statutory 10 days notice period?

A

Fracture of skull, spine, pelvis Any injury requiring hospitalisation for 24 hours or more Any incident of ingestion of a substance requiring medical treatment

64
Q

The Health and Safety legislation which relates to a work

related disease is

A

RIDDOR

65
Q

You plan to introduce a new endodontic irrigant for use in

the practice. What must you do beforehand?

A

Establish if the new material requires a COSHH assessment and complete if appropriate

66
Q

When undertaking a COSHH risk assessment how could

you identify the hazard classification of a new substance?

A

Consult the safety data sheet Consult the supplier Check information on the packaging

67
Q

Which of the following is/are essential components in a

COSHH assessment?

A

Assess the risks Record the assessment Train staff in risk awareness Identify hazardous substances

68
Q

Which of the following is/are true of latex products in the

dental practice?

A

A medical emergency as a result of latex allergy is a reportable disease under RIDDOR (1995) COSHH regulations restrict the use of powdered latex gloves Non latex products should be supplied if a member of staff is proven to be allergic to latex

It is recommended that all dental practices should have a policy for the use of Natural Rubber Latex products in order to protect staff from developing NRL

69
Q

With regards to types of Reportable Injuries (RIDDOR),

which of the following is/are true?

A

Accidents must be recorded, but not reported where they result in a worker being incapacitated for more than three consecutive days The report must be made within 15 days of the accident Accidents must be reported where they result in an employee or self-employed person being away from work, or unable to perform their normal work duties, for more than seven consecutive days as the result of their injury

70
Q

To reduce the potential hazards of mercury…

A

All staff must be trained to deal with a mercury spillage Encapsulated amalgam should be used Every dental practice must have a mercury spillage kit

70
Q

Which of the following will minimise the risks associated

with mercury in amalgam fillings?

A

Mercury spillage kits available in the practice High volume aspiration when removing amalgams Pre-encapsulated amalgam mixing systems

71
Q

Which of the following should the first aid box in your

dental practice contain?

A

Unmedicated wound dressings Sterile eye pads (Rest in medical emergency kit)

72
Q

Which of the following is/ are true of medical sharps?

A

Needle re-sheathing devices should ideally allow for single handed re-sheathing Where possible ‘safer, alternative’ sharps should be used There should be a written sharps policy in the practice Sharps containers should be placed as close to the operator as practicable

73
Q

If a dental sharps injury occurs, which of the following first

aid measures should be taken?

A

Cover the area with a waterproof plaster Encourage bleeding and do not suck the wound Wash the injury thoroughly with warm running water and soap

74
Q

Following a needlestick injury, what is the first thing that

should be done?

A

Encourage bleeding by squeezing above the wound and wash injury thoroughly with warm water and soap

75
Q

What regulations require a needlestick injury to be

reported?:

A

RIDDOR regulation

76
Q

Which of the following statements are true in considering

Risk Assessment?

A

Recording the findings and conclusions of Risk Assessment is mandatory Using a

or Practice Support Manual can help to provide the form and structure for Risk Assessment All practice staff should be involved in the Risk Assessment process

77
Q

Which of the following is/are true of the fire extinguishers

in your practice?

A

Fires extinguishers should be subject to annual safety checks by a competent person Fire extinguishers should be commissioned on site by a competent person Fire extinguishers should be situated near fire hazards with instructions for use suitably displayed

78
Q

The following water systems in a dental practice need to

be considered when carrying out a Legionella Risk

Assessment:-

A

Hot and cold water supplies to toilets Hot and cold water supplies to sinks Dental Unit Water Lines

78
Q

Legionella Risk Assessment

A

Must be reviewed if there is a change to the water system

79
Q

The legionella risk assessment written control scheme

should include

A

Details of the control measures used to minimise the risk of legionella exposure A description of the practices water systems

80
Q

With respect to legionella control in practice, an appointed

responsible person should

A

Initiate remedial action if required Monitor any required Legionella Control Measures to ensure they are effective

80
Q

Pressure Vessels Regulations apply to:

A

Compressors Autoclaves

81
Q

Which of the following is/are true of pressure vessels

A

The main regulations covering pressure equipment and systems are the pressure equipment regulations 1999 and the pressure systems safety regulations 2000 A written schedule of examination by a competent person is a legal requirement The examination schedule should include the pressure vessel and all attached pipework ,valves, gauges and protective devices

82
Q

Which of the following are reportable dangerous

occurrences?:

A

Autoclave explosion Compressor Fire causing suspension of normal work for over 24 hours

83
Q

Which of the following is/are true of Personal Protective

Equipment (PPE)?

A

It is the employer’s responsibility to ensure PPE is properly looked after Should be selected after appropriate risk assessment and in consultation with employer and employee