When should hand hygiene be performed?
Before touching a patient
Before a clean/aseptic procedure
After bodily fluid exposure risk
After touching the patient
After touching the patients surroundings
Hand hygiene steps?
(wet hands, soap)
Palm to palm
Palm to back of each hand, fingers interlocking
Backs of fingers to opposing palms with fingers interlocked, thumbs clean knuckles
Tops of fingers and nails against palm
Rotate thumb
Wrists
Sequence for donning PPE
Gown
Mask/respirator
Goggles/face shield
Gloves
Sequences for doffing PPE
Gloves Goggles/face shield Gown Mask/ respirator Hand hygiene
Risk of HBV
1 in 3
Incubation period of HBV
3-6months
Risk of HCV
1 in 30
Incubation period of HCV
20 years
Risk of HIV
1 in 300
Incubation period of HIV
10 years
If you recieved a sharps, you should….
- Stop
- Inform pt
- Make sharp safe
- Check injury
- First aid - enc. bleeding, rinse under running water, wash area using soap and water
- Waterproof dressing
- Inform lead clinician, dental nurse team leader
- Risk assessment
- Contact OH
- Consent source
- Paper work & DATIX
Six links in chain of infection…
- infectious agent
- reservoir
- portal of exit
- mode of transmission
- portal of entry
- susceptible host
What is orange stream waste used for?
items which are contaminated/likely to be contaminated with blood/bodily fluids (disposal via treatment or incineraton)
- dressings & swabs
- disposables such as gloves, aprons, masks, contaminated wipes
What is blue stream waste used for?
medicinal waste that must be disposed via incineration
What is yellow waste stream used for?
infectious waste for disposal by incineration
- teeth with fillings (NOT AMALGAM)
- used or unused sharps
- infected blood
What is red stream waste used for?
anatomical waste for disposal by incineration
What steps should be taken if there is a blood or bodily fluid spillage?
- Cordon spillage off
- assess type of spillage
- collect correct equiptment
- protect yourself
- disinfect and clean
What should be done to manage a blood spillage?
- Cordon off area
- PPE
- Apply chlorine releasing granules to spill
- Follow manufacturers instructions on contact time or leave for 3 mins
- discard gross contamination into orange waste stream bag using scoop
- wash area with disposable paper towels and a solution of detergent and warm water
- Dry area
- hand hygiene
What should be used to manage a blood spillage if chlorine releasing granules are not available?
- Disposable paper towels should be placed directly over spillage to absorb and contain
- 10’000 ppm available chlorine solution should be applied
What should be done to manage a spillage of vomit or sputum?
- cordon off area
- PPE
- soak up spillage with disposable towels
- decontaminate area with solution of 1000 ppm available chlorine ( or use combined detergent/chlorine releasing solution with a concentration of 1000ppm)
- follow manufacturers instruction on contact time
What is a common chlorine releasing agent?
Sodium hypochlorite
What is sodium hypochlorite used for (when managing spillages)?
to decontaminat blood and bodily fluid spillages
Can chlorine releasing agents be poured directly onto a blood spillage?
yes
What kind of spillage are gelling agents used for?
urine, vomit, sputum,
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Handpiece safety9
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LA78
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IPC28
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Surveying11
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RPD design32
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Principles of cavity prep9
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MH taking19
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Histology0
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DMS0
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BLS0
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Oral Surgery0
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Hand Instruments0
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LA techniques25
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Cranial Growth and Ageing15
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Tooth eruption & comparison42
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Perio3
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Tooth Morphology8
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Charting74
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Oral hygiene instruction/BPE44
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Periodontal Immunology41
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LA anatomy31
