Name the 9 SICPs
- Patient placement and assessment of infection risk.
- Hand hygiene.
- Respiratory and cough hygiene.
- PPE.
- Safe management of linen.
- Safe management of care environment.
- Safe management of care equipment.
- Safe management of blood and bodily fluid spillages.
- Safe disposal of sharps.
Name the 7 modes of transmission
- Indirect.
- Direct.
- Inoculation.
- Ingestion.
- Inhalation.
- Intercourse.
- Parenteral.
Name the 5 moments for hand hygiene
- Before touching the patient.
- Before clean/aseptic procedure.
- After bodily fluid exposure risk.
- After touching patient.
- After touching immediate patient surroundings.
Social vs. hygienic hand hygiene ?
Social - washing with alcohol based gel when hands are not visibly soiled.
Hygienic - with warm water and antibacterial soap when hands are visibly soiled.
When should a sharps bin be disposed of ?
When 3/4 full (at fill line) and should be incinerated.
Name the 5 steps that should be taken post occupational exposure - be sharps AWARE.
- Encourage wound to bleed.
- Wash area with soap and warm water.
- Cover with waterproof dressing.
- Ensure item that caused injury is disposed of safely.
- Inform clinic lead and follow protocol.
- Complete DATIX form i.e. incident report form.
Ways to prevent occupational exposures.
- Follow SICPs.
- Use safety devices where possible.
- Limit the use of sharps where possible.
- Adequate training for staff using needles.
- Minimal manipulation of boxes and needles.
Post-exposure prophylaxis for HepB ?
- Not for people who had successful response to vaccine.
- Had vaccine but non-responder, HBIGx1 and vaccine booster.
- No vaccine, HBIGx1 and start vaccine regime.
Follow up 12 weeks post-exposure.
Post-exposure prophylaxis for HIV ?
Anti-retorviral medication started ASAP.
Follow up 12 weeks post-exposure.
Types of occupational exposure ?
Percutaneous or mucocutaneous.
Before using sterile equipment, should check …
- Packaging is in tact.
- No signs of packaging contamination.
- Expiry date remains valid.
- Sticker goes in patient notes.
Routine for putting PPE on.
Hand hygiene. Apron. Mask. Visor. Gloves.
Routine for taking PPE off.
Gloves. Apron. Visor. Mask. Hand hygiene.
Order to disinfecting the clinic.
MOST CLEAN TO MOST DIRTY. Light. Chair. Handpieces. Bracket table. Spitoon.
Spalding classification - examples of critical (high risk) devices.
Probes, scalpels, needles, forceps.
Spalding classification - examples of semi-critical (medium risk) devices.
Handpieces, mirror.
Spalding classification - examples of non-critical (low risk) devices.
Light cure.
Spalding classification - examples of minimal risk devices.
Dental chair, handles.
How should high and medium risk devices be cleaned ?
Washer-disinfector.
How should low risk and minimal risk items be cleaned ?
Disinfected with detergent.
Stages in the chain of infection ?
Infectious agent. Reservoir. Portal of exit. Transmission. Portal of entry. Susceptible host.
How can reservoir stage in chain of infection be broken ?
Cleaning, detergents, surface design and material.
How can the portal of exit stage in the chain of infection be broken ?
Aerosol control i.e. rubber dam and high level of aspiration.
How can the mode of transmission stage in the chain of infection be broken ?
Hand washing.
