Infection Control: PPE for Dental Workers

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Questions and Answers

What is the minimum duration for hand washing prior to seeing a patient?

  • 30 seconds
  • 20 seconds
  • 15 seconds (correct)
  • 10 seconds

In which situation should gloves be changed?

  • After every third patient
  • If breakage occurs during treatment (correct)
  • Only when visibly dirty
  • Before washing hands

What should be done prior to using an antiseptic hand rub?

  • Rinse hands with warm water
  • Use a dry paper towel
  • Wash away visible dirt (correct)
  • Apply moisturizer to the hands

Which type of gloves is specifically designed to be used over clinical gloves?

<p>Over gloves (B)</p> Signup and view all the answers

What is the correct order of procedures for gloving?

<p>Wash hands, place mask and eyewear, glove (C)</p> Signup and view all the answers

What is the recommended interval for the second immunization of Hepatitis B?

<p>30 days later (D)</p> Signup and view all the answers

What should be done after completing a clinical procedure in regards to face masks?

<p>Keep the mask on to prevent aerosol contamination (D)</p> Signup and view all the answers

What type of gown is recommended for protection?

<p>Solid closed front gown without pockets (B)</p> Signup and view all the answers

When is it permissible to replace a face mask during a patient session?

<p>If contamination occurs with blood or saliva (C)</p> Signup and view all the answers

What should be done with long hair during clinical practice?

<p>Cover it with a cap or head cover (A)</p> Signup and view all the answers

What is the primary purpose of protective eyewear in clinical settings?

<p>To protect eyes from infectious droplets and splatter (A)</p> Signup and view all the answers

What is the recommended method for removing a contaminated gown?

<p>Fold the contaminated side inward (D)</p> Signup and view all the answers

Which procedure requires the use of a face shield?

<p>Performing aerosol-generating procedures (B)</p> Signup and view all the answers

What should be done immediately after an eye splash during a dental procedure?

<p>Stop the procedure and flush the eye with distilled water (B)</p> Signup and view all the answers

Which type of soap is recommended for hand hygiene in a dental setting?

<p>Antimicrobial liquid soap (C)</p> Signup and view all the answers

What is the primary purpose of washing hands in a dental environment?

<p>To reduce bacteria and prevent cross-contamination (A)</p> Signup and view all the answers

Which of the following is NOT a recommended practice for hand hygiene?

<p>Wearing rings while washing hands (C)</p> Signup and view all the answers

What should you do with scrub brushes used for hand cleaning?

<p>Disinfect or sterilize them daily (C)</p> Signup and view all the answers

What is recommended for drying hands after washing them in a dental clinic?

<p>Disposable paper towels (B)</p> Signup and view all the answers

What should be included in nail care protocol for dental staff?

<p>No rings or jewelry (B)</p> Signup and view all the answers

Which of the following hand hygiene types involves using alcohol-based products?

<p>Antiseptic hand rub (B)</p> Signup and view all the answers

What is the primary purpose of standard precautions in a dental environment?

<p>To consider all patients as contagious (B)</p> Signup and view all the answers

Which item is NOT a part of Personal Protective Equipment (PPE) required in a dental environment?

<p>Patient’s clothing (D)</p> Signup and view all the answers

How does indirect cross-contamination occur?

<p>From a contaminated object or surface to a person (B)</p> Signup and view all the answers

Which of the following defines aerosol-generating procedures?

<p>Medical procedures that release aerosol from the respiratory tract (D)</p> Signup and view all the answers

What vaccinations are included in the standard recommendations for oral health care workers?

<p>MMR and Influenza among others (C)</p> Signup and view all the answers

What is the significance of clinical attire in dental practices?

<p>To serve as a barrier to prevent cross-contamination (A)</p> Signup and view all the answers

Which of the following is a method of direct cross-contamination?

<p>Performing procedures without wearing gloves (B)</p> Signup and view all the answers

What should be the approach toward patient history in standard precautions?

<p>Must be collected for every patient (D)</p> Signup and view all the answers

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Study Notes

Infection Control in Dental Environment

  • Emphasis on PPE guidelines predating the COVID-19 pandemic with an upcoming session on current protocols.
  • Cross-contamination risks include:
    • Direct: Person A to Person B
    • Indirect: Person A to Object to Person B
  • Aerosol-generating procedures pose a high risk for respiratory transmission from the respiratory tract.

Standard Precautions

  • Universal precautions recommend treating all patients as potentially infectious.
  • Key components include:
    • Medical history assessment for each patient
    • Vaccinations against MMR, Hepatitis A & B, Influenza, Pneumococcal, Varicella, Meningococcal, and COVID-19.

Personal Protective Equipment (PPE)

  • Daily clinical scrubs recommended; do not wear over street clothes.
  • Overcoats must be solid, closed-front with no pockets, fitting closely around wrists and neck.

Masks and Face Protection

  • Masks protect against droplet transmission from saliva and blood.
  • Change masks for each patient or if contaminated; they must be worn during all clinical activities.
  • Face shields are necessary for procedures generating aerosols (e.g., fast handpieces, ultrasonic scaling).

Protective Eyewear

  • Compulsory for all dental staff and patients, shields eyes from infectious materials and flying debris.
  • Eye wash stations must be available for emergencies with sterile/distilled water; do not use tap water.

Hand Hygiene Practices

  • Essential to reduce bacteria and prevent cross-contamination.
  • Use antimicrobial soap (e.g., Hibiscrub) and avoid bar soap.
  • Protocols include:
    • Routine washing: water and non-antimicrobial soap
    • Antiseptic washing: water and antimicrobial soap
    • Antiseptic hand rub: 60%-95% alcohol-based rub

Nail and Towel Protocol

  • Keep nails short, free from varnish, and avoid jewelry.
  • Only disposable paper towels allowed; do not use cloth towels.

Glove Use

  • Types include latex, vinyl, utility, and over gloves.
  • Change gloves after each patient or if they are damaged during a procedure.
  • Proper gloving techniques include washing hands before putting on gloves and ensuring gloves cover cuff of uniform.

Summary of Procedures

  • Handwashing involves a minimum of 15 seconds before and after patient contact, focusing on thorough cleaning.
  • Use of over gloves for unnecessary touchpoints (e.g., writing) to avoid contaminating clinical gloves.

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