Patient
One of the key component of an effective Patient Safety program is identifying and analyzing risk. These are driven by _________________
Reporting of Patient Safety Events (PSRs)
How do you define Teamwork in Dental clinics?
Two or more people who interact interdependently with a common purpose and goal to reduce harm, errors and improve patient and staff satisfaction.
The single greatest risk of transmission of blood borne pathogens from patients to dental healthcare worker is ___________________
Percutaneous injuries
(Needlestick, sharps injury)
What are TWO most important measures to prevent the spread of infections among patients and DHCP?
Hand Hygiene
Cleaning and disinfection of equipment and environment
How much supplies and sterile instruments should be stored in the operatories?
24 to 48 hours best practice
Week, with inventory process
What is a Dental Universal Protocol?
It is a checklist. Used with all irreversible and invasive dental procedures. To prevent WRONG site, patient, procedures, and use of contaminated instruments.
What are attributes of a High Performing Team?
Name Three.
Have clear roles and responsibilities. Have clear valued Have shared vision, strong leadership. Develop a strong sense of collective trust, team identity, and confidence. Optimize resources. Create mechanism to cooperate, coordinate, and generate ongoing collaboration.
Which are the primary bloodborne pathogens of concern?
HIV
HBV
HCV
CaviWipes and Cavicide are approved EPA registered intermediate level disinfectant currently used in dental clinics for surface and environmental disinfection. What is the CONTAC Time or Kill Time?
3 minute WET
All reusable dental equipment should be clean and reprocessed according to ______________________
Instructions for Use (IFUs)
Manufacturer's instructions (MIFUs)
How many and what patient identifiers are used for providing care, treatment or services?
Two
Full Name and Date of Birth
Which of the TeamSTEEPS tool/tactic will be useful in following scenario: At the time of checking-in, Ms. Jane informs the assistant of an allergic reaction to latex gloves. Latex gloves are not used in clinic, treatment is started with a rubber dam in place, Jane signals her discomfort and procedure is stopped.
Call-out
It is a tactic used to communicate critical information or an emergent event to all team members simultaneously.
The safe work practice to prevent needlestick injury is NOT to recap needle, however if recapping is necessary how would you safely recap needle?
One handed scoop method
Use needle recapping device
Use forceps to replace cap
All Dental Unit Water Lines should be discharged for a minimum of _________
at the beginning of each duty day and for a minimum of __________ between each patient.
20-30 seconds
You are in middle of a procedure and need more gauze which is stored in a drawer. How would you get more gauze for the procedure?
- Remove gloves
- Perform Hand Hygiene
- Open the drawer
- Perform Hand hygiene don clean gloves
- Remove the gauze
- Close the drawer without using hands
Ready Reliable Care (RRC) is a DHA High Reliability Organization (HRO) initiative to ensure safe, reliable care for all patients and their families.
Name any TWO of the FOUR RRC Domains of Change.
Leadership Commitment
Culture of Safety
Continuous Process Improvement
Patient centeredness
Which TeamSTEPPS tool or tactics will be useful in this scenario:
In performing an extraction, tooth #14 instead of #16 is removed. The dentist and assistant had been discussing both teeth before the procedure.
Brief
Check-back
You are going perform tooth extraction. You don Gown, gloves, surgical mask and eye protection. This infection prevention practices is an element of __________?
Standard Precautions
Protect staff and prevent spread of infection. It includes:
Hand Hygiene, Use of PPE, Respiratory hygiene / cough etiquette, Sharps safety, Safe injection practices, Sterile instruments and devices, Clean and disinfect environmental services
How is extracted tooth without amalgam discarded in the dental clinic?
Sharps container
Dried dirty instruments are difficult to clean. How can you ensure that dirty instruments stay moist before transporting to sterile processing department?
Spray dirty instrument with enzymatic spray at the chair side.
Prepzyme/Foreverwet
MHS Leaders, staff, and patients contribute to high reliability by embodying the SEVEN Ready Reliable Care (RRC) principles in their daily work.
Name ANY three.
Preoccupation with failure, Sensitivity to operations,
Deference to expertise, Respect for people,
Commitment to Resilience, Constancy of purpose
Reluctance to simplify
When these signal words _________, ___________, or _______________ are used all team members are expected to "STOP THE LINE" until the safety concern can be resolved.
C I am Concerned
U I am Uncomfortable
S This is a Safety Issue
What should you do if exposed to blood or other body fluids?
Remember W.I.G
Wash the affected area (flush mucus membrane with copious amount of water immediately)
Inform your Supervisor
Go to emergency room (take patient or patient information with you)
Follow up with Occupational Health (within 2 duty days)
Reference: TAMC REG 40-163, Accidental Blood and Bodily Fluid Exposure
What is the most important step in the sterilization of of reusable instruments and where is it done?
Cleaning and it starts at the chair side
Who is responsible for Patient Safety and Infection Prevention in your clinic?
Everyone