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Learning Objectives
After completing the course, you'll be able to:
- Define universal precautions and emphasize their
application in dental practice.
- Explain the importance of hepatitis B vaccination for all
DHCWs who have direct or indirect contact with patient's blood and/or
saliva. Describe hand washing and hand care techniques for DHCWs.
- Explain the correct use of personal protective equipment
such as gloves, surgical masks, protective eye wear, protective clothing and
utility gloves in a dental office.
- Describe proper instrument sterilization techniques.
- Develop an effective environmental surface and equipment
asepsis protocol keeping in mind touch surfaces, transfer surfaces and
splash/spatter surfaces.
- Describe appropriate waste disposal methods for regulated
and unregulated items.
- Outline radiographic asepsis procedures.
- Develop policy and procedures for the treatment of dental
patients with active or suspected infection with tuberculosis.
- List the 3 conditions that have to be present in the "chain
of infection" in order to cause an infection.
- Describe proper procedures for the use and handling of
toothbrushes among patients.
- List the 3 conditions that have to be present in the "chain
of infection" in order to cause infection.
- Discuss the epidemiology of bloodborne disease transmission
and the potential for HIV, HBV and HCV transmission.
- Discuss barrier precautions to be used to minimize
infection.
- Demonstrate the proper use of gloves, eyewear, gowns and
other protective equipment.
- Discuss the precautions a dental health care worker should
take to prevent injuries caused by needles and other sharp instruments.
- Describe procedures for the processing of contaminated
dental instruments from the point of retrieving the instruments from
chairside to the presentation of sterile instruments at the point of reuse.
- Outline procedural steps for instrument processing
including: transport, cleaning, packaging, sterilization, storage, delivery,
and quality assurance program.
- List 4 heat sterilization methods–steam autoclave, dry heat
(oven-type), dry heat (rapid heat transfer) and unsaturated chemical
vapor–with the advantages and precautions of each method.
- Properly decontaminate critical, semicritical and
noncritical items using salient sterilization methods.
- Select appropriate chemical germicides with FDA and EPA
classifications to disinfect contaminated environmental surfaces.
- Identify proper sterilization methods for handpieces.
- Follow the proper procedure for the disposal of sharp
instruments and infectious waste.
- Follow practice recommendations for health-care facilities
implementing the U.S. Public Health Service Guidelines for management of
occupational exposures to bloodborne pathogens.
- Define an occupational exposure that may place a worker at
risk for HIV or HBV infection.
- Identify factors that may determine the overall risk for
occupational transmission of a bloodborne pathogen and quantify the risk of
infection following an exposure.
- List the things to do following an exposure to the blood of
a patient.
- Quantify the risk of infection for HBV, HCV and HIV after
an occupational exposure to the blood of a patient.
- Describe the treatment for the exposure including
vaccination and drugs.
- Implement the six recommendations made by the CDC to
minimize the risk of HIV or HBV transmission.
- Recognize the importance of making available to all
employees the hepatitis B vaccine and vaccination series to all employees
who have occupational exposure to bloodborne pathogens.
- List 3 circumstances under which it is not necessary to
make available the hepatitis B vaccination series to employees.
- Describe the post-exposure evaluation and follow-up plan
that complies with OSHA standards.
- Describe actions strategies to prevent percutaneous
injuries in a dental office using administrative, engineering, work practice
and personal protective equipment controls.
- Identify essential elements of the confidential medical
evaluations and follow-up after an occupational exposure to blood or OPIM.
- Describe the procedures to follow for source individuals
involved in an exposure incident who consent to testing and those who do not
give consent.
- Describe action strategies to prevent percutaneous injuries
in a dental office using administrative, engineering, work practice and
personal protective equipment controls.
- Describe and provide a rationale for the use of methods to
improve and maintain the quality of water used in dental treatment.
- Explain why low-temperature water heating systems in dental
units should not be used.
- Take 4 recommended steps to provide quality water for
dental treatment and ensure a safe and healthy environment for patients and
staff.
- Define various terms used in infection control in dental
unit waterlines.
- Discuss the formation of biofilm in waterlines and the
potential for infection in a dental unit.
- Enunciate ADA's goal for bacteria levels in dental
treatment water.
- Discuss the risk of contamination from an infected patient
to other patients from cross-connections in dental units.
- Explain the possibility of contamination of public water
supplies with bloodborne viruses such as HBV and HIV.
- Describe the procedures to be used in a dental office
during boil-water advisories.
- Describe the steps that should be taken after the
boil-water advisory is canceled.
Learning Objectives
To assess the effectiveness of
the course material, we ask that you evaluate your achievement of each learning
objective on a scale of A to D (A=excellent, B=good, C=fair, D=unsatisfactory).
Please indicate your responses next to each learning objective and return it to
us with your completed exam.
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