100 Dental Assisting. Test #1

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100 Dental Assisting. Test #1
2012-08-29 21:46:16
Dental Assisting

100 Dental Assisting Ch. 22-25. (Agencies, Chemical and Waste MGMT, Dental Unit Waterlines, and Ergonomics.)
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  1. ADA
    • (American Dental Association)
    • -Professional organization for dentists.
    • -Periodically updates infection control recommendations as new scientific info becomes available.
  2. ADAA
    • (American Dental Assistant Association)
    • -Professional organization for dental assistants in the United States.
    • -Oldest and largest group that represents professional dental assistants.
  3. ADHA
    • (American Dental Hygenist Association)
    • -Professional organization for dental hygenists.
  4. CDAA
    • (Canada Dental Assistant Association)
    • -Professional organization for dental assistants in Canada.
  5. CDC
    • (Center for Disease Control)
    • -Federal agency that is nonregulatory and issues recommendations on health and safety.
  6. EPA
    • (Environmental Protection Agency)
    • -Federal regulatory agency whose responaibility is to protect and restore the environment and public health through environmental laws.
    • -Chemical and disposal of trash.
  7. FDA
    • (Food and Drug Administration)
    • -Federal regulatory agency that regulates food, drugs, medical devices, animal feed and drugs, cosmetics, and radiation-emitting products like cell phones, lasers, and microwaves.
  8. NIOSH
    • (National Institute for Occupational Safety and Health)
    • -Federal agency that is nonregulatory and provides national and worldwide leadership to prevent work related illnesses and injuries.
    • -Research and recommendations.
  9. NIDCR
    • (National Institute for Dental and Craniofacial Research)
    • -Federal agency whose mission is to improve oral, dental, and craniofacial health through research, research training, and dissemination of health information.
    • -New diagnostic and therapeutic techniques.
  10. NIH
    • (National Institute of Health)
    • -One of the world's foremost research centers.
  11. OSHA
    • (Occupational Safety and Health Administration)
    • -Regulatory agency whose mission is to ensure the safety and health of American workers by setting and enforcing standards
  12. OSAP
    • (Organization for Safety, Asepsis and Prevention)
    • -The premier infection control agency in the US.
    • -Non-profit org. conposed of dentists, dental assistants, dental hygenists, etc.
    • -Excellent resource for info on infection control, injury prevention, and occupational issues.
  13. PHAC
    • (Public Health Agency of Canada)
    • -The main federal agency responsible for public health in Canada.
    • -Supports research and staff in Canada.
  14. Acute Exposure
    -High levels of exposure over a short period.
  15. Chemical Inventory
    -Comprehensive list of every product used in the office that contains chemicals.
  16. Chronic Exposure
    -Repeated low levels of exposure that happen over a long period of time.
  17. Contaminated Waste
    -Items such as gloves and patient napkins that may contain potentially infectious body fluids of patients.
  18. Hazard Communication Standard
    -Occupational Safety and Heath Administration (OSHA) standard regarding employees' "right to know" about chemicals in the workplace.
  19. Hazardous Waste
    -Waste that poses a risk to humans or the environment.
  20. Infectious Waste
    • -Waste that is capable of transmitting an infectious disease.
    • -Sharps.
  21. MSDS
    • (Materials Safety Data Sheet)
    • -Form that provides health and safety information regarding materials that contain chemicals.
  22. Regulated Waste
    -Infectious waste that requires special handling, neutralization, and disposal.
  23. Toxic Waste
    -Waste that can have a poisonous effect.
  24. The 3 primary methods of chemical exposure
    • 1.) Inhalation- of gases, vapors, or dusts of chemicals can cause direct damage to the lungs or sent to other parts of the body.
    • 2.) Skin- absorbed through the skin.
    • 3.) Ingestion- eating lunch in an area in which chemicals are used or eating with hands that are contaminated with chemicals.
  25. 2 Chemical Toxicity Levels
    • 1.) Acute- High exposure over short amounth of time.
    • 2.) Chronic- Repeated small exposure over long periods of time.
  26. Personal Chemical Protection
    • 1.) Hand Protection- gloves.
    • 2.) Eye Protection- glasses.
    • 3.) Protective Clothing- scrubs
    • 4.) Inhalation Protection- face mask
    • 5.) Control of chemical spills- use MSDS
    • 6.) Eye wash station
    • 7.) Proper ventilation in building
    • 8.) Storing chemicals- use labels and MSDS
    • 9.) Disposal of empty containers- use MSDS
    • 10.) Hazardous waste disposal- flammable, corrosive, reactive, toxic, EPA listed.
  27. Hazard Communication Program
    • -OSHA issued to require employers to inform their employees about the idenity and hazards of chemicals that they use in the workplace. "Right to know".
    • -5 Parts:
    • 1.) Written Program
    • 2.) Inventory of hazardous chemicals
    • 3.) MSDS for every chemical
    • 4.) Proper labeling for containers
    • 5.) Employee training
  28. Hazard Communication Program: 5 parts.
    1.) Written Program
    • 1.) Staff training
    • 2.) How chemicals are handled in the office, including information on all labeling and safety measures.
    • 3.) How to respond to chemical emergancies such as spills or exposures.
  29. Hazardous Communication Program: 5 parts.
    2.) Inventory of hazardous chemicals
    -List of all products used in the office that contain chemicals.
  30. Hazardous Communication Program: 5 parts.
    3.) MSDS for every chemical
    • -Contains health and safety information about every chemical in the office.
    • -Describes physical and chemical properties of a chemical, health hazards, routes of exposure, precautions for safe handling and use, emergency and first aid procedures, and spill control measures.
  31. Hazard Communication Program: 5 parts.
    4.) Proper labeling of containers
    -Containers must be labeled to indicate what chemicals they contain and any hazards that may be associated. All containers in the dental office must be labeled.
  32. Hazard Communication Program: 5 parts
    5.) Employee training
    • -Staff training is required in 3 different ways
    • 1.) When new employee is hired
    • 2.) When a new chemical product is introduced to the office.
    • 3.) Once a year for all continuing employees.
    • -Records of each training must be kept on file for at least 5 years.
  33. Waste MGMT in dental office
    • -There are regulated and nonregulated wastes in the dental office. Some substances are regulated under federal, state, or local environmental regulations.
    • -Regulations very from state to state.
  34. Waste MGMT in dental office
    -Regulated waste
    • -Includes sharps such as disposable needles, scalpel blades, contaminated broken glass, disposable dental burs, and endodontic files and reamers.
    • - Blood, blood-soaked and blood-coated items, human tissue, pathologic waste, extracted teeth
    • -Regulated waste requires special disposal
  35. Waste MGMT in dental office
    -Nonregulated waste
    -Includes materials contaminated waste materials as well as saliva-soaked gauze, used patient bibs, and surface barriers.
  36. Scrap Amalgam
    • -Should be collected and stored in a designated, dry, airtight container.
    • -Container must be labeled with name, address, telephone number of dental office, date on which you first started collecting material in the container.
  37. Extracted Teeth
    • -Regulated waste
    • -Teeth that don't contain amalgam and are going to be sued for educational purposes must be heat-sterilized first.
    • -Teeth that contain amalgam restorations should never be heat-sterilized because high temp may create toxic mercury vapors.
  38. Nonhazardous Waste MGMT
    -Includes aluminum, glass, newspapers, corrugated fiber, and mixed paper.
  39. Waste Disposal
    • -EPA enforces disposal of regulated waste
    • -Dentist is responsible for proper packing, labeling, transportaion, and ultimate disposal of wate generated in the dental office
    • -Containers must be rigid, leak resistant, impervious to moisture, and strong enough to prevent damage and leakage during handling.
  40. Disinfectants
    -Used or unused disinfectants with high concentration of formaldeyde or a flash point less than 140 degree F is a hazardous waste that cannot be discharged into the sewer.
  41. Dental Unit Waterlines (DUWL)
    -Small bore tubing usually made of plastic, used to deliver dental treatment under water through dental unit.
  42. Biofilm
    • -Slime-producing bacterial communities that may also harbor fungi, algae, and protozoa.
    • -Exists where moisture and suitable solid surfaces are found.
    • -Attached to the walls DUWLs and form protective slim layer.
  43. Colony-Forming Units (CFUs)
    -A number of separable cells on the surface of a semisolid agar medium that create a visible colony.
  44. Legionella
    • -Genus of bacteria responsible for the disease Legionellosis.
    • -Found in water and moist places.
  45. Mircofiltration
    -Use of membrane filters to trap microorganisms suspended in water.
  46. Planktonic
    -Describes bacteria that are freely floating in water.
  47. Self-Contained Water Reservoir
    -Container attached to a dental unit that is used to hold and supply water or other solutions to handpieces and air-water syringes.
  48. Sources of Microorganisms in Dental Unit Water
    • 1.) Community Water
    • 2.) Patient's Mouth
  49. Sources of Microorganisms in Dental Unit Water
    1.) Community Water
    • 1.) Planktonic- "free floating" microorganisms.
    • 2.) Biofilm- microorganisms attached to the walls of DUWLs.
  50. Reducing Bacterial Contamination
    • 1.) Self-contained water reservoirs
    • 2.) Chemical treatment regimens
    • 3.) Microfiltration
    • 4.) Daily draining and drying of lines
    • 5.) Sterile Water
  51. Reducing Bacterial Contamination
    1.) Self-contained water reservoirs
    -Container attached to dental unit that is used to hold and supply water or other solutions to handpieces and air-water syringes.
  52. Reducing Bacterial Contamination
    2.) Chemical treatment regimens
    • -Biofilm is extremely resistant to chemical destruction, chemical treatments must be provided once a week.
    • -Periodic shock treatment with biocidal levels (levels that will kill mircroorganisms) of chemicals
    • -Continuous application of chemicals to the system at biocidal levels but not levels that harm humans.
  53. Reducing Bacterial Contamination
    3.) Microfiltration
    -Disposable in-line membrane filters to trap microorganisms suspended in water.
  54. Reducing Bacterial Contamination
    4.) Daily Draining and drying of lines
    -Drain waterlines after use or end of the day to get rid of mircoorganisms and let line dry.
  55. Reducing Bacterial Contamination
    5.) Sterile Water
    -Use sterile water for surgical procedures to prevent bacteria from entering that body from the inside.
  56. Infection Control and Dental Unit Water
    • 1.) Flush Waterlines
    • 2.) Minimizing Aerosols
    • 3.) Protective Barriers
  57. Infection Control and Dental Unit Water
    1.) Flush Waterlines
    -DUWL and hand pieces should be flushed every morning and for 20-30 minutes after every patient.
  58. Infection Control and Dental Unit Water
    2.) Minimizing Aerosols
    -Use high volume evacuator to reduce contamination from aerosols and splatter from patients saliva and contact with the water spray.
  59. Infection Control and Dental Unit Water
    3.) Protective Barriers
    • -Use dental dam as barrier for the patient from dental unit water. The dam not only eliminates exposure but also greatly reduces direct contact.
    • -Masks, glasses, gloves, scrubs and other PPE.
  60. Carpal Tunnel Syndrome
    • -Pain associated with continued flexion and extension of the wrist.
    • -Painful tingling in one or both hands in anatomic area of hand or wrist.
    • -Decreased ability and power to squeeze objects or make a tight fist.
    • -Ambidextrous gloves that are too small can lead to this.
  61. Cumulative Trauma Disorders (CTDs)
    -Painful conditions that result from ongoing stresses to muscles, tendons, nerves, and joints.
  62. Ergonomics
    • -Adaptation of work environment and tasks to the human body
    • -"Law of work"
  63. Musculoskeletal Disorders (MSDs)
    -Painful conditions that affect both muscles and bones, such as neck or back pain and carpal tunnel syndrome.
  64. Neutral Position
    -Position when the body is properly aligned and the distribution of weight throughout the spine is equal.
  65. Sprains
    • -Injuries caused by sudden twisting or wrenching of a joint with stretching or tearing of ligaments.
    • -Sudden
  66. Strains
    • -Injuries caused by extreme stretching of muscles or ligaments.
    • -Extreme
  67. Thenar Eminence
    • -Fleshy mound on the palm of the base of the thumb.
    • -Ambidextrous gloves can place tension on this area.
  68. Ergonomic Factors. 6.
    • 1.) Good practices
    • 2.) Staff training
    • 3.) Equipment design
    • 4.) Instrument design
    • 5.) Workplace changes
    • 6.) Balance and exercise.
  69. Musculoskeletal Disorders
    • -Headaches, neck and shoulder pain, back pain, carpal tunnel syndrome
    • -Work habits, posture, equipment design, poor exercise, poor staff training, and getting lazy.
  70. The 3 Factors that contribute to job injury
    • 1.) Posture
    • 2.) Repetition
    • 3.) Force
  71. The 3 Factors that contribute to job injury
    1.) Posture
    -Affects the ability of the dental assistant to reach, hold, and use equipment.
  72. The 3 Factors that contribute to job injury
    2.) Repetition
    -Repeating motions, positions, and overflexions of wrist.
  73. The 3 Factors that contriubute to job injury
    3.) Force
    -Repeating motion or wrist or other body parts and the force can cause CTDs.
  74. Muscle-Strengthening Exercise
    • -Strengthening back, neck, shoulders, forearm, wrist, and hand.
    • -Freuently resting hands during the workday to prevent CTS.
    • -Do periodic stretching during the workday.
    • -Exercising the whole body and stay healthy will reduce risk of musculoskeletal disorders.