PART B Question 1 The guidolines for infection control require dentists to A. strictly abide by the rules set out within the document. B. _ use their own judgement when putting the strategies into practice. C. follow the example of well-established dental clinics. 112 Guidelines for Infection Control for Dental Practitioners The routine work practises outlined here are designed to reduce the number of infectious agents in the dental practice environment; prevent or reduce the likelihood of transmission of these infectious agents from one person or item/location to another; and make items and areas as free as possible from infectious agents. It is important to acknowledge that professional discernment is essential in determining the application of these guidelines to the situation of the individual dental practice environment. Individual dental practices must have their ‘own infection control procedures in place, which are tailored to their particular daily routines. Professional awareness is critical when applying these guidelines to the particular circumstances of each individual dental practice. Each dental practitioner is responsible for implementing these guidelines in their clinical practice and for ensuring their clinical support staff are familiar with and able to apply them.Question 2 The email informs physiotherapists that a. the option of consent ultimately lies with the patient. B, information provided by the patient is confidential. ¢. patient consent forms are a legally binding document. To: All physiotherapists From: Ken Macarthur, Head Physiotherapist Subject: Patient consent forms This is a courtesy email reminding all staff that it is standard practice to not only provide the patient consent forms, but to also verbally go through all aspects of the form with the patient prior to the commencement of treatment. The purpose of this is to inform the patient of their rights and how we address the issue of a collaborative decision making and informed consent between physiotherapist and patient. The patient's condition and options for treatment must be discussed so they are appropriately informed and are in a position to make decisions relating to their treatment. They must also be informed that they may choose to consent or refuse any form of treatment for any reason including religious or personal grounds. Once they have given consent, they may withdraw that consent at any time.Question 3 What does the policy for manual handling equipment tell employers? A. Allareas of the hospital should be fitted with overhead tracking. B. Assistance devices should be used over physically handling the patient. C. Patients have the final decision on how they should be assisted. Policy for manual handling equipment The provision of ceiling hoist technology and air assisted patient lifting equipment should be considered as the first line handling aid by employers as significant evidence exists that their use reduces operator and patient injuries. Overhead tracking should be installed in all new or refurbished facilities. This should cover beds as a minimum, but should extend to ensuites and other areas of the facility where pationts are likely to require assistance. Once an assessment has been made that equipment should be used for safe patient handling then equipment should be made available and used, even in situations where the patient and/or family’s preference is for it not to be used.Question 4 The purpose of the notice is to explain to occupational therapists that ‘A. confirmation of equipment is subject to availability at the time of request. B, mattresses are of standard size so may not be suitable for all bed types. ¢. patient factors must be considered prior to lodging a request form. Equipment Request Form (ERF) for Pressure Care Mattresses Itis the responsibility of the occupational therapist attending to the individual patient to submit an Equipment Request Form (ERF) based on equipment oligibility criteria. A prossure mattress may be appropriate when someone is at risk of a pressure injury as evidenced by documented sound clinical reasoning and their prossure injury risk is unlikely to significantly change. Environmental and equipment considerations must be confirmed such as that a patient's weight is within the safe workload of the equipment requested. The size of the mattress must also be compatible with other bed equipment and accessories and the patient has been informed regarding the contraindications of placing items (e.g. continence products, sheepskins, electric blankets, ilHfitting bed sheets) on top of the mattress. Only after this confirmation should an ERF be submitted.Question 5 The memo about use of smart phones during surgery tells staff that A. their use may be a violation of patient confidentiality. B. they are to be used only by the surgeon C. they can potentially lead to patient harm. Memo: Restricted use of smart phones during surgery. ‘As smart phone technology has become increasingly common, it is now cause for concern when used within the operating rooms, especially as a major source of distraction. For this reason, the use of smart phones within the operating rooms will now be restricted. The undisciplined use of smart phones - whether for telephone, email or data communication, and whether by the surgeon or other members of the surgical team may compromise patient care. Whenever possible, members of the operating suite team should only engage in urgent outside communication during surgery. Personal and routine calls should be minimised and be kopt as brief as possible. Incoming calls should be forwarded to voicemail or to the reception desk to be communicated promptly. Any use of a device or its accessories must not compromise the integrity of the sterile field and special care should be taken to avoid sensitive communications within the hearing of awake or sedated patients.Question 6 The main point of the extract on subcutaneous cannulas is to explain A. the versatility of their design and function. g. that they must only be used by registered nurses. c. the need for a backup cannula in case of malfunction. Subcutaneous cannulas A subcutaneous cannula is a small plastic tube designed to carry medication into a person's body. One end, inserted by a registered nurse, sits just under the person's skin, The other end divides into two parts and is shaped like a Y. One part of the Y-arm can be connected to a syringe driver or infusion pump; the other can be used for subcutaneous injections. The nurse may insert a second cannula in a different part of the body. This is in case the original cannula stops working and ensures that there will be no delay in giving medications to the person you are caring for. it can be especially useful if the original cannula stops working at night when nurses may not readily available or have the same level of support as during the day,