Course Content
Introduction
Here is what to expect
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Unit 1A: Purpose and Technique (50%) (Purpose)
A. Purpose of radiographic images 1. Periapical 2. Bitewing 3. Full mouth series 4. Occlusal 5. Full-mouth survey 6. Panoramic 7. Cephalometric 8. CBCT (cone-beam computed tomography) B. Technique 1. Review patient medical and dental histories for contraindications, including medications. 2. Intraoral techniques, including error correction. a. Paralleling b. Bisecting angle 3. Extraoral techniques, including error correction. a. Panoramic b. Cephalometric c. CBCT (cone-beam computed tomography) basics 4. Technique modifications based on anatomical variations and clinical conditions. 5. Purpose and maintenance of radiographic equipment. 6. Patient management techniques. 7. Mounting and anatomical landmarks that aid in mounting. 8. Anatomical structures and dental materials observed on images (e.g., differentiating between radiolucent and radiopaque areas). 9. Features of a diagnostically acceptable image. 10. Prepare images for legal requirements (e.g., HIPAA).
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Unit 2A: Radiation production (25%)
Radiation production. 1. Sources of radiation for operators/other staff during radiation production. 2. Factors affecting x-ray production (e.g., kVp, mA, exposure time). 3. Radiation characteristics. 4. Radiation physics. a. Primary. b. Scatter (secondary). 5. Radiation biology. a. Short-and long-term effects of radiation on cells and tissues. b. Concepts of radiation dose.
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Unit 2B: Radiation Safety
Radiation safety. 1. Causes of unnecessary exposure to radiation. 2. Patient exposure to radiation (ALARA, ADA recommendations). 3. Factors that influence radiation safety (e.g., filtration, shielding, collimation, PID length). 4. Patient radiation concerns. 5. Informed consent or patient refusal for exposure to radiation. 6. Protocol for suspected x-ray machine malfunctions.
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Unit 3A: Standard precautions for equipment and supplies (25%)
Standard precautions for equipment and supplies according to ADA, CDC and OSHA, including but not limited to: 1. breakdown and setup of treatment room. 2. barriers. 3. position indicating and beam alignment devices. 4. clinical contact surfaces. 5. critical and semi-critical instrument sterilization
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Unit 3B: Standard precautions for patients and operators
Standard precautions for patients and operators according to ADA, CDC and OSHA, including but not limited to: 1. hand hygiene. 2. PPE (donning, doffing). 3. cross contamination.
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Vocabulary Terms
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Practice Exams
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RHS Exam Prep

Use of Barriers and Position Indicating Devices

Introduction

Welcome to another integral module of Unit 3A, focusing on the use of barriers and Position Indicating Devices (PIDs) in the dental environment. In this module, we adhere to guidelines and recommendations provided by the American Dental Association (ADA), Centers for Disease Control and Prevention (CDC), and Occupational Safety and Health Administration (OSHA).

Topics Covered

1. Purpose of Barriers

Key Concepts:

  • Cross-Contamination Prevention: Barriers like disposable sleeves or plastic wrap on Position Indicating Devices act as a physical layer to prevent cross-contamination.
  • Infection Control: These barriers, when used correctly, are instrumental in minimizing the risk of infection.

Examples:

  1. Use disposable sleeves over PIDs to prevent cross-contamination between patients.

2. Position Indicating Devices (PIDs)

Key Concepts:

  • Role of PIDs: PIDs are utilized to guide the X-ray beam during radiographic procedures.
  • Barrier Necessity: Given their proximity to the patient’s oral cavity, it’s crucial to use barriers on PIDs to prevent the spread of microorganisms.

Examples:

  1. When using the PID for dental X-rays, attach a plastic sleeve to it before starting the procedure.

3. Proper Installation and Removal

Key Concepts:

  • Barrier Installation: Before starting any procedure, ensure that appropriate barriers are in place, including on the PID.
  • Barrier Removal: Always follow the proper technique for the safe removal and disposal or sterilization of barriers after each patient treatment.

Examples:

  1. Before attaching a PID to an X-ray machine, install a disposable sleeve while wearing gloves to ensure sterility.
  2. Following an X-ray procedure, carefully remove the PID sleeve and dispose of it in a biohazard waste container.

4. Compliance and Regular Checks

Key Concepts:

  • Routine Monitoring: Regular checks should be made to ensure compliance with ADA, CDC, and OSHA guidelines.
  • Staff Training: Periodic staff training on barrier and PID usage can ensure best practices are continuously met.

Examples:

  1. Perform regular audits of treatment rooms to ensure that barrier protocols are being followed.
  2. Initiate monthly staff meetings to review and update protocols on barriers and PID usage based on the latest guidelines.

Conclusion

Barriers and PIDs are more than mere accessories; they are integral components of safe and effective dental practice. Their proper use can significantly mitigate risks of infection and cross-contamination, helping to safeguard both patients and healthcare providers.

Remember, every detail counts when it comes to infection control and patient safety. So, make sure you’re using barriers and PIDs according to the recommended guidelines. Keep practicing, stay informed, and you’ll be well on your way to mastering these essential aspects of dental care.

Exercise Files
302 Barriers.mp3.mp3
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