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

Personal Protective Equipment (PPE) Protocol

Introduction

Welcome to the second module of Unit 3B, focusing on the use of Personal Protective Equipment (PPE) in alignment with ADA, CDC, and OSHA guidelines. Proper PPE protocol is paramount for ensuring the safety of both patients and healthcare providers. This module aims to guide you through the dos and don’ts of using PPE in a clinical setting.

Topics Covered

1. Types of PPE

Key Concepts:

  • Gloves: Protects hands from exposure to pathogens.
  • Masks: Shield respiratory passages from airborne particles.
  • Eye Protection: Guards against splashes and sprays.
  • Gowns: Protects clothing and skin from contamination.

2. Donning PPE (Putting On)

Key Concepts:

  1. Hand Hygiene: Always perform hand hygiene before putting on PPE.
  2. Gown: Put on the gown first.
  3. Mask: Place the mask securely over the nose and mouth.
  4. Eye Protection: Apply eye protection (goggles or a face shield).
  5. Gloves: Gloves go on last, ensuring the cuff of the glove is pulled over the wrist of the gown.

Examples:

  • Remember to adjust your mask so it fits snugly but comfortably against the side of the face.
  • Double-gloving can provide an additional layer of protection during procedures that expose you to blood or bodily fluids.

3. Doffing PPE (Taking Off)

Key Concepts:

  1. Gloves: Remove gloves first, taking care not to contaminate your hands.
  2. Eye Protection: Carefully remove goggles or face shield.
  3. Gown: Unfasten the gown ties and remove.
  4. Mask: Handle only by the ties or ear loops.
  5. Hand Hygiene: Wash hands immediately after removing all PPE.

Examples:

  • Always remove gloves so that the glove’s exterior never touches your bare hands.
  • When removing the mask, do not touch the front of the mask, as it is considered contaminated.

4. Cross Contamination

Key Concepts:

  • PPE Sequence: Follow the proper sequence for donning and doffing PPE to avoid cross-contamination.
  • Reuse: Know which PPE items are reusable and how to properly disinfect them.

Examples:

  • Never reuse disposable gloves.
  • If using reusable PPE like a face shield, ensure it is properly disinfected before the next use.

5. Storage and Disposal

Key Concepts:

  • Labeling: Clearly label PPE storage areas.
  • Disposal: Dispose of single-use PPE in designated biohazard waste containers.

Examples:

  • Ensure that disposal bins for biohazardous waste are conveniently located but also safely out of the way of high-traffic areas.
  • Store reusable PPE in a clean and easily accessible location.

Conclusion

Understanding and adhering to proper PPE protocols is crucial for minimizing the risk of cross-contamination and ensuring the highest level of safety in healthcare settings. Always remember, the correct use of PPE starts and ends with proper hand hygiene. Keep yourself and your patients safe by mastering these PPE protocols.

Exercise Files
307 PPE (donning, doffing).mp3.mp3
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