Fw:health and safety faults osce

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Health and safety faults in Clinical Pictures5 pictures given-1. Children’s waiting room2. Dental technician lab3. Dental surgery with emergency kit on entrance4. Leaking corrosive liquid jar5. Mercury amalgamator and capsule tray in front6. 10 Faults in clinical scenario- no gloves, no mask etc Health and Safety at Work Act 1974 (HSW Act) Ø Provide and maintain safe equipment, appliances and systems of workØ Ensure that dangerous or potentially harmful substances or articles are handled and stored safelyØ Maintain the place of work, including the means of entrance and exit, in a safe

conditionØ Provide a working environment for employees that is safe, without risks to

health and with adequate facilities and arrangements for their welfare at workØ Provide the necessary instruction, training and supervision to ensure health and safety.Points to look out for-· Radiograph viewers shouldn’t be on bracket table.· Clinic area should be tidy and clutter free.· Administrative areas and clinical areas should be separate.· Separate area for decontamination and sterilization.· Clinical work surfaces should be clear of instruments and materials.· Zoning- High risk (Dirty) and low risk areas (Clean). E.g. bracket table is in dirty zone.· Barrier

covering should be used on equipments in dirty zone whenever possible, e.g. cling film in head rests, handles, switches, suction

connectors etc.· Low risk (Clean) zone- Equipment and materials are stored, notes kept and non-clinical duties performed.· From Clean Instrument Zone, once used, any item should go to bracket table.· There should be separate areas for dental notes, records and X-ray viewers in the clean zone.· Keep instrument tray tidy so that sharps are not hidden under the debris.· Working areas that have instruments placed on them during treatment should be kept to a minimum.· Dispose sharps as soon as possible.· Do not leave burs and ultrasonic tips in hand pieces attached to the unit.· Sharps bin should not be in a position where it is easily knocked over and never more than 2/3

full.· Instruments should be in pouches, not loose in antiseptic solutions· Eye protection and surgical clothing, Patient’s eye protection· No rings, jewellery and watches in clinical sessions.· Heavy-duty gloves and eye protection must be worn when handling and cleaning used instruments.· Sterilised instruments should be stored in covered trays / pouches.· Needles should be re-sheathed only using the re-sheathing device provided.· All clinical waste must be placed in the appropriate sacks or bins provided in each surgery. The sack must be securely fastened when three quarters full and stored in the designated area.· Change gloves immediately if torn, cut or

punctured.· Gas cylinders should be stored, if possible, in external well-ventilated stores preferably with piped supplies to the point of use.· Cylinders should be stored within a fire-resisting enclosure with ventilation through an external wall to a safe place outside the building.· Stocks should be kept as low as possible and any flammable gases should be kept away from sources of ignition and not be stored with oxygen.· Emergency routes and exits must be kept free of obstruction at all times.· Ensure that everyone has reasonably quick access to first-aid.· Remove obstructions to free movement.· Emergency drugs should be kept securely but be accessible at all times· Keep all

medicines in a locked cupboard.· Floor coverings in dental surgeries should be non-slip and impervious and should cove slightly up the wall or cabinetry to eliminate crevices.· Joints between sheets of floor covering should be kept to a minimum and sealed· Tiled floors are not recommended and carpets should never be used· The area where amalgam is prepared should be well ventilated and away from any form of heat (radiator, autoclave and sunlight).· The work surface used for mixing amalgam should be smooth and impervious· Disposable towels should be used for hand drying.· Amalgamators should be placed in a shallow tray lined with aluminium

foil.· Protective clothing should be

worn only in the surgery or laboratory and not taken into eating areas.· Employers are required to use a safety sign wherever a hazard exists that cannot be adequately controlled by any other means.· All safety signs are required to contain a pictogram (symbol) as part of their design.