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when should you take MH

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when you remember

only when pt asks

updated at every apt after that

every other apt

detailed MH at initial apt

none

cross infection

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cross infection
cross infection control

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minimise the risk of transmission of pathogenic organisms from one individual to another
transmission of pathogenic organisms from one individual to another

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Chain of infection

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1
2
3
4

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Source
Mode
Susceptible host
Entry

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aerosol and splatter

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aerosol is suspension of

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or

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in the air. Splatter is

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that travel shorter distances 1 meter from the

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spread of infection

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transmission
parenteral
transmission aerosol

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via blood stream
airborne/respiratory secretion
direct & indirect

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transmission

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Direct
Indirect

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via equipment, objects, contaminated fluids
contact spread

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infection control

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sterilisation
disinfection

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kills or removes all types of micro-organisms (prions will not be killed but in sterile state)
kills or removes micro-organisms excluding bacterial spores. reduction in number of pathogens to a level unlikely to cause infection is acceptable

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HTM stand for

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health terminal medications

health technical mechanisms

Health technical memorandums

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CI and considerations

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Considerations
Contra indication
Relative
Absolute

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Situation that makes a tx or procedure absolutely inadvisable
Condition which makes a tx or procedure possibly inadvisable
factors that may not stop a procedure from taking place but may need additional precautions in the planning and implementation
condition or factor which serves as a reason to stop or restrict a certain line of tx from being carried out

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aersol contamination can be reduced by

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chorhexidine rinse for 2 mins

pt positioning

ventilation

low volume suction

chlorhexidine rinse for 1 min

fan

rubber dam

high volume suction

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How are we protected?

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education

vaccine

hand washing

plasters

care of immune suppressed

disinfection

anti bacterials

Immunisation

sterilisation

anti septics for minor injuries

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3 main sources of infection

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Index
Prodomal/convalescent
Carrier

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pt suffering from infectious disease
healthy carrier of disease
pt over symptoms

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htm01-05

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raising standards EQR

reduce prion transfer risk and processing instruments

planning

best practice

advised

continuous improvement

standards

destroying prions

don't have to comply

audits

policies

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Why do we take MH?

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to treat pt safely & efficiently

alert dcp in case of ME

aid diagnosis of oral disease

to look good

special management

MH may influence LA and other drugs

part of pt assessment

to judge pt

just because we have to

MH can affect tx management

legal requirement

identify risk factors

identify oral side effects from meds

none

Pt assessment

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interpretation of radiographs

EOE

MH

IOE

calling gp

diagnosis

scaling

tx planning