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Dental clinic safety Exam
Welcome to your Dental clinic safety Exam
HIPAA deals with the information provided by the patient
Yes
No
Both the ADA and HHS educate the clinician in HIPAA
Yes
No
You cannot use a patient's picture in advertising you clinic without that patient's consent
Yes
No
The goal of HIPAA is to protect Employee Information
Yes
No
Dentists are Covered Entities
Yes
No
You need another HIPAA consent to refer a patient to an endodontist
Yes
No
You need another HIPAA consent to refer a patient to an oral surgeon
Yes
No
You need another HIPAA consent to refer a patient to a periodontist
Yes
No
Collection Agencies and Law firms are not Business Associates
Yes
No
A Covered Entity is one that is directly involved in patient care activities
Yes
No
A Business Associate does not provide any treatment to a patient
Yes
No
If a patient's health information is being used for research purposes, you need to inform the patient and get another consent for that purpose
Yes
No
Yes
No
You can talk to anyone in your clinic about a patient
Yes
No
You don't need additional HIPAA consent to refer a patient, share the information with the patient's insurance company or send a prescription to a pharmacy
Yes
No
Only orthodontists and pediatric dentists can put a picture of their patient in an advertisement without the patient's consent
Yes
No
It is alright to use a kid's picture in an advertisement without further consent
Yes
No
Security rule does not adequately protect the patint'ss PHI even if implemented in the clinic
Yes
No
A key opinion leader is always correct on HIPAA rules as he/she has a huge dental following and knows more about dentistry than HHS
Yes
No
HIPAA did not consider dentists as stake holders when he act was written
Yes
No
Dental offices are small, the ADA and AGD can protect dentistry against HHS
Yes
No
CEs must have a BA agreement if using a BA to handle EPHI
Yes
No
HIPAA applies in small entities such as dental clinics
Yes
No
HIPAA applies only to large entities such as Hospitals
Yes
No
HIPAA is scale able
Yes
No
You can alter the patient's information in the EHR without the patient's consent as your clinic owns it
Yes
No
Alteration or changes of patient's information needs to be document in the electronic health record
Yes
No
Not documenting any changes if changes are made is simply wrong according to HIPAA
Yes
No
Tampering is similar to altering as in a patient record
Yes
No
Dental Safety Comprises Patent Safety and Employee Safety
Yes
No
PHI stands for Protected Health Information
Yes
No
In the 1960s dentists spread Hepatitis B virus to patients
Yes
No
You should always do your best in protecting patient information
Yes
No
Hepatitis infection was commonly associated with social stigma in the 1960s
Yes
No
Pediatric dental patients can access the clinic's WiFi system as they are harmless
Yes
No
The 1993 IC recommendations by the CDC stated that the highspeed handpieces could be disinfected
Yes
No
A clinic should offer a separate WiFi system a patient could use
Yes
No
Fomites show the highest risk in routes of disease transmission
Yes
No
If a neighboring clinic which is friendly with you on Face Book or Instagram share their Business Associate agreement, you should use it
Yes
No
Contact is high risk
Yes
No
Shared agreement between clinics is a good idea as it is cheap
Yes
No
There are more steps while following Transmission Based Precautions
Yes
No
Free HIPAA courses are not really free as someone pays for it and there could be an ulterior motive
Yes
No
You should first Disinfect or Sterilize before sanitization
Yes
No
Looking into a patient's financed account and then raising the statement of work is not fraudulent
Yes
No
Sanitization is to remove most bioload and bioburden
Yes
No
Looking into a care-credit account to determine the money available is not a crime
Yes
No
Sterilization is the highest level of Decontamination
Yes
No
Only spoken method of patient information sharing is allowed by HIPAA.
Yes
No
Spaulding's classification has 3 classes
Yes
No
Name, address, social security number, phone number and credit card number are not protected information
Yes
No
Items used in implant surgery can only be disinfected
Yes
No
Patient information in the electronic dental record belongs to the patient. One cannot alter or share this information even if a Key Opinion Leader says one can on social media
Yes
No
One should no of the risks of many respiratory and also sexually transmitted disease as we frequently encounter them in dentistry
Yes
No
HIPAA Consent is similar to Informed consent
Yes
No
We must be concerned about HIV and COVID-19 in disease transmission
Yes
No
If greater than 500 patients are affected, the breach is small
Yes
No
Children do not transmit infectious diseases
Yes
No
If a patient asks for a copy of their record, include the picture of their radiograph as it can be opened by most devices
Yes
No
TB made a resurgence in the 1980s
Yes
No
"A patient has access to their info and the clinic may charge a nominal fee of about $25 to the patient"
Yes
No
HAV and HEV are transmitted mainly by blood
Yes
No
Giving the patient their information varies from federal to states like Texas. Federal requirement is a maximum of 30 days as opposed to 15 days in Texas
Yes
No
HBV is transmitted mainly by Blood
Yes
No
Federal rules over rule commonly over rule state rules
Yes
No
HCV, HDV, and HGV are all piggy-back viruses
Yes
No
The clinics should have electronic or digital access controls
Yes
No
HBV is a virus with a long incubation period of about 45-160 days
Yes
No
Some states treat normally considered BAs similar to CEs (as in Texas)
Yes
No
HAV has a long incubation period and is called chronic Hepatitis
Yes
No
Clinic must upgrade their equipment and software periodically to conform with HIPAA
Yes
No
1% if HBV infected become chronic carriers
Yes
No
End-point security is not need in dental clinics
Yes
No
Yes
No
An employee can only use their smartphone to take the PHI out of the clinic. They cannot use a thumb drive, tablet or laptop or email it out
Yes
No
Post testing for HBV titers in mandatory for all employees
Yes
No
Unpaid gmail cannot be used to transmit patient PHI as they are not encrypted
Yes
No
HAV and HBV vaccines are now available as combined vaccines
Yes
No
Dentistry does not digitally share images
Yes
No
HCV is a silent killer
Yes
No
Dental employee who do not follow HIPAA can be penalized by the clinic
Yes
No
HEV is seen more commonly during pregnancy
Yes
No
You don't need to follow up with shared information if the recipient is with the insurance network
Yes
No
Vulnerability, Threat and Risk are very important in Risk Analysis and Risk Management
Yes
No
HIV was identified in the 1980s
Yes
No
You should do an audit of your clinic's risks to data at least annually
Yes
No
HIV had a social stigma
Yes
No
Since you completed this HIPAA training, you don't need to do an audit of your clinic
Yes
No
David Acer was proven to infect 9 patients with HIV
Yes
No
You should hire a lawyer or a seasoned expert I HIPAA to help you with an audit
Yes
No
According to data from the CDC, HIV spread rapidly in the US
Yes
No
If you get a patient's credit card information, you can write it on a sticky not and stick it to the bottom of your computer screen and enter it the next day
Yes
No
It is necessary to enter an HIV patient's CD4 counts and viral load in a dental chart
Yes
No
If CD4 counts are below 200 and viral load is High it is good
Yes
No
Post exposure prophylaxis to the expose individual should be started as soon as possible (in hours)
Yes
No
MDR TB is more common in uncontrolled HIV patient
Yes
No
Today HIV can be seen only in Homosexual Males
Yes
No
HIV can proceed into PGL phase and AIDS stage
Yes
No
Oral Hairy Leukoplakia of the tongue and oral candidiasis are seen commonly today in HIV patients
Yes
No
The risk of occupationally getting HIV in dentistry is very low (
Yes
No
You should open an occupational health record in the clinic for each employee
Yes
No
TB spread is mainly through droplets and it is not a concern for dentistry
Yes
No
TB spread is mainly through droplets and it is not a concern for dentistry
Yes
No
About 1 million people die worldwide so it is not of concern
Yes
No
Clinically identifying TB is night sweats, malaise, recent weight loss, fever, fatigue, chest pain, coughing with expectoration that may possibly be tinged with blood, cough and above symptoms for more than 3 weeks. These questions may be incorporated int
Yes
No
Yes
No
Annual TB tests are not needed for dental employees as the risk is low
Yes
No
Some of the emerging disease of concern are SARS, Flu, Avian Flu, Swine Flu, West Nile Virus, Chikungunya, Dengue, Malaria, Japanese Encephalitis, Yellow Fever
Yes
No
Sars and COVID-19 behave very differently and do not have similar signs and symptoms
Yes
No
Lice or pediculosis is quite common even is good counties
Yes
No
Follow strict universal precautions and you fall under to guidance of an expert panel as in H I V and hepatitis C
Yes
No
Measle, Mumps and Rubella are childhood diseases of concern in dentistry
Yes
No
You should only follow the national statistics and implement only the federal guidelines during a pandemic
Yes
No
The symptoms of COVID can be fever, myalgia, and temperature of 104 Fahrenheit
Yes
No
Airborne aerosols will have droplets suspended for long periods of time
Yes
No
Aerosols are heavier than droplets
Yes
No
Most state board of dental examiners and OSHA rely on the CDC for disease information
Yes
No
Dentistry is at high risk for airborne diseases
Yes
No
Airlifters that are portable and have a UV light is not commonly used in a dental clinic now
Yes
No
All germicides are decontaminants
Yes
No
Hydrophilic viruses are easier to kill than lipophilic ones
Yes
No
Quaternary Ammonia compounds are stronger than Halogen
Yes
No
FDA is concerned about sterilants and antiseptics
Yes
No
An immersion sterilant need not be tested periodically for viability
Yes
No
TB kill time is the disinfection time
Yes
No
Both surface disinfection and use of surface barrier are needed, not one or the other
Yes
No
Rinse-spray-rinse is done with impressions for decontamination
Yes
No
Digital impression wands must be decontaminated by following the manufacture's IFUs
Yes
No
Bleach is good for decontaminating suction lines
Yes
No
Decontaminating hands is better than Handwashing because we use gloves regularly
Yes
No
Infection control is only microbiology
Yes
No
Deep sinks are better than shallow sinks for handwashing
Yes
No
You must only use a prescribed emollient for you hands
Yes
No
Hand washing is very important in patientcare
Yes
No
Surgical Handwash is different from the one for General Dental Purposes
Yes
No
You need to do a handwash before wearing exam gloves
Yes
No
Wearing gloves only prevents gross contamination
Yes
No
Wearing exam gloves does not protect the employee from the patient's blood o saliva
Yes
No
Applying the acrylic-bandage does not effectively protect cuts and bruises
Yes
No
A 6% chlorhexidine antiseptic soap is recommended for handwashing in dentistry
Yes
No
You should aseptically remove used gloves to reduce contamination
Yes
No
Commensal microbes can multiply rapidly on gloved hands due to warmth and moisture
Yes
No
A 60% alcohol rub for hands is recommended
Yes
No
A moisturizer for hand is need after a session
Yes
No
Appropriate PPE will protect the employee from blood and body fluid, dust and mist during dental care
Yes
No
Yes
No
You also need to clean protective shields (engineering controls) on a device in the clinic
Yes
No
Use of appropriate PPE is based on how infective a patient is
Yes
No
If no splash or spatter is generated, full PPE is not needed
Yes
No
Side-shield must be worn by every dental health care worker
Yes
No
Use of N-95, KN-95 masks and PAPRS became more prevalent during COVID-19
Yes
No
White and Blue light leads to macular degeneration
Yes
No
At least 3 green goggles are needed during the use of curing light in each operatory
Yes
No
Soft, Hard and soft & hard tissue LASERs are used in dentistry
Yes
No
LASER inserts are available for those using loupes
Yes
No
Level 1 to level 3 masks prevent blowby
Yes
No
Single-Use disposable face-shields are available
Yes
No
If you add 20 lbs or more, you should get fit tested again
Yes
No
Use of surface barriers and disinfection MUST be done between patients
Yes
No
Cling-Wrap' is FDA cleared as a medical device for dentistry
Yes
No
All surface barriers used in patient care need to have FDA approval
Yes
No
Surface barriers used must extent at least 6" below the coupling
Yes
No
The bracket table and electrical switches can us a barrier
Yes
No
Preformed barrier should not be used as they are expensive
Yes
No
Some key pads and mouse can be disinfected
Yes
No
The CDC and ADA have agreed that dental treatment water must not exceed 500 cfu/mL
Yes
No
Stagnant water in dental water systems build biofilms
Yes
No
Tap water can be used for dental care as it is consistently below 500cfu/mL
Yes
No
Salts, bacteria and endotoxins can be present in dental treatment water systems
Yes
No
You can reduce the hard ness of water
Yes
No
TDS varies in each state
Yes
No
All dental patients seen in the clinic have low risks
Yes
No
Only non-TB infections have been investigated
Yes
No
Dentistry is self regulated as a profession
Yes
No
It is the dentists license that allows dental care in a dental clinic
Yes
No
Use od certain disinfectant can interact with biofilms and can generate disinfection byproducts
Yes
No
To get good quality dental treatment water you must control biofilms and the dental treatment water quality in the clinic
Yes
No
Some germicides are safer on patients and the equipment
Yes
No
R2A agar is more accurate than other in-office water tests
Yes
No
Most decontaminating agents d not affect bond strength
Yes
No
Instrument reprocessing is over rated
Yes
No
Dry heat is the most common method of sterilization in dentistry
Yes
No
Handpieces can also be sonicated with other instruments
Yes
No
You can use exam gloves during reprocessing
Yes
No
You should test the ultra sonic machine weekly
Yes
No
Change ultra sonic solution at least daily
Yes
No
You must degas daily
Yes
No
You can use a domestic dishwasher in the clinic
Yes
No
N-class sterilizers have a pre-vac and a post-vac cycle
Yes
No
All state require you to biologically validate your sterilizer monthly
Yes
No
The CDC says you MUST use a chemical indicator
Yes
No
What the dental sales person says supersedes what the CDC says
Yes
No
Class 2 or bowie-dick indicators should be used daily on B class sterilizer for air removal
Yes
No
According to the CDC All employees should stay home if they are sick, or if they feel sick
Yes
No
EPA gives registered surface disinfectants an EPA number
Yes
No
General Duty Clause is a Common-sense clause
Yes
No
Common citation include eye protection and eyewash stations
Yes
No
Any clinic employee can complain to OSHA
Yes
No
OSHA inspection are not common in dentistry
Yes
No
Abatement of Fines are common
Yes
No
The clinic must comply and set abatement dates with OSHA
Yes
No
You can demand a legal warrant to terminate inspections
Yes
No
A Labor lawyer can represent you on OSHA citations
Yes
No
Posters need not be changed periodically
Yes
No
Evacuation or egress during emergencies is not needed for dentistry
Yes
No
Fire is the only emergency for dental clinics
Yes
No
A safe gathering place should be predetermined
Yes
No
Emergencies include fire
Yes
No
Emergencies do not include shelter n place
Yes
No
You should put down an active shooter
Yes
No
Working out doors is common in dentistry
Yes
No
Every state in the continental US is at risk for earthquakes
Yes
No
Hurricanes are common in coastal areas
Yes
No
Tornadoes occur only in the tornado alley
Yes
No
Smoke from wildfire affects people at risk for Asthma
Yes
No
You need to put salt on the driveways and walkways during a freeze
Yes
No
compress gas cylinders are uncommon in dentistry
Yes
No
You should inspect eyewash stations and run them weekly
Yes
No
You must not put sharps in regular waste
Yes
No
Only registered waste management company can pick up regulated waste
Yes
No
Multiple plugs on one circuit is not allowed
Yes
No
GFCI stands for Ground For Circuit Intentionally
Yes
No
Rubbermaid step stool can be used in the clinic as they are sturdy
Yes
No
ANSI stands for American National Standards Institute
Yes
No
Each state may have their own rules on radiation safety
Yes
No
Ambubags are checked and maintained hygienic
Yes
No
You must wait till all the pressure is bled while handling a pressurized system
Yes
No
BBP covers dust control
Yes
No
Extracted teeth fall under BBP
Yes
No
OSHA is not concerned about exposure determination
Yes
No
Every clinic must have a written exposure control plan
Yes
No
You must make compliance with the exposure control plan mandatory for all employees
Yes
No
You are not supposed to test engineering controls in the clinic
Yes
No
Sharp instruments can stick out as ling as you use cassettes
Yes
No
Secondary containers are over rated
Yes
No
All employees must be provided PPE irrespective of their size
Yes
No
Scrubs are not PPE
Yes
No
A trained employee should handle contaminated laundry
Yes
No
Use of full PPE is need while handling suction traps
Yes
No
Saliva soaked gauzes are regulated waste
Yes
No
Disposable sharps are regulated waste
Yes
No
Yes
No
Employee health records are necessary
Yes
No
HBV vaccine must be offered within 2 weeks of joining
Yes
No
Annual TB skin tests for employees is a good idea
Yes
No
Even a trained nurse practitioner can test and prescribe if employee is exposed to blood and body fluids
Yes
No
A post exposure protocol is needed and understood by each employee
Yes
No
If exposed to blood, suck the wound out as a first aid
Yes
No
If exposed to blood, suck the wound out as a first aid
Yes
No
All employees should know the hazards they pose at the dental clinic
Yes
No
Right to Know Law is what dangers an employee faces at the workplace
Yes
No
All employees in my clinic know how to read and interpret an SDS
Yes
No
The clinic must train each employee in HCS
Yes
No
My clinic has a written exposure control plan for HCS
Yes
No
My clinic taught me about the dangerous chemicals at my workplace as soon as I joined work
Yes
No
My clinic talked about dangers posed by employees in the job listing
Yes
No
We have an annual OSHA meeting
Yes
No
GHS training on labeling is offered to all at my clinic
Yes
No
The clinic has trained all in GHS Pictograms
Yes
No
GHS is used by many countries worldwide
Yes
No
By 2013 all clinics must have taught the GHS
Yes
No
Right to understand is a law that must be taught to all employees
Yes
No
Every at risk employee reads labels and SDS of chemicals in the clinic
Yes
No
The clinic maintains an SDS folder for which I have quick access
Yes
No
Old MSDS and discontinued SDS are archived by the clinic
Yes
No
Adequate PPE must be used while handling any chemical
Yes
No
The HCS has to be updated annually
Yes
No
All employees need to be trained on HCS before starting work
Yes
No
There are about 250,000 registered chemicals in the US
Yes
No
About 1 of 6 employees may contact chemical hazards in their lifetime
Yes
No
NFPA labeling is as easy as the GHS labeling
Yes
No
Name, date of expiry and emergency contact of the manufacturer are the only information on the secondary bottle
Yes
No
Secondary contains are not used in Dentistry
Yes
No
1-4 is the pecking order on how dangerous a chemical is
Yes
No
Pictograms are divided into Physical Hazards and Health Hazards
Yes
No
Skull and Cross bones means acute toxicity
Yes
No
Ultra sonic baths used in the clinic are secondary container
Yes
No
There are 5 items to be listed on a secondary chemical label
Yes
No
The act is not HIPPA
Yes
No
HB-300 is only for offices Texas
Yes
No
All employees handling patient data in this clinic are trained in HIPAA within 90 days of employment
Yes
No
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