Intro to DT

What is Ontario’s Regulated Health Professions Act (RHPA), 1991?

“SCHOOL RULE BOOK”

Laws regulating health professionals in Ontario, including DT’s— anyone in a profession with a risk of harm to a pt (Dentists, Doctors, Optometrists, Nurses, Chiropractors, etc)

What is a College?

“PRINCIPALS OFFICE”

They enforce the rules of the “school rulebook” aka RHPA

How many regulatory colleges are there?

26

What is the purpose of regulatory colleges?

To protect the public! And regulate the practice of their professions within Canada

Recall, they follow the RHPA to give/take away your license

As a DT, what is our regulatory college called?

CDTO — College of Dental Technologists of Ontario

What are the 6 responsibilities of a DT title

Design

Consult

Fabricate

Repair

QC/QA

CE

How many members are in the CDTO? Who are they?

13 members — 7 RDT’s, 5-6 public members

How many RDT’s does the CDTO govern?

600

How many committee’s are in the CDTO? What are they?

7

Executive Committee

Registration Committee

Quality Assurance Committee

Patient Relations Committee

Inquiries, Complaints & Reports Committee

Discipline Committee

Fitness to Practice Committee

Examinations Committee

Recruitment Committee

How do you become an RDT?

Complete advanced diploma —> Complete CADTR National Exam (Knowledge-based assessment + Project based assessment) —> Pass college ethics exam with CDTO —> Professional Development (CE)

What are the four subjects the Infection Prevention and Control Standard of Practice?

1. Standard Precautions

2. Reusable Instruments Reprocessing, and Maintenance

3. Blood or Body Fluid Exposure Management

4. Training and Documentation

What are the 5 potential hazards in the labratory?

Infectious/Biological Hazards (ex. blood/saliva/disease)

Physical Hazards (ex. sharps)

Chemical Hazards (ex. gases, fumes) * WHIMIS

Ergonomic Hazards (ex. workstation, nature of job)

Psychological (ex. workload/discrimination)

If an RDT has cuts or abrasions on their hands, what specific safety protocol must be implemented even when wearing gloves?

Cover cuts and abrasions with waterproof dressings before gloving

For waste disposal, what are the two categories of waste?

Biomedical Wastes and Non-Biomedical Wastes

Describe the flow of waste disposal for Biomedical Wastes

Describe the flow of waste disposal for Non-Biomedical Wastes

What are the chains of transmission links?

Infectious Agent, Reservoir, Portal of Exit, Mode of Transmission, Portal of Entry, Susceptible Host

CDTO Standard Of Practice: Infection Prevention and Control: What are the four parts?

1. Standard Precautions

2. Reusable Instruments, Reprocessing and Maintenance

3. Blood or Body Fluid Exposure Management

4. Training and Documentation

CDTO Standard Of Practice: Infection Prevention and Control: What are the guidance boxes for?

MINIMUM standards for RDT to follow in a dental lab setting

What is the responsibilities of the Public Health Unit (PHU)?

Public Health Units (PHUs) are required to investigate complaints, referrals, or reportable diseases that may be linked to infection prevention and control practices. This is applicable to all health care settings.

True or False: Immunization is one of the safest and most effective health interventions to prevent infectious diseases.

True

What is the preferred method of cleaning hands if hands are not visibly soiled?

Alcohol-Based Hand Rub/Sanitizer, with 70-90% alcohol

True or False: Alcohol-Based Hand Rub/Sanitizer, with 70-90% alcohol; has been shown to be more effective than washing hands with soap (even with antimicrobial soap)

True; more effective, less time, and less irritating on the skin

When performing hand hygiene (with soap and water, or hand sanitizer), how long do you rub your hands together?

15 seconds

How do you keep your hands sanitized if you have cuts, abrasions, eczema, or anything of that sort?

Cuts and abrasions must be covered with waterproof dressings even if gloves are worn over the affected area(s). Use an AQUOUS based hand moisturizer regularly to maintain skin health; compatible with the hand hygiene products used.

“But I didn't touch the patient. Why should I practice hand hygiene?”

Bacteria can survive for days on equipment and other surfaces.

True or False: extracted teeth can be return to patients as per request

True

Should you use low-level or high-level disinfectant when disinfecting a surface

Low-level

Describe the difference between airborne vs droplet transmission, and give an example of each

Droplets are big particles that travel short distances (ex. flu, Mumps)

Airborne are smaller particles that stay in the air for a long time and travel far distances (ex. measles, chicken pox, TB)

For reusable instruments, what are the three categories?

Critical — penetrate soft tissue or bone, greatest risk of transmitting infection

Semi-critical — instruments that touch mucous membranes or non-intact skin

Non-critical — least amount of risk of infection. Noncritical instruments touch only intact skin

How are critical, semi-critical, and non-critical instruments reprocessed?

Critical — Cleaned + STERI

Semi — Cleaned + LLD + STERI; or Cleaned + HLD (if inst. cannot handle sterilizer)

Non — Cleaned + LLD (if visibly soiled)

What’s something to always confirm for LLDs and HLDs?

A Drug Identification Number (DIN) from Health Canada

Whats the difference between Health Care and Health Canada

Health Care is the federal system — funding

Health Canada is the approves certain drugs

For CADTR, state how many provincial dental technology regulators from across Canada there are, and license how many registered members who practise the profession

7; 2100

What does CDTO stand for?

College of Dental Technologists of Ontario

What does ADTO stand for?

Association of Dental Technologists of Ontario

What does CADTR stand for?

Canadian Alliance of Dental Technology Regulators

How many RDTs does the CDTO govern?

around 600

Match these

• A – 7 (Executive)

• B – 1 (Registration)

• C – 6 (ICRC / Complaints)

• D – 2 (Discipline)

• E – 5 (Fitness to Practise)

• F – 4 (Quality Assurance)

• G – 3 (Patient Relations)