Infection Control · patient case question

Within the hierarchy of controls, where does replacing an in-person consultation with a virtual one belong?

Patient case: Preparing the practice

demo: New associate dentist

chief: Reviewing the practice infection control and emergency protocols before starting clinical work.

history: The practice is updating its exposure control plan and its written office emergency procedures.

meds: Not applicable.

findings: The office manager asks a series of questions about immunisation, sterilisation monitoring, waste handling and the hierarchy of hazard controls.

  1. Engineering control
  2. Personal protective equipment
  3. Administrative control
  4. Elimination
Show answer and explanation

Correct answer: C. Administrative control

  • A. Engineering controls are physical modifications that isolate people from the hazard, such as high-volume evacuation, sharps containers with engineered protections, ventilation and physical barriers.
  • B. PPE is the least effective tier because it protects only the wearer and only when correctly selected, fitted and used.
  • C. Correct. Teledentistry changes how and when work is performed and who is present. Policies, scheduling and work practices are administrative controls, which sit in the lower-middle of the hierarchy because they depend on consistent human compliance.
  • D. Elimination physically removes the hazard altogether and sits at the top of the hierarchy.

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