Infection Control · single question

You observe your dental assistant bending a needle before disposing of it. What is the best response?

  1. Reprimand the assistant privately
  2. Review standard precautions and sharps handling with the entire staff
  3. Dispose of the needle yourself and say nothing
  4. Report the incident directly to OSHA
Show answer and explanation

Correct answer: B. Review standard precautions and sharps handling with the entire staff

  • A. A private reprimand may be warranted but does not confirm that the rest of the team understands the requirement, and training is what the standard actually requires.
  • B. CORRECT. The OSHA Bloodborne Pathogens Standard specifically prohibits bending, shearing, breaking, or recapping contaminated needles by hand. Because this reflects a gap in training rather than individual misconduct, addressing it as a practice-wide review corrects the underlying cause without singling anyone out, and it satisfies the employer's training obligation.
  • C. Silent correction leaves the unsafe practice in place and will recur.
  • D. OSHA is the enforcement body, not the first line of internal correction. Self-reporting a training gap is not the expected response.

Note: The relevant OSHA requirements: no hand recapping (one-handed scoop technique or a mechanical device only), engineering controls such as safety syringes wherever feasible, puncture-resistant sharps containers at point of use, an annual exposure control plan review, and documented training at hire and yearly thereafter.

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