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#1 Posted : 16 November 2005 20:30:00(UTC)
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Posted By Mark Elliott Hello everyone, having just been asked to look at and advise on the health and safety of a dentist surgery, has anyone been involved in similar? and prepared to guide me on the less obvious hazards to look at. With regard to X ray equipment does there have to be a Radiation Protection Advisor on site at all times? Your help will be very appreciated. Mark Elliott MIOSH, RSP
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#2 Posted : 16 November 2005 21:01:00(UTC)
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Posted By Kieran J Duignan Mark Here are three forms of 'less obvious' hazards I've come across a. postural back strain risks for dentists and dental hygienists, especially if the individual's height and arm lengths require him/her to stretch or hunch over patients, for hours on end. b. some dentists and hygienists are also exposed to risks of repetitive strain injury c. Gross stress on the part of less experienced dentists working as Associates, who find that the owners instruct the receptionist to 'load' the diary of 'juniors'.
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#3 Posted : 17 November 2005 08:47:00(UTC)
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Posted By Kim Sunley Hi Mark The British Dental Association do good material but they charge around £50 for non-members. I've tried to get it out of them (working for the NHS and giving advise to dentist) but they still want the cash! Just some additional thoughts to what has already been put down (althought these are probably 'obvious'): medical gasses Sterilising units (scalds, infection risks and servicing etc.) Latex allergy (with gloves) Mercury in amalgam Kim
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#4 Posted : 17 November 2005 13:05:00(UTC)
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Posted By lewes I would have thought you were looking at risks others have mentioned, but also: - working with members of the public (violence/nerves/kids) - possible RSI - sharps/needles etc - possible access/fire problems, elderly/disabled
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#5 Posted : 17 November 2005 13:14:00(UTC)
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Posted By Bill Parkinson You will need to consult with a RPA with regards to the requirements under IRR and also IR(ME)R. The RPA does not have to be on site at all times (we have an external organisation as ours)but you should have a trained RPS within the practice/organisation. Also don't forget the other risks as well which have been mentioned as ionising radiation issues are well regulated in terms of what is required. Also don't forget about the new Hazardous Waste Regulations as dental amalgam is now classed as hazardous waste and the practice may have to be registered with the environment agency!!
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#6 Posted : 17 November 2005 13:18:00(UTC)
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Posted By Rakesh Maharaj Mark, It's been approx 4 yrs now that I have advised a group of dental surgeries in respect to the safe use of xray equipment. I remember reading the document referred to by Kim but also remember that safe systems were quite unclear. Based partly upon the advice provided in the publication and advice from both the HSE and practices in Canada and Oz, my advice to my client was to ensure that installation, commissioning and testing of the kit should be carried out under the direction of an RPS, however, subsequent changes, relocation, maintenance etc should be supervised by an radiation protection supervisor. I also remember advising that it was unneccesary to employ an RPA or RPS on a full time basis as it was inappropriate for the business, but to rather source a contract service. I hope this helps R
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#7 Posted : 17 November 2005 14:14:00(UTC)
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Posted By Paul Leadbetter Rakesh Shouldn't an RPS be an employee? That is what is recommended in L121 although I appreciate that it is only guidance. Paul
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#8 Posted : 17 November 2005 16:48:00(UTC)
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Posted By John Webster Also, Check your seggregation & handling of "clinical" waste. Teeth must be incinerated as pathalogical waste, and handled as sharps - even if they contain a large proportion of amalgam. Partially discharged syringes are pharmaceutical waste, but fully discharged ones can go with general clinical waste/sharps. And paper towels from hand washing and wrappers from instruments are domestic waste. Most surgeries don't have room for the different bags and bins, and many dentists cannot be ar*ed to seggregate properly. Waste amalgam is usually put in special containers provided (at a price) by specialist recycling companies. And look at eye protection. Body fluid splashes and bits of tooth and amalgam tend to come up underneath common or garden safety specs. Uv filtering may be required (curing lamps), and there may be need for prescription lenses as the specs will be worn for much of the working day for intricate work
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#9 Posted : 17 November 2005 17:11:00(UTC)
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Posted By Rakesh Maharaj Paul I agree, ideally it should be an employee. However if memory serves me right, the organisation in question did experience a high turnover of staff and therefore it was deemed suitable to source the RPS from elsewhere in order to implement a consistent programme of risk control. Regards R
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