# 10 Environmental Infection Control Flashcards
What does Environmental infection control consist of?
1) Managing contamination of surfaces
2) Proper handing & disposal of medical waste
What are the CLINICAL CONTACT SURFACES?
- Directly touched
- Barriers/Clean & Disinfect
What are the HOUSEKEEPING SURFACES?
- Walls, floors, office furniture
- Requires regular cleaning
What are 2 ways you can take control?
1) Protect yourself
2) Always use appropriate PPE when performing cleaning and disinfection procedures
What are some clinical contact surfaces that may be DIRECTLY CONTACTED by contaminated instruments devices, gloves or hands?
- Light handles,
- Xrays equipment
- Reusable container of renal materials
- countertops
- pencils
- cell phones
When should Dental Units be cleaned and disinfected?
AT the BEGINNING of EVERY DAY, at the END of every day and in BETWEEN patients if barriers are compromised or surfaces are contaminated
What are the steps for Surface Disinfection of the Dental Units?
1) Don Appropriate PPE
2) Select surface disinfectant
3) CLEAN surface/WIPE (1-3 min)
- Remove soil, and dirt
4) Disinfect surface/allow surface to remain moist for contact time stated by manufac.
5) WIPE surface DRY
6) No SPRAY/WIPE/SPRAY
(b/c of mist in the air–aerosols)
Cover all ______________ surfaces with a barrier wrap.
ALL CLINICAL CONTACT SURFACES
Wrap plastic w/ clean hands
What should you do in between patients?
- Wear gloves, gowns, when removing barriers after treatment
- Use care not to contaminate surface underneath (if contaminated, clean & disinfect before wrapping)
- Discard used covers in trash
- Remove & discard gloves, wash hands, and apply fresh covers w/ clean hands
What re the housekeeping surfaces?
-Surfaces that rewire regular cleaning to remove SOIL and DUST
- AVOID use of carpet & fabric in dental operators
- Diverse population of microbes thrive in BOTH
What are (4) Surface Disinfectants?
1) Chloride-Based produces
- chlorine dioxide or sodium hypochlorite
2) Phenolic Solutions
- phenol, phenyl, phenate and amylphenol
3) Iodophors & Iodine based solutions
4) Quaternary ammonium compounds
Note: Use utility gloves and make sure it is TB Tuberculocidal to kill TB
What does a low, intermediate, and high level of disinfectant do?
Low= KILLS microorganisms
-
**Intermediate= Tuberculocidal
(recommendation)
High= DESTROYS ALL MICROBES but not necessarily HIGH #’s of bacterial spores
What are the General Recommendations for cleaning/disinfection process?
- Physical removal of microbes by cleaning
- Follow manufacturer’s instructions for proper use of EPA registered hospital disinfectants
- DONT use sterilant/high-level disinfectants on environmental surfaces
- Use appropriate precautions (e.g utility gloves, mask, eyewear) when cleaning & disinfecting environment surfaces
What are the choices for the Environmental surface asepsis?
1) Disposable covers
2) Spray-Wipe-Sprary
(liquid cleaners & disinfectants)
3) Wipe-discard-wipe
(disposable disinfectant wipes)
Note: Just Pick 2!
What is the Disinfectant Guide?
- There are acceptable disinfectant agent choices
- No single chemical may satisfy all disinfection requirements in a given practice
- Consideration of multiple factors is important
- Degree of anti-microbial killing required
- Nature of surface/item to be treated
- Cost, safety, and ease of produce use
-Selection of 1 produce w/ a HIGHER POTENCY to cover all situations may be more convenient