Infection Control Flashcards
Infection prevention control protocols
1) prevent the transmission from
- worker to patient, patient to worker, and patient to patient
2) uses the latest EBDM principles
standard precautions
1) precedures with a basis in our understanding of the disease
2) also universal precautions
3) always assume anything can happen regardless of health history
causative agent
1) pathogen
chain of infection
1) causative agent
2) source
- ex. gloves
3) portal of exit
- out of the person
4) mode of transmission
5) portal of entry
- into the person
- broken skin, mucous membranes, injury
6) susceptible host
*try to stop it at every possible connection
primary bloodborne diseases of concern
1) hepatitis B, C
2) HIV
—
1) do you double glove?
- no, you should always practice good PPE so there is no discrimination
do we treat people with active airborne diseases
1) tuberculosis, measles, covid-19
2) WE DON’T TREAT THEM
- send them to hospital emergency room if it is an emergency
standard precautions include
1) hand hygiene
2) PPE
3) respiratory hygiene, cough
4) sharps safety
5) safe injection practice
6) sterilization and disinfection of instruments and devices
7) cleaning and disinfecting environmental surfaces
immunization protocol
1) various vaccines are required
general infection control guidelines
1) do not touch objects or surfaces with gloved hands
2) do not leave cubicle with gloves
3) do not handle contaminated objects with bare hands
4) assume all areas are contaminated UNLESS you yourself perform decontamination procedures
what do you do if you drop an instrument / gauze
1) DO NOT PICK IT UP
2) roll it to the side with your foot
3) pick it up before degloving right before you Discontaminate
hand hygiene
1) wash hands before gloves and after removing gloves
2) do jewelry or nails from hands
3) dry hands thoroughly
4) report any skin conditions of the hands immediately
- cuts, etc.
5) may use alcohol based hand sanitizer if hands are not visibly soiled
PPE for chairside care
1) surgical mask
2) eye protection
- protective eyewear or full face shield
3) a gown or protective clothing
4) exam gloves
—
take off PPE in operatory, do not step out with it and go into PSL, radiology, etc.
new focus on aerosols
1) post pandemic procedures
should you wear PPE when disinfecting
yes
masking
1) try to only touch the outside when masking and demasking
N95
1) top strap first
2) bottom strap second
3) pinch metal bar
gloves should be
1) over the cuff of the gown
disinfection
1) cleaning
- first wipe
2) disinfecting
- new second wipe
*must let it evaporate on its own for 3 minutes
can you touch light handles without gloves or without barriers
yes, and chairside counters, keyboard and mouse
- as long as you know it has been disinfected prior
- if you do not know… DO NOT TOUCH WITHOUT GLOVES
which disinfectants do we use
1) intermediate level
2) kills tuberculosis
hoses
1) clean hoses, knobs, and arm control
dental unit water lines
1) needs to be same quality as drinking water
2) 2 minutes at beginning of session
- purge the water
3) at least 20 seconds in between patients
evacuation line cleaner
1) 1 cup for saliva ejector
2) 1 cup for HVE
3) use at end of session ejector
clinic dispensary
1) no glove zone
soiled room
1) go here with utility gloves
2) never take anything back
sharps container
1) discard all disposable sharps
2) never reach into the container
3) if scaler breaks, you put it in there
cassettes on barriers
1) trays
2) tray liners
3) bibs
4) sterilization pouches
–
clinic items need to be placed on barriers
plce personal items
1) on the floor or coat rack
2) open or unsealed drinks cannot be allowed in operatory
tips to excel
1) infection prevention in your operatory in your responsibility
- no matter who is breaking protocol
- you need to set the guidelines
2) manage time
3) assume it is contaminated
4) the floor is contaminated
