Infection Control Flashcards
25%
EPA
environmental protection agency - protects environment
FDA
food & drug administration - regulates drugs, food, medical devices
CDC
center for disease control and prevention - recommends protocols for control transmission diseases
California board of dental examiners(BOARD)
governs the scope of dental practice
OSHA
occupational safety and health administration - enforces regulations to protect the safety of employees
MSDS(OSHA)
Manufacturers to provide material safety data sheets
MSDS folders should include
list of materials used in office, chemicals found in those materials, the side effects, how to use and store materials
OSHA training every
12months
PPE
personal protective equipment
PPE consist of
gloves, protective clothing, mask, shields or eyewear
hand washing
15-30 sec with antimicrobial soap
barriers
on surfaces that cannot be easily cleaned and disinfected
to prevent saliva splatter
high velocity evacuation(Hvac) or rubber dam
proper use of sharpes
one hand method
protect lab techs from cross contamination
rinsing impressions, immersing impressions into disinfectant, place in ziplock bag and hazard label
hand hygiene
no rings except wedding rings, fingernail polish, artificial nails, dry hands before gloves, use alcohol after washing for surgical procedures, no open sores
protective clothing
depends on procedures and materials being used, employer is responsible for providing protective clothing, long sleeves, high neckline, cuffs tucked in band of gloves
patient needs eyewear when
handpiece spatter, chemical spills, tooth fragments
overgloving
clear plastic, should be worn over contaminated treatment gloves, used to precent contamination of clean objects handled during treatment
sterile surgical gloves
invasive procedures, supplied in prepackaged units
utility gloves
not used for direct patient care, used for cleaning rooms and instruments, can be washed, disinfected, sterilized and reused
categories of instruments
disposable, critical, semi-critical, non-critical
disposable instruments
one patient use only
critical instruments
penetrates soft tissue, requires heat sterilization
semi critical
comes in contact with tissue but does not penetrate
non critical
contact skin
steps prior to sterilizing
scrubbing not recommended, soak in holding, ultrasonic, rinse, examine instruments, dry, package
disinfection
spray, wipe, spray again, leave for 10mins
care of unltrasonic cleaner
use PPE when changing solutions, changed once a day or visibly cloudy, rinse, disinfect, rinse dry
sterilization methods
steam, chemical vapor, dry, glass beads for endo
temp/time for chemical vapor
270F(131C) 20 to 40 min
time/temp steam autoclave
250F 20 min
dry heat time/temp
320F 60 to 120 min
sterilization process
the process in which all live is destroyed
3 forms of sterilization monitoring
physical, chemical, biological
factors for failed sterilization
overloading, improper instrument cleaning, sterilizer malfunction
for surgical irrigation
use sterile solution
waterlines and handpieces should be flushed
mornings and between pts for 20-30 sec
