Infection Control and Safety Flashcards
Regulations & Guidelines
§Occupational Safety & Health Administration (OSHA)
§Centers for Disease Control & Prevention (CDC)
§American Dental Association (ADA)
§Texas Department of State Health Services (DHSH)
§Texas Commission on Environmental Quality (TCEQ)
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Training Requirements
Bloodborne Pathogens OSHA 1910.1030
Bloodborne Pathogens (BBP)
Body fluids that can harbor BBP:
§Blood
§Semen and vaginal secretions
§Saliva involved in dental procedures
§Synovial fluid
§Cerebrospinal fluid
§Human tissue and cell cultures
§All body fluids containing blood
Occupational Exposure*
Why Is Infection Control Important in Dentistry?
Potential Routes of Transmission
GOAL: Break the Chain of Infection
Preventive Measures
Engineering Controls
Personal Protective Equipment (PPE)
Clinic Gown
Clinic policy states, “Clinic gowns are not to be worn outside of the clinic.”
§This includes:
§Offices
§Stairwells
§Food service areas
§Non-clinical areas
§Waiting areas
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§
When working in a clinical dental laboratory:
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Nitrile gloves are available to be worn when treating nonsurgical patients.
Surgical Gloves – LATEX FREE
Sterile disposable gloves must be worn during all surgical procedures.
HEAVY DUTY Utility Gloves
PROPER FOOTWEAR
CLINIC POLICY - Clean, leather, leather-like or heavy-duty fabric, closed toe shoes, with hose or socks must be worn at all times.
These shoes may not be worn in clinics
Masks
Masks must be worn to protect:
§Face
§Oral & nasal mucosa
§Masks must be changed if they become damp
§The mask must be changed for each new patient, except for short exams!
§If a face shield is worn it must be worn at the same time as a surgical mask
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§
Special Masks
A laser plume face mask must be worn during a laser or electrosurgery procedure!
Protective Eyewear
§Must be worn to protect from aerosol & spatter
§Regular eyewear must have side shields
§Side shields must be securely attached to the eyewear frame, abutting the lenses & free of vents or openings
Administrative Controls
Hepatitis B Vaccination
§Available at no cost to employees
§
§All health care workers must have vaccination
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§Employees can decline vaccination, but must sign a declination statement
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Good Work Place Practices
Good Work Place Practices (cont.)
§Follow SOPs
§NEVER recap needles with two hands!
§Establish & maintain clean & dirty zones
§Decontaminate work surfaces
§At start & end of procedures
§Immediately after spill
§Before removal of equipment
§Survey work area
§Note locations of all necessary equipment, waste containers, disinfectants, soaps
§Wash hands frequently, always between patients & always before leaving work area!
§DO NOT eat, drink, or apply cosmetics in the work area
§Practice proper personal hygiene for the dental clinic setting
§Label containers - hazard communication
§Chemical & biological working stocks
§Dispose of waste properly
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Exposure Control Plan
§Written plan to eliminate exposure to blood & body fluids
§Exposure determination
§Plan must be accessible
§Compliance
§UTHSC-H Dental School Clinic
§https://db.uth.tmc.edu/clinical-resources/clinic-manual
§UTHSC-H Biological Safety Manual
§http://www.uth.edu/dotAsset/390565ef-163c-4c5d-9bbb-ca10dff5c6e9.pdf
§
Injury Prevention
Injury Prevention (cont.)
Burs
§Must be removed from handpiece immediately upon completion of patient treatment
Burs
§Must be removed from handpiece immediately upon completion of patient treatment