Transcript Chapter 11 Infection control

Chapter 11 Infection control.
Precautions
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Universal
precautions
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Treat everyone like
they have…
Every disease!
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Patients
Kids
Friends
Family
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Standard
precautions
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Steps to protect
yourself from a
disease.
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PPE
Handwashing
What do you do..?
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Regulations
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Made by agencies
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If not…..
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Recommendations
FDA, EPA, OSHA
Enforce compliance
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Fines
Lose license
Jail
“Must do’s”
Anyone can
suggest
Non-enforceable
Encourage you to…
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Have pt’s wear
safety goggles /
glasses
“Don’t have to do’s”
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But should
Agencies
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OSHA
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Occupational
Safety and Health
Administration
Protect employees
on the job.
Require employers
to provide PPE.
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You are responsible
to use it!
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EPA
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Environmental
Protection Agency
Regulate waste
Chemical disposal
Agencies
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CDC
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Centers for
Disease Control
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Protect public
health
Responsible for
PPE regulations.
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When
Why
PPE must be
worn.
FDA
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Food and Drug
Administration
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Approves foods and
drugs for consumer
use.
Regulate:
sterilizers, cleaning
solutions and PPE.
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Make sure it
works.
Personal Protective
Equipment (PPE)
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Gloves
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Latex
Vinyl
Nitrile
Mask
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Earloop
Tie
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Should protect
mucous
membranes.
Gown
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Fluid resistant
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Disposable
Laundered
Safety glasses
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Always wear!
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Side shields OK
Shatter resistant
Face shield can be
used
Handwashing
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#1 way to reduce /
prevent spreading
of micro-organisms
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Cool – cold H2O
Antimicrobial soap
Scrub min. 15 sec.
Rinse
Dry w/ paper towels
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When…?
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Arrival at work
Donning / doffing
gloves
After restroom
Before eating
‘not sure of
cleanliness’..?
Before going home
Prevention
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You….?
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Good health / immune
system
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Proper diet
Exercise
Sleep
Immunizations
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Hep B
NONE for Hep C
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Now biggest
concern (Not B)
PPE usage?
Patient…?
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Thorough medical
history.
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Updated at every visit
/ appointment
‘universal precautions’
Pre-procedure mouth
rinse.
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Chlorhexidine
Glucotnate
Listerine
Prevention
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During treatment
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Dental dam
HVE
Disposable items
Barriers
Use of:
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Overgloves
Clean forceps
Recapping devices
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After treatment
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Proper disinfection
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Intermediate level
Bleach/water is OK
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1 : 10
Proper technique
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Spray-wipe-spray
Wipe-wipe-wipe
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10 minutes
Contact time
Exposure Control
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Written Exposure
Plan
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Preventive
measures
Documents
exposure
Indicates
appropriate action
Steps to correct an
exposure situation
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Occupational
Exposure
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Anticipated
exposure on the job
to:
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Blood
Saliva
OPIM
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Other potentially
infectious
materials
Risk of exposure
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Exposure
Determination
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Category II
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Chances of having an
exposure
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Category I
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Always / usually
involves exposure to
blood / saliva
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Dentists
Hygienists
Assistants
Occasional / possible
contact with blood /
saliva
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Receptionist
Lab case driver
Category III
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Rare / no contact w/
blood/saliva
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Bookkeeper
Office manager
Disease transmission
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Contamination
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Presence of an
infectious agent
Crosscontamination
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Spreading of an
infectious agent
How…?
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Routes of exposure
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Direct
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Indirect
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Pt. to staff etc.
Pt. to object to staff
etc.
Airborne
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Inhalation
Sterilization
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Process of killing all
forms of life.
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Ultrasonic cleaner
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Autoclave
Cold sterile
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Glutaraldehyde
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Performed on:
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Instruments
Handpieces
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Between every
patient
Vibrates debris off of
instruments.
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Cavitation process
No handpieces
3 – 10 min.
Biological monitor
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“spore test”
Ensures sterilization
has occurred.
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Autoclave is working.
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1 X per week.
Process Indicator
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Different than the
“spore” test.
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What is in the bag has
been ‘heated’.
Gone through the
process
Color change dot/arrow
on bag
Process Indicating
Tape.
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Both change color
when exposed to heat
Conclusion
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Understanding diseases, how they are
spread and how to protect yourself are very
important parts of your job.
Treat everyone as if infectious.
When in doubt….wash your hands.
Always wear your PPE…and remember.
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If it’s wet and it’s not yours…DON’T TOUCH IT.
Chapter 10
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You will watch a video on Hazard
Communication for chapter 10.
Pay attention to:
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MSDS’s / Appropriate PPE / Safety
devices.
Secondary container labeling.
Hazard warning labels.
Signs and symptoms of allergic reactions.