Regulators and Policies
Who regulates the bags for sterilization?
FDA
What is the purpose of a holding solution?
To prevent the hardening of bodily fluids on the instrument
What areas require a protective barrier?
What are the three types of pathogens?
1. Bacteria
2. Fungal
3. Viral
What PPE is required for cleaning and sterilizing instruments?
1. Protective clothe/apron
2. Glasses
3. Puncture Resistant Utility Gloves
Oh no, you punctured the hazardous waste bag, what do you do now?
Put it in a second hazardous wastebag
How should sterilized instruments be stored?
In closed storage cabinets
What are the appropriate ways to clean your hands? And how does general dentistry and surgical procedures differ?
For General denistry:
1. Alcohol based rub
2. Antibacterial soap and water for 20 seconds
For surgical:
Antibacterial soap and water for 2 minutes washing up to the elbow
What vaccine must dental office make available to every hire within 10 of employment?
Hep. B
What filtration % does a surgical mask require?
95%
Who regulates disinfectants used in a Dental Office
EPA
What are the three monitoring system used to ensure the sterilizer is working and what do each monitor?
1. Mechanical - the fxn of the autoclave
2. Chemical - if steam and temperature has been reached
3. Biological - is bacteria endospores have been removed
What must intermediate Disinfectant kill? What doesn't it kill?
Tuberculous kills,
Endospores doesn't kill
No, we advise the pt to return once his TB symptoms has gone away and he is presented with a negative TB test
How often do you exchange gloves and masks?
Between patients
You have been poked by a contaminated needle, what protocol do you follow, what are the steps, and who regulates this?
Exposure Incident Protocol
1. Immediately wash area with soap and water
2. Report the incident to the infection control coordinator and/or supervisor
3. Seek medical attention from a qualified medical professional
4. Obtain permission to have pt get blood tested for bloodborne pathogens.
5. Get tested for bloodborne pathogens at appropriate intervals
6. Review incident details, what safeguard protocols were followed or not, and update safeguards if need be.
OSHA Bloodborne Pathogen Standards
What monitor test whether the autoclave sterilized successfully?
How long do you flush dental lines in an operatory?
30 seconds
What are the modes of transportation for a pathogen to get from one pt to DHCP (or vise versa)?
1. Droplet
2. Direct
3. Indirect
4. Airborne
In what order do you put on PPE
1. Apron
2. Mask
3. Glasses
4. Gloves
Everything goes in the regulated waste bag except, and where does it go?
* Bloody gauze
* Human Tissue
* Bloody needle
*Extracted Tooth
Bloody Needle - in a puncture resistant sharps container labeled so
What temperature, pressure and time is needed to sterilize instruments in the autoclave?
125* C, 15 PSI, 6 min
What is the correct order in cleaning the operatory after a pt?
1. Put on utility gloves
2. Remove dirty instrument to the sterilizing area
3. Remove protective barriers
4. Spray with intermediate disinfectant and wipe down all surfaces
5. Flush lines
6. Remove gloves
7. Redress room
How many steps are in the chain of infection and what are they, in what order, and where must the chain be broke to stop the spread of infection?
1. Microorganism (pathogen)
2.Resevoir/Source
3. Port of Exit
4. Mode of Transportation
5. Port of Entry
6. Susceptible host
Chain can be broken anywhere to stop the spread of infection
You gloves get a rip in it during the procedure, what do you do next?