Precautions Universal precautions Treat everyone like they have… Every disease! Patients Kids Friends Family Standard precautions Steps to protect yourself from a disease. PPE Handwashing
What do you do..? Regulations Made by agencies FDA, EPA, OSHA Enforce compliance If not….. Fines Lose license Jail “Must do’s” Recommendations Anyone can suggest Non-enforceable Encourage you to… Have pt’s wear safety goggles / glasses “Don’t have to do’s” But should
Agencies OSHA OOccupational Safety and Health Administration PProtect employees on the job. RRequire employers to provide PPE. You are responsible to use it! EPA EEnvironmental Protection Agency RRegulate waste CChemical disposal
CDC CCenters for Disease Control Protect public health Responsible for PPE regulations. WWhen WWhy PPPE must be worn. FDA FFood and Drug Administration Approves foods and drugs for consumer use. Regulate: sterilizers, cleaning solutions and PPE. MMake sure it works.
Personal Protective Equipment(PPE) Gloves Latex Vinyl Nitrile Mask Earloop Tie Should protect mucous membranes. Gown Fluid resistant Disposable Laundered Safety glasses Always wear! Side shields OK Shatter resistant Face shield can be used
Handwashing #1 way to reduce / prevent spreading of micro-organisms Cool – cold H 2 O Antimicrobial soap Scrub min. 15 sec. Rinse Dry w/ paper towels When…? Arrival at work Donning / doffing gloves After restroom Before eating ‘not sure of cleanliness’..? Before going home
Prevention You….? Good health / immune system Proper diet Exercise Sleep Immunizations Hep B NONE for Hep C Now biggest concern (Not B) PPE usage? Patient…? Thorough medical history. Updated at every visit / appointment ‘universal precautions’ Pre-procedure mouth rinse. Chlorhexidine Glucotnate Listerine
Prevention During treatment Dental dam HVE Disposable items Barriers Use of: Overgloves Clean forceps Recapping devices After treatment Proper disinfection Intermediate level Bleach/water is OK 1 : 10 Proper technique Spray-wipe-spray Wipe-wipe-wipe 10 minutes Contact time
Exposure Control Written Exposure Plan Preventive measures Documents exposure Indicates appropriate action Steps to correct an exposure situation Occupational Exposure Anticipated exposure on the job to: Blood Saliva OPIM Other potentially infectious materials
Risk of exposure Exposure Determination Chances of having an exposure Category I Always / usually involves exposure to blood / saliva Dentists Hygienists Assistants Category II Occasional / possible contact with blood / saliva Receptionist Lab case driver Category III Rare / no contact w/ blood/saliva Bookkeeper Office manager
Disease transmission Contamination Presence of an infectious agent Cross- contamination Spreading of an infectious agent How…? Routes of exposure Direct Pt. to staff etc. Indirect Pt. to object to staff etc. Airborne Inhalation
Sterilization Process of killing all forms of life. Autoclave Cold sterile Glutaraldehyde Performed on: Instruments Handpieces Between every patient Ultrasonic cleaner Vibrates debris off of instruments. Cavitation process No handpieces 3 – 10 min. Biological monitor “spore test” Ensures sterilization has occurred. Autoclave is working. 1 X per week.
Process Indicator Different than the “spore” test. What is in the bag has been ‘heated’. Gone through the process Color change dot/arrow on bag Process Indicating Tape. Both change color when exposed to heat
Conclusion 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. If it’s wet and it’s not yours…DON’T TOUCH IT.
Chapter 10 You will watch a video on Hazard Communication for chapter 10. Pay attention to: MSDS’s / Appropriate PPE / Safety devices. Secondary container labeling. Hazard warning labels. Signs and symptoms of allergic reactions.