Treat all patients as though they present with infectious diseases Remember they may be… - Unaware - Carriers - Humiliated - Communication barriers

* Uniform – (ideally scrubs) * Shoes – (ideally rubber, must fully enclose the foot) * Gloves – clinical (if possible nitrile) * Disposable plastic apron * Safety glasses goggles * Facemasks

* Social - physically clean from socially acquired micro- organisms with general purpose liquid soap * Hygienic ( historically clinical) - destroy micro-organisms, avoid cross infection using an antibacterial hand cleanser * Surgical Surgical - significantly reduce micro-organisms before an invasive surgical procedure using an antibacterial hand cleaner

* This is the process where reusable items/areas are made safe for reuse and staff to handle. * Decontamination of instruments (reprocessing) is a complex process involving several stages.

Legislation

 Care Quality Commission  Health and Safety at Work Act 1974  Department of Health  Health Technical Memorandum 01-05

HTM Health Technical Memorandum Decontamination in primary care dental practices

* Essential quality requirements - Basic requirement of decontamination standards to be practiced * Best practice requirements - Gold standard - All practices to be working toward this Both meet CQC requirements

* Cleaned after every session using disposable cloths or clean microfibre materials. Including: taps, drainage points, splashbacks, sink. * Areas that need to be cleaned between each patient include: * Work surfaces, dental chairs, curing lamps, inspection lights and handles, hand controls including replacement of covers, spitoons, aspirators, x-ray units.

* Acquire * Clean / with WD, ultrasonic cleaner, manual * Disinfect * Inspect * Package * Sterilise – Type N Unwrapped/Packaged Type B,S * Package if unwrapped/store max 1 year * Already packaged store max 1 year * Use

* Safe procedure in place * Instruments for decontamination should be transported asap after use * Transport containers should be leak-proof, easy to clean, rigid, and able to close easily.

* Manual Cleaning * Automated cleaning – Washer Disinfector * Ultra sonic cleaner. * TASK * Describe the above methods of cleaning dental instruments outlining advantages and disadvantages of each.

* In groups plan and design a decontamination area for your practice. * Be able to explain the reasons for choice * Research your information on the internet and use DoH policy documents. * Present your floor plan to the class and explain your decisions.

* WHAT IS THE CORRECT PROCEDURE FOR HANDPIECE CARE?

* Processed in WD – in holders (oiled) * Lubrication (manually) * Sterilised * Lubrication (if required) * Packaged * Flushed prior to use to remove bio film

* Please research all the waste disposed of in your workplace and how this is done.