1. Chapter 22 Regulatory & Advisory Agencies Copyright 2003, Elsevier Science (USA). All rights reserved. No part of this product may be reproduced or transmitted in any form or by any means, electronic or mechanical, including input into or storage in any information system, without permission in writing from the publisher. PowerPoint ® presentation slides may be displayed and may be reproduced in print form for instructional purposes only, provided a proper copyright notice appears on the last page of each print-out. Produced in the United States of America ISBN 0-7216-9770-4

2. Copyright 2003, Elsevier Science (USA). All rights reserved. Introduction Several government agencies and professional organizations have a direct influence on dentistry, infection control, and other health care safety issues. In addition to issuing recommendations and regulations some have regulatory roles and others are advisory. These agencies can serve as an excellent resource for information and educational materials. Several government agencies and professional organizations have a direct influence on dentistry, infection control, and other health care safety issues. In addition to issuing recommendations and regulations some have regulatory roles and others are advisory. These agencies can serve as an excellent resource for information and educational materials.

3. Copyright 2003, Elsevier Science (USA). All rights reserved. Recommendations and Regulations n Recommendations are made by individuals, groups, or agencies that are advisory and have no authority for enforcement. n Regulations are made by groups or agencies that do have the authority to enforce compliance with the regulations. Enforcement penalties may include fines, imprisonment, or suspension or revocation of licenses. n Recommendations may be made by anyone, but regulations are made by governmental groups or licensing boards in towns, cities, counties, and states. n Recommendations are made by individuals, groups, or agencies that are advisory and have no authority for enforcement. n Regulations are made by groups or agencies that do have the authority to enforce compliance with the regulations. Enforcement penalties may include fines, imprisonment, or suspension or revocation of licenses. n Recommendations may be made by anyone, but regulations are made by governmental groups or licensing boards in towns, cities, counties, and states.

4. Copyright 2003, Elsevier Science (USA). All rights reserved. Associations and Organizations n The American Dental Association (ADA) is the professional organization for dentists. The ADA periodically updates its infection control recommendations as new scientific information becomes available. n The Organization for Safety and Asepsis Procedures (OSAP) is a not-for-profit organization composed of dentists, hygienists, dental assistants, government representatives, dental manufacturers, university professors, researchers, and dental consultants. This organization is an excellent resource for information on infection control, injury prevention, and occupational health issues. n The American Dental Association (ADA) is the professional organization for dentists. The ADA periodically updates its infection control recommendations as new scientific information becomes available. n The Organization for Safety and Asepsis Procedures (OSAP) is a not-for-profit organization composed of dentists, hygienists, dental assistants, government representatives, dental manufacturers, university professors, researchers, and dental consultants. This organization is an excellent resource for information on infection control, injury prevention, and occupational health issues.

5. Copyright 2003, Elsevier Science (USA). All rights reserved. n State and local dental societies can be helpful to you in complying with regulatory issues in your specific area. n National, state, and local dental assisting societies can often answer questions and provide opportunities for continuing dental education. n State and local dental societies can be helpful to you in complying with regulatory issues in your specific area. n National, state, and local dental assisting societies can often answer questions and provide opportunities for continuing dental education. Associations and Organizations  cont’d

6. Copyright 2003, Elsevier Science (USA). All rights reserved. Governmental Agencies n Centers for Disease Control and Prevention (CDC) n Food and Drug Administration (FDA) n Occupational Safety and Health Administration (OSHA) n National Institute for Occupational Safety and Health (NIOSH) n Centers for Disease Control and Prevention (CDC) n Food and Drug Administration (FDA) n Occupational Safety and Health Administration (OSHA) n National Institute for Occupational Safety and Health (NIOSH)

7. Copyright 2003, Elsevier Science (USA). All rights reserved. Centers for Disease Control and Prevention (CDC) n The CDC is recognized as the lead federal agency for protecting the health and safety of people at home and abroad. n The CDC bases its public health recommendations on the highest quality scientific data. n Most infection control procedures practiced in dentistry today are based on the recommendations of the CDC. n It has an Oral Health Services section that studies oral diseases, fluoride application, and infection control in dentistry. n It does not have the authority to make laws, but many of the local, state, and federal agencies use CDC recommendations to formulate the laws. n The CDC is recognized as the lead federal agency for protecting the health and safety of people at home and abroad. n The CDC bases its public health recommendations on the highest quality scientific data. n Most infection control procedures practiced in dentistry today are based on the recommendations of the CDC. n It has an Oral Health Services section that studies oral diseases, fluoride application, and infection control in dentistry. n It does not have the authority to make laws, but many of the local, state, and federal agencies use CDC recommendations to formulate the laws.

8. Copyright 2003, Elsevier Science (USA). All rights reserved. Food and Drug Administration (FDA) n The FDA is a regulatory agency and is part of the United States Department of Health and Human Services. n The FDA regulates the manufacturing and labeling of medical devices (such as sterilizers, biologic and chemical indicators, ultrasonic cleaners and cleaning solutions, liquid sterilants, gloves, masks, protective eyewear, dental handpieces and instruments, dental chairs, and dental unit lights). n It also regulates antimicrobial handwashing products and mouth rinses. n The FDA is a regulatory agency and is part of the United States Department of Health and Human Services. n The FDA regulates the manufacturing and labeling of medical devices (such as sterilizers, biologic and chemical indicators, ultrasonic cleaners and cleaning solutions, liquid sterilants, gloves, masks, protective eyewear, dental handpieces and instruments, dental chairs, and dental unit lights). n It also regulates antimicrobial handwashing products and mouth rinses.

9. Copyright 2003, Elsevier Science (USA). All rights reserved. Environmental Protection Agency n The EPA is a regulatory agency. n It ensures the safety and effectiveness of disinfectants. n Manufacturers of disinfectants must submit information about the safety and effectiveness of the product. n If the claims meet the EPA criteria, the product receives an EPA registration number that must appear on the product label. n The EPA regulates discharge and final treatment of waste materials (i.e., chemicals), as well as medical waste, after it leaves the dental office. n The EPA is a regulatory agency. n It ensures the safety and effectiveness of disinfectants. n Manufacturers of disinfectants must submit information about the safety and effectiveness of the product. n If the claims meet the EPA criteria, the product receives an EPA registration number that must appear on the product label. n The EPA regulates discharge and final treatment of waste materials (i.e., chemicals), as well as medical waste, after it leaves the dental office.

10. Copyright 2003, Elsevier Science (USA). All rights reserved. Occupational Safety and Health Administration (OSHA) n OSHA is a regulatory agency. n It protects workers’ against physical, chemical, or infectious hazards in the workplace. n It establishes protective standards, enforces those standards, and offers technical assistance and consultation programs. n OSHA is a federal agency, but 22 states administer their own state-operated OSHA programs. n In states that administer their own OSHA programs, the state standards must be equivalent to, or more stringent, than those of the federal agency. n OSHA is a regulatory agency. n It protects workers’ against physical, chemical, or infectious hazards in the workplace. n It establishes protective standards, enforces those standards, and offers technical assistance and consultation programs. n OSHA is a federal agency, but 22 states administer their own state-operated OSHA programs. n In states that administer their own OSHA programs, the state standards must be equivalent to, or more stringent, than those of the federal agency.

11. Copyright 2003, Elsevier Science (USA). All rights reserved. National Institute for Occupational Safety and Health (NIOSH) n NIOSH does not have regulatory authority. n It is responsible for conducting research and making recommendations for the prevention of work-related disease and injury. n NIOSH makes recommendations and disseminates information on preventing workplace disease, injury, and disability. n It provides training to occupational safety and health professionals. n NIOSH does not have regulatory authority. n It is responsible for conducting research and making recommendations for the prevention of work-related disease and injury. n NIOSH makes recommendations and disseminates information on preventing workplace disease, injury, and disability. n It provides training to occupational safety and health professionals.