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Rahmadaniah Khaerunnisa -130120150002
Mata kuliah : Forensik Odontologi
Pengampu : Yuti Malinda, drg., MM., M.Kes.
Program Magister Ilmu Kedokteran Dasar
Fakultas Kedokteran Universitas Padjadjaran
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safe working in a mortuary and post-mortem
facility requires a high standard of trainingand education, and visitors should be guided
in all aspects of health and safety
the guidance represents what is consideredto be good practice
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those in charge of health and safety in the mortuary
should be able to : identify and assess risks
ensure such risks are avoided or adequately controlled
prepare comprehensive standard operating procedures
specific to the facility
there is a potential, through poor hygiene, totransmit infections to the environment outside
the mortuary setting adherence to the appropriate health and safety
principles greatly reduces this risk
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forensic dentists/odontologists working in the
mortuary will be advised how to conduct their
examinations safely a risk assessment is required for each case and
the precautions to be followed are decided
factors to consider include the following :
known or suspected infection hazards
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strictly controlled access using ID badges an organized methodical workflow to prevent
excess manual handling restricted movements between clean and dirty
areas appropriate cleaning and disinfection of
instruments, workstations and floors designated working hours and rest breaks to
prevent human error due to tiredness appropriate use and disposal of personal
protective equipment (PPE) radiation protection
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standard operating procedures in the mortuary will set out strict standards of personalhygiene which all staff must follow, measures for personal hygiene include :
change into protective clothing before carrying out any post-mortem examination always wear the correct protective clothing (high-risk cases may require respiratory
protection) remove protective clothing when leaving the post-mortem area, and dispose of it
appropriately open wounds, cuts, skin abrasions or active dermatitis on exposed skin should have
the area adequately protected by waterproof dressings actions that bring the hands (gloved or otherwise) into contact with face, eyes,
nose and mouth should be avoided
hands should be thoroughly washed prior to leaving any of the designated dirtywork areas of the mortuary, and showering ensures that skin and hair are free fromcontamination
smoking, drinking and eating are strictly prohibited in areas that are not specificallydesignated for that use
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protective clothing usually supplied is : surgical shirt and trousers (scrubs)
long-sleeved surgical gown or coverall (TYVEK)
plastic apron which extends outside boots
waterproof boots with non-slip soles
disposable surgical gloves (double gloving may be appropriate in high-risk cases)
visor or mask with goggles (a ventilated visor/hood should be used for high-risk cases)
disposal of PPE is strictly controlled and the changing area should have adirty and clean side
reusable PPE such as scrubs should be placed in an appropriately labeled
laundry container on the dirty side reusable PPE such as visors or boots should be cleaned and disinfected atthe end of each session as detailed in standard operating procedures
disposable PPE such as gloves, aprons or gowns/overalls can be disposedof in a clinical waste bin on leaving the post-mortem area
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the mortuary and post-mortem room environment must beregularly cleaned and disinfected so that all infectiousagents are kept to a level which is not harmful to health.
all surfaces should be washed down with detergent and
rinsed prior to application of the disinfectant the most commonly used disinfectants in the mortuary andpost-mortem room are clear soluble phenolics, chlorine-based hypochlorites, quaternary ammonium compounds(quats) and halogenated tertiary amines
instruments, after use, decontaminated using a washer-disinfector
non-disposable protective equipment such as visors andboots should also be cleaned and disinfected at end of eachsession
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waste generated from the post-mortem room isclassified as clinical waste
all clinical waste is required to be contained within thecorrect sack and appropriately sealed and labeled
contaminated sharps which are disposable should bediscarded in a solid container
protective clothing that is reusable is divided into threecategories : used (soiled and foul)
infected
heat-labile (fabrics that would be damaged by normal heatdisinfection processes and likely to be damaged at thermaldisinfection temperatures)
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all those working in the mortuary should be
immunized, as a minimum, against hepatitisb, tetanus and tuberculosis
immunization procedures for staff are based
on guidance in several relevant departmentof health publications