*CROSS INFECTION CONTROL

*What is the first stage in

infection control in the

dental practice

*Standard precautions

Treat all patients as though they present with infectious diseases

Remember they may be…

-Unaware

-Carriers

-Humiliated

-Communication barriers

*Personal Protective Equipment

*Uniform – (ideally scrubs)

*Shoes – (ideally rubber, must fully enclose the foot)

*Gloves – clinical (if possible nitrile)

*Disposable plastic apron

*Safety glasses goggles

*Facemasks

*Hand washing

*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- significantly reduce micro-organisms before an

invasive surgical procedure using an antibacterial hand cleaner

https://www.youtube.com/watch?v=NXnx-8gca1o

*Decontamination

*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.

CQC

Legislation

Health and Safety at

Work

DOH

Care Quality Commission

Health and Safety at Work Act 1974

Department of Health

Health Technical Memorandum 01-05

*Guidance for primary care

dental practices

HTM 01-05

Health Technical Memorandum 01-05

Decontamination in primary care dental practices

*Working document2 categories of requirements

*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

*Decon of treatment areas

*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.

*Decontamination cycle

*Process

*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

* Movement of instruments

*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.

*Cleaning Instruments

*Manual Cleaning

*Automated cleaning – Washer Disinfector

*Ultra sonic cleaner.

*TASK

*Describe the above methods of cleaning dental instruments outlining advantages and disadvantages of each.

*TASK

*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?

*Handpiece care

*Processed in WD – in holders (oiled)

*Lubrication (manually)

*Sterilised

*Lubrication (if required)

*Packaged

*Flushed prior to use to remove bio film

*Homework

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