Chapter 8: OSHA and CDC Infection Control Standards for Dentistry

Vocabulary flashcards covering the OSHA Blood-Borne Pathogens Standard and CDC Infection Control Recommendations for dentistry based on lecture notes.

Exposure Control Plan

An employer compliance plan consisting of exposure determination, a schedule of implementation, evaluation of exposure incidents, and annual documentation of safety device evaluation and use.

Hepatitis B Vaccination Offer Requirement

The requirement that employers must offer the Hepatitis B vaccine to employees at no charge within 10 days of employment.

Hepatitis B Vaccine Declination

A refusal of the offered Hepatitis B vaccine by an employee, which must be documented in writing.

Postexposure Medical Evaluation and Follow-up

A procedure involving the documentation of an exposure incident, testing of the source individual, and testing of the exposed employee.

Engineering and Work Practice Controls

OSHA compliance measures that include handwashing, proper handling of disposable and reusable contaminated sharps, restricted activities in work areas, minimizing spatter, proper specimen containers, and servicing contaminated equipment.

Personal Protective Equipment (PPE) Provision

The mandate that employers (dentists) must provide gloves, masks, eye protection, face shields, and protective clothing to employees.

Protective Clothing Laundry Requirements

The requirement that employers provide either on-site laundry or a laundry service for employee protective clothing.

Contaminated Sharps Regulated Waste

A category of regulated waste for which employers are required to provide appropriate sharps containers.

Instrument Sterilization Monitoring

An aspect of infection control that OSHA cannot legally make or enforce rules relating to.

CDC Infection Control Recommendations for Dentistry

Guidelines established by the Centers for Disease Control and Prevention covering elements such as hand hygiene, personnel health, sterilization, dental unit water lines, contact dermatitis, and Mycobacterium tuberculosis.

Hand Hygiene

Identified as the primary disease prevention procedure used to prevent microbial transmission between patients and dental personnel.

Resident Skin Flora

Microorganisms that naturally reside on the outer layers of the skin.

Rational for Infection Control

The logic for routinely practicing infection control is that the procedures involved interfere with the steps in development of disease that may be spread in the office.

Pathways for cross contamination

1. Patient to dental team- hard to control

2. Dental team to patient- rare unless proper IC procedures are not followed

3. patient to patient- spread HIV, spread hepatitis B

4. dental office to community

5. community to patient/dental team

6. dental team to family

Goal of infection control

to reduce the dose of microorganisms that may be shared between individuals or between individuals and contaminated surfaces

recommendations and regulations

standard precaution and transmission based precautions

standard precaution

the minimum infection prevention practices that apply to all patient care regardless of the infection status of the patient or the body fluid involved

transmission based precaution

supplement preventative measures used in patient care of those patients who are highly infectious or potentially infectious

infections control recommendations

1. centers for disease and prevention (CDC)

2. American dental association (ADA)

3. organization for safety and asepsis procedures (OSAP)

4. association for the advancement of medical instrumentation (AAMI)

Infection control regulations

1. state and local

2. food and drug administration (FDA)- division of the US department of health and human services, regulated the manufacturing of medical devices, sterilants, dental equipment to protect the consumer

3. environmental protection agency(EPA)- regulates and ensures the safety of dental disinfectants to protect the environment

4. occupational safety and health administration(OSHA)- division of the US department of labor, protects the employee, blood borne pathogen standard became effective, nationwide, in 1992