management of dental hygiene care

OSHA (Occupational Safety and Health Administration)

-enforced workplace safety regulations (infection control)

-protection of employees

-generates standards for the development, use, & review of PPE

-Key document: Bloodborne Pathogens Standard

CDC (Center for Disease Control)

-develops infection control guidelines for healthcare settings

-Atlanta, Georgia

-Key document: Guidelines for infection control in dental healthcare settings

EPA (Environmental Protection Agency)

-approval & oversight of the use and disposal of hazardous material

-regulation of chemical and medical waste

-Key document: Hazardous waste regulations (RCRA)

Hospital anti microbial disinfectant registration

NIOSH (National Institute for Occupational Safety and Health)

-created by OSHA to help develop work safety standard

-Key document/activities: PPE, eye safety, protective clothing, selecting sharps containers, sharps injury prevention

OSAP, organization for safety Asepsis & Prevention

-promote infection control and related science based health & safety policies and practices

-include dental practitioners, military personnel, etc.

FDA (Food and Drug Administration)

-responsible for ensuring the safety of all food, drugs, cosmetics, and medical devices

-sterilizers, biological & chemical indicators, ultrasonic cleaners & cleaning solutions, liquid sterilants, gloves, masks, surgical gowns, protective eyewear, handpieces, instruments, chairs, and unit lights, mouth rinses

Regulated Waste

-Sharps

-tissue and extracted teeth

-blood or items soaked in blood

Non-regulated waste

-gloves

-saliva ejectors

-cups

Direct Contact

Disease transmission requiring person to person contact

Indirect contact

Spread of disease through comities (objects or surfaces)

Standard precautions

Healthcare personnel follow the same protocols for ALL patients, regardless of infectious status or health history

Spatter

Contaminants greater than 50 µm

Aerosol

Contaminants less than 50 µm

Sequence for donning

PPE, mask, eyewear, gloves

Steam autoclave

250 degrees for 15-30 min

Dry heat (static air & forced air)

320 degrees for 1-2 hours

Chemical vapor

270 degrees for 20 min