DHY foundations of denta hygiene infection control

What is the FDA responsible for?

• setting and enforcing public health regulations

• evaluation and approval of pharmaceuticals (drugs) and medical devices (ex joint replacement piece)

• classifying medical devices based on how dangerous they are

Class one medical devices

• according to FDA

• minimum risk to user and patients

• gloves and glasses

Class two medical devices

• according to FDA

• devices for which general regulatory controls can’t assure safety and effectiveness

• X-ray machines and surgical gowns/ masks

Class 3 medical devices

• Devices that pose the greatest risk and their safety/effectiveness can’t be assured solely through special regulatory controls

• Endosseous dental implants (implants that go through bone)

environmental protection agreement EPA

• regulates disinfectants, sterilants, and certain aspects of waste disposal

Centers for disease control CDC

• set guidelines and recommendations for infection control

Occupational safety and health administration OSHA

• care about the safety and health of workers not patients

• could file a complaint when guidelines and recommendations aren’t being followed in workplace

Label hazardous products of material

• Blue- health hazard

• Yellow- chemical stability

• White- PPE needed

• Red- fuel and explosive

OSHA SDS

• Safety data sheets

• tells you about the product and how to treat an accident

OSHA hazard communication standard

• requires employee training with every new employee

• all employees need to know where manual is and understand it

• employees need to be informed of new hazardous material and any procedure modifications

OSHA blood borne pathogen standard

• Sanitary conditions

• Standard precautions

• Hand and eyewash stations

• Sharps and Infectious waste disposal according to EPA regulations

• Employee training

• Employee immunization and medical file

• Exposure incident protocol and follow-up

• PPE

Exposure control

• barriers for patients and clinician

Exposure control plan

• Provides optimal protection from exposure to infectious agents

• Professional obligation of DHCP (dental health care personnel) to ensure this is being done correctly

Personal protection of the dental team

• Immunizations and periodic testing

• PPE

• Personal hygiene (handwashing)

• Record keeping

Immunizations testing

• DHCP immunization status

  • Basic scheduled vaccination

  • booster and re-immunization

Periodic testing

• Annual recommended tests

• Medical consultation

Protective clothing

• Prevent contamination of skin from:

  • Aerosols

  • Spatter

  • Droplets

• Large amounts of microbes on soiled material

• protect community

Protective clothing

• Disposable

• Reusable

• Selection

• Fabric

• Coverage

• Protocol for protective clothing

Hair and head covering

• Clear field of operation (out of face, eyes, neck/shoulders)

• Barrier to aerosol and spatter

• Facial hair consideration