The document provides standards for infection prevention in dental departments. It includes 14 criteria to assess practices such as: having written guidelines for infection control; ensuring the physical space and equipment provide a safe environment; proper cleaning and disinfection of instruments; and proper waste disposal. Criteria are observed through means such as verifying the presence of guidelines, observing cleaning practices, and ensuring the department is clean and organized to prevent disease transmission.
Infection Control Guidelines the responsibility of allA-dec Australia
The ADA infection control guidelines applying to dental surgeries (incorporating Australian Standards AS/NZS 4815:2006 and AS/NZS 4187:2014) have been updated in the latest ADA Guidelines for Infection Control - Third edition published in October 2015.
Guidelines for homecare clinicians.pptx storing in vehicle.pptx mineKelly VanParys
Edited to ppt. quiz to fix number sequencing!
Home Care Nursing Managing and storing medical equipment and supplies in your vehicle, Infection Prevention and hazardous waste transporting.
Infection Control Guidelines the responsibility of allA-dec Australia
The ADA infection control guidelines applying to dental surgeries (incorporating Australian Standards AS/NZS 4815:2006 and AS/NZS 4187:2014) have been updated in the latest ADA Guidelines for Infection Control - Third edition published in October 2015.
Guidelines for homecare clinicians.pptx storing in vehicle.pptx mineKelly VanParys
Edited to ppt. quiz to fix number sequencing!
Home Care Nursing Managing and storing medical equipment and supplies in your vehicle, Infection Prevention and hazardous waste transporting.
In today’s project environment two ingredients are vital to its success - keeping within budget and staying on schedule. With fierce competition in the labor market, companies who can provide both are a sure winner. Amongst a number of other skills, proper organization and the handling of the large amounts of data are paramount. Learn how Schneider Electric uses AVEVA technology solutions to overcome these challenges and ensure projects are executed on time and budget.
Presented by: Marek Jadczyk—Schneider Electric
Discover how AVEVA can transform your business today
www.aveva.com
Fundamental principles in designing reprocessing areasA-dec Australia
All too often little consideration is given to sterilization or reprocessing areas in either existing or newly designed dental practices. Yet it is increasingly important to meet today's hygiene rules regarding reprocessing instruments between patients.
Atraumatic restorative treatment (art) for tooth
Atraumatic Restorative Treatment (ART), is based on removing decalcified tooth tissue using only hand instruments and restoring the cavity with an adhesive filling material.
A minimally invasive approach to both prevent dental carious lesions and stop its further progression
Personnel hygiene/ Personal hygiene and it's efficiencyArghya Chaudhuri
Hygiene is needed in an organization such as a plant or a factory. All the way from manual to Mechanized processes and Employers' roles. Discussed all the way up to hygiene efficiency.
Cleaning, Disinfection, and Sterilization Validations of Reusable Medical Dev...Pacific BioLabs
This presentation provides important details on how to save time and money in the process of reusable medical device design. The main focus is on how device material choice and design affects the cleaning and disinfection process, and what considerations design engineers need to make when creating reusable medical devices.
In today’s project environment two ingredients are vital to its success - keeping within budget and staying on schedule. With fierce competition in the labor market, companies who can provide both are a sure winner. Amongst a number of other skills, proper organization and the handling of the large amounts of data are paramount. Learn how Schneider Electric uses AVEVA technology solutions to overcome these challenges and ensure projects are executed on time and budget.
Presented by: Marek Jadczyk—Schneider Electric
Discover how AVEVA can transform your business today
www.aveva.com
Fundamental principles in designing reprocessing areasA-dec Australia
All too often little consideration is given to sterilization or reprocessing areas in either existing or newly designed dental practices. Yet it is increasingly important to meet today's hygiene rules regarding reprocessing instruments between patients.
Atraumatic restorative treatment (art) for tooth
Atraumatic Restorative Treatment (ART), is based on removing decalcified tooth tissue using only hand instruments and restoring the cavity with an adhesive filling material.
A minimally invasive approach to both prevent dental carious lesions and stop its further progression
Personnel hygiene/ Personal hygiene and it's efficiencyArghya Chaudhuri
Hygiene is needed in an organization such as a plant or a factory. All the way from manual to Mechanized processes and Employers' roles. Discussed all the way up to hygiene efficiency.
Cleaning, Disinfection, and Sterilization Validations of Reusable Medical Dev...Pacific BioLabs
This presentation provides important details on how to save time and money in the process of reusable medical device design. The main focus is on how device material choice and design affects the cleaning and disinfection process, and what considerations design engineers need to make when creating reusable medical devices.
An analysis of a water supply may be required to find out either:
water is safe to drink or
it needs to be treated before consumption.
It is important to collect a sample of water representative of the whole supply to achieve the above purpose.
Care MUST be taken during sampling, transporting, and storing of sampled water to avoid accidental contamination.
2. Malawi Ministry of Health National Infection Prevention Standards: Assessment Tool
Facility:
Date:
Assessor:
AREA: DENTAL DEPARTMENT
OBSERVED CRITERIA VERIFICATION MEANS Y, N OR N/A1
COMMENTS
1. There are written guidelines
for IPC practices.
Verify with the responsible person in the dental
department if:
• There are written guidelines for IPC
practices in this area including:
- Traffic flow and activity pattern
- Dental water delivery system
- Processing of instruments and other
articles, including decontamination,
cleaning, HLD and sterilization
- Storage of clean, sterile and high-level
disinfected instruments and other items
- Housekeeping, including cleaning
schedule
- Use of PPEs
- Waste management
• The guidelines are physically placed in this
unit (posted or in a procedure manual)
______
______
______
______
______
______
______
______
1
Y = Yes; N = No; N/A = Not Applicable
Dental Department, November 2008 7- 2
3. OBSERVED CRITERIA VERIFICATION MEANS Y, N OR N/A COMMENTS
2. The physical plant and
furniture/equipment provide
a safe environment.
Verify in the dental department if:
• There are working toilets for clients
• There is a receiving/clean-up area separated
with a physical barrier from the processing
area
• The receiving/clean-up area has:
- A receiving counter
- At least one sink with running water
- A counter for drying the instruments dry
• There is a clean work area for
wrapping/packing with:
- A work table or counter
- Shelves for holding clean items
• There is an area for sterilization and/or
high-level disinfection with at least one
sterilizer
• There is an area to store sterile supplies
and/or high-level disinfected instruments
and equipment with:
- Limited access to the storage area; in
closed cabinets/shelves
- Office desk for record keeping
______
______
______
______
______
______
______
______
______
______
3. The dental office (s) is (are)
properly equipped.
Observe if each dental office has:
• Dental unit with:
- Dental chair
- Suction machine
- Spittoon if central hospital
- Light
- Lacket table
• Plastic container with 0.1% chlorine
______
______
______
______
______
______
Dental Department, November 2008 7- 3
4. OBSERVED CRITERIA VERIFICATION MEANS Y, N OR N/A COMMENTS
solution for decontamination
• Puncture-resistant containers to dispose
sharps
• Containers with a leak proof plastic bag for
medical waste
______
______
4. The dental department is
clean.
Observe in the dental department the absence of
blood, dust, soil, trash, insects and spider webs
in the following sites:
• Floors
• Walls
• Countertops
• Dental unit surfaces:
- Dental chair
- Suction machine
- Spittoon if central hospital
- Lacket table
- Light
• Receiving/clean-up area
• Work area for wrapping/packing
• Sterilization area
• Storage area
• Toilets
______
______
______
______
______
______
______
______
______
______
______
______
______
5. The decontamination of
instruments and other articles
(immediately after use and
before cleaning) is
performed according to the
standards.
Observe in the dental department if:
• The concentration of chlorine solution is
labeled
− Liquid chlorine:
- if using JIK (3.5%), 1 part of bleach for
34 parts of boiled or bottled water ______
Dental Department, November 2008 7- 4
5. OBSERVED CRITERIA VERIFICATION MEANS Y, N OR N/A COMMENTS
- if using a concentration of 5% chlorine,
1 part bleach for 49 parts of boiled or
bottled water, or
− Powder chlorine:
- if using calcium hypochlorite (35%), 2.8
grams bleach powder for 1 liter boiled
water, or
- if using 70 % chlorine powder 1.4 gram
bleach powder for 1 liter boiled water
• A new chlorine solution is prepared at the
beginning of each day, or sooner if
necessary
• Delicate instruments are soaked in the 0.1%
chlorine solution with boiled water for 10
minutes
• After 10 minutes, instruments and other
items are removed from the chlorine
solution; washed in soapy water and then
rinsed with clean water
______
______
______
______
______
______
Tooth extraction and filling (criteria 6- 11 must be observed in sequence with the same client)
Dental Department, November 2008 7- 5
6. OBSERVED CRITERIA VERIFICATION MEANS Y, N OR N/A COMMENTS
6. The provider prepares for the
procedure.
Observe during 2 procedures (one tooth
extraction and one filling) if the dental
therapist:
• Prepares instruments, materials, antiseptics
and equipment.
• Explains the procedure to the client
• Wears personal protective equipment (PPE)
and attire during the procedure:
- Dust coat
- Plastic apron
- Protective eyewear
- Face masks covering mouth and
nose
Extrac
t
_____
_____
_____
_____
_____
_____
Filling
_____
_____
_____
_____
_____
_____
7. Hand hygiene is performed
before the procedure.
• Hand hygiene is performed before the
procedure:
- Washes hands with running water and
soap for 10–15 seconds and dry with an
individual clean towel, paper towel or
allows hands to air-dry _____ _____
Dental Department, November 2008 7- 6
7. OBSERVED CRITERIA VERIFICATION MEANS Y, N OR N/A COMMENTS
8. The provider performs the
procedure using IPC
practices to avoid injuries
and cross-contamination.
• Puts on clean examination gloves
• Working area (in the mouth) is kept isolated
by:
- Using clean cotton rolls
- Avoiding touching any other area while
working/operating
• For local anesthesia, if needed:
- Uses sterile needle and syringe
- Recaps the needle using the one-handed
“scoop” technique
- Places the syringe with anesthesia in a
receiver
• During the procedure, uses paper towels,
gauze or tape for adjusting the light without
removing the gloves, and avoiding
contamination of the light
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
9. The provider properly
disposes of the instruments
and medical waste after the
procedure to avoid injuries
and contamination.
• Removes all the used instruments and
places them in 0.5% chlorine solution for
10 minutes
• Disposes of needle and syringe in a
puncture-proof container, without
removing, recapping or breaking the needle,
if using disposable syringes
• Disposes of other medical waste (e.g.,
cotton wool) in a container with a leak
proof plastic bag
• Removes gloves, after being immersed in a
0.5% chlorine solution, and places them in a
container with a leak proof plastic bag
_____
_____
_____
_____
_____
_____
_____
_____
Dental Department, November 2008 7- 7
8. OBSERVED CRITERIA VERIFICATION MEANS Y, N OR N/A COMMENTS
10. Hand hygiene is performed
after the procedure.
• Hand hygiene is performed after the
procedure:
- Washes hands with running water and
soap for 10––15 seconds and dry with an
individual clean towel, paper towel or
allow hands to air-dry _____ _____
Dental Department, November 2008 7- 8
9. OBSERVED CRITERIA VERIFICATION MEANS Y, N OR N/A COMMENTS
11. The process of cleaning
instruments and other items
is performed properly.
Observe if the person cleaning the instruments
complies with the following steps and
recommendations:
• Wears:
- Utility gloves
- Mask and eyewear protection or face
shield
- Plastic apron
- Head cover
- Gumboots or enclosed shoes
• Utilizes:
- Soft brush
- Detergent (liquid or powder)
• Scrubs instruments and other items under
the surface of water, completely removing
all blood and other foreign matter
• Disassembles instruments and other items
with multiple parts and cleans in the
grooves, teeth and joints with a brush
• Rinses the instruments and other items
thoroughly with clean water
• Allows instruments and other items to air-
dry, or dries with a clean towel
• Washes hands after removing gloves:
- Washes hands with running water and
soap for 10–15 seconds and dry with an
individual clean towel, paper towel or
allows hands to air-dry
______
______
______
______
______
______
______
______
______
______
______
12.A disinfectant cleaning
solution is prepared properly
Verify if the disinfectant cleaning solution is
prepared as follows:
Dental Department, November 2008 7- 9
10. OBSERVED CRITERIA VERIFICATION MEANS Y, N OR N/A COMMENTS
• A 0.5% chlorine solution is prepared
• Detergent without an acid, ammonia or
ammonium is added to the 0.5% chlorine
solution until a mild soapy cleaning
solution is made
______
______
13. The cleaning equipment is
decontaminated, cleaned and
dried before reuse or storage.
Observe if the mops, buckets, brushes and
cleaning cloths are:
• Decontaminated by soaking for 10 minutes
in 0.5% chlorine solution or other approved
disinfectant
• Washed in detergent and water
• Rinsed in clean water
• Dried completely before reuse or storage
______
______
______
______
14. The collection of medical
waste is performed properly to
prevent injuries and
contamination.
Observe if:
Medical waste (e.g., cotton wool, gauze, etc):
• Medical waste is placed in a washable
container with a leak proof plastic bag
• Containers are closed and collected when ¾
full or daily if not ¾ full
Sharps:
• Sharps are placed in a puncture-resistant
container (heavy card box, empty plastic
container, metal container with small
opening)
• Containers are closed and collected when ¾
full
• Sharps containers are used only once
______
______
______
______
______
Total of criteria 14
Total observed
Dental Department, November 2008 7- 10