Page 22 - Compendium Chapters for Course 1 (IC, DPA, OSHA)

The hand method of cleaning using a long-handled brush to remove all biologic debris and cements from instruments is acceptable, assuming that the cleaning solution has the properties of an intermediate disinfectant and that splashing is kept to a minimum. This technique is not recommended unless absolutely necessary.
Using ultrasonic cleaners is the preferred method of cleaning. These are effective and greatly reduce the potential for cuts and punctures to the operatory staff. Refer to the specific manufacturer’s recommendations regarding the type of ultrasonic cleaning detergents or enzymatics to use and the length of time needed to clean a typical load.
After cleaning, rinse the instruments with generous amounts of tap water. Remember that these cleaned instruments may still harbor infectious microorganisms. Personal protective equipment must therefore be used. The rinsed instruments are dried and are then ready for packaging.
PERSONAL PROTECTIVE EQUIPMENT – (PPE)
(11) "Personal Protective Equipment" (PPE) is specialized clothing or equipment worn or used for protection against a hazard. PPE items may include, but are not limited to, gloves, masks, respiratory devices, protective eyewear and protective attire which are intended to prevent exposure to blood, body fluids and OPIM, and chemicals used for infection control. General work attire such as uniforms, scrubs, pants and shirts, are not considered to be PPE.
The dental healthcare worker is at risk of infection by pathogenic microbes from the patient. Several experiments have been performed using colored or dyed saliva and looking for the dye after a procedure. In virtually all cases, the dentist and assistant were contaminated with patient saliva from the waist up, including their hair. For the dental staff, obviously sterilization is not possible and most high- and intermediate-level disinfectants are not compatible with human tissues.
Both Federal and California OSHA regulations indicate that long-sleeved gowns, gloves, a face shield with mask or protective eyewear with mask are required as the minimal level of personal protection. Masks and gloves must be changed after each patient or when saturated with liquid or punctured during a procedure.
Washing gloved hands between patients is not allowed. Gloves need not be sterile but should fit well and be comfortable.
Intro Page - 22
Introductory Chapter: Dental Practice Act, Infection Control and Cal-OSHA
The California RDAEF: A Compendium for Licensure Success © The Foundation for Allied Dental Education, Inc. 2016 Copyright protected. All rights reserved