Page 38 - Compendium Chapters for Course 1 (IC, DPA, OSHA)
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Between patients the air/water syringe must be purged 20 seconds. When the dental procedure is completed, all disposable and plastic barriers are disposed of properly and the handpiece tubing is spray-wipe-sprayed with an intermediate level disinfectant.
A disposable HVE or HVE tip is inserted into their respective hose for each patient. When the procedure is completed, the disposable tips must be thrown away. The evacuation housing is removed and prepared for autoclaving. All tubing is laid on top of the mobile cart and disinfected using the spray-wipe-spray technique. Replace handpieces in holders.
All vacuum systems must be cleaned by running a suction detergent agent after all invasive procedures and/or at the end of each day. The operator must wear appropriate personal protective equipment (PPE) including safety eyewear and utility gloves. After use, eyewear and utility gloves are rinsed well and disinfected. All other PPE are disposed of properly.
DISCARDING OF CONTAMINATED MATERIALS
(22) Contaminated solid waste shall be disposed of according to applicable local, state, and federal environmental standards.
Recycling a barrier-protected operatory requires removal of all surface protective covers and disinfection of the area where the barrier joined the equipment. New barriers are applied. The used material must be discarded. If visible blood or excessive moisture is involved, California requires disposal of such items as a biohazard waste in red labeled bags and disposed of using an authorized waste management company.
LAB AREAS
(23) Splash shields and equipment guards shall be used on dental laboratory lathes. Fresh pumice and a sterilized or new ragwheel shall be used for each patient. Devices used to polish, trim, or adjust contaminated intraoral devices shall be disinfected or sterilized, properly packaged or wrapped and labeled with the date and the specific sterilizer used if more than one sterilizer is utilized in the facility. If packaging is compromised, the instruments shall be re-cleaned, packaged in new wrap, and sterilized again. Sterilized items will be stored in a manner so as to prevent contamination.
Routine procedures such as adjusting and polishing removable dental appliances require a laboratory area where infection control must be practiced. The major rule in this situation is that the appliance should be disinfected before it gets to the laboratory bench.
Intro Page - 38
Introductory Chapter: Dental Practice Act, Infection Control and Cal-OSHA
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