Page 63 - Compendium Chapters for Course 1 (IC, DPA, OSHA)

The Standard defines an occupational exposure as a reasonably anticipated skin, eye, or mucous membrane exposure or any percutaneous injury involving blood or OPIM. Percutaneous and Permucosal exposures pose the greatest risk for transmission for HIV, HBV and HCV.
Occupational Risk Classifications
Category Definition Employee Type
I or A
Routinely exposed to blood, saliva, OPIM, chemical germicides
Dentist, assistant, hygienist, sterilization assistant, clinical support staff
II or B
Occasional exposure to blood, saliva, OPIM; periodically don PPE to help clinical staff
Business office or front office staff who occasionally assist with clinical procedures or sterilization tasks
III or C
Never exposed to body fluids or chemicals
Financial staff, business office, office manager, insurance clerk
Employee Training
The BBP Standard requires the dentist/employer to provide, at least annually, training in infection control procedures and safety issues to all personnel who are classified as Category 1 and 2 (or Category A and B). Category 3 employees, those who never have the potential for exposure, are not required to obtain disease transmission or exposure incident training as they are employees who should never have the potential for such exposure.
All training must be recorded and records retained for the duration of an employee’s tenure as an employee plus three years.
Hepatitis B Vaccine
OSHA requires the dentist/employer to offer the HBV vaccination (series of three injections) to all employees who are Category 1 and 2 employees based on their job tasks. The vaccine must be offered within 10 days of employment – if the employee received the series and has evidence of having completed the series prior to employment, the employee shall provide such evidence or evidence of a recent titer test (blood test) demonstrating the employees current antibody status for HBV.
The employee has the right to refuse the HBV vaccine; however, the employee is then required to sign an informed refusal form that is kept on file in the dental office records and the employee may rescind the refusal form and accept the offer at any time.
Intro Page - 63
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