Personal Protection

Personal Protection Infection Control, DA116

, and Infection Control • _____ and ______ both work to enhance Infection Control in the dental office • CDC recommends certain ____________ steps • To protect everybody • Things we do to prevent cross-contamination • OSHA mandates certain _________ actions • To protect employees • Employer is responsible for making sure we comply • Together, both agencies protect employees’ and patients’ health and well-being.

Personal Protective Equipment Mandated by OSHA ____________ responsible to provide for employee and to oversee employee compliance Called __________ Protective Equipment because clinical staff uses it… We could also called it _____ Protective Equipment because our use protects the patients also.

Immunization: • Process by which resistance to an infectious disease is induced or augmented. Human body can produce ______ on it’s own to particular diseases or conditions. • When no immunity exists for disease, immunization can occur through __________ • Example of vaccinations that healthcare workers should have: • Hepatitis B • Measles, mumps, rubella • Chicken pox • Polio • Tetanus • Diphtheria • TB tine tests • Influenza (optional

PERSONAL PROTECTIVE EQUIPMENT “PPE” __________ __________ ______ (aka “lab coats”) Protective _________ For more sterile environments: Surgical caps Surgical shoe covers

GLOVES • __________: to protect from exposure to contamination through cuts and abrasions often unseen on hands. • ______ is a good protection against microorganisms if intact. • Take a minute and look at your hands… • Gloves protect by providing an extra barrier against the entry of microorganisms through breaks in the skin. • Also protect patients from microorganisms on your hands

When to wear gloves: • Wear ________ whenever • you put your hands into any patient’s mouth or • touch contaminated instruments, equipment or surfaces in the operatory or in the lab • Use a new pair for _________ • If visibly soiled or torn during a procedure, ______ gloves immediately • Note: Hand washing after any possible contact with blood is the best protection

Types of gloves: Disposable __________ gloves ________ disposable gloves General purpose ________ gloves ______-gloves ______-gloves

Disposable Examination Gloves • Available in _____ or ______ • no difference in effectiveness, • depends on skin tolerance for latex • Also available: ______ • Not as strong or well-fitting as latex or nitrile • Purchased according to size in an ambidextrous box • Powdered or unpowdered • Scented or unscented • Not Sterile

Sterile Disposable Gloves • Use when sterility is necessary, as in oral surgery • Usually come packaged in _____; sealed before use • Available in latex, nitrile, and vinyl

General Purpose Utility Gloves • Use when cleaning instruments, equipment, and contaminated surfaces • Can be washed, __________, and reused many times • Replace if tears or cracks appear • Polynitrile can be ________ and are puncture resistant • Available in sizes small, medium, large, extra-large • ____ for use in direct patient care

Over-gloves • Food handlers gloves used _____ exam gloves • To _______ forgotten item from drawer • _______ information in the computer • _______ other items within the operatory • Note: if you leave the room, remove your gloves!! • Not to be used in the mouth or when cleaning sharp instruments

Under-gloves • Tight fitting knit fabric glove, used to protect hands from powder, latex, vinyl, sweat or moisture

Managing gloves: • ________ or Examination gloves • never wash or reuse • washing causes “wicking” which increases flow of liquid through undetected holes in gloves • Utility gloves can be reused if not punctured or torn; can be washed, disinfected and/or autoclaved • If gloves are torn, cut or punctured, remove immediately and dispose of properly. Wash hands thoroughly with soap and water before putting new gloves on • Disposal: • exam gloves to clinical trash; sterile gloves to biohazard waste trash

Facial Protection: • Blood, saliva, and ____ (Other Potentially Infectious Material) can spatter during dental procedures; it can enter the body through the eyes, nose and mouth • Tiny amounts of blood containing HBV can cause infection if it gets into the eye • When to wear: • Whenever blood or fluids contaminated by blood may be spattered • During patient treatment • While cleaning instruments or contaminated surfaces • Disposing of contaminated fluids

Methods of Facial Protection 1) ______ and protective safety eyewear 2) Chin length _______ that covers eyes, nose and mouth, plus a mask to protect respiratory tract

When to wear face protection: • Whenever blood or fluids contaminated by blood may be spattered • During patient treatment • While cleaning instruments or contaminated surfaces • Disposing of contaminated fluids • With hazardous chemicals which call for masks on MSDS slips or labels • ________________ MUST BE COVERED; DO NOT WEAR UNDER YOUR CHIN!! • Examples of appropriate times to wear a facial protection device: • Preparing a tooth with a high speed handpiece • Polishing teeth with slow speed handpiece • Polishing a crown • Washing contaminated instruments • Emptying a suction trap • During use of an air/water syringe • Mask must provide at least ____ filtration capacity.

Face Mask Styles

Managing Face Masks • Always handle as __________, when wearing or disposing. Contamination on the inside is from you, and outside is from the patient. • When handling a used mask, hold it either by the body while still wearing gloves, or by the ties or elastics with clean hands • Use a _______ mask for every patient • Replace a ______ mask during treatment; a wet mask will collapse against the face, and won’t provide a strong barrier against microorganisms • ________ any gloves which come into contact with the body of the mask

As shown by a black light, a surgical mask’s outer surface can become contaminated with infectious droplets from spray of oral fluids or from touching the mask with contaminated fingers. Wet masks should be changed.

Face shields: Wear when you would wear a mask and protective eyewear Need to wear a mask also to prevent _______ in microorganisms Protects against ______, keeps entire face clean Can be worn more comfortably with prescription glasses Do not need to dispose of in between patients, but must _________, by disinfecting between patients, use gloves when handling them prior to disinfection, and dry with a paper towel

Safety Glasses or Goggles: Wear with a mask whenever there is _______or chance of flying debris Glasses should have _____ side shields to prevent eye injury ____________ between patients by first cleaning with soap and water; then disinfecting with an intermediate disinfecting chemical Grasp the sides when removing them, to avoid contamination with front of glasses

Styles:

Lab Coat or Gown: Must wear a lab coat with long _____ and high ____ which can be zipped or snapped up the front to protect street clothes from contamination Gloves fit _____ the cuffs of lab coats Must wear whenever the chance of blood or fluid contaminating blood might contaminate clothing

Managing the Lab Coat or Gown • Should change _____ or more often, if visibly soiled • To remove visibly contaminated clothing, fold the soiled area inside, keeping gloves on to protect your hands. Put soiled clothing into specially marked hazardous laundry bag provided by employer (employer responsible for cleaning lab coats!!) • Do not wear lab coat ______ the office; remove before going to lunch, on breaks, behind the reception desk or home.

Managing Lab Coat, con’t • Very important to realize that your work clothing can be contaminated and should be _______ as soon as you get home or before leaving the office • In some types of offices, it might be appropriate to wear even greater protective clothing: • Surgical caps and or hoods and shoe covers or boots • Aprons • Knee length gowns

Remember: All of these ____ requirements are mandated by OSHA Bloodborne Pathogens Standard which went into effect in 1991. They are ____ voluntary, and the employer is responsible for seeing that you follow the rules. The employer can be fined for not following these mandates and…..if you don’t comply, YOU may lose your job!!

OSHA The OSHA Hazard Communication Standard: AKA: Employee right to know law BECAUSE OSHA regulations are intended to protect the health and safety of the __________. State OSHA programs must be _________ as strict as the federal OSHA regulations

EPA and CDC _____ (Environmental Protection Agency) has jurisdiction over hazardous waste. ______ (Center for Disease Control) Dental Infection Control Guidelines recommend training of healthcare workers: -On initial employment - Annually as a minimum - When new tasks or procedures affect the employee’s occupational exposure

Personal Protection