PART D Water Principles of infection control:Standard PrecautionsWater Quality Water used for: Dental Unit Irrigation Drinking Sink Instrument cleaning.

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Presentation transcript:

PART D Water

Principles of infection control:Standard PrecautionsWater Quality Water used for: Dental Unit Irrigation Drinking Sink Instrument cleaning Steriliser

Dental unit water lines

Steriliser water - Quality of feed water Low quality water seriously effects on sterilizer function. shortens the working life of the sterilizer.

Autoclave using water from a fitted reverse osmosis system was un-repairable. Using appropriate water may appear expensive at the time but will prove totally economical if it extends the life of the steriliser.

Principles of infection control:Standard PrecautionsWater Quality Distilled water Sterile water At the very least  potable water

Water has no requirement other than it be potable. & It should be free of E coli, Cryptosporidium, Giardia but the number of other bacterial or colonies do not pose an infection control risk. There is one exception. Immunocompromised patients such as those with AIDS, leukaemia, organ transplants should have dental work done with water which has less than 200 colony forming units per ml. Dental unit water

Dental unit water lines will develop bio-film, if lines are not flushed regularly. bio-film, if lines are not flushed regularly. Flush regularly between patients Units should have anti-retraction valves May need decontamination of dental unit water lines on a regular basis.

Part E IMMUNISATION What’s new? Hepatitis B (HB) Record keeping

Immunisation hepatitis B Recommended for all HCW’s. 3 doses over a 6 month period. Check after three months following last dose to see if immune level. Document evidence of immune levels of hepatitis B antibody.

Immunisation Hepatitis B Good evidence that a completed course provides long lasting protection Boosters of this vaccine not recommended. YOU MUST KNOW YOUR IMMUNE LEVEL

Immunisation Recommendations for HCW’s Special circumstances – Hepatitis A, polio boosters To all – influenza annually. To all – tetanus course part of standard childhood schedule boosters at tetanus prone incident.

IMMUNISATION : Record keeping Health care worker record card. Be aware of your immune state. Record of all vaccinations received. List your infectious/child hood illnesses. Maintain up to date health and immunization records.

Additional precautions AIDS Hepatitis (Hep/HB) SARS Creutzfeldt–Jakob disease (CJD) Tuberculosis (TB) MEASLSMSRM