1. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 1 PowerPoint ® Presentation for Introduction to Dental Assisting Module: Disease Prevention and Regulations

2. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 2 Module: Disease Prevention and Regulations Disease Prevention and Regulations Part A: Regulations Part B: Disease Prevention and Safety

3. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 3 Module: Disease Prevention and Regulations Learning Objectives 1. Define the Key Terms. 2. Identify the various agencies responsible for regulations and recommendations for dental office infection control. 3. Understand the Bloodborne Pathogens Standard. 4. Identify how to use various sterilizers.

4. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 4 Module: Disease Prevention and Regulations Learning Objectives 5. Compare disinfection and sterilization. 6. Explain the use of material safety data sheets (MSDS). 7. Demonstrate proper protocol prior to and after seating the patient. 8. Demonstrate safe disposal of sharps.

5. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 5 Key Terms American Dental Association Antimicrobial Asepsis Aseptic technique Biofilms Bloodborne Pathogens Standard Centers for Disease Control Contamination Direct contact Disinfect Environmental Protection Agency Food and Drug Administration Glutaraldehyde Indirect contact

6. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 6 Key Terms Infection control Inhalation Iodophor Occupational Safety and Health Administration Organization for Safety and Asepsis Procedures Other potentially Infectious materials Parenteral Pathogens Personal Protective Equipment (PPE) Polynitrile autoclavable gloves Standard precautions Sterilization Universal precautions

7. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 7 Part A: Regulations Employee training Employment records Universal precautions Regulations vs. recommendations

8. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 8 Regulations ADACDC OSHAFDAOPIM EPAOSAP

9. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 9 Regulations Written exposure plan Occupational exposure categories Mandatory training Bloodborne Pathogen Standards

10. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 10 Part B: Disease Prevention and Safety Cross-contamination Routes of microbial transmission

11. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 11 Infection Control for the DA Staying healthy Eating ExerciseSleeping Positive mental attitude

12. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 12 Infection Control in the Dental Office Immunizations Medical history Hand washing

13. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 13 Personal Protective Equipment (PPE)

14. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 14 Personal Protective Equipment (PPE)

15. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 15 Personal Protective Equipment (PPE)

16. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 16 Personal Protective Equipment (PPE)

17. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 17 Personal Protective Equipment (PPE)

18. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 18 Disinfection High-level disinfection Intermediate-level disinfection Low-level disinfection

19. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 19 Chemical Disinfectants Disinfectants –Level –Advantages –Disadvantages –Time required for effectiveness

20. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 20 Pre-sterilization Cleaning

21. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 21 Sterilization Methods Sterilization types –Chemical –Ethylene oxide –Glass beads –Dry heat –Chemical vapor –Steam autoclave Sterilization monitoring –Biological –Process indicators –Dosage indicators

22. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 22 Infection Control Techniques Antiseptic mouth rinse High-volume evacuation Dental dam Disposables

23. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 23 Routine Asepsis Protocol Treatment area Dental unit waterlines Radiography Laboratory equipment

24. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 24 Management of Hazardous Materials Engineering and work practice controls Sharps containers Eyewash stations Ventilation Splashguards

25. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 25 Steps in Reporting Exposure to Occupational Bloodborne Pathogens Step 1: Document incident. Step 2: Test for exposed employee. Step 3: Perform post-exposure follow-up.

26. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 26 Cleaning the Work Site Office needs written schedule for cleaning Protective clothing must be worn All surfaces with possible contamination must be cleaned Use biohazard containers

27. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 27 Material Safety Data Sheets (MSDS) National Fire Protection Association Color Number –4 = Danger –3 = Danger or Warning –2 = Caution or Warning –1 = Caution –0 = Non-combustible, stable, no usual hazard

28. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 28 Chemical Warning Labels Manufacturer requirements Employer’s responsibility –Chemical name –Common name –Warnings about hazards –Name and address of manufacturer –Chemical inventory list - MSDS

29. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 29 Assessment Questions Define universal precautions. Treating all patients as if they are potentially infectious. What are the forms of cross-contamination? –Patient to patient –Dental health care provider to patient –Patient to health care provider –Health care provider to family

30. Copyright © 2006 Thomson Delmar Learning. ALL RIGHTS RESERVED. 30 Summary of Module Key Terms Agencies responsible for regulations and recommendations for dental office infection control Disease prevention regulations Infection control for the dental assistant Infection control in the dental office Personal protective equipment Disinfectants and sterilization