INFECTION CONTROL COMPLIANCENon Compliance with Dental School Infection Control Standards, can result in the spread of blood-borne pathogens, and other infections

ObjectivesDescribe the infectious disease process (the “chain” of infection).

2) List and Define the 4 Principles of Infection Control. 3) Define the concept of Standard Precautions. 4) Discuss the importance of immunizations and list which immunizations are

recommended. 5) List and define the Modes of Transmission and site an example of each.6) Identify infectious diseases that are considered Transmissible Diseases and pose a risk of

transmission in oral healthcare and explain why.7) Describe the different methods of sterilization and their advantages and disadvantages. 8) Describe the different types of monitors used during the sterilization process that

ensure sterilization has occurred. 9) Describe appropriate storage methods for sterilized and/or disinfected equipment,

instruments and supplies.

UMB Dental School I.C. Standards; Areas 1-4 of Non-compliance

1. Improper needle or sharps handling2. Improper or incomplete use of personal protective

equipment (PPE); lab coats/surgical gowns, gloves, mask, and eye protection with side shields, on faculty, students, staff, and patients

3. Use of contaminated equipment or instruments for direct care; double exposure

4. Touching clean or non contaminated items or surfaces with contaminated gloves, items, or hands, and or failure to perform appropriate hand hygiene

5. Food and beverages, or personal grooming in patient care areas

6. Inappropriate or incomplete disposal of hazardous or infectious waste

7. Failure to use appropriate barriers and /or adequately disinfect treatment areas between patients; failure to flush and clean /maintain dental equipment and dental unit tubing and filters

8. Failure to report an exposure or comply with medical follow-up

UMB Dental School I.C. Standards; Areas 5-8 of Non-compliance

#5: Food, Beverages, and Grooming in Patient Care Areas• Staff and student eating, drinking, storage of food

and performing personal hygiene in the clinical area • Strictly prohibited due to the strong possibility of

cross contamination– Solution: • Eat, eat, drink, and practice personal hygiene in

the appropriate areas (dining area or bathroom)

Infection Control Standard # 7 -Solution Part 1

• To prevent the spread of infection through use of appropriate barriers:– Place barriers on clean surfaces prior to seating the

patient. Barriers should be used on all clinical surfaces-• that can become directly contaminated; for example:

– dental unit instrument keypad– light handles– suction hose heads– curing lights

• or cross contaminated; for example: – computer keyboard– computer mouse

Apply “Disposa-Shield”Apply “Disposa-Shield”

1 2

Apply Plastic Bags• Cover– Chair headrest– Mouse– Keyboard– Light handle

Apply Plastic Sleeve Barriers Cover

Air/water syringeSaliva ejectorVacuum

Then insert tips though covers

CoverAir/water syringeSaliva ejectorVacuum

Then insert tips though covers

Curing Light BarrierCoverInsert light shieldDO NOT PUNCTURE

Barrier at tip MUST be intact

CoverInsert light shieldDO NOT PUNCTURE

Barrier at tip MUST be intact

No Barriers on Handpiece or Scaler!!

Radiography BarriersApply barrier to surfaces which

may become directly contaminated:Digital Radiography X-Ray Head Digital Sensor

Apply barrier to any surfaces which may become cross contaminated; for example:Computer mouse and keyboardExposure emission switch on outside

of x-ray room door

Apply barrier to surfaces which may become directly contaminated:Digital Radiography X-Ray Head Digital Sensor

Apply barrier to any surfaces which may become cross contaminated; for example:Computer mouse and keyboardExposure emission switch on outside

of x-ray room door