Policy Title: Infection Control in the Dental Laboratory Policy Number: 16. Effective Date: 6/10/2013 Review Date: 6/10/2016

Transcription

1 Plicy Title: Infectin Cntrl in the Dental Labratry Plicy Number: Disinfectin: Prsthdntic items cntaminated by handling shuld be disinfected (by spray r immersin technique based n type f item) after each use Examples: alchl trch, face-bw, articulatr, mixing spatula, mixing bwl, lab knife, shade/mld guide Waste in dental lab: Can include dispsable trays, impressin materials, and cntaminated packing materials (if cannt be disinfected) Dispse f accrding t applicable lcal regulatins. (Refer t Plicy f Dental Waste Management) Dispse f in general waste unless defined as regulated waste Sharps shuld be placed in puncture-resistant cntainer Special cnsideratins: Apply the fllwing fr prcelain restratins: Take them directly t prcelain furnace. Sintering prcess sterilizes restratin. N need fr separate cleaning/disinfectin prcess. Mnitr prcedures clsely t ensure prper cleaning/disinfectin f equipment and areas that may becme cntaminated during the prcess. 7. REFERENCES: 7.1. Guidelines fr Infectin Cntrl in Dental Health-Care Settings (Department f Health and Human Services Centers fr Disease Cntrl and Preventin). Page 74 f 120

2 Dental Waste Management 1. POLICY STATEMENT: 1.1. Applies t what is the best practice in medical waste management. 2. PURPOSE: 2.1. T prevent/minimize the risk f infectin in dental settings T prmte awareness fr each dental persnnel in the imprtance f Dispsal f Waste Materials T prvide a framewrk fr the educatin f dental healthcare persnnel in the Dispsal f Waste Materials. 3. SCOPE: 3.1. This plicy applies t all dental healthcare persnnel. 4. DEFINITIONS: 4.1. Infectius waste: hazardus waste capable f causing infectins in humans, including cntaminated animal waste, human bld and bld prducts, islatin waste, pathlgical waste, and discarded sharps (needles, scalpels, r brken medical instruments) Dental waste: any slid waste generated in the dental facility Regulated Waste: liquid r semi-liquid bld r ther ptentially infectius materials; cntaminated items that wuld release bld r ther ptentially infectius materials in a liquid r semi-liquid state if cmpressed; items that are accumulated with dried bld r ther ptentially infectius materials and are capable f releasing these materials during handling; cntaminated sharps; and pathlgical and micrbilgical wastes cntaining bld r ther ptentially infectius materials. Page 75 f 120

3 5. ROLES AND RESPONSIBILITIES: 5.1. All healthcare wrkers have respnsibility t cnfrm and respect all aspects f this plicy Managers/ department s heads have a key respnsibility t ensure their department functins within the parameters f the plicy and that staff are trained and assessed in these issues. 6. PROCEDURE: 6.1. Types f waste in dental settings : There are tw basic types f waste fund in the dental setting: nnregulated and regulated medical waste The majrity f cntaminated r siled items in the dental setting are cnsidered t be general medical waste and therefre can be dispsed f with the general ffice trash Examples f medical waste that usually d nt require special dispsal include used: glves, masks, gwns, lightly siled gauze and ther cttn prducts, envirnmental surface barriers single-use dispsable items used during patient treatment, such as: a. plastic saliva ejectrs, b. high-vlume evacuatr tips, c. prphylaxis angles, d. muth mirrrs, and e. Air water syringe tips Regulated medical waste requires special strage, handling, neutralizatin, and dispsal. Page 76 f 120

4 Examples f regulated waste fund in dental healthcare settings are: slid waste saked r saturated with bld r saliva (e.g., gauze saturated with bld after surgery), extracted teeth, surgically remved hard and sft tissues, and Cntaminated sharp items (e.g., needles, scalpel blades, and wires) It is imprtant t remember a basic axim f waste dispsal: D nt mix waste categries Managing regulated waste in a dental healthcare setting: Fr nn-sharp regulated waste, a single leak-resistant, clr-cded r bihazard-labeled cntainer (e.g., a bihazard bag) is usually adequate The bag must be sturdy and the waste must be able t be discarded withut cntaminating the bag's exterir. Exterir cntaminatin Exterir cntaminatin r puncturing f the bag requires placement in a secnd bihazard bag All bags shuld be securely clsed fr dispsal Puncture-resistant clr-cded r bihazard-labeled cntainers (i.e., sharps cntainers) lcated at the pint f use are used as cntainment fr scalpel blades, needles, syringes, and unused sterile sharps Dental facilities shuld dispse f medical waste regularly t avid accumulatin Managing Cntaminated Sharps: Cntaminated sharps are cnsidered capable f transmitting disease, and therefre are cnsidered t be regulated waste Examples in the dental setting include: needles, scalpel blades, suture needles, Page 77 f 120

5 dental burs, enddntic files, reamers, braches, Brken glass It is required that sharp items must be placed in apprpriate punctureresistant cntainers lcated as clse as feasible t where the items were used Each dental clinic shuld have a sharp cntainer The sharp cntainer shuld nt be n the flr Needles shuld never be recapped r therwise manipulated by using bth hands, and any ther technique that invlves directing the pint f a needle tward any part f the bdy Never bend r break needles befre dispsal The staff shuld wear the persnal prtective equipment when handling sharp bjects Managing Bld and Other Bdy Fluid Waste: Cntaminated items that wuld release bld (i.e., saliva) in a liquid r semiliquid state if cmpressed, r items that are caked with dried bld and are capable f releasing these materials during handling, are cnsidered t be regulated waste Cntainers with bld r saliva, such as that suctined during an ral surgical prcedure, can be inactivated accrding t apprved treatment technlgies r carefully pured dwn a utility sink drain r tilet Managing Extracted Teeth and Other Tissues: Refer t plicy f Management Of Extracted Teeth. Page 78 f 120

6 7. REFERENCES 7.1. Guidelines fr Infectin Cntrl in Dental Health-Care Settings (Department f Health and Human Services Centers fr Disease Cntrl and Preventin). Page 79 f 120