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INFCON1


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also called "exposure control plan" by OSHA
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INFECTION CONTROL

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Federal agency
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION
Charged with the enforcement of safety and health legislation
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION
Development of standard operating procedures Evaluation of practices
OSHA'S SAFETY A SUCCESSFUL INFECTION-CONTROL PROGRAM
Monitoring health-care associated infections in patients
OSHA'S SAFETY A SUCCESSFUL INFECTION-CONTROL PROGRAM
Other Public agencies
OSHA SAFETY PROGRAM
Academe
OSHA SAFETY PROGRAM
Example of antiseptic
Isopropyl alcohol (70%)
(SOURCES OF INFECTION) example of carrier
Typhoid, hepatitis, AIDS,etc
Infection control
Prevent or stop the spread of infections in a healthcare settings
Major infection
Associated occupational health hazard; Sharps, injuries and exposure to blood borne viruses; May be mercury toxic
Disinfection
Process that eliminates many or all pathogenic microorganism, but cannot eliminate bacterial spores.
Sterilization
The process of making something free from bacteria or other living microorganism; Can kill microorganisms AND bacterial spores
Disinfect
Clean esp. with a chemical in order to destroy bacteria
Sterile
Free from bacteria or other living microorganisms; Completely free of microscopic organisms
Asepsis
Absence of bacteria or virus and other microorganisms; Condition in which no living disease causing microorganisms are presen
Build a culture of safety
This approach requires a commitment from the whole dental team if it is to be successful
Self monitoring of risk behaviors
You know what is your job description; You should know how to behave accdg. to your job
Recognizing and reporting errors
An example of this is when a patient with TB coughed without immediately covering his or her mouth, the phlegm contaminated the waiting area
Clear communication
Without this, workers and leaders will not be able to prevetn transmission of diseases efficiently; There will not be any proper coordination between people in the laboratory
Vigilance
You observed that a patient is not looking good and you suspect that he or she is sick
Teamwork
Combination of all the factors listed in Disinfection and Asepsis
Active failures
Are unsafe acts committed by frontline people in direct contact with the patient. Their impact is usually instantaneous and breaches the integrity of the practice's "defenses"
Latent conditions
Made by people whose tasks are removed in time and space from operational activities; An error in a component, piece of equipment or system which is not yet manifested but a result of a hidden flaw
ROOT CAUSE ANALYSIS
A way of highlighting active and latent failures in the dental practice is to use root cause analysis. Staff and students working on the 'frontline' are usually in the best position to identify issues and solution.
Resident
Resident flora found on the hands include mainly Gram. positive, low virulence micro-organisms that are rarely transmitted by hand contact and are not easily removed through hand hygiene.
Transient
Lora consists mainly of Gram-negative bacteria that are an important cause of nosocomial infections that can be removed by hand hygiene.
Direct contact via hands
He major route of spread for a number of organ- isms including MRSA, influenza viruses, herpes simplex (the cause of cold sores) and herpes zoster viruses (the cause of shingles).
Main purpose of hand hygiene
To remove or destroy the transient flora acquired through contact with patients and their surroundings or contaminated equipment, as well as the physical removal of dirt, blood and body fluids.
Hand rubs
Referred to as 'leave-on products' as they are not rinsed off after use.
Alcohol-based hand rubs
Formulated as gels, rinses and foams; unsuitable when-hands are visibly soiled with organic material such as blood or dirt.
Triclosan and triclocarban
Can cause alterations in thyroid and reproductive systems of neonatal and adolescent animals.
Keratin-rich layers
Part of intact skin form a natural barrier to infection
Barrier protocol
Also known as Personal Protective Equipment (PPE)
Personal Protective Equipment
Is at the bottom of Risk management hierarchy
Donning
Wearing
Doffing
Removing