1. Clinic Infection Control Officer (ICO). The clinic infection control officer will conduct on-going monitoring of infection control procedure compliance within the clinic.
2. Clinic Infection Control Officers. Clinic infection control officers will conduct on-going monitoring of infection control procedure complaince.
3. Quarterly Clinic Infection Control Meeting. The infection control officer, administrative assistant, and clinic infection control officer (doctor in charge) will hold a quarterly meeting. Minutes of this meeting will be documented and personnel attending will initialize document.
4. Quarterly Self Assessment Inspections. Clinic infection control officers will conduct quarterly self assessment inspections utilizing Infection Control Inspection forms.
5. Semi-annual Inspections. The clinic infection control officer will conduct semi-annual inspections of the clinic to ensure that infection control guidelines set forth in this manual are being followed. A report is to be submitted to the clinic director as to the areas deficient and needing attention.
6. Central Sterilization Room (CSR) Log Book. A CSR or sterilization area log book will be utilized. All sterilization loads will be entered in the log with content names. Packs will be labeled i.e., date, expiration date, sterilization load #, and appropriate sterilization testing monitor.
1. Prior to performing maintenance of autoclaves, disconnect all electrical sources.
2. Steam sterilizers must be cleaned and maintained in accordance with the manufacturer¹s instructions. Failure to do so can result in processing problems. For example, if a sterilizer chamber is not properly cleaned, mineral deposits condensing from the steam will accumulate on the walls and may stain items in the load. If the chamber drain is not cleaned, it will eventually interfere with the air and steam evacuation, and may result in wet packs.
Use GLOVES, SAFETY GLASSES and GOWN when handling instruments in Central Service Room.
OPERATION:1. Maintain enough solution in tank to cover all items being cleaned.
2. PLACE INSTRUMENTS IN BASKET. Open jointed instruments (e.g. scissors, forceps etc.); disassemble component parts readily detachable.
** ALWAYS KEEP TANK COVERED TO AVOID AEROSOLS **3. SET TIMER TO FROM THREE (3) TO SIX (6) MINUTES (Follow Manufacturer¹s Directions.)
4. When cycle completed, REMOVE INSTRUMENTS TO SINK, RINSE, AND DRY.
MAINTENANCE:Change solution daily or more frequently if murky or with sediment.
| NON-COMPLIANT = DEFICIENT AREAS | ||
| Unnecessary items | ||
| Personal gear | ||
| Food | ||
| Non-labeled container & no expiration date | ||
| Sharps too filled (3/4 or more) | ||
| Disinfectant problem | ||
| Patient, Doctor, Technician | ||
| Gloves worn (without overgloves) outside CSR | ||
| Inappropriate personal protective equipment | ||
| No patient safety glasses | ||
| Inappropriate needle recapping | ||
| Lab | ||
| Containers not labeled | ||
| Disinfectant problem | ||
| Inappropriate personal protective equipment | ||
| Instrument Packs and Drawers | ||
| Pack improperly labeled; no processing date | ||
| Unpackaged, non-sterile instruments in drawers, trays | ||
| Unpackaged, non-sterile burs in storage | ||
| Preloaded syringes left on trays for future patients | ||
| Sterilization | ||
| No chemical indicators in packs | ||
| No processing dates | ||
| Insufficient biological monitoring | ||
| Insufficient CSR log (monitoring, cycles & maintenance) | ||
| Floors, walls swabbed with inappropriate product | ||
| High/low evacutors insufficiently flushed with water |
PERIODONTICS INFORMATION CENTER