INFECTION CONTROL DR SALWAN

1. INFECTION CONTROL DR SALWAN

2. MANAGEMENT OF WORK RELATED INJURIES • ALL DENTAL OFFICES WILL HAVE WORK RELATED INJURIES • GOOD NEWS IS IN DENTAL OFFICE THEY ARE NOT HAPPENING AS OFTEN AS OTHER WORK PLACES. • THERE IS A PROTOCOL TO FOLLOW IN CASE OF A INJURY • THESE PROTOCOLS ARE REGUALTED BY GOVERNMENT

3. INJURY PREVENTION AND MANAGEMENT • IN DENTAL OFFICE GREATEST RISK OF TRANSMISSION OF BLOODBORNE INFECTION IS WHEN SKIN IS PENETRATED BY • CONTAMINATED NEEDLE, BURS, SCALPELS, BROKEN GLASS, DENTAL WIRES, PESO REAMERS, ENDO FILES

4. INJURY PREVENTION AND MANAGEMENT • SHARP INJURIES CAN BE PREVENTED IN DENTAL SETTING THROUGH • ADMINISTRATIVE CONTROL • ENGINEERING CONTROL • WORK PRACTICE CONTROL

5. ADMINISTRATIVE CONTROL • THESE ARE THE SAFETY RULES ADMINISTRATED BY THE EMPLOYERS THROUGH: • INITIAL JOB ORIENTATION • PERIODIC TRAINING • CONTINUING EDUCATION

6. ADMINISTRATIVE CONTROL • A WRITTEN PROCEDURE MANUAL OF INJURY PREVENTION AND MANAGEMENT • DESIGNATE AN EMPLOYEE FOR INJURY RELATED SUPPORT AND ASSISTANCE TO OTHER EMPLOYEES

7. DCW 7 FORM NOTICE BOARD

8. DCW 7 SPANISH NOTICE BOARD

9. TIME OF HIRE PAMPHLET

10. FACT SHEET AT THE TIME OF HIRING

11. TIME OF HIRE

12. PREDESIGNATION OF PERSONAL PHYSICIAN

13. ENGINEERING CONTROL • DESIGN TO MINIMIZE THE RISK OF SHARP INJURIES AND BLOODBORNE PATHOGENS • RUBBER DAM • NEEDLE RECAPPING • SHARP CONTAINERS • ULTRASONIC CLEANERS • NEEDLELESS INJECTIONS

14. ENGINEERING CONTROL BEFORE USING A SAFETY DEVICE WITH PATIENT AND EMPLOYEE ITS ADVISED TO “ BENCH TEST” TO ENSURE ITS USE WILL NOT COMPROMISE WORKER OR PATIENT SAFETY. TRAIN EMPLOYEES AND IN ITS PROPER USE AND DISPOSAL

15. WORK PRACTICE CONTROL • THIS IS BEHAVIOR BASED, AND INVOLVE CHANGING PROCEDURES TO REDUCE LIKELIHOOD OF INJURY • USE INSTRUMENT INSTEAD OF FINGERS • PASSING INSTRUMENTS WITH SHARP END TOWARDS YOURSELF • ANNOUNCING INSTRUMENT PASSING • SAFE NEEDLE HANDLING ONE HANDED SCOOP • REPLACING SHARP CONTAINERS BEFORE THEY ARE FULL

16. SHARP DISPOSAL SHARPS CONTAINER SHOULD BE USED TO DISCARD • DISPOSABLE NEEDLES • BROKEN CARTRIDGES • BURS • SCALPELS • ORTHO WIRES BROKEN INSTRUMENTS • SUTURE NEEDLES • ENDODONTIC FILES • BROKEN GLASS VIALS

17. SHARP CONTAINERS • IT SHOULD BE RED IN COLOR WITH BIOHAZARD SYMBOL. • LARGE ENOUGH TO HAVE STABLE BASE • MADE OF STURDY PLASTIC AND LEAK PROOF MATERIAL • CONTAINER IN EACH TREATMENT ROOM • MUST BE REMOVED ONCE FILLED UPTO 3/4TH THE CONTAINER • MUST BE DISPOSED OFF ACCORDING TO STATE REGULATIONS

18. POST EXPOSURE MANAGEMENT IF AN EMPLOYEE HAS A SHARP INJURY OR EXPOSED TO BLOODBORNE PATHOGENS • WASH WITH SOAP AND WATER AND FLUSH MUCOUS MEMBRANE • REPORT EXPOSURE TO SUPERVISOR • IDENTIFY THE SOURCE PATIENT ( IF POSSIBLE ) • EMPLOYER MUST PROVIDE FOLLOW UP INSTRUCTIONS AND REFERRAL TO MEDICAL PROVIDER

19. POST EXPOSURE MANAGEMENT CDC RECOMMENDATION FOR TESTING, MEDICAL EXAMINATION,PROPHYLAXIS AND COUNSELING PROCEDURE • WITH THE SOURCE PATIENT’S CONSENT TEST BLOOD OF PATIENT AND SHARE THE RESULTS WITH EMPLOYEE

20. POST EXPOSURE MANAGEMENT 2.WITH EMPLOYEE’S CONSENT SEND FOR IMMEDIATE BLOOD TEST OR STORE BLOOD FOR 90 DAYS IN CASE OF DELAYED DECISION TO TEST 3.THE EXPOSED EMPLOYEE CAN REFUSE ANY MEDICAL EVALUATION 4.ABOVE PROCEDURES ARE NOT REQUIRED IF INJURY IS CAUSED BY STERILE SHARP

21. CAL/OSHA DOCUMENTATION ALL INCIDENTS MUST BE REPORTED AND DOCUMENTED WITH FOLLOWING INFORMATION • DATE / TIME OF EXPOSURE • TYPE OF FLUID( BLOOD, SALIVA, TISSUE) • TYPE OF EXPOSURE ( PERCUTANEOUS, SKIN, MUCOSA CONTACT) • CIRCUMSTANCE SURROUNDING ( DURING PROCEDURE, INSTRUMENT CLEANING ETC.) • WHETHER SHARP INVOLVED ( COMPLETE SHARP INJURY LOG)

22. POST EXPOSURE MANAGEMENT • IF PERMITTED BY LAW IDENTIFY SOURCE PATIENT • WITH CONSENT TEST THE PATIENT FOR HBV, HCV AND HIV STATUS • DO NOT TEST THE PATIENT IF HBV, HCV AND HIV STATUS IS KNOWN • IF PATIENT DECLINE TESTING DOCUMENT IT IN EMPLOYEE’S MEDICAL FILE

23. POST EXPOSURE MANAGEMENT • IF EMPLOYEE REFUSES THE MEDICAL EVALUATION, DOCUMENT IT IN EMPLOYEE’S MEDICAL FILE • RETAIN THE MEDICAL CARE PROVIDER’S WRITTEN OPINION IN THE EMPLOYEE’S MEDICAL FILE. • EMPLOYEE’S MEDICAL FILES ARE CONFIDENTIAL AND MAINTAINED PER CAL/OSHA REGULATIONS

24. POST EXPOSURE MANAGEMENT • CONTACT YOUR WORKMANS’ COMPENSATION INSURANCE COMPANY • BY PHONE • FAX • ONLINE • E-MAIL MOSTLY ALL OPTIONS ARE AVAILABLE 24/7

25. FILE A WORKMANS’ COMPENSATION CLAIM • EMPLOYEE TO FILL EMPLOYEE SECTION OF DCW 1 FORM • MAKE A COPY AND GIVE IT TO EMPLOYER • EMPLOYEE HAS RIGHT TO RECEIVE UPTO $ 10,000 IN MEDICAL CARE WHILE EMPLOYER DECIDE TO DENY OF ACCEPT THE CLAIM

26. DCW 1 FORM

27. INJURY REPORT

28. SUPERVISOR’S ACCIDENT REPORT

29. MPN 2 FORM

30. MPN 1 FORM

31. THANK YOU