MANUAL OF APPLIED INFECTION PREVENTION AND CONTROL 2021-2022 1 Table of Contents OVERVIEW: APPLIED INFECTION PREVENTION AND CONTROL .............................. 5 Introduction ......................................................................................................................................... 5 Rationale ................................................................................................................................................ 5 How does infection occur ................................................................................................................. 5 Contact transmission .................................................................................................................................... 5 i. Direct ..................................................................................................................................................................... 5 ii. Indirect ................................................................................................................................................................. 5 Droplets .............................................................................................................................................................. 5 Aerosols .............................................................................................................................................................. 5 Infection Control Protocol: Standard Precautions ................................................................. 7 Hand hygiene ........................................................................................................................................ 7 Use of personal protective equipment (PPE) ........................................................................... 7 Proper management of patient care equipment ..................................................................... 7 Environmental surfaces .................................................................................................................... 7 Injury prevention ................................................................................................................................. 7 WORK RESTRICTION GUIDELINES1 IN THE OHC FOR STUDENTS, FACULTY AND CLINICAL STAFF INFECTED WITH OR EXPOSED TO THE FOLLOWING INFECTIOUS DISEASES ............................................................................................................ 8 APPLIED INFECTION PREVENTION AND CONTROL IN THE NOBEL BIOCARE ORAL HEALTH CENTRE ........................................................................................................ 12 1. Basic Dress Code (patient care or simulation): ........................................................... 12 2. Hand Hygiene (for routine dental procedures): ......................................................... 16 a. Hand washing .................................................................................................................................................. 16 b. Alcohol-based preparations (hand sanitizers) ................................................................................. 17 3. Personal Protective Equipment (PPE)............................................................................ 18 The Sequence of donning PPE .............................................................................................................................. 18 2. SURGICAL CAP/ BOUFFANT .......................................................................................................... 18 4. GOWN ........................................................................................................................................................... 19 5. MASK ............................................................................................................................................................ 19 6. PROTECTIVE EYEWEAR / LOUPES & FACE SHIELD ....................................................... 19 8. GLOVES ....................................................................................................................................................... 19 The sequence of removing PPE ........................................................................................................................... 19 1. GLOVES ....................................................................................................................................................... 19 3. GOWN ........................................................................................................................................................... 19 5. FACE SHIELS & PROTECTIVE EYEWEAR / LOUPES ........................................................ 20 6. SURGICAL CAP/ BOUFFANT .......................................................................................................... 20 8. MASK ............................................................................................................................................................ 20 4. Environmental Surfaces and Infection Control: .......................................................... 20 a. Housekeeping surfaces................................................................................................................... 21 b. Clinical contact surfaces ................................................................................................................ 21 c. Barriers ................................................................................................................................................. 21 OPERATORY ASEPSIS AND SET-UP PROCEDURES ...................................................... 23 Preparation for patient care ........................................................................................................ 23 Asepsis and Set-up Procedures ........................................................................................................................... 23 DURING PATIENT CARE ................................................................................................................. 30 RETURNING CONTAMINATED INSTRUMENTS TO CSD CUBBY ........................................ 31 2 END-OF-SESSION’ OPERATORY ASEPSIS PROCEDURE ........................................................ 32 Tear Down Procedures ............................................................................................................................................. 32 BEFORE COMMENCING TREATMENT ........................................................................................ 35 PROPER DISINFECTION OF IMPRESSIONS, FACEBOW/OCCLUSAL REGISTRATION, CUSTOM TRAYS, APPLIANCES, PRDPs, CRDPSs, CROWNS &FDPs ......................................................................................................................................... 37 INSTRUMENT REPROCESSING AND STERILIZATION ................................................. 38 Critical patient care equipment/device: ................................................................................. 38 Semi-critical patient care device: .............................................................................................. 38 Noncritical device: ........................................................................................................................... 38 Disinfection: ...................................................................................................................................... 38 High level disinfection: .................................................................................................................. 38 Steam sterilization .......................................................................................................................... 39 Flash Sterilization ............................................................................................................................ 39 AIR TURBINE AND HANDPIECES ....................................................................................... 40 INFECTION CONTROL FOR DIGITAL RADIOLOGY ....................................................... 41 1. PPE for RAD ROOM ................................................................................................................ 41 2. RAD ROOM PREPARATION ................................................................................................. 41 3. EQUIPMENT .............................................................................................................................. 42 a. For bagged supplies ......................................................................................................................... 42 b. For PSPs ................................................................................................................................................ 42 c. For CCDs ............................................................................................................................................... 42 4. EXPOSURE OF RADIOGRAPHS ............................................................................................ 43 5. ROOM CLEAN UP ..................................................................................................................... 44 6. SCANNER ROOM FOR PSPs .................................................................................................. 44 ORAL SURGERY AND SPECIAL CONSIDERATIONS IN INFECTION