4/25/2019 1 Dental Compliance Review OHSA, Infection Control, HIPAA Disclaimer • Karen Gregory RN is an employee of Total Medical Compliance. • Karen Gregory is a Hu-Friedy Key Opinion Leader, a consultant for SciCan and serves on the OSAP Board of Directors. Objectives • Recognize specific employee safety measures required by the OSHA Bloodborne Pathogen Rule and the Hazard Communication Standard. • Recall acceptable standards of care outlined in the CDC Dental Infection Control Guidelines. • Discuss identification of breach situations and reporting process to impacted patients. Safety Program Images courtesy of agency websites What’s Your WHY? Infection Control Coordinator Who’s on First? 1 2 3 4 5 6
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4/25/2019
1
Dental Compliance Review
OHSA, Infection Control, HIPAA
Disclaimer
• Karen Gregory RN is an employee of Total Medical Compliance.
• Karen Gregory is a Hu-FriedyKey Opinion Leader, a consultant for SciCan and serves on the OSAP Board of Directors.
Objectives
• Recognize specific employee safety measures required by the OSHA Bloodborne Pathogen Rule and the Hazard Communication Standard.
• Recall acceptable standards of care outlined in the CDC Dental Infection Control Guidelines.
• Discuss identification of breach situations and reporting process to impacted patients.
Safety Program
Images courtesy of agency websites
What’s Your WHY?
Infection Control Coordinator
Who’s on First?
1 2
3 4
5 6
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Bloodborne Pathogen Standard
HIV HEP B
HEP CPrevent
and Protect
Presence of Bloodborne Pathogen
Bloodborne Pathogen infects
healthy cells
Transmitted via exposure
Bloodborne Pathogens
Fast Facts
• May have flu-like symptoms or none at all
HIV - .23%
• May have fever, joint pain, nausea, vomiting, weakness• 50 - 100 times more infectious than HIV• Best protection is vaccination
Hepatitis B – 6 – 30%
• May have fever, joint pain, nausea, vomiting, weakness• Testing recommended for individuals born between 1945 –
1965
Hepatitis C - .1%
Hazard Assessment Certification
Hepatitis B Vaccine
• After training• Within 10 working days of assignment
• Documentation must be in medical file
Hep B Vaccine Titer
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9 10
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Personal Protective Equipment Heavy Duty Utility Gloves
• Contaminated sharp items
• Sizable
• Puncture and chemical resistant
• Wash or surface disinfect
• Discard when cracked, peeling, torn, punctured
Work Practices Controls Engineering Controls
Cassettes
Safety AspiratingSyringe
Safety Scalpel
Blade Remover
RecappingDevice
Needlestick Safety and Prevention Act
• Use of engineering controls and safety devices
• Annual feedback on work practice controls
Surface Disinfection
Use PPE -Gloves and
possibly face protection
Utilize Two Step Method
EPA registered Hospital
Disinfectant
Don‘t forget handpiece
cradles, light switches, door
handles
Surface disinfectant
contact time?
Follow manufacturer’s instructions for
use
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Exposures
• Splash to eyes, nose or the mouth
• Splash to non-intact skin
• Stick with a needle or sharp instrument
800,000 Needlestick Injuries Occur Each Year in the US
In the Event of Exposure….
Clean Report Seek Care
Hazard Communication Chemical Hazard
GHS Manufacturer’s Labels
• Symbols - Pictograms • Signal Words • Hazard Statements• Precautionary Statements
Pictograms
19 20
21 22
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SDS – Finding Help!
Section 2 - Hazard(s) identification
Section 4 - First-aid measures
Section 6 - Accidental release measures and spill clean-up
Section 8 - Exposure controls and personal protection