ACIPC Conference 2016 A/Prof Sharon Liberali Chair, ADA Infection control committee NOVEMBER 2016 PRESSING INFECTION CONTROL ISSUES IN DENTISTRY
ACIPC Conference 2016A/Prof Sharon Liberali
Chair, ADA Infection control committee
NOVEMBER 2016
PRESSING INFECTION CONTROL ISSUES IN DENTISTRY
Dental Board of Australia – Guidelines on Infection Control
2
Who needs to use these guidelines?
These guidelines are developed to provide
guidance to dental practitioners or those seeking to become registered in the dental
profession.
They apply to all dentists, dental prosthetists,
dental hygienists, dental therapists, dental
specialists and oral health therapists.
3
1. Documentation
1.1 Every place where dental care is provided must have the following documents in either hard copy or electronic form (the latter includes guaranteed internet access). Every working dental practitioner and all staff must have access to these documents:
a) A manual setting out the infection control protocols and procedures used in that practice, which is based on the documents listed at sections 1.1(b), (c) and (d) of these guidelines and with reference to the concepts in current practice noted in the documents listed under Regulations in these guidelines
Dental Board of Australia – Guidelines on Infection Control
4
b) The Australian and New Zealand
Standard AS/NZS 4815:2006 Office
based health care facilities-
Reprocessing of reusable medical
and surgical instruments and equipment, and maintenance of
the associated environment
Dental practitioners work under
AS/NZS 4815 unless they work within an organization that operates
under……..
Dental Board of Australia – Guidelines on Infection Control
5
AS/NZS 4187:2014
Cleaning, disinfecting and
sterilising reusable
medical and surgical
instruments and
equipment, and
maintenance of
associated environments in health care facilities.
Dental Board of Australia – Guidelines on Infection Control
curr
6
c) Australian Guidelines
for the Prevention and
Control of Infection in Healthcare published by
the National Health and
Medical Research
Council (NHMRC)
Published in 2010
Currently under review
Dental Board of Australia – Guidelines on Infection Control
7
d) The current Australian
Dental Association
Guidelines for Infection
Control (published 2015)
Dental Board of Australia – Guidelines on Infection Control
So what are the pressing
Infection Control issues in
Dentistry?
“The greatest confusion for many practitioners is that they are not completely aware it is their personal responsibility
to ensure that correct infection control procedures are followed in the clinic environment, and that they actually agree to this responsibility each time they re-register with the Dental Board of Australia (the National Board)
or the Dental Council of NSW (the NSW Council).
This is the case whether you are an employee dentist or an employer dentist.
This is a responsibility that you cannot delegate.”
AS/NZS 4187 or AS/NZS 4815?
Office based practice, including Dentistry has
•Less complex procedures, particularly the use of ‘critical’ RMD’s
•Less risk of extensive blood loss and exposure to sterile tissues
•Less range of RMD family types
Small dental practice (4
chairs)
Complies with AS/NZS 4815 (2006)
Medium dental practice (10
chairs)
Complies with AS/NZS 4815 (2006)
Large dental practice
(20 chairs)
Partially complies with AS/NZS 4187 (2014)
CSU facility in progress -
2 rooms
Complies with AS/NZS 4187 (2014)
Disinfector
entryUltrasonics Disinfector
exit
Wrapping
station
Thank you