Infection Control - Resources for Program Development and ...



Infection Prevention and Control Resources for Dental Healthcare Settings

Recommended Documents and Resources for Planning,

Training and Quality Assurance

Updated February 15, 2014

Kathy Eklund

keklund@

Note to users: This guide is organized by topic and by agency. Some of the resources and websites are repeated when applicable to different sections of this handout. It is important to routinely update this resource to ensure current and accurate information.

Collect and maintain updated file copies of regulatory standards

including State and Federal Law

State or Province Dental Law / Practice Act and associated Rules & Regulations.

Review the specific dental practice law for your state or province. For example: state law may use the latest CDC Guidelines as the “standard of care”, or list specific requirements for infection control training, or mandates for frequency of sterilizer testing.

State Public Health Law:

Some states have additional mandates not included in Dental Practice Act.

North Carolina is one example.

Guidelines and Resources from the U.S. Centers for Disease Control and Prevention ( CDC)

U. S. Health and Human Services Centers for Disease Control (CDC) “Guidelines for Infection Control in Dental Health-Care Settings – 2003” – Guideline Document: mmwr/PDF/rr/rr5217.pd f or

Other CDC Infection Oral Health Infection Prevention and Control Resources:



Federal OSHA Standards

The focus is worker safety. Institutions must inform employees that the standards exist & how to access at their institution (if electronic, must be easy to access). It is recommended to keep a set of hard copies for quick access.

The Bloodborne Pathogens Standard (29 CFR 1910.1030) sets rules for protective attire, sharps safety and more. To find OSHA documents and other materials on-line:







▪ 1910.1030, Bloodborne pathogens [related topic page]

▪ 1910.1200, Hazard communication [related topic page]

▪ 1910.132, Personal protective equipment, general requirements [related topic page]

▪ 1910.133, Eye and face protection [related topic page]

▪ 1910.37, Maintenance, safeguards, and operational features for exit routes

▪ 1910.106, Flammable and combustible liquids

▪ 1910.138, Hand Protection

▪ 1910.242, Hand and portable powered tools and equipment, general [related topic page]

▪ 1910.141, Sanitation

▪ 1910.151, Medical services and first aid [related topic page]

The Standard: This is the link to the full Bloodborne Pathogens Standard



Recordkeeping - including a model sharps injury log: Go to



A model exposure control plan organizes the required information in a fill-in-the-blank template:

The full enforcement directive document may be seen at:



The Hazard Communications Standard (29 CFR 1910.1200) requires training for chemicals and other hazards in the dental workplace. The General Duty Clause cites requirements for exits, emergency evacuations, etc. Full text of the Standard available at:



Other OSHA online resources for dental hazards include:

Nitrous Oxide / anesthetic gases:







State OSHA Plans: The following states have approved OSHA State Plans:

Alaska, Arizona, California, Connecticut, Hawaii, Indiana, Iowa, Kentucky, Maryland, Michigan, Minnesota, Nevada, New Jersey, New Mexico, New York, North Carolina, Oregon, Puerto Rico, South Carolina, Tennessee, Utah, Vermont, Virgin Islands, Virginia, Washington, Wyoming. Connecticut, New Jersey, New York and Virgin Islands plans cover public sector (state and local government workers) only.



EPA Regulations.

Hazardous waste management, waste water treatment, etc.

Federal regulations prevail unless your region or state has unique EPA regulations.

Your institution or campus safety manager may be a resource for local / state regulations. Special dental issues include disposal of biohazard waste and chemical waste such as mercury / amalgam and radiographic processing wastes. For example, some states require amalgam separators. Waste disposal and EPA regulations may be cited in state Dental Practice Law.



Collect print copies of “Must Have” Guidelines and Forms

U. S. Health and Human Services Centers for Disease Control (CDC)

“Guidelines for Infection Control in Dental Health-Care Settings – 2003” –

mmwr/PDF/rr/rr5217.pdf

This document is frequently cited as the “standard of care”. Provides evidence based guidance for many aspects of infection control management. Includes continuing education, references. Use in conjunction with OSHA Standards to produce a complete Infection Control and Safety Compliance Policy. Tip: Obtain print copies for key institution / clinic personnel (clinic managers, clinic coordinators, Associate Clinical Deans).

Free individual print copies may also be obtained by calling: 770.488.6054.

U. S. Department of Labor Occupational Safety and Health Administration (OSHA)

OSHA Standards: “General Duty Clause”, Bloodborne Pathogens, and Hazard Communications.

At least one print copy of each standard should be kept on file.



OSHA Compliance Assistance on-line program: “Quickstarts”

This is not a separate set of regulations but OSHA’s version of a “Guide to the Standards”.

This step by step guide has a specific section on Healthcare and links the user to most of the OSHA compliance forms.



OSAP – Organization for Safety, Asepsis and Prevention

From Policy to Practice: OSAP’s Guide to the Guidelines.

This 170 page workbook contains practical information to assist health care professionals in implementing the CDC Guidelines. The workbook was produced by OSAP through a CDC cooperative agreement. The workbook may be ordered from the OSAP on-line “store” at



Infection Control and Safety Guidelines Checklist

OSAP, in its January 2004 issue of Infection Control in Practice, turned the CDC Guidelines For Infection Control in Dental Health-Care Settings - 2003 into a checklist.. This checklist is a valuable resource to help practices follow these important CDC infection control guidelines. 

Click HERE to download the checklist.

Use Low Cost or Free Media and Training Programs

Slide Presentation on Infection Control for Dental Offices, produced by the CDC.

Slide presentation on infection control for dental offices

oralhealth/infectioncontrol/guidelines/ppt.htm

Free slide presentation in powerpoint format produced by the Centers for Disease Control. This program provides an overview of basic principles contained in the CDC Guidelines for Infection Control in Dental Health-Care Settings—2003. It can be downloaded as a PowerPoint presentation or viewed on the Web site. Good visuals and charts.

From Policy to Practice: OSAP’s Interactive Guide to the CDC Guidelines.

The Organization for Safety, Asepsis and Prevention (OSAP) has an on-line interactive educational tool designed to provide education and training in basic infection control principles and the CDC Guidelines for Infection Control in Dental Health-Care Settings. This is an excellent tool for entry level training and as refresher training. There is no charge to access and view the complete course. For those who wish to be tested on the material and earn 10 CE credits, processing fees apply. Free, self paced, modular, interactive

The OSAP/Interact Training System

The OSAP Interact Training System is a comprehensive infection control and safety education and training program. The system can be used in educational settings as well as institutional and private practice dental settings. The system consists of individual interactive workbooks for personnel and DVD presentations that coordinate with the workbooks. The system is designed to integrate CDC guidelines, OSHA regulations and basic infection control principles with site-specific infection control and safety policies and procedures. Updated March 2008.

If Saliva Were Red: A Visual Lesson on Infection Control

This classic is an 8 minute video training system. Features two segments – one illustrating dental procedures without most of the recommended barriers and practices; then another segment with recommendations in use. Red dyes are incorporated to illustrate the otherwise invisible cross contamination potential of saliva and other oral fluids. The program is not narrated, allowing great flexibility in use. The program includes a trainer’s guide and is available to order from OSAP at the on-line “store”.

If Saliva Were Red



CDC Hand Hygiene Course.

Free, online interactive course in Powerpoint format with short video action clip demonstrating hand hygiene techniques using soap and water and alcohol hand rub. Access course at: handhygiene/training/interactiveEducation/

WHO Hand Hygiene Resources and Materials

A range of WHO tools have been developed to complement the Five Moments approach. These areas initially being tested in the pilot and complementary test sites. A selection of these tools are available for downloading .

WHO Report on the burden of endemic health care-associated infection worldwide.

• Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis

o Report on the burden of endemic health care-associated infection worldwide [PDF 2.78Mb] The Lancet

• The global burden of disease caused by health-care associated infections

o WHO Report on the burden of endemic health care-associated infection worldwide [pdf 2.78 Mb]

Post Exposure Protocols and Sharps Safety

CDC and U.S. Public Health Service Guidelines for Management of Occupational Exposures

and Post exposure prophylaxis:

• Updated US Public Health Service Guidelines for the Management of Occupational Exposures to Human Immunodeficiency Virus and Recommendations for Postexposure Prophylaxis David T. Kuhar, MD; David K. Henderson, MD; Kimberly A. Struble, PharmD; Walid Heneine, PhD; Vasavi Thomas, RPh, MPH; Laura W. Cheever, MD, ScM; Ahmed Gomaa, MD, ScD, MSPH; Adelisa L. Panlilio, MD and for the US Public Health Service Working GroupInfection Control and Hospital Epidemiology Vol. 34, No. 9 (September 2013), pp. 875-892 Published by: The University of Chicago Press on behalf of The Society for Healthcare Epidemiology of America Stable URL:

• CDC Guidance for Evaluating Health-Care Personnel for Hepatitis B Virus Protection and for Administering Postexposure Management Recommendations and Reports December 20, 2013 / 62(rr10);1-19

• CDC. Updated CDC recommendations for the management of hepatitis B virus-infected health-care providers and students. MMWR 2012;61(No. RR-3). mmwr/pdf/rr/rr6103

CDC Sharps Injury Prevention and Safety Device Evaluation Resources

Centers for Disease Control and Prevention (CDC) has developed two sample forms (with instructions for use) to assist dental personnel in screening and evaluating devices for clinical acceptability. These forms have been pilot tested with focus groups of different types of dental staff members, including end users and purchasers. To increase the safety of both dental personnel and their patients, we are making these forms available for general use. Although these forms are specific for anesthetic syringes, they can be modified for use with other types of dental devices.

Federal OSHA Standards OSHA web sites specific for exposure prevention and post exposure requirements:

The focus is worker safety. Institutions must inform employees that the standards exist & how to access at their institution (if electronic, must be easy to access). It is recommended to keep a set of hard copies for quick access.

The Bloodborne Pathogens Standard (29 CFR 1910.1030) sets rules for protective attire, sharps safety and more. To find OSHA documents and other materials on-line:







▪ 1910.1030, Bloodborne pathogens [related topic page]

OSHA Recordkeeping Requirements: OSHA has specific injury recordkeeping requirements



American Dental Association (ADA) resources for post exposure managementDocuments provides guidance to dental employers about their responsibilities under the OSHA standard for providing post-exposure evaluation and follow-up for employees exposed to bloodborne pathogens.

OSHA - American Dental Association -

|... Post-Exposure Evaluation and Follow-Up Requirements Under OSHA's |

|Standard for Occupational Exposure to Bloodborne Pathogens. ... |

|2721.aspx - 5k |

ADA Positions, Policies & Statements - American Dental ...

|... and Responsibilities (PDF) (Posted 4/19/10); ... Topic: Infection Control; |

|Post-Exposure Evaluation and ... Up Requirements Under OSHA's Standard for ... |

|policiespositions.aspx - 7k |

|[ More results from ] |

PEPline: National Clinicians Post Exposure Prophylaxis Hotline 1.888.448.4911

Available 24/7. Experts can provide timely advice and reassurance regarding actual levels of risk based on exposure factors. Does not take the place of an established procedure for referral of exposed, injured persons.

Injection Safety Topics: References oriented toward medical / hospital providers.

Helpful for educational institutions with oral surgery or hospital based components.



Needle Safety Act and Evaluation of Safer Devices.

Includes background information, sample evaluation forms and recommendations.



Safe Injection Practices in Dentistry 

Safe injection practices are a set of measures clinicians should follow to perform injections in an optimally safe manner for patients, health care personnel, and others. CDC reminds dental practitioners of the safe injection practices that are critical for patient safety.

Device Screening and Evaluation Forms

Resources for Immunization Recommendations

CDC Immunization Resources for Healthcare Personnel

and

This site on the CDC website provides valuable information and educational and training resources for healthcare personnel and immunizations for vaccine preventable diseases.

• Resources (publications, Vaccine Information Statements, etc.)

• Immunizations for Healthcare Personnel

• Immunization Schedules

• Guidelines / Recommendations and Vaccine Administration

• Vaccines and VPDs

• Vaccine Shortages and Delays

• Vaccine Storage and Handling

CDC Immunization Recommendations for Healthcare Personnel:

Visit this website for general information about immunizations for healthcare workers:



Health-Care Personnel (11/25/11)

"Immunization of Healthcare Workers"

Print version [pic][PDF-705KB / 48 pages]

See also: Influenza Vaccination of Health-Care Personnel

Centers for Disease Control (CDC) “Guidelines for Infection Control in Dental Health-Care Settings – 2003” Review pages 8, 9, Recommendation #1. A. 1.

mmwr/PDF/rr/rr5217.pdf

Resource Summary Table of Immunization Recommendations for HCP

Immunization Topics: Healthcare Personnel

For healthcare personnel and immunization, access the latest recommendations, news, information, and resources from IAC, government agencies, professional ... hcw/

A summary of immunization guidelines is also available at:

CDC Influenza

Influenza Information for Healthcare Professionals



Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases: Personal Protective Equipment for Healthcare Personnel Update 2010[pic]

January 27, 2011

This report for NIOSH from the Institute of Medicine assesses the progress of PPE research and identifies future directions for PPE for healthcare personnel.

Infection Control Guidance for Healthcare Settings



CDC Guideline: Prevention Strategies for Seasonal Influenza in Healthcare Settings



Instrument Processing and Sterility Assurance:

• Guidelines for Infection Control in Dental Health-Care Settings, 2003 

• Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008   

• AAMI/ANSI ST79 Standards (Amendment 3) 2012  PDF Version located at: 

Hazard / Chemical Control Program Resources

The Hazard Communications Standard (29 CFR 1910.1200) requires training for chemicals and other hazards in the dental workplace. The General Duty Clause cites requirements for exits, emergency evacuations, etc. Full text of the Standard available at:



Identify and inventory the chemical and physical hazards (compressed gases, dental materials and devices, radiation, mercury, etc. found in your facility.



Hazard communication Standard 2012 (aligns with Global Harmonization)

Nitrous Oxide and other gases:



National Institute for Occupational Safety and Health (NIOSH), DHHS Publication No. 96-107,

Hazard Control HC3 (1996), 6 pages. This document presents NIOSH research that shows controls including system maintenance, ventilation, and operations. Includes step-by-step approach to controlling N2O exposure.



National Institute for Occupational Safety and Health (NIOSH), DHHS Publication No. 94-100

(1996, August 5), 8 pages. This alert presents control measures for preventing or greatly reducing

exposure to N2O during the administration of anesthetic gas.



NIOSH – National Institute for Occupational Safety and Health

(Nitrous Oxide, Lab materials, Latex, etc.)

OralHealth/infectioncontrol/

Beryllium Hazards in Dental Laboratories

OSHA (2002, May), 42 KB PDF, 9 pages. Hazard Information Bulletin (HIB) informs employers and employees about risk of dental laboratory technicians developing chronic beryllium disease (CBD).

More Centers for Disease Control Infection Control Guidelines/ Documents:

CDC's Oral Health Resources site for infection control in dentistry:



Frequently Asked Questions in Infection Control.

CDC - Guide to Infection Prevention in Outpatient Settings ...

o Note to Readers. The following document is a summary guide of infection prevention recommendations for outpatient (ambulatory care) settings. ...

HAI/settings/outpatient/outpatient-care-guidelines.html

Other Guidelines for Protecting Patients and Health Care Workers (by date)



Guidelines for Protecting Patients (by date)

• CDC Guideline: Prevention Strategies for Seasonal Influenza in Healthcare Settings

• Guideline to Infection Prevention in Outpatient Settings – May 2011 HAI/settings/outpatient/outpatient-care-guidelines.html

o Checklist The Infection Prevention Checklist for Outpatient Settings: Minimum Expectations for Safe Care [pic] [PDF 538 KB] is a companion to the Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care.  The checklist should be used:  1)To ensure that the facility has appropriate infection prevention policies and procedures in place and supplies to allow healthcare personnel to provide safe care. 2) To systematically assess personnel adherence to correct infection prevention practices.

(Assessment of adherence should be conducted by direct observation of healthcare personnel during the performance of their duties.)

o

• Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008

PDF (1.80 MB / 158 pages

• Guideline for Isolation Precautions 2007

• Management of Multidrug-Resistant Organism 2006 PDF (233 KB, 74 page)

• Preventing Healthcare-Associated Pneumonia, 2003

• Environmental Infection Control in Healthcare Facilities, 2003

• Hand Hygiene in Healthcare Settings, 2002

• Prevention of Intravascular Device-Related Infections, 2002

• Prevention of Surgical Site Infections, 1999

• Prevention of Catheter Associated Urinary Tract Infections, 1981

CDC Guidelines for Protecting Healthcare Personnel (by date)

• CDC Guidance for Evaluating Health-Care Personnel for Hepatitis B Virus Protection and for Administering Postexposure Management Recommendations and Reports December 20, 2013 / 62(rr10);1-19

• Updated US Public Health Service Guidelines for the Management of Occupational Exposures to Human Immunodeficiency Virus and Recommendations for Postexposure Prophylaxis David T. Kuhar, MD; David K. Henderson, MD; Kimberly A. Struble, PharmD; Walid Heneine, PhD; Vasavi Thomas, RPh, MPH; Laura W. Cheever, MD, ScM; Ahmed Gomaa, MD, ScD, MSPH; Adelisa L. Panlilio, MD and for the US Public Health Service Working GroupInfection Control and Hospital Epidemiology Vol. 34, No. 9 (September 2013), pp. 875-892 Published by: The University of Chicago Press on behalf of The Society for Healthcare Epidemiology of America Stable URL:

• Updated CDC Recommendations for the Management of Hepatitis B Virus–Infected Health-Care Providers and Students. July 6, 2012 / 61(RR03);1-12Prepared by. ...mmwr/preview/mmwrhtml/rr6103a1.htm?s_cid=rr6103a1_w

• CDC Immunization Recommendations for Healthcare Personnel:

• Visit this website for general information about immunizations for healthcare workers:

•

• Health-Care Personnel (11/25/11)

"Immunization of Healthcare Workers"

Print version [pic][PDF-705KB / 48 pages]

See also: Influenza Vaccination of Health-Care Personnel

• Management of Occupational Exposures to Hepatitis B, Hepatitis C, and HIV and Recommendations for Postexposure Prophylaxis - 2001

• Infection Control in Healthcare Personnel - 1998 See more Healthcare Worker Occupational Health Guidelines

CDC Seasonal Influenza and 2009 H1N1 Influenza: Resources for Clinicians

•

•

•

•

CDC H1N1 Influenza A :

• Infection Control In a Healthcare Setting

o

o

o Q&A: Updating Guidance on Infection Control Measures for Influenza in Healthcare Settings

o Q&A: Respiratory Protection For Preventing 2009 H1N1 Influenza Among Healthcare Personnel

Tuberculosis (TB)

Tuberculosis Infection Control Recommendations

The changing epidemiology of tuberculosis (TB) and discovery of new diagnostic methods prompted a revision of CDC's guidelines to prevent TB transmission in healthcare settings. View CDC’s TB infection control recommendations for dental settings* and learn how they should be incorporated into an infection control program. Related link: Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005

CDC Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005. (last accessed October 2, 2012)

Publication for Dentistry: Tuberculosis Infection Control for Dentistry (September 2009)

Cleveland JL, Robison VA, Panlilio AL. Tuberculosis epidemiology, diagnosis and infection control recommendations for dental settings: An update on the Centers for Disease Control and Prevention guidelines. J Am Dent Assoc 2009;140:1092–1099.

General Facemasks and Respiratory Protection Information

• Facemask and Respirator Use for Home Community and Occupational Settings

• CDC :

• Features/MasksRespirators/

• niosh/npptl/topics/respirators/disp_part/RespSource3.html#e

• FDA:

• MedicalDevices/ProductsandMedicalProcedures/GeneralHospitalDevicesandSupplies/PersonalProtectiveEquipment/ucm055977.htm

•  OSHA Respiratory Protection eTool:

•

CDC National MRSA Education Initiative: Preventing MRSA Skin Infections

Prevention of Methicillin-Resistant Staphylococcus aureus (MRSA) Transmission in Dental Health Care Settings*  In health care settings, MRSA most often is spread indirectly from patient to patient on the transiently contaminated hands of health care professionals. Standard Precautions has been shown to be an effective strategy in preventing transmission. Learn more at CDC’s About MRSA Skin Infections. 

Information for Healthcare Professionals

CDC Patient Safety

Healthcare-associated Infections (HAI)



Safe Injection Practices in Dentistry 

Safe injection practices are a set of measures clinicians should follow to perform injections in an optimally safe manner for patients, health care personnel, and others. CDC reminds dental practitioners of the safe injection practices that are critical for patient safety.

Device Screening and Evaluation Forms

CDC: Hepatitis B

Patient-to-patient Transmission of Hepatitis B Virus Associated with Oral Surgery 

The Journal of Infectious Diseases describes the first documented case of patient-to-patient hepatitis B virus transmission in a dental office. Excellent resource for assignment, discussion, case analysis, ethical considerations. From the Journal of Infectious Diseases.

Updated CDC Recommendations for the Management of Hepatitis B Virus–Infected Health-Care Providers and Students Guidance for the practices of chronically HBV-infected providers and students and the institutions that employ, oversee, or train them. This report updates the 1991 CDC recommendations

SHEA_2010_HCW_Guidelines.pdf

...2010, vol. 31, no. 3 shea guideline SHEA Guideline for Management of Healthcare Workers Who Are Infected with Hepatitis B Virus Society for Healthcare Epidemiology of America (SHEA) regarding the management of healthcare providers who are infected with hepatitis B virus...

United States Air Force Dental Evaluation and Consultation Service

This is an excellent resource for infection control and other dental product and device information in an objective and non-commercial format. The service provides information, resources and product evaluation for all branches of the US armed forces, US Public Health Service and other US government agencies providing dental care. Access to the website is free and open to the public.

Infection Prevention and Control Resources:

• DECS Homepage:

• USAF Guidelines for Infection Prevention & Control in Dentistry

– Sample Exposure Control Plan

– USAF Dental Infection Prevention & Control Program Self-Inspection

Organization for Safety Asepsis and Prevention (OSAP) Resources:

OSAP is a unique group of dental practitioners, allied healthcare workers, industry representatives, and other interested persons with a collective mission to promote infection control and related science-based health and safety policies and practices. OSAP supports this mission through collaborations with many agencies and professional groups. The organization has an international member base.

Website:

Meetings and Training Events:

• CDC and OSAP co-sponsored Annual Infection Control Boot Camp; Mid January

o Full week course, target audience clinic managers, military, public health and institutional dental personnel, educators, dental school clinical staff. Covers all aspects of infection control & safety.

• Annual OSAP Symposium. Held mid June. Varying locations. See for details. Presentations provide both beginners and experts with valuable information, resources, training

Exclusive Member Benefits:

APIC – Association for Professionals in Infection Control & Epidemiology.

Infection Control Organization with broad scope of interest in the medical community.

Membership, Annual Session and American Journal of Infection Control – highly recommended resources for everyone, and especially institutions and programs with hospital based clinical rotations, oral surgery graduate programs, etc.

Portable and Mobile Dental Programs – Infection Control Resources

OSAP

The Organization for Safety and Asepsis Procedures (OSAP) formed a national advisory group to develop a practical community site assessment and corresponding infection control and safety checklists. These checklists offer infection control guidance for oral health surveys, screenings, preventive care and treatment regardless of setting. This guidance is based on general principles of infection control and is determined by the provider's level of anticipated contact with the patient's oral mucous membranes (MM), blood or saliva contaminated with blood. Tools include: Site Analysis and OSAP Infection Control Checklist for Dental Programs Using Mobile Vans or Portable Dental Equipment

Guide for Safety and Infection Control for Oral Healthcare Missions. OSAP 2004.

Guide Book and CD 52-page, spiral-bound text book with 12 ready-to-edit forms on an accompanying CD-ROM.  This is a practical guide to providing safe dental care in nontraditional settings.  It is designed for healthcare providers who participate in humanitarian missions that provide dental care to individuals in nontraditional settings.  These settings often lack the necessary resources or modern amenities that are found in dental practices in the United States.  The Guide contains a compilation of suggestions provided by person who have actually experienced and participated in humanitarian mission. Free Download available at

School-based Sealant Program resources from the Centers for Disease Control and Prevention

ASTDD - Resources on Mobile and Portable Dental Services in Preschool and School Settings

National Maternal and Child Oral Health Resource Center

Seal America: The Prevention Invention*

is an online manual designed to assist health professionals initiate and implement a school-based dental sealant program.

Ohio Safety Net Distance Learning for School-Based Dental Sealant Programs

A five-part, distance-learning course provided to further understanding of the history, operations, and underlying principles of Ohio’s school-based dental sealant programs. Available at: infection control section is module 2

Mobile Portable Dental Manual

This is an online manual for planning and implementing portable and mobile dental service programs.

The Safety Net Dental Clinic Manual

This resource from the National Maternal and Child Oral Health Resource Center . The Safety Net Dental Clinic Manual is designed to help safety net dental clinic staff with all aspects of clinic development and ongoing operations.

Resources for HIV Information

AETC National Resource Center Update

The AIDS Education and Training Centers is a federally funded agency of the U.S. Health Research Services Agency (HRSA ). The AETCs conduct targeted, multi-disciplinary education and training programs for healthcare providers treating persons with HIV/AIDS. This web site provides a central repository for AETC program and contact information and for training materials developed within the AETC network.



The Northeast AIDS Education and Training Centers goal is: To increase the number of health care providers effectively trained to counsel, diagnose, treat and manage the care of individuals with HIV infection and to assist in the prevention of high risk behavior which may lead to infection The regional web site is

AIDSInfo is a website of the U.S. National Institutes of Health offering HIV information and resources on prevention, treatment and research



HIVDENT is a not-for-profit coalition of concerned health care professionals committed to assuring access to high quality oral health care services for adults, adolescents, and children living with HIV disease. HIVDENT disseminates state-of-the-art treatment information and shares expertise in advocacy, development, training, integration, and evaluation of oral health services for the HIV-infected population.

The primary mechanism by which HIVDENT initially intends to accomplish its mission is via this web site. Inside, not only will you find several sections on the oral manifestations of HIV disease and a large picture gallery, but information on infection control, post-exposure protocols, pediatric/adolescent care, medications, funding and other resources.

Through an easily accessible e-mail system, health care professionals and consumers alike are able to communicate directly with the Faculty, some of the foremost international experts in these fields.



World Health Organization (WHO)



This is the World Health Organization website area that contains many infection control topics, resources and guidelines. Topics include hand hygiene, injection safety, safe surgery and others.

“Adverse events may result from problems in practice, products, procedures or systems. Patient safety improvements demand a complex system-wide effort, involving a wide range of actions in performance improvement, environmental safety and risk management, including infection control, safe use of medicines, equipment safety, safe clinical practice and safe environment of care.”

Infection Prevention and Control- Resource Textbooks

Author Title

Miller & Palenik Infection Control and Management of Hazardous

Materials for the Dental Team, 4th Ed.

Molinari &Harte Cottone’s Practical Infection Control in Dentistry 3rd Ed.

Greenwood, Slack, et.al Medical Microbiology, 17th Ed. 2007

Peutherer & Barer A guide to microbial infections, pathogenesis

Immunity, etc.

Wilson Infection Control in Clinical Practice, 3rd Ed. 2006

Mayhall Hospital Epidemiology and Infection Control 2004

Lawrence & May Infection Control in the Community 2003

Gruendemann & Mangum Infection Prevention in Surgical Settings 2001

Gorbach, Bartlett, & Blacklow Infectious Diseases 2003

Education and Training

Dental Infection Control Educators' and Trainers' Toolkit

Available on CD-ROM, OSAP's Dental Infection Control Educators' and Trainers' Toolkit is a coaching workbook designed to assist with the development, planning and promotion of successful, high-impact infection control and safety programs and presentations. The resources describe the psychology of adult learning, offers suggestions on delivery techniques, provides sample lesson plans, introduces games that promote learning and much more This is an excellent resource for educators, consultants and infection control managers.

GloGerm – A Training Tool for Hand Hygiene

Website for information on ordering and using Glo Germ for infection control education:



Massachusetts Board of Registration in Dentistry



On August 20, 2010 the Massachusetts Board of Registration in Dentistry promulgated new regulations. The regulations include the following requirements:

234 CMR 5.05 (1) Infection Control Practices. All persons licensed by the Board and all practices providing dental services are required to operate in compliance with the current Recommended Infection Control In Dental Health-Care Settings-2003, Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services, Atlanta, Georgia, as may be amended and republished.

234 CMR 5.05 (2) Occupational Health and Safety Practices.  All persons licensed by the Board and all practices providing dental services are required to operate in compliance with the Occupational Safety and Health Administration Standards at 29 CFR OSHA Standards.

234 CMR 8.03: Required Biennial Continuing Education A licensee seeking to renew his/her license must complete continuing education as a condition precedent to the biennial renewal of his/her license in the following areas:  

(a) Infection Control in the dental health-care setting

Resources:

• U. S. Health and Human Services Centers for Disease Control (CDC)

“Guidelines for Infection Control in Dental Health-Care Settings – 2003” –

Guideline Document: mmwr/PDF/rr/rr5217.pdf or

Other CDC Infection Control Resources:

and

• The Bloodborne Pathogens Standard (29 CFR 1910.1030) sets rules for protective attire, sharps safety and more. To find OSHA documents and other materials on-line:

o BBP Standard 1910.1030,

o Bloodborne pathogens [related topic page

o Other OSHA Resources specific to Dentistry







Excellent Resource: Organization for Safety, Asepsis and Prevention (OSAP)

OSAP is a unique group of dental practitioners, allied healthcare workers, industry representatives, and other interested persons with a collective mission to promote infection control and related science-based health and safety policies and practices. OSAP supports this mission through collaborations with many agencies and professional groups.

Website:

NOTE: For an more extensive Infection Prevention and Safety resource list contact Kathy Eklund keklund@ [pic]

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