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How long is autoclave cycle?
45 mins
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What is the process for student owned bags?
- label w number
- double bag, sealed!
- keep receipt
- only issued to numbered student
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what is needed to check out supplies from central?
- barcode
- no outstanding returns
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What is the drop box for?
- after hours return of UCLA instrument cassettes only!
- bag, clean and count before turning in
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How do you handle missing instruments?
- count before and after procedure
- notify central ASAP
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What is the chain of infection?
- source: where live/reproduce
- Mode: method (direct/indirect)
- entry: cut, mouth, eyes, lungs
- susceptible host: one who is exposed
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What is best method of prevention?
unversal precaution: everything is infectious
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What are the routes of infection?
- 1) Direct contact with blood, oral fluids, or other patient materials
- 2) Indirect contact with contaminated objects
- 3) Contact of conjunctiva, nasal, or oral mucosa with droplets
- 4) Inhalation
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What are the methods of preventing cross contamination?
- Personal Protective Equipment (PPE)
- Barriers
- Hand-washing
- No Food/Beverage in Clinical Area
- No chewing gum, applying lip balm, or handling contact lens etc.
- Hair should be cleared away from the face
- Facial hair should be covered by a face mask or shield
- Jewelry should not be worn on the hands or arms during patient treatment
- Nails must be clean and short
- *hair and nails are known to harbor higher levels of bacteria than skin
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What is clinical PPE?
- Blue disposable gown
- gloves
- eyewear
- masks
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What are the 3 methods to limit contamination?
- 1. Proper patient positiioning
- 2. HV evacuation
- 3. Rubber Dam
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What is a critical item?
- used to penetrate soft tissue or bone
- bur
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What is a semicritical item?
- not used to penetrate but contact oral tissues
- mirror, instruments
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What is a non-critical item?
- contact intact skin, may be exposed to aerosol sprays, spatter or splashing or touched by contaminated hands
- chair
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What is proper way to cap?
- single handed, cap on flat surface, scoop w needle, only handle cap at bottom
- prevent stick, lowers cross contamination
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What is regulated medical waste?
- Infectious and bio hazardous waste
- Blood and blood by-products
- Sharps
- Anesthetic carpules
- Only items “Soaked” with Blood or Dry Flaky Blood
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How do you prepare contaminated material for laboratory?
- rinse & disinfect w intermediated level disinfectant
- plastic zip lock w lab slip outside or in separate bag
- clean and heat sterilize items used in mouth
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What are steps of incident reporting?
- report to EH&S within 8 hours
- 1. don't panic
- 2. wash hands/flush eyes
- 3. Report
- a. source patient and Group Practice Administrator (each with own form)
- b. Arthur ashe
- c. Occupational Health with Employee's Referral for industrial injury (form for OH)
- d. incident report form
- e. MOODLE
- After Hours: ER, report to OH following day (incident/moodle questionaire)
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Which tests will be done at OHF?
- Rapid HIV (maybe PEP post exposure prophy good for 1-2 hours after exposure)
- Anti-HBV
- Anti-HCV
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