General logistic measures - Orientation on the Infection Prevention guideline in oral care practices
General logistic measures
In the context of safety and to be able to implement measures for infection prevention consistently and properly, a number of points are important.
- Running lines for the assistant are as short as possible when transferring contaminated material to the sterilization room. If the distance is (too) large, a closed container on the worktop can serve as a 'parking space' for the dirty tray. At a later time or after collecting a number of trays, the closed container can safely be transported to the sterilization.
- Leads for patients are preferably not crossed. Patients do not come along and / or in contact with contaminated material on the normal flow path and assistants prefer a route to the sterilization area without obstacles or spaces with / from employees;
- Folding doors instead of doors with a door handle can be used 'hands free'.
- Smooth surfaces of the treatment unit are preferred.
- Organization and overview on the worksheet. In principle, there are only items on the worksheet that are required for the current treatment. So there are no 'chronic residents' of the worktop in the form of mixing machines, pens and notepads that collect unnecessary dust and aerosol. They obstruct the overview and prevent easy cleaning. All items therefore have their own place in drawer or cupboard when they are not needed during a treatment.
Unclear and not easy to clean worktop
The worksheet is always empty, unless something is on it (that is now being used).
For the extensive equipment needed for endos, covered (!) Side trolleys are an intermediate solution; do not expose on the worksheet and not awkwardly far away in a closet.
- Working with instrument cassettes makes the processing of dirty equipment safe, clear and quick. The cassettes must then be well flushable, so that proper cleaning can take place in the thermodesinfector.
Loose endo cart that can be covered with cover
Working with tray and tup system. Preferably use dispotrays without metal tray, which saves reconditioning of the standard trays. That saves not only actions but also a lot of capacity in the thermodesinfector. With sixteen treatment trays, the machine is full and must turn.
Dispotrays in use without a standard tray
- Pre-painted dispotrays can be stored in a tray cabinet. For this purpose, a standard tray box must be provided with thin perspex plates as a carrier of the ready-to-use dispotrays.
- All instruments and consumables are covered in the treatment environment. Alginate may be prepared as an example, but the container only opens to measure the sizes of powder.
Everything is always closed, except when it is open (to get something out of it).
Preferably the container is immediately put in its entirety again in a cabinet or drawer, away from the worktop.
If it is assumed that the drawer of an instrument box is opened with a clean transport tweezer and, for example, the elbow is closed, the following applies:
An instrument box is in fact a collection of hands-free opening boxes.
- Four handed working with ergonomic body trays. A careful working method can ensure that a whole working day can be worked with the same protective cover of the Bodytray. There is a lot of ergonomic job satisfaction and no cleaning action.