Introduction - Practical infection prevention at the chair
A great deal of attention must be paid to infection prevention during patient treatment. Starting from the principle that cleaning is better than cleaning, many actions are described.
This chapter discusses the consequences of the Infection Prevention guideline in oral care practices for the therapist's actions around the treatments. It is indicated step by step which actions are necessary and in which order. In addition, attention is paid in word and image to the way in which these actions must be carried out.
Apart from the practical elaboration of cleaning, much attention is paid to ways to keep a number of things clean. The great importance of cleaning is related to the nature of a number of materials and objects that can not be adequately cleaned and / or disinfected after contamination. Consider alginate in the storage container, liquids from dropper bottles, dispenser for primer and bonding and last but not least - 'papers'.
Infection prevention at the chair aims to block two of the three indirect pathways of infection by micro-organisms: those via the air and those via contaminated surfaces (the third route of infection (via contaminated instruments).
Specifically, infection prevention during treatments must be aimed at limiting contagious aerosol by good Legionella prevention together with optimum mist extraction and in addition prevention of contamination by careful hand (shoe) hygiene with subsequent careful cleaning and disinfection of all contaminated became.
Keeping clean is better than cleaning! For the contents of jars, bottles and tubes:
keeping clean should not be possible when cleaning...
There must be accurate and systematic action, because infection prevention is aimed at invisible micro-organisms and, as a rule, at invisible pollution. You can not check on the eye if an object is clean or dirty.
Working according to fixed routines is essential when cleaning, disinfecting and sterilizing all instruments and materials used in dental treatment. Systematic work is also necessary to try to keep as clean as possible.
In this context it is crucial that the practical device allows a clean method, that there is sufficient time for carrying out the necessary actions and that there is sufficient discipline to perform the same actions each time.
For the practical design, an empty, tidy workplace is better to keep clean than a crowded messy workplace. Infection prevention therefore requires space. If space is limited, then there must be a perfect arrangement of materials, devices and instruments.
In principle, the worksheet is empty. Only devices and materials are set up that are necessary for this one treatment.
Regardless of the amount of available space, it is all about efficiency in all situations. When an action often has to be repeated, it is not efficient if all kinds of items have to be taken out of a cupboard or if other items have to be set aside. The core actions must be feasible quickly and effectively. This is a condition for the assistant to carry out the complex cleaning operations over and over again.
Effective operational management (efficiency) creates opportunities to work clean and safe. Conversely, clean and safe working is usually very efficient.