#8 – Treating known infectious clients and those with latex allergies

Treatment of Latex-Sensitive Clients

  • No latex in room
  • Instruments handled only with non-latex gloves
  • No glove powder on clothing
  • Consider sources of latex other than gloves:  -Prophylaxis cups,  -Rubber dams,  -Orthodontic elastics,  -Other latex-containing products
  • It may be advisable to schedule patients with latex allergy for the first appointment of the day to minimize their inadvertent exposure to airborne latex particles.
  • If latex-related complications occur during or after a procedure, seek emergency assistance

Your doctor will probably only relieve pain in this group until the infection is controlled. Here are the special procedures to perform:

Known Infectious Clients

  1. Remove all materials and equipment from the operatory not needed for this client.
  2. Cover all exposed surfaces with disposable drapes. patient drapes
  3. Wear a disposable gown, as well as standard protection. Face shields, double gloves. Do as needed.
  4. Treat your client using and absolute minimum of instruments and materials.
  5. Try to use the rubber dam.
  6. Any materials that must be mixed should be prepared by another assistant out of the operatory and brought in on a disposable sheet.
  7. Cover the chart and X-rays with a clear plastic sheet if they are needed in the operatory.
  8. When finished, place all instruments in a bag and rinse them with hot water then sterilize them immediately. Don’t clean them first. After they are removed from the sterilizer, place them in the ultrasonic and continue to clean them as normal.
  9. Put all disposables in a plastic trash bag.
  10. Spray all surfaces. Set for 10 minutes. Spray again. Set again for 10 minutes.
  11. When the instruments finish in the autoclave, clean them. Re-autoclave them.

Now you have completed your training in our infection control program You should be proficient in all the areas outlined below. Have one of the doctors check you off on each of these training steps:

  • Understand basically OSHA standard “Occupational Exposure to Blood born Pathogens”. Final Rule and its location in Dr. Smith’s file cabinet.
  • You can generally explain the epidemiology and symptoms of blood born diseases.
  • You can explain the modes of transmission of blood born pathogens.
  • You understand HealthPark/ Dentistry’s exposure control program. You may copy any of this you choose.
  • You understand the use and limitations of methods to prevent or reduce exposure including engineering controls, work practices, and personal protective equipment.
  • You understand the types, proper use, location, removal, handling, decontamination and disposal of personal protective equipment.
  • You understand why we have selected the personal protective equipment we use.
  • You understand the safety, efficiency, method of administration, benefits of received the Hepatitis B vaccine, and that the vaccine and vaccination will be offered free of charge.
  • You understand what to do if you are potentially exposed, including how to report the incident and the medical follow up that will be made available.
  • You understand the post exposure follow up that we are required to provide you following an exposure.
  • You understand all signs and labels required by OSHA.

Your signature ____________date __________

Trainer’s signature _____________date __________

Dentist’s signature ______________date ____________

Your training records will be kept for 3 years from the date on which the training occurred. Your training records will include: 1. The dates of training. 2. The contents or a summary of the training sessions. 3. The names and job titles of all those who attended the training session. 4. The names and qualifications of person conducting the training.