impression hygiene protocol. quality. safety. schülke. · 2019. 8. 28. · instrument...

Impression hygiene protocol. Quality. Safety. schülke.

Professional impression

products

Why?

Practices need to use a validated decontamination process for impressions, as theresponsibility for ensuring impressions are cleaned and disinfected prior to dispatch tothe laboratory lies solely with the dentist. The diagram on the right shows thedecontamination process.

When?

If the impression appliance is heavily soiled then cleaning in an ultrasonic bath wouldbe suitable, however cleaning an impression in an ultrasonic bath, no matter howheavily contaminated, would probably result in the impression being distorted ordamaged.

Therefore the immersion method should be used:The impression is completely submerged throughout theentire contact time.Every surface of the impression is cleaned and disinfected.Less fuss, no need to keep checking if the impression is su!cently wet, simply set the timer and leave it to clean and disinfect.When using the immersion method use a product with a long working life and consult the manufacturer for correct product procedures.

How?

perform® ID is a powder concentrate, designed to be used in the immersion method. Its based upon active oxygen and specially formulated to respect the dimensional stability of impression materials such as alginates, silicones and polyethers. It has a long working life and an extremely broad range of effectiveness. A perform® ID timer, bath and roll of stickers are available.

Remove

impression from

mouth

Rinse under

running cold

water

Inspect

visually

Immerse in

Impression

disinfectant for

recommended time

Rinse under

running cold

water

Store in a suitable

container and

label as

"Disinfected"

Despatch to

laboratory

Visibly Clean

Guidelines Impression disinfection protocol Buying guide

Is it CE marked? (Fit for purpose)

Does it state a contact time?

Does it state clearly how to use the product?

Does it advise what materials it can be used with?

Does the method ensure that all of the impressionis cleaned?

www.schulke.com 08/19 | V03

perform® ID

Deep cleaning and disinfection of dental impressions through complete immersion• broad microbiological effect with short submersion time• specially formulated to respect the dimensional stability of

impression materials such as alginates, silicones and polyethers

• excellent cleaning power removes blood and saliva residues• effective against bacteria and enveloped viruses in ten

minutes• uses the immersion method which means no aerosols and

ensures every surface of the impression is disinfected• cost effective: 2% concentration, makes 45L in use solution

from a 900g tub and 60L in use solution from the sachets

Instrument Reprocessing. Quality. Safety. schülke.

Hygiene protocol for instrumentsGuidelines Buying Guide

Professional products

for instruments

Why?

To prevent infection, all dental instruments that are laid out for each treatment should be systematically decontaminated after each procedure. All instruments or equipment to be reprocessed must be decontaminated with either an instrument washer or an ultrasonic cleaner.

Every dental surgery should follow a validated instrument decontamination process. Dental surgeries are able to quickly and pro*ciently decontaminate instruments in their own practice thanks to advancements in technology, such as washer-disinfectors & sterilisers. However sophisticated the decontamination process may have become it is still important that the right items are decontaminated.

When?

At what stage should an instrument be considered "dirty"?

All instruments set out for each patient are contaminated after the treatment whether or not they have been used.

The HTM 01-05 states that cleaning stainless steel instruments with an ultrasonic cleaner is the recommended method of mechanical cleaning. A washing-disinfector can also be used, when daily checking for detergent or rinse additive residue can be guaranteed.

However, it is always essential to check the appearance of instruments following cleaning to ensure the process is operating e#ectively.

How?

gigasept instru AF® is a high quality cleaning and disinfection solution for use in ultrasonic baths. Its benefits are:

Very good cleaning performanceFresh and pleasant fragranceShortened contact time with ultrasonic bathEffective against bacteria (inc. Tb), fungi and viruses (inc. HCV)

Rinse in

lukewarm water

Place the drills, cutters, burrs and other rotary parts in

rotasept® solution

Beakers can be placed in the ultrasound bath for faster

action

Remove the rotary parts from

Manually

clean

the solution and drain

Dry if necessary

Wrap & label(with batch control data,

time and date of sterilisation& identi*cation of contents

if not visible)

Sterilise

Store in a clean, dry area.

Traditional instruments

Rotary instruments

Visiblyclean

Visiblycontaminated

Washer disinfector(meets best practice)

Please note that this protocol is designed according to HTM 01-05 best practice guidelines. Adapt this protocol for essential quality guidelines where necessary.

Ultrasonic bath(meets essential quality standards)

At the end of

each treatment

Inspect

Cleaning (2 techniques)

Visiblycontaminated

Visiblyclean

Inspect

(Use Autoclave with a drying stage)

Manually

clean

instruments

(refer to

manual

cleaning

protocol)





Does it advise what microorganisms its a#ective against?

Is it labeled correctly, displaying manufacturer's name, directions and expiry date?

gigasept® Instru AF

High performance dual action liquid concentrate for cleaning and disinfection of dental instruments.• very good cleaning performance• fresh and pleasant fragrance• shortened contact time with ultrasonic bath

rotasept®

High performance, ready to use cleaning and disinfection solution for developed burs and other rotating instruments• excellent material compatibility• corrosion-preventing• effective against bacteria (inc. TB), fungi and viruses

(inc. HBV, HCV, HIV) in 15 mins• for quicker results insert the rotasept® bath into an

ultrasonic bath

thermodent® range

Range of solutions for automated decontaminationin washer disinfectors

• Excellent material compatibility

Washing and disinfecting hands. Quality. Safety. schülke.

4. Back of the

!ngers to the

opposing

palm, !ngers

interlocked.

1.1 Rub palm

to palm.

5. Rotational

rubbing of

the thumb.

2. Palm to the

back of the

opposite

hand.

6. Rotational

rubbing of the

tips of the

!ngers in the

opposite palm.

3. Palm to

palm, !ngers

interlaced.

Areas of the hand frequently overlooked

Guidelines

Recommended hand washing

/ disinfection technique

Hygiene & hand care protocol

Contaminatedhands

Invasive procedure

Disinfect hands with

desderman® pure (3 min.)

Don sterile surgical gloves

Disinfect hands with

desderman® pure (30 sec.)

Apply sensiva® protective emulsion

Non-invasive procedure

Disinfect hands with desderman® pure (30 sec.)

Don examination gloves

Buying guide


for hands

Most often overlooked

Often overff looked

Least often overlooked

If visibly contaminated wash

hands as instructed above

++

Yes No

This protocol is based on the procedure describedby Ayli#e GAI, Babb JR and Quoraish AH et al. J.Clin. Path1978 31:923-928. Produced in accordance withHealth Technical Memorandum 01-05: decontaminationin Primary Care Dental Practices.

Remove jewellery, rings, bracelets...

Wash hands (30 sec., water and liquid wash solution).

Follow recommended cleansing techniques.

Rinse thoroughly(under running water)

Dry hands (with disposable towel)

Treat patient

Remove and discard gloves

Next patient

Uncontaminated hands

Why?

Hands and forearms must be washed prior to and following each patient contact.Antibacterial based hand-rubs/gels formulated for use without water can be used onvisibly clean hands in conjunction with a good hand-washing technique for invasivedental procedures. Antibacterial-based hand-rubs/gels can also be used instead of hand-washing between patients during surgery sessions.

When?

A cleanable poster depicting a six or eight step method (for hand hygiene) should bedisplayed above every clinical wash-hand basin in the practice.

How?

Many of the antibacterial hand rubs and gels are alcohol based, enabling the productto take e#ect and also dry very quickly. One example is desderman® pure, a colour &perfume free alcohol rub with excellent e<cacy, skin compatibility and hygienicallydisinfects hands in just 15 seconds!

Hand Washing and Protection Buying Guide

Is it pH neutral?

Is it perfume & colour free to aid skin compatability?

Does it advise on skin types?

Hand Disinfection Buying Guide

Does it comply to EN 1500?

Does it have a contact time?



esemtan® wash lotion Deep cleansing wash lotion for regular use in clinical and medical environments

• suitable for the whole body, face and hair• for all skin types• pH neutral and soap free

sensiva® wash lotion

Gentle wash lotion for sensitive skin• colour and perfume free• pH neutral and soap free• contains allantoin to protect the skin

• colour and perfume free to reduce allergic and skin irritation

desderman® pure

Colour and perfume free, formulated for hygienic and surgical hand disinfection

• kills Norovirus in 15 seconds• hygienic disinfection in 30 seconds• surgical disinfection in 90 seconds• contains balanced emollients meaning frequent use

will not dry out your skin

sensiva® protective emulsion Enriching, rapidly absorbed moisturising cream

Surface decontamination? Trust mikrozid®

Kill HIV, HBV, HCV and Tb with the UK's No. 1 surface cleaner and disinfectant!

Clean & disinfect surfaces Surface decontamination protocol Buying Guide

Professional SurfaceProducts

New Patient

Always clean from the cleanest area toward the dirtiest

Why?

Any surface likely to have become contaminated duringdental treatment must be thoroughly cleaned and thendisinfected immediately following each patient treatment.Surfaces are prone to contamination by potentiallyinfective microorganisms. Strict and systematicdecontamination will reduce the risk of infectionto patients and sta# alike.

When?

Between all patients: clean and disinfect areas identi"ed byzoning and any other risk areas. After each clinical session:clean and disinfect all surfaces.

How?

Zoning is a preliminary step to surface disinfection that isabout clearly de"ning areas prone to contamination.Zoning involves the separation of contaminated andclean areas and the allocation of dedicated space to"dirty" and "clean" instrument storage.

The following should be included when zoning:Dental chair and spittoon Work surfacesControls & switches

Treat patient

Discard all disposable protection

(surgical light, headrest, hand controls…)

Remove and discard all disposable end

%ttings from the suction unit

Disinfect chair and hand controls

Last patient

Clean & disinfect surgery (oors

Clean & disinfect ALL work surfaces including

those not visibly contaminated

Add new disposable protections & %ttings

Produced in accordancewith Health TechnicalMemorandum 01-05:Decontamiantion inPrimary Care Dental Practices




Does it advise what surfaces it can be safely used on?



Clean and disinfect surfaces, chairs,

spittoon and other risk areas

mikrozid®

Unique alcohol formulation for virucidal protection in the cleaning and disinfection of hard surfaces

• cleaning and disinfection, two complete actions with one product• effective against bacteria (inc. TB), yeast and viruses (inc. Norovirus, Rotavirus and Adenovirus)

mikrozid® alcohol free

Alcohol free, dual action cleaner and disinfectant for alcohol sensitive surfaces

• alcohol free, making it ideal for all surfaces including dental chairs and alcohol sensitive materials

• effective against bacteria, yeast and viruses (inc. enveloped viruses, Norovirus and Rotavirus)

mikrozid® universalUniquely versatile, low-alcohol formulation for the rapid cleaning and disinfection of surfaces

• unique low alcohol formulation - ideal for leatherette and touch screens

• effective against bacteria (inc. Tb), yeast, viruses (inc. Norovirus and Rotavirus)

• dual action - cleaning and disinfection with one productterralin® rangeRange of high performance cleaners and disinfectantsfor all floors and large hard surfaces

• broad spectrum of efficacy including bacteria and viruses

• economic in use

Manual Cleaning of instruments. Quality. Safety. schülke.

Manual cleaning protocolGuidelines Buying Guide


for instruments

Why?

Every dental surgery should follow a validated instrument decontamination process. Dental surgeries are able to quickly and pro"ciently decontaminate instruments in their own practice thanks to advancements in technology, such as washer-disinfectors & sterilisers. However sophisticated the decontamination process may have become it is still important that the right items are decontaminated.

When ?At what stage should an instrument be considered "dirty"?All instruments set out for each patient are contaminated after the treatment whether or not they have been used. Every practice must have a manual cleaning procedure as an alternative incase a fault arises with the practice's main cleaning method.

The HTM 01-05 states that cleaning instruments with a washer-disinfector is best practice and if a practice does not have one then it should be incorporated into future plans. Until a washer-disinfector is purchased an ultrasonic-bath can be used as the main cleaning method or pre-treatment prior to a washer-disinfector. It is always essential to check the appearance of instruments following cleaning to ensure the process is operating e-ectively.

How?

gigazyme® plus3 is a enzyme based solution for the cleaning and disinfection of dental instruments

bactericidal, yeasticidal, virucidal in 5 minutesexcellent material compatibilitycost effective: 0.5% concentration, makes 200 L in use solution from a 1 L bottle




Does it advise what microorganisms its a-ective against?

Wear PPE, wash hands and prepare sinks,

equipment and setting down areas

Dismantle and open instruments for immersion

Fill the sink/bowl with water to the fill level advised by

the manufacturer, check water temperature

and add detergent (1 dose per litre for gigazyme® plus3)

Fully immerse the instruments

for the whole cleaning process

to prevent aerosols

Scrub instruments using long handled

brushes with soft plastic bristles

Rinse instruments with fresh

water in a second sink/bowl

Dry instruments

Visibly inspect all instruments

under an illuminated magni)er

Replace cleaning solution & rinse water after use

Complete relevant documentation

Visibly clean

Visibly contaminated


gigazyme® plus

The next generation of enzyme based solution for the cleaning and disinfection of dental instruments

• bactericidal, yeasticidal, virucidal in 5 minutes• excellent material compatibility• cost effective: 0.5% concentration, makes 200 L in

use solution from a 1 L bottle

gigasept® enzymatic

Advanced high performance tri-enzymatic powder concentrate for manual cleaning and disinfection of dental instruments

• contains 3 different enzymes that target and break down proteins, sugars and fats

• effective against bacteria and viruses in 15mins

• contains corrosion inhibitors• cost-effective: 0.5% concentration, makes

150 L in-use solution from a 750 g tub

gigasept® instru AFHigh performance dual action liquid concentrate for cleaning and disinfection of dental instruments in holding solutions

• very good cleaning performance• fresh and pleasant fragrance• shortened contact time with ultrasonic bath

impression hygiene protocol. quality. safety. schülke. · 2019. 8. 28. · instrument...

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