1.

TITLE OF COURSE:

Infection Control

PREFIX/NUMBER:

DEA 126

CREDIT HOURS:

3

2.

PREREQUISITE:

3.

RESOURCES NEEDED:

TEXT:

Torres & Erhlich Modern Dental Assisting, Bird/Robinson, Saunders and Company, 9^th  Edition, 2008

ADA ICE Packet and ADA MMWR Guidelines for Infection Control as reference materials.

SUPPLIES:

4.

COURSE DESCRIPTION:

Includes basic information concerning infection and disease transmission in the dental office.  Emphasizes knowledge of microorganisms, with an emphasis on aseptic techniques, sterilization, and hazardous communication management.

5.

COURSE GOAL:

6.

COURSE OBJECTIVES:

At the completion of this unit the student should be able to:

A.

Identify pioneers in the field of microbiology and their roles.

B.

Identify and explain the groups of microorganisms and the diseases they cause.

C.

Describe the roles of host resistance, virulence, and concentration.

D.

List the Universal Precautions and explain their significance.

E.

Describe actions to be taken in case of exposure incidents.

F.

Identify the characteristics of microorganisms including bacteria, protozoa, rickettsia, yeasts, molds, and viruses.

G.

Describe the diseases of major concern to the dental health care worker.

H.

Be completely familiar with OSHA guidelines in Hazardous Communications (MSDS) which establish and enforce infection control procedures in hospitals, clinics, and medical and dental offices.

I.

Describe and identify a waste management plan and types of waste.

J.

Demonstrate or describe the procedure for cleaning up a spill of potentially infectious material and handling dental office waste.

K.

Explain how the body fights disease and the different immunities.

L.

Explain and list the immunizations required and suggested for dental  healthcare workers and the essentials of maintenance of immunity.

M.

Discuss and identify the regulations, recommendations and training that apply to the dental office.

N.

Describe how pathogens travel in a dental office.

O.

Discuss and identify three (3) routes of transmission in the dental office.

P.

Demonstrate the principles of infection control including medical history, hand washing, PPE’s, barriers, chemical disinfectants, ultrasonic cleaners, sterilizers, and instrument storage and record management.

Q.

Apply proper safety and disinfection procedures for handling soiled instruments and special considerations of radiographs, curing light, handpieces, burs, ultrasonic scalers, impressions, laboratory cases and the dental laboratory.

R.

Apply proper aseptic procedures for handling sterile instruments and special considerations of patient's chart, radiographs, curing light, handpieces, burs, ultrasonic scalers, impressions and the dental laboratory.

S.

Demonstrate hand washing before gloving and after removing gloves.

T.

List various disinfectants and their use.

U.

Mix Chemical Germicides.

V.

Discuss the employer's responsibility in providing Hepatitis B vaccination.

W.

Demonstrate the use of biological monitoring system and process indicators.

X.

Identify and demonstrate the use of various kinds of sterilizers.

Y.

Identify Fire and other Emergency Evacuation Policies.

Z.

Identify the three levels of disinfection and the use of each in the dental office.

AA.

Identify and demonstrate the correct steps in disinfecting, cleaning and sterilizing prior to seating a patient and at the end of treatment as well as, dental radiography and laboratory areas.

AB.

Identify OSHA’s Blood borne Pathogens Standard and the Hazardous Communication Standard.

AC.

Identify equipment and devices used to protect employees.

AD.

Describe and analyze the management of an office safety program.

AE.

Demonstrate safe disposal of sharps.

AF.

Describe and identify MSDS sheets and organizing a MSDS manual

AG.

AH.

AI.

Demonstrate the use of colors and numbers used for hazardous chemical identification.

7.

EVALUATION PROCEDURES:

35%

Of the students grade will be based on the scores received on unit tests, pop tests and quizzes.

20%

On student assignments.

20%

On student skills ( Task Performances)

25%

Will be based on the score received by the student on the final examination.

  20% Attendance Policy for Pueblo Community College.  See pages 6 & 7 criteria on additional Dental Assisting Program attendance, tardies, and excused and unexcused absences and tardies.

At the completion of the course the student should be able to do all the basic dental assistant functions required for successful completion of the program.  These competencies will be evidenced by the successful completion of 77% or greater of the tasks in each unit.

Raw Score Range

Grading Scale

Letter Grade

100

to

93

A

92

to

85

B

84

to

77

C

76

to

69

D

68

to

0

F

Special Remarks:

A.

8.

Pueblo Community College Dental Assisting Program will adhere to the Academic Dishonesty Policy, which is stated in your DA Student Handbook, for any and all acts of cheating, fabrication, facilitating academic dishonesty and plagiarism.

	COURSE OUTLINE:
	UNIT I.	Microbiology & Disease Transmission
		A.	Microbiology
			1)		Bacteria
			2)		Spores
			3)		Rickettsia
			4)		Viruses
			5)		Protozoa
			6)		Yeasts and Mold
		B.	Diseases of Major Concern to Dental Healthcare Workers
			1)		Hepatitis
			2)		Human Immunodeficiency Virus Infection
			3)		Herpes Simplex
		C.	Disease Transmission
			1)		Blood borne Transmission
			2)		Airborne Transmission
			3)		Cross Contamination
			4)		Sexually Transmitted Diseases
			5)		Carrier Transmission
			6)		Autogenous Infection
			7)		Ways in Which Disease Can Be Transmitted in the Dental Office
		D.	Body Defenses Against Disease Transmission
			1)		Natural Barriers
			2)		The Immune System
			3)		Immunity
		E.	Prevention of Disease Transmission
			1)		Virulence
			2)		Numbers
			3)		Susceptible Host
			4)		Portal of Entry
	Unit II.	Hazard Communication Management
		A.	State and Federal Agencies
			1)		The Occupational Safety and Health Administration (OSHA)
			2)		The Centers for Disease Control and Prevention (CDC)
			3)		The Environmental Protection Agency (EPA)
	Unit III	OSHA Hazard Communication Standard
		A.	Product Labeling
			1)		Material Safety Data Sheets (MSDS)
			2)		Employee Training
			3)		Maintaining a Written Hazard Communication Program
			4)		Guidelines for Minimizing Hazards in the Dental Office
			5)		Precautions for Handling Hazardous Materials
		B.	OSHA Blood borne Pathogens Standard
			1)		Compliance
			2)		Occupational Exposure Determination
			3)		Establish a Written Exposure Control Plan
			4)		Engineering and Work Practice Controls
			5)		Housekeeping Requirements
			6)		Employee Information and Training
			7)		Hepatitis B Immunization
			8)		Exposure Incidents
			9)		Employee Medical Records
		D.	Infectious Waste Management
			1)		Waste Defined
			2)		Disposal of Medical Waste
			3)		Identifying Medical Waste
			4)		Handling Dental Office Waste
		F.	Fire and Other Emergency Evacuation Policies
			1)		Other Significant Requirements
	UNIT IV	Infection Control
		B.	Infection Control Guidelines
			1)		Infection Control Protocols
			2)		Classification of Instruments, Equipment, and Surfaces
			3)		Universal Precautions
		B.	Importance of the Patient’s Medical History
		C.	Protective Barrier Techniques
			1)		Dental Dam
			2)		Treatment Room Barriers
		D.	Personal Protective Equipment (PPE)
			1)		Protective Clothing
			2)		Protective Masks
			3)		Protective Eyewear
			4)		Gloves
			5)		Hand washing
		B.	Sterilization Center
			1)		Contaminated Area
			2)		Clean Area
			3)		Holding Solution
			4)		Precleaning Instruments
					a) Ultrasonic Cleaning & Solutions b) Automated Instrument Washers
			5)		Packaging
					a) Packaging Materials b) Labeling c) Wrapping/Packing d) Reusing Wraps
		E.	Sterilization and Disinfection
			1)		Sterilization Monitoring
					a) Physical (Mechanical) Monitoring b) Chemical Monitoring c) Biological Monitoring d) Sterilization Failures
			2)		Methods of Sterilization
					a) Maintaining Sterility b) Autoclaving c) Chemical Vapor Sterilization d) Dry Heat Sterilization e) Handpiece Sterilization f) Glutaraldehydes g) Iodophors h) Synthetic Phenols i) Sodium Hypochlorite
		B.	Treatment Room Cleaning and Disinfection
			1)		Treatment Room Preparation Procedures
			2)		X-ray Equipment Maintenance Procedures
		C.	Instrument Recirculation
			1)		The Sterilization Center
			2)		Preparation of Preset Instrument Trays
			3)		Preparation of Instrument Cassettes
		D.	Special Considerations
			1)		Care of the Patient’s Chart and Radiographs
			2)		Heat-sensitive Semicritical Instruments
			3)		Curing Light
			4)		Handpiece, Prophy Angle, and Bur Sterilization
			5)		Ultrasonic Scalers
			6)		Radiograph Precautions
			7)		Disinfection of Impressions
			8)		Disinfections of Laboratory Cases
		E.	Routine Maintenance
			1)		Opening duties of the dental office
			2)		Closing duties of the dental office

9.

METHODS OF INSTRUCTION:

To be successful in this course, students are expected to participate in discussions, readings, in-class writing, and peer review activities. The instructor may assign point values to such activities.

10.

ACADEMIC INTEGRITY:

The very nature of higher education requires that students adhere to accepted standards of academic integrity. Therefore, Pueblo Community College has adopted a policy of academic conduct as described in the Student Handbook. Violation of academic integrity may be defined to include the following: cheating, plagiarism, falsification and fabrication, abuse of academic materials, complicity in academic dishonesty, and personal misrepresentation. It is the student’s responsibility to be aware of the behaviors that constitute academic dishonesty. Sanctions for violating the standards of academic integrity may include warning, probation, suspension, and/or failure of the course or assignment at the discretion of the instructor.

11.

ADA NOTICE:

Students who have a documented disability may be eligible to receive accommodations for this class. Please contact the Disability Resources Center at 549-3446 for further information.