Summary of Infection PreventionPractices in Dental Settings:Basic Expectations for Safe CareMODULE 5 — Sharps Safety

MODULE 5 — Sharps SafetyModules in the Slide Series1. HygienePersonal Protective EquipmentRespiratory Hygiene/Cough EtiquetteSharps Safety (this module)Safe Injection PracticesSterilization and Disinfection of Patient-Care Items and DevicesEnvironmental Infection Prevention and ControlDental Unit Water QualityProgram EvaluationSlide 2

MODULE 5 — Sharps SafetyPercutaneous Injuries Among Dental HealthCare Personnel Defined as needlestick or cut with sharp object. Most involve burs, needles, and other sharp objects. The Occupational Safety and Health Administration (OSHA’s)Bloodborne Pathogens Standard helps to protect dentalhealth care personnel (DHCP) from blood exposure and sharpsinjuries.These injuries pose the risk of bloodborne pathogentransmission to DHCP and patients.Slide 3

MODULE 5 — Sharps SafetySharps Safety Most exposures in dentistry are preventable.Each dental practice should have policies and procedures inplace that address sharps safety:–Take precautions while using sharps.–Take precautions during cleanup.–Take precautions during disposal.Prevention is primary.Slide 4

MODULE 5 — Sharps SafetyEngineering Controls Whenever possible, engineering controls shouldbe the primary method to reduce exposure tobloodborne pathogens. These controls remove or isolate the hazard. They are frequently technology-based, for example:––Self-sheathing anesthetic needles, safety scalpels, andneedleless IV ports.Sharps containers and needle recapping devices.Slide 5

MODULE 5 — Sharps SafetyEngineering Controls Use sharps devices that have safetyfeatures engineered into them.Be sure to know how to use thesesafety features.Related materials are available atNow You See It, Now You Don’tSlide 6

MODULE 5 — Sharps SafetyWork Practice Controls Change the way you perform tasks. Examples include:––––Not bending or breaking needles.Not passing a syringe with an unsheathedneedle.Removing burs before disassembling thehandpiece from the dental unit.Using instruments in place of fingers fortissue retraction or palpation.Slide 7

MODULE 5 — Sharps SafetySharps Safety Practices Be Prepared Be Aware Dispose with CareSource: Sharps Safety for Healthcare Settings Teaching ToolsSlide 8

MODULE 5 — Sharps SafetyBe PreparedBefore beginning a procedure: Organize equipment. Ensure adequate lighting. Keep sharps pointed away fromuser.Locate a sharps disposalcontainer.Slide 9

MODULE 5 — Sharps SafetyBe AwareDuring a procedure: Maintain visual contact with sharps. Be aware of nearby personnel. Control the location of sharps to avoid injury. Do not pass needles unsheathed. Consider alerting others when passing sharps andconsider a neutral zone for placing and retrieving sharps. Activate the safety feature of devices as soon as procedureis completed.Source: Sharps Safety for Healthcare Settings Teaching ToolsSlide 10

MODULE 5 — Sharps SafetyCleanup—Dispose with Care Check procedure trays and wastematerials for exposed sharpsbefore handling.Look for sharps and equipment leftbehind inadvertently.Transport reusable sharps in aclosed, labeled container.Secure the container to preventspilling contents.Slide 11

MODULE 5 — Sharps SafetySharps Containers Keep hands behind sharps duringdisposal.Never put hands or fingers intosharps containers.Visually inspect sharps containersfor overfilling.Replace containers before theybecome overfilled.Slide 12

MODULE 5 — Sharps SafetyEvaluating Safety DevicesThe Needlestick and Prevention Act mandated changes to theOSHA Bloodborne Pathogens Standard in 2001: DHCP directly responsible for patient care (e.g., dentists,hygienists, dental assistants) must identify, evaluate andselect devices with engineered safety features at leastannually and as they become available.Slide 13

MODULE 5 — Sharps SafetyDeveloping Programs to Prevent Sharps Injuries Assign a staff person knowledgeable about or willing to be trainedin injury prevention (i.e., a safety coordinator or an infectioncontrol coordinator) to:–––––––Promote safety awareness.Facilitate prompt reporting and postexposure management of injuries.Identify unsafe work practices and devices.Coordinate the selection and evaluation of safer dental devices.Organize staff education and training.Complete the necessary reporting forms and documentation.Monitor safety performance.Slide 14

MODULE 5 — Sharps SafetyIdentifying Safer Dental Devices Developing evaluation criteria. Screening devices. Evaluating devices.Slide 15

MODULE 5 — Sharps SafetyCDC Sample Screening and Device EvaluationForms for DentistrySource: Sample Screening and Device Evaluation Forms for DentistrySlide 16

MODULE 5 — Sharps SafetyOccupational Exposure Incident Percutaneous injury:– Needlestick, puncture wound, or cut.Splash of blood or body fluid onto:––Mucous membranes of the eyes,nose, or mouth.Non-intact skin (e.g., chapped, abraded,dermatitis).Slide 17

MODULE 5 — Sharps SafetyPostexposure Management Program Clear policies and procedures. Education of DHCP. Rapid access to qualified health care professional who canprovide:–Clinical care.–Postexposure prophylaxis (PEP).–Testing of source patients and DHCP.Slide 18

MODULE 5 — Sharps SafetyPostexposure Management Wound management. Exposure reporting. Assessment of infection risk:–Type and severity of exposure.–Bloodborne pathogen status of source person.–Susceptibility of exposed person.Slide 19

MODULE 5 — Sharps SafetySharps Safety Resources CDC. Guidelines for Infection Control in Dental Health-Care Settings–2003 CDC. Oral Health website. Screening and Evaluating Safer Dental Devices CDC. National Institute for Occupational Safety and Health. Bloodborne InfectiousDiseases website. HIV/AIDS, Hepatitis B, Hepatitis C: Preventing Needlesticks andSharps Injuries CDC. Sharps Safety for Healthcare Settings website CDC. Summary of Infection Prevention Practices in Dental Settings: BasicExpectations for Safe CareSlide 20

End of Module 5For more information, contact Centers for Disease Control and Prevention (CDC).1-800-CDC-INFO (232-4636)TTY:1-888-232-6348 Centers for Disease Control and Prevention (CDC)The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the CDC.