Humedad

On arrival in decontamination room with contaminated dental instruments

Place the box clearly identified for the transportation of contaminated instruments on the worktop in the contaminated area of the room adjacent to the dirty sink

perform hand hygiene in accordance with the Hand Hygiene Guidelines and put on fresh PPE but note heavy duty gloves should be worn

Fill dirty sink with hot water (no more than 2/3rds full) and add the appropriate measure of approved detergent, the one currently in use is Hospec.

Open box containing the instruments and gently place the instruments into the sink.

Fully submerge the instruments to be cleaned in the detergents solution. The instruments can be placed in a basket e.g. basket from Ultrasonic Bath before being submerged in the detergent solution.

Using a long handled brush with soft plastic bristles agitate the submerged dental instruments. The gentle scrubbing action that this creates will help remove debris from the instruments. To minimise aerosol risk do not carry out precleaning of instruments under running water.

Following precleaning, drain the water and avoiding splashing

If the water is heavily soiled repeat the precleaning process

Rinse the instruments by refilling the sink with fresh water but do not add detergent. Repeat this several times if required to remove residual soil and detergents

Once rinsing is complete remove the instruments from the sink and if they are not already in one, place them in an Ultrasonic Basket.

Place the basket of instruments in an Ultrasonic Bath pre-filled filled to the maximum level with a detergent solution as recommended by the manufacturer

Set the timer to the correct setting, close the lid and do not open until the cycle is completed Wash the long handled brushes with detergent and hot water after use to remove visible soil and store dry with the brush head up

Clean the 'dirty' box used for transportation of contaminated dental instruments using a fresh detergent solution then dry the box

Once the Ultrasonic Bath cycle is complete remove the basket from the Ultrasonic Bath

FIRST VI

SIT

rinsing instruments

Once rinsed immediately empty the basket of instruments onto disposable non-linting paper towels and dry. Do not allow the instruments to air dry.

Before loading the instruments into the Washer Disinfector check that they are clear to the naked eye of all visible debris

Load instruments into the Washer Disinfector in the correct manner to ensure effective cleaning

Oil hand pieces using the oil spray can clearly identified for use before Washer Disinfector (No.1). Lay hand pieces flat in the Washer Disinfector

Check that the Washer Disinfector has sufficient detergent in the reservoir and that the cycle selected is suitable for the load. All NHS Lanarkshire's Washer Disinfectors have been set up so that only one cycle can be selected

Switch on the Washer Disinfector

Remove the heavy duty gloves and wash them using detergent and hot water to remove visible soil. Leave them to dry

Remove all PPE and dispose of masks and aprons in the orange clinical waste bag. Clean eye protection if not single use.

Perform hand hygiene in accordance with the Hand Hygiene Guidelines

Take the empty but cleaned box used for the transportation of contaminated instruments back to the dental surgery

On return to the decontamination room after the Washer Disinfector has completed its cycle

Perform hand hygiene in accordance with the Hand Hygiene Guidelines and put on fresh PPE

Open up the Washer Disinfector

Remove all the dental instruments and hand pieces.

Subject all instruments to naked eye inspection to ensure that they are clean, functional and in good condition. If available an illuminated magnifier should be used

If there are signs of any visible soiling such as blood or lining materials reject the instrument and put it though another cycle in the Washer Disinfector

SECOND VISIT

Any hand instruments found not to be in good working order should de disposed off in the sharps box

Load clean instruments into the autoclave correctly and avoid overloading. Steam must be able to freely circulated round all surfaces of each instruments

Oil hand pieces using the oil spray can clearly identified for use before sterilisation (No.2)

and place the hand pieces into the autoclave

Close the autoclave door and switch on the machine

Remove PPE, dispose of in clinical waste orange bag, clean eye protection if not single use and perform hand hygiene in accordance with the Hand Hygiene Guidelines

On return to the decontamination room after the autoclave has completed its cycle

Perform hand hygiene in accordance with the Hand Hygiene and put on fresh PPE

Open the autoclave door

Remove all dental instruments and hand pieces

Check all instruments are functional and in good condition.

Oil hand pieces using the oil spray can clearly labelled for use after decontamination (No.3)

Place all instruments and hand pieces on trays or in bags

Place trays and bagged instruments into the box clearly labelled for transportation of decontaminated instruments

Remove PPE, dispose of in clinical waste orange bag, clean eye protection if not single use and wash hands in accordance with the Hand Hygiene Policy

THIRD VISIT

22. CLEANING SCHEDULES

These cleaning schedules must be followed by all dental staff working in a dental surgery or decontamination room

Method of Decontamination Codes

1 Clean surfaces with warm water and neutral detergent (e.g. Hospec) or use neutral detergent wipes (e.g. Cutan or Tuffie wipes). Dry thoroughly.

2 Clean surfaces with warm water and neutral detergent (e.g.Hospec) or use neutral detergent wipes (e.g.Cutan or Tuffie wipes) followed by a 70% isopropyl alcohol impregnated wipe (e.g. Azo wipes)

NOTE If any surface, piece of equipment or item is obviously contaminated then it should be cleaned as soon as possible with warm water and neutral detergent (Hospec) or use neutral detergent wipes (e.g.Cutan or Tuffie wipes) followed by a 70% isopropyl alcohol impregnated wipe (e.g. wipes)

Summary Cleaning Schedules - Dental Surgery and Decontamination Rooms

CLEANING SCHEDULES FOR SALARIED PRIMARY CARE DENTAL SERVICE