An Overview of the CDC Checklists for Medical and Dental Office Infection Control
Medical and dental offices have had infection control standards in place before COVID-19 became a concern. Coronavirus transmission has made it especially important to clean carefully between patients and extensively disinfect the facility on a regular basis as well as comply with CDC and local requirements. Government contact tracing identifies sources of COVID-19 infection.
The CDC’s Dental and General Outpatient Medical Checklists provide an overview of basic standards for infection prevention specifically designed for each treatment environment.
General Cleaning Checklist Summary
- Administrative Program
Ensure that procedures and practices for infection control are in written form and updated regularly.
- Education and Competency
Workers should receive appropriate training and evaluation to ensure that they understand and follow procedures and practices.
- Personnel Safety
There should be appropriate immunization requirements, procedures for handling possible pathogen exposure events, TB testing, and trained respirator use if needed.
- Surveillance and Reporting
Familiarity with and adherence to processes should be verified, and the list of illnesses considered exposure events should be updated and shared. Exposure concern and reporting is for both personnel and patients.
- Hand Hygiene
Adequate supplies for hand hygiene should be available, and proper training and practice in place for routine handwashing, hand antisepsis, and surgical hand antisepsis.
Appropriate personal protective equipment (PPE) should be available and personnel should be trained in its use including examination gloves, masks, protective clothing, protective eyewear and face shields, utility gloves, and surgical gloves.
- Respiratory Hygiene / Cough Etiquette
Training for personnel and signage for patients should provide instruction regarding respiratory infection containment including tissues, masks, and hand hygiene, along with social distancing for those exhibiting symptoms.
- Sharps Safety
Needles and blades with safety features should be used where possible. Used sharps should be carefully managed.
- Safe Injection Practices
Injection sites should be aseptically prepared and contamination-free.
- Sterilization and Disinfection of Patient-Care Items and Devices
Reprocessed devices should be handled according to manufacturer specifications by personnel trained in these techniques. PPE should be worn when handling these items.
- Environmental Infection Protection and Control
Cleaning, disinfection, and the use of barriers and other physical protection should be employed. Biohazard containment procedures should be followed for biological spills.
- Dental Unit Water Quality
Water should be sterile for procedures and otherwise meet EPA drinking water standards. Procedures should be in place for additional processes in response to community boil water instructions.
- Point of Care Testing (if applicable)
Personnel should be trained in the use of blood glucose meters and other testing equipment.
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