This landmark legislation updated the Office of Safety And Health Administration (OSHA) guidelines, compelling employers to use work practice controls and safer needle devices that are engineered to eliminate or minimize exposure to bloodborne pathogens . Follow with disinfectant. If the appropriate color change did not occur, do not use the instruments. However, sharps injuries continue to occur and pose the risk of bloodborne pathogen transmission to DHCP and patients. 0000008331 00000 n BD #305782. Wear the face mask if there is any possibility of the splashing of the blood. Standard Precautions are the minimum infection prevention practices that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where health care is delivered. No blood draw should be completed without gloves and there should be no exceptions to this rule. Review exposure control plans at least annually to document consideration and implementation of appropriate commercially available and effective engineering controls, for example, needleless systems and sharps with engineered sharps injury protection; Establish an internal procedure to document sharps injuries, and. This study aims to estimate the incidence of needle stick injuries among healthcare workers during the previous 12 months and to assess their knowledge, attitude, and practice toward these . a. Cleaning, disinfection and sterilization of dental equipment should be assigned to DHCP with training in the required reprocessing steps to ensure reprocessing results in a device that can be safely used for patient care. Unsafe injection practices include: unnecessary injections, reusing needles and syringes, using a single dose medication vial for multiple patients, giving an injection in an environment that is not clean and hygienic, and risking injury due to incorrect . With legislation in the works in some 20 states to require health care providers to implement the use of needle safety devices, Congress and the Washington, DC-based Occupational Safety and Health Administration (OSHA) are jumping on the bandwagon with . These practices are designed to both protect DHCP and prevent DHCP from spreading infections among patients. When engineering controls are not available or appropriate, work-practice controls should be used. 8.5 Geriatric Use In Studies 1 and 2, the age of patients ranged from 50 to 85 years, with a mean age of 70 years; . According to research carried out by the American Nurses Association (ANA), about a third of nurses feel sharps injuries and blood-borne pathogens present a significant level of risk . Examples include chemical indicator tapes, strips or tabs, and special markings on packaging materials. Currently, the primary legislation covering sharps safety is the 1999-2000 Needlestick Safety and Prevention Act. Use devices with safety features. Requires use of most effective available technology. These cookies may also be used for advertising purposes by these third parties. a sharps container is in close proximity, enabling the immediate disposal of the connected syringe and needle; the sharps container is not full and there is sufficient space to accommodate the additional needles. 0000004371 00000 n Recommendations for the cleaning, disinfection, and sterilization of medical equipment are available in the Guideline for Disinfection and Sterilization in Healthcare Facilities [PDF 1 MB](available at: www.cdc.gov/infectioncontrol/pdf/guidelines/disinfection-guidelines.pdf [PDF 1 MB]). Needlestick injuries can lead to serious or fatal infections with bloodborne pathogens such as hepatitis B virus, hepatitis C virus, or HIV. The cap is usually bright orange and can be Policies and procedures for routine cleaning and disinfection of environmental surfaces should be included as part of the infection prevention plan. 0000008710 00000 n 9. Used sharps should be immediately placed in a sharps disposal container. A butterfly needle is a device used to access a vein for drawing blood or giving medications. Used needles, lancets, blades, razors, and other sharp devices (known as sharps) can cut or prick you. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Use of protective clothing to protect skin and clothing during procedures or activities where contact with blood or body fluids is anticipated. Have a safety committee that must make advisory recommendations for the use of effective engineering controls. HV7OO#!>BUhU8|)-jtG9>9w){[NZjM=q>~JaeNwZr+j7/V)IKy:tvYO^2Rxv|zw?.8$x)IelOIo7Vjn8xz1Fz V&/]0AR$9:O3RA2s,rjR+'f~w5\zW,\&G1HN Chapter 5 Trigger Point Dry Needling: Safety Guidelines Johnson McEvoy Acknowledgement The author would like to acknowledge the authors and reviewers for the Irish Guidelines for Safe Dry Needling Practice for Chartered Physiotherapists (McEvoy et al., 2012). Never place loose needles and other sharps (those that are not placed in a sharps disposal container) in the household or public trash cans or recycling bins, and never flush them down the toilet. Requires the Board of Occupational Safety and Health adopt public sector rules at least as protective as the OSHA bloodborne pathogen compliance directive of 11/99, and. Provisions: Requires the Director of Division of Health to propose rules to implement the law, including: Unique: Annual report of sharps injury log to state department. Step 3: Push the capped needle against a firm object . Sharps is a medical term for devices with sharp points or edges that can puncture or cut skin. List five safety precautions that can reduce the risk of injury in the workplace. Unsafe practices that have led to patient harm include 1) use of a single syringe with or without the same needle to administer medication to multiple patients, 2) reinsertion of a used syringe with or without the same needle into a medication vial or solution container (e.g., saline bag) to obtain additional medication for a single patient and thenusing that vial or solution container for subsequent patients, and 3) preparation of medications in close proximity to contaminated supplies or equipment. Post signs at entrances with instructions to patients with symptoms of respiratory infection to. Share. Individuals working with sharps should take necessary precautions to prevent injury and exposure to biological, chemical . Clean and disinfect clinical contact surfaces that are not barrier-protected with an EPA-registered hospital disinfectant after each patient. For the sake of convenience, buy a pin cushion that you can wear on your wrist. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. needles or bodily fluids as outlined in this guide. We comply with applicable Federal civil rights laws and Minnesota laws. ; WHO Injection Safety Campaign Toolkit: A collection of best practice resources that provides guidelines, educational and evaluation tools and print materials. PRECAUTIONS. Cover their mouths/noses when coughing or sneezing. 2000-2022 The StayWell Company, LLC. Never open, empty, or reuse a sharps container. This study aims to estimate the incidence of needle stick injuries among healthcare workers during the previous 12 months and to assess their knowledge, attitude, and practice toward these . Whenever possible, engineering controls should be used as the primary method to reduce exposures to bloodborne pathogens. 4. HU;9uc8^l0cGJU_y$yG?oD^lj4s7C m,stvc62#*4-{*F0QTpKZW 3kRY\Pp>]1"TD>x xZ5'2pzBo29YDZllP7(}b-[vss&!G ]3U[ufN HtxY4n-IiM%!WemJN&H=i? 0000002359 00000 n http://www.oneandonlycampaign.org/. Mandatory consultation with private organizations, and. These include gloves, face masks, protective eye wear, face shields, and protective clothing (e.g., reusable or disposable gown, jacket, laboratory coat). Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Even when using standard precautions, you may be exposed to bloodborne pathogens on the job. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. The two-finger spread was common in the days before HIV and universal precautions. Strict requirements for use of safety devices; Requirements for tracking/reporting continued non-use of safety devices, and. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Implementation of the OSHA Bloodborne Pathogens Standard has helped to protect DHCP from blood exposure and sharps injuries. The site is secure. Employers should involve those DHCP who are directly responsible for patient care (e.g., dentists, hygienists, dental assistants) in identifying, evaluating and selecting devices with engineered safety features at least annually and as they become available. Proper preparation can prevent and minimize complications due to dental needle usage. 2 A technique that prevents or reduces the spread of microorganisms from one site to another, such as from patient to DHCP, from patient to operatory surfaces, or from one operatory surface to another. 1. Prepare injections using aseptic technique2 in a clean area. You can review and change the way we collect information below. List five safety precautions that can reduce the . The Centers for Disease Control and Prevention (CDC) added safe injection practices to Standard Precautions in the 2007 Isolation Precaution guidelines as a result of 4 outbreaks in the United States. Wash needle stick and cuts with soap and water; report it to the supervisor; complete the Employee Incident packet and send to HR. 0000007358 00000 n If multidose vials will be used for more than one patient, they should be restricted to a centralized medication area and should not enter the immediate patient treatment area (e.g., dental operatory) to prevent inadvertent contamination. 0000024810 00000 n Health care workers are at risk of bloodborne diseases and the psychological consequences of these injuries. Do not attempt to recap the needle - this is how most accidental needle-stick injuries happen. The strategies target primarily patients and individuals accompanying patients to the dental setting who might have undiagnosed transmissible respiratory infections, but also apply to anyone (including DHCP) with signs of illness including cough, congestion, runny nose, or increased production of respiratory secretions. The Needlestick Safety and Prevention Act requires annual updates of _____ to ensure the best technology is being considered and used. For reuseable sharps, such as knives or scissors, a storage containersuch as a tray or inexpensive emesis basinshould be readily available at the point of use. Cleaning to remove debris and organic contamination from instruments should always occur before disinfection or sterilization. Requires the appointment of an advisory committee to assist in developing the regulation and list of safety devices. 0000013609 00000 n Compile and maintain a list of safety devices. endstream endobj 216 0 obj <>stream Make it a habit to activate the safety device and discard any needle you will not use immediately. Know the guidelines stated in your facilitys exposure control plan. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Workbook for Designing, Implementing and Evaluating a Sharps Injury, Educating and Training Healthcare Personnel. Thank you for taking the time to confirm your preferences. 0000051996 00000 n Consider sharp items (e.g., needles, scalers, burs, lab knives, and wires) that are contaminated with patient blood and saliva as potentially infective and establish engineering controls and work practices to prevent injuries. (1999 IOWA SB 2302)(Signed into law 4/00), Requires that the Iowa department of public health, in cooperation with the labor committee, shall conduct a study of state and federal laws and regulations relating to protection of persons who may be at risk of needlestick injuries in the course of employment. Have manufacturer instructions for reprocessing reusable dental instruments/equipment readily available, ideally in or near the reprocessing area. Potential for many types of bloodborne pathogens, including but not limited to, Brucella spp., Leptospira spp., Hepatitis, and other bacterial and viral infections. McKesson Brand #16-S1C. Follow manufacturer instructions for use of cleaners and EPA-registered disinfectants (e.g., amount, dilution, contact time, safe use, disposal). Requires documentation of consideration and implementation of safety devices in exposure control plans and solicitation of frontline worker input, and. ), Alaska Arkansas California Connecticut Georgia Iowa Maine Maryland Massachusetts Minnesota Missouri New Hampshire New Jersey New York Ohio Oklahoma Pennsylvania Rhode Island Tennessee Texas West Virginia. Do not use needles or syringes* for more than one patient (this includes manufactured prefilled syringes and other devices such as insulin pens). 3,020 reviews #117 of 247 Restaurants in Sorrento $ Italian Vegetarian Friendly Vegan Options. startxref They may be used at home, at work, and while traveling to manage the medical conditions of people or their pets, including allergies, arthritis, cancer, diabetes, hepatitis, HIV/AIDS, infertility, migraines, multiple sclerosis, osteoporosis, blood clotting disorders, and psoriasis. 1 Definition from 2003 CDC Dental GuidelinesOral surgical procedures involve the incision, excision, or reflection of tissue that exposes the normally sterile areas of the oral cavity. Avoid recapping needles. If you have a sharps exposure: Wash the area well with soap and water for 15 minutes. Persons with hearing or speech disabilities may contact us via their preferred Telecommunication Relay Specifically lists NIOSH as a potential source of information related to the development of a list of safety devices. These guidelines must be followed in cases of sharps exposures, splashes or sprays of blood or OPIM, or other exposures. Never force a sharp into a sharps container. Examines a patients chart and administers anesthesia, inserts a needle and begins the dialysis procedure. When Standard Precautions alone cannot prevent transmission, they are supplemented with Transmission-Based Precautions. exposure control plans. Nondiscrimination Safety and effectiveness of ADUHELM in pediatric patients have not been established. This information is not intended as a substitute for professional medical care. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Thank you for taking the time to confirm your preferences. Use single-use devices for one patient only and dispose of appropriately. Other safe practices described here primarily apply to use of parenteral medications combined with fluid infusion systems, such as for patients undergoing conscious sedation. Centers for Disease Control and Prevention. They help us to know which pages are the most and least popular and see how visitors move around the site. Using Sharps Safely in the Lab. Use safety devices. 0000001880 00000 n Avoid recapping or bending needles that might be contaminated. All information these cookies collect is aggregated and therefore anonymous. Cookies used to make website functionality more relevant to you. Most exposures in dentistry are preventable; therefore, each dental practice should have policies and procedures available addressing sharps safety. Work quickly. 0000002473 00000 n . d. Before putting on gloves and again immediately after removing gloves. Packages should be labeled to show the sterilizer used, the cycle or load number, the date of sterilization, and, if applicable, the expiration date. Hand hygiene is the most important measure to prevent the spread of infections among patients and DHCP. In Taiwan, needle-stick injuries (NSIs) are one type of occupational hazard among medical hospital workers. In turn, requires the commissioner to review the reports, to make recommendations to the facility to reduce the number of sharps injuries and to make an annual report to the Senate; Requires the commissioner of the Department of Health and Senior Services to develop evaluation criteria for use by an evaluation committee [at facilities] in selecting needles and other sharp devices and to develop a standardized form for facilities to use for providing waivers for health care workers and for reporting [within five days] the use of a needle or other sharp device without integrated features in an emergency situation by a health care professional, and. Mechanical and chemical indicators do not guarantee sterilization; however, they help detect procedural errors and equipment malfunctions. Assist patient to a comfortable position. Allows exemptions under certain circumstances. HUM,')X`*%zrE6&YGQ44mC(fc(ZyM)MX STWHHoLXGl~##m7Vj%*gzZ;P#rJ#Llq..Bm8[i+vID5sPUh "sn(TmB)*aK"AL/7,2FP?`(#we3l}?~-&^W9[6e(qpF:Bg'I)v|&Ha 5&NCyq&z^]=3vbnHy^_R'`#lW 2l^g~B} MOcSL^?5O4zCzXF#9=4 [EF g^ ':t# Q^BX j-v@t Z&u Mandated use of sharps injury log for continuous quality improvement activities; Sharps injury log confidentiality provision, and. systems with self-sealing ports and syringes is encouraged. 0000014487 00000 n 0000001199 00000 n & Accessibility Requirements. Use of personal protective equipment (e.g., gloves, masks, eyewear). iii. Employee involvement in safer medical device evalution process. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. If blood, saliva, and other contamination are not removed, these materials can shield microorganisms and potentially compromise the disinfection or sterilization process. b. DON'T put . Observe all applicable isolation procedures. Maintain sterilization records in accordance with state and local regulations. CDC twenty four seven. For Health Professionals Guidelines and Recommendations. This can expose you to bloodborne germs. Requires employers to develop written exposure control plans. Place used disposable syringes and needles, scalpel blades, and other sharp items in appropriate puncture-resistant containers located as close as possible to the area where the items are used. PPE's will be worn at all times. As the needle is very sharp and you have to constantly adjust the fabric so that the sewing doesn . Adhere to follow-up testing, as indicated. Do not use fluid infusion or administration sets (e.g., IV bags, tubings, connections) for more than one patient. 1. Needles and hubs are single use and are disposed of in an appropriate 'sharps' container as one unit. To avoid accidental injuries while using a sewing machine, the following safety tips will help you out. This second tier of infection prevention is used when patients have diseases that can spread through contact, droplet or airborne routes (e.g., skin contact, sneezing, coughing) and are always used in addition to Standard Precautions. Top 15 Sewing Safety Tips. Does not include live animals. Wash hands in warm, running water with a appropriate hand washing product, . Chemical indicators also help to differentiate between processed and unprocessed items, eliminating the possibility of using instruments that have not been sterilized. All information these cookies collect is aggregated and therefore anonymous. Provides for an exemption if there is no FDA-approved device, allowing facilities to continue to use the appropriate needle or other sharp device that is available, including any needle or other sharp device with non-integrated, add- on safety features, until such time as a product with integrated safety features is cleared or approved for marketing and is commercially available for that specific patient use. Additional information related to respiratory hygiene/cough etiquette can be found in the 2007 Guideline for Isolation Precautions [PDF 1.4 MB] Recommendations for preventing the spread of influenza are available at: https://www.cdc.gov/flu/professionals/infectioncontrol/. Provide tissues and no-touch receptacles for disposal of tissues. 0000001715 00000 n Educate DHCP on the importance of infection prevention measures to contain respiratory secretions to prevent the spread of respiratory pathogens when examining and caring for patients with signs and symptoms of a respiratory infection. DHCP should be trained to select and put on appropriate PPE and remove PPE so that the chance for skin or clothing contamination is reduced. trailer 13 July 2017. Requires the adoption of a bloodborne pathogen standard applicable to public employees and at least as prescriptive as the federal OSHA standard; Requires consideration of inclusion of specific standard sections related to training, education, increasing vaccination and personal protective equipment use and strategic placement of sharps containers; Requires that the state develop and maintain a list of available safety devices for employers using resources, including NIOSH; Requires the use of the most effective available needleless systems and sharps with engineered sharps injury protection be included as engineering and work practice controls except under certain circumstances, including unavailability and objective evidence presented to an evaluation committee (including frontline workers) of patient or employee safety issues, and. Implement a safety device registration program by manufacturers to be used as basis for compiling list of available devices. These items have a lower risk of transmission. If you are accidently stuck by another persons used needle or other sharp: Follow these same instructions if you get blood or other bodily fluids in your eyes, nose, mouth, or on your skin. 0000024845 00000 n If these devices are not properly cleaned and heat sterilized, the next patient may be exposed to potentially infectious materials. Digital radiography sensors are also considered semicritical and should be protected with a Food and Drug Administration (FDA)-cleared barrier to reduce contamination during use, followed by cleaning and heat-sterilization or high-level disinfection between patients. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Clean and reprocess (disinfect or sterilize) reusable dental equipment appropriately before use on another patient. 0000014641 00000 n Know the guidelines stated in your facility's exposure control plan. Specific incorporation of OSHA Directive into state regulation. Sharps containers should be disposed of according to state and local regulated medical waste rules. Saving Lives, Protecting People, The National Institute for Occupational Safety and Health (NIOSH), Comparison of State-By-State Needle Safety Legislation, National Institute for Occupational Safety and Health, Bloodborne Infectious Diseases (HIV/AIDS, Hepatitis B & C), General Resources on Bloodborne Pathogens, Preventing Needlesticks and Sharps Injuries, Engineering Controls and Personal Protective Equipment (PPE), Occupations Affected by Bloodborne Infectious Diseases, Overview of State Needle Safety Legislation, State-by-State Provisions of State Needle Safety Legislation, Table: Comparison of State Needle Safety Legislation, Universal Precautions for Preventing Transmission of Bloodborne Infections, U.S. Department of Health & Human Services. Specific limited application to hospitals. safety devices is required by some jurisdictions. Call 612-273-3780. All information these cookies collect is aggregated and therefore anonymous. This information can help in retrieving processed items in the event of an instrument processing/sterilization failure. Sharps Safety for Healthcare Settings. Name six types of safety hazards in the workplace and give an example of each. 2022 Fairview Health Services. To the extent possible, this includes rescheduling non-urgent dental care until the patient is no longer infectious or referral to a dental setting with appropriate infection prevention precautions when urgent dental treatment is needed.[/vc_column_text]. You will be subject to the destination website's privacy policy when you follow the link. b. Use of mouth, nose, and eye protection during procedures that are likely to generate splashes or sprays of blood or other body fluids. Use needle-less connector systems whenever possible for administering IV fluids. If available, facilities may wish to place these patients in a separate area while waiting for care. This can expose you to bloodborne germs. Centers for Disease Control and Prevention. Safe injection practices (i.e., aseptic technique for parenteral medications). Remove needle smoothly along the line of insertion. The following apply if multidose vials are used. Note: A single-parameter internal chemical indicator provides information regarding only one sterilization parameter (e.g., time or temperature). Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Saving Lives, Protecting People, Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Healthcare Quality Promotion (DHQP), U.S. Department of Health & Human Services. 2. Studies have shown that needlestick injuries are often associated with: Not using safety-engineered sharps or using them incorrectly; Recapping needles; Transferring a body fluid between containers Even when using standard precautions, you may be exposed to bloodborne pathogens on the job. Unless otherwise directed in equipment manual, clean the interior with soap and water to remove organic material. i. Syringe with Hypodermic Needle Eclipse 3 mL 25 Gauge 1 Inch Regular Wall Hinged Safety Needle. OSHA's Bloodborne Pathogens standard (29 CFR 1910.1030) as amended pursuant to the Needlestick Safety and Prevention Act of 2000, prescribes safeguards to protect workers against the health hazards caused by bloodborne pathogens.Its requirements address items such as exposure control plans, universal precautions, engineering and work practice controls . Place used, disposable sharps directly into a sharps container immediately after use. Chemical monitoring uses sensitive chemicals that change color when exposed to high temperatures or combinations of time and temperature. Language assistance services are availablefree of charge. 0000006716 00000 n As a healthcare professional, you can protect yourself from a needlestick injury by: What to do if you experience a needlestick injury. When these surfaces are touched, microorganisms can be transferred to other surfaces, instruments or to the nose, mouth, or eyes of DHCP or patients. Requires the Department of Public Health to develop regulations requiring hospitals to use only such devices which minimize the risk of injury to health care workers from needlesticks and sharps except in certain circumstances approved by the state (including where the hospital can prove that use of the safety device would interfere with a medical procedure or patient/employee safety issues exist or alternative equally effective measures are in place); Requires the Department to develop and to maintain a list of safety devices for employers use; Requires hospitals to develop written exposure control plans, include a procedure for selecting safety devices, include safety devices as engineering controls, maintain a confidential sharps injury log (to be used for continuous quality improvement activities and to be reported to the Department annually), and. Pet owners who use needles to give medicine to their pets should follow the same sharps disposal guidelines used for humans. Education and training programs should thoroughly address indications and techniques for hand hygiene practices before performing routine and oral surgical procedures. Guidelines on basic training and safety in acupuncture 2 Safety in acupuncture These guidelines are meant for hospitals, clinics and practitioners, and provide standards for safety in the clinical practice of acupuncture. Disinfect the rubber septum on a medication vial with alcohol before piercing. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Physiotherapists should recognize and comply with the safety guidelines for moxibustion, cupping/spooning and the application of auricular Guideline for Hand Hygiene in Health-Care Settings, https://www.cdc.gov/flu/professionals/infectioncontrol/, Guidelines for Infection Control in Dental Health-Care Settings2003, CDC Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program, CDC Sample Screening and Device Evaluation Forms for Dentistry, frequently asked questions from providers and a patient notification toolkit, Guideline for Disinfection and Sterilization in Healthcare Facilities, www.cdc.gov/infectioncontrol/pdf/guidelines/disinfection-guidelines.pdf, https://www.fda.gov/downloads/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/ucm071441.pdf, Guidelines for Environmental Infection Control in Health-Care Facilities, National Center for Chronic Disease Prevention and Health Promotion, Over 75 Years of Community Water Fluoridation, Cost Savings of Community Water Fluoridation, Timeline for Community Water Fluoridation, Water Fluoridation Guidelines & Recommendations, Surgeons Generals Statements on Community Water Fluoridation, Scientific Reviews and Reports: Assessing the Evidence, Statement on the Evidence Supporting the Safety and Effectiveness of Community Water Fluoridation, Estimating Community Water System Populations, Infographic: Communities Benefit from Water Fluoridation, Messages for Social Media: How Fluoride Works, Infographic: Water with Fluoride Builds a Foundation for Healthy Teeth, Infographic: Water with Fluoride Builds a Foundation for Healthy Teeth (alternative), Fluoridation Statistics Population Methodology Changes, CDC-Sponsored Water Fluoridation Training, Implementation of School Sealant Programs, Infection Prevention & Control in Dental Settings, Summary of Infection Prevention Practices in Dental Settings, Notes To Reader, Suggested citation, and Introduction, Administrative Measures and Infection Prevention Education Training, Dental Health Care Personnel Safety and Program Evaluation, Risk Assessment, Conclusions, and Source Documents, Appendix A: Infection Prevention Checklist, Appendix A: Infection Prevention Checklist Section II: Direct Observation of Personnel and Patient-Care Practices, Appendix B: Relevant Recommendations Published by CDC since 2003, Appendix C: Selected References and Additional Resources by Topic Area, About the CDC Guidelines for Infection Control in Dental Health Care Settings2003, Cleaning & Disinfecting Environmental Surfaces, Dental Handpieces and Other Devices Attached to Air and Waterlines, Service Animals in Dental Health Care Settings, Foundations: Building the Safest Dental Visit, Selected References for Infection Prevention & Control by Topic Area, Screening and Evaluating Safer Dental Devices, Water Fluoridation Reporting System Data Stream Infographic, Implementation of Evidence-Based Preventive Interventions, School-Based and School-Linked Dental Sealant Programs, Coordinate Community Water Fluoridation Programs, Targeted Clinical Preventive Services & Health Systems Changes, Dental Caries in Permanent Teeth of Children and Adolescents, Dental Caries Among Adults and Older Adults, CDC Residency Program Strengthens Dental Public Health Workforce, New Fluoride Technology Supports Oral Health, September is Dental Infection Control Awareness Month (DICAM), Dental Professionals: Help Your Patients Quit Tobacco Products, Oral Health in America: Advances and Challenges, Oral Health In America: Summary of the Surgeon Generals Report, CDC Dental Public Health Residency Program, How to Apply to the Dental Public Health Residency (DPHR) Program, Healthy People 2030: Oral Health Objectives, Healthy People 2020: Oral Health Objectives, U.S. Department of Health & Human Services.