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  Sharps with Engineered Sharps Injury Protection

  Sharps with Engineered Sharps Injury Protection

  • Held by:
    Dr.ssa Livia Barenghi

  It is a seminar for the dental team in Italian language.

  The elimination of unnecessary use of sharps, the implementation of the use of SESIP, the information and awareness-raising , and dental team training are the main clues reported in the Recommendation “Framework Agreement on Prevention From Sharp Injuries in The Hospital and Healthcare Sector”- edited by European Biosafety Network. SESIP is the acronym of “Sharps with Engineered Sharps Injury Protection”.  Many references agree with the fact that the needle and finger is respectively the instrument and the body part most likely involved in sharp injury. Moreover, percutaneous injuries mainly damages hands (78%) and happen during dental care (71%), while 2/3 of the remaining ones happen during instrument processing.

  The topics are:

  • Blood borne pathogens: diseases, transmission and risks
  • Occupational injury
  • Risk factors for sharp injury
  • Recommendations (CDC-2003, Directive n° 2010/32/UE)
  • Standard precautions, safe handling of sharps and  changes in practice since the banned practice of needle recapping
  • How does SESIP chose?
  • Immediate actions when a sharps injury/contamination incident occurs (Exposure Prone Procedures)

• All
• Computed aided system
• Infection control and maintaining medical equipment
• Orthodontics

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  Sharps with Engineered Sharps Injury Protection

Barenghis’ Articles

Accessible material on the web

New item review

How it is organized

• Education and training in Orthodontics since 2001

  • The teachers are professionals from Italy and Abroad, with clinical, teaching and research experience in Dentistry, Cranio-Mandibular Disorders and Maxillofacial Surgery.
  • Courses focus on theory and practice as well as providing clinical seminars
  • Courses are open to practitioners (Dentists and Orthodontists) for professional development in science and research either daily, during the weekend or annually.
  • Tuition is conducted in small groups (max. 12-15) to insure quality teaching and individualized instruction.
  • Instruction is conducted through examples of clinical cases, focusing on the theoretical approach as well as their practical management, with time for discussion.
  • Innovative teaching methods based on well-advanced technology (e.g. cephalometric analysis and examination using digital models, 3D scans, models, digital photography and radiology,  orthodontic set-up and Visual Treatment Objective).
  • Participants are guided in reaching a diagnosis of a clinical case and in choosing the appropriate treatment for every specific issue.
  • Particular attention is paid to appropriate clinical procedures, the keeping of complete diagnostic records and to clear communication with patients.
  • Participants will be provided with teaching materials, bibliographical references, etc.
  • Participants will have access to any necessary materials required for the practical components of the course.

• Education and training in the area of Infection Control in dentistry since 2007.

  • Programs are open to dental teams
  • Tuition is conducted in small groups (max. 12-15) to insure quality teaching and individualised instruction.
  • The program covers the current scientific evidence and practical management in ways to control the risk of infection in light of current guidelines and technological innovations.
  • Particular attention is paid to the effectiveness and cost-efficiency of the procedures.
  • Since “TO ERR IS HUMAN”, by identifying  mistakes, one learns: Discussions of problems raised by participants or pinpointed in the teaching materials (photo, video, Youtube)
  • Participants will be provided with teaching materials, references, and electronic links.

   

  Topics

  • Risk of Infection in dentistry: known agents (HV, HIV, TBC, legionella), emerging agents (MRSA, CMV, Herpes, prion)
  • Patient safety
  • The fear and the expectation of the patients towards the risk of infection
  • Communication of ‘sefety’ to the patient (in particular for surgery)
  • Universal infection control procedures (preparation of the patient and of the operating room; organization for safety and asepsis procedures)
  • Occupational risk and safety
  • National and Regional Legislation, Regional and International Guidelines, European Guidelines/Legislation
  • Infection control Recommendation (CDC 2003, 2008, 2011; ISPESL 2010) and regulations (Norma UNI-Tr 11408)
  • Hand hygiene: procedure and hand hygiene agents
  • Universal precaution for the dental team
  • Personal Protective Equipment (gloves, masks, protective glasses etc) during assistance and instrument processing
  • Risk of negligence, typical errors and Risk Management (The Swiss Cheese model)
  • Importance and function of protocols and check lists
  • Evaluation and handling of safety devices to prevent injuries from contaminated sharps (European Legislation n 32/2010)
  • Sterilisation and disinfection of patient care items including procedure, products and instruments, checks
  • Damage and corrosion to instruments: cause and solution
  • Management of non conformity after instrument processing
  • Environmental infection control by disinfection of clinical contact surfaces: procedure touch and no-touch, intermediate-level and fast products and appliances, and checks
  • Criteria for choosing a disinfectant
  • Surface and equipment asepsis
  • Water quality and disinfection of dental unit water lines
  • Disinfection of imprint and laboratory materials and manufactured prosthetics/orthodontics
  • Preparation, packing and maintenance of sterile products: dated or event correlated.
  • Analysis of costs of utilized commercial products and of procedures
  • An Eco-friedly way for infection control
  • Dental nursing and dental instrument processing during maternity: what is allowed and what is forbidden according to D.Lgs 151/01 and EU directives?
  • Risk of infection and medical history, insurance RC

   

  References

  • Mahboobi N. et al. Hepatitis B virus infection in dentistry: a forgotten topic. Journal of Viral Hepatitis. 2010, 17,5,307-316
  • Smith A.J. Health Technical Memorandum 01-05 – a view from north of the border. Journal of Infection Prevention 2010 11: 212
  • Slots J. & Slots H. Bacterial and viral pathogens in saliva: disease relationship and infectious risk. Periodontology 2000, Vol. 55, 2011, 48–69
  • Laheij A.M.G.A. et al. Healthcare-associated viral and bacterial infections in dentistry. Journal of Oral Microbiology 2012, 4: 17659, 1-10
  • D.M. 28/09/1990 del Ministero della Sanità in tema di “Norme di protezione dal contagio professionale da HIV”.
  • Prevention of hospital-acquired infections. A practical guide. 2nd edition, World Health Organization, 2002
  • ”Guidelines for Infection Control in Dental Health-Care Settings — 2003 –MMVR 2003, 52, 1-61. La traduzione integrale intitolata “Linee guida per il controllo delle infezioni in odontoiatria.” Gruppo di lavoro in “Igiene in Odontoiatria” è edita da Ed. ESSE srl. www.cdc.gov/mnwr/preview/mmwrhtlm/rr5217al.htm
  • Kohn WC et al. Guidelines for Infection Control in Dental Health-Care Settings — 2003. JADA  2004, 135: 33-47
  • “Guideline for disinfection and sterilization in healthcare facilities” CDC 2008
  • Rutala WA,  Weber DJ. and the Healthcare Infection Control Practices Advisory Committee (HICPAC)
  • Linea guida “ISPESL 2010” sull’attività di sterilizzazione quale protezione collettiva da agenti biologici per l’operatore nelle strutture sanitarie (D.Lgs 81/2008 e s.m.i). http://www.puntosicuro.info/documenti/documenti/100624
  • Ispesl linee guida Sterilizzazione rischio biologico.pdf
  •  “Guide to infection prevention in outpatient settings: Minimum Expectations for Safe Care” CDC  2011 http://www.cdc.gov/HAI/prevent/prevent_pubs.html
  • Norma UNI/TR 11408 “Guida alla progettazione, allo sviluppo e al controllo del processo di ricondizionamento dei dispositivi medici riutilizzabili sterilizzabili mediante vapore” www.uni.com
  • www.ec.europa.eu/enterprise/newapproach
  • OSAP (Organization for Safety and Asepsis Procedures, USA) vedi www.osap.org
  • WHO Safe Surgery Safe Life, 2009

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