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Chemotherapy – Health, Safety, and Waste Management Issues SLIDES
Type: Attachment
Infection Prevention and Control in the Dental Office_2009
[…] on patient care items. Therefore, an inactivated BI signifies that other potential pathogens in the load have been killed. Include a BI each day a sterilizer is used. In addition, if a load contains implantable devices, it must be monitored with a BI, and these items should be quarantined until the test results are known. Follow the manufacturer's directions concerning the appropriate placement of the BI in the sterilizer. The daily operation of everysterilizer must be reviewed and documented. A logbook should be kept for this purpose.Any malfunction must be noted and appropriate action taken. In the event of a positive BI (i.e. failed spore test): •Remove the sterilizer from service. •Review all records of mechanical and chemical indicators since the last negative BI, as well as sterilization procedures to determine whether operator error could be responsible. In the absence of a mechanical failure, common reasons for a positive BI include overloading, failing to provide adequate package separation, and using incorrect or excessive packaging material. •Repeat the spore test immediately. This should be done after addressing any procedural problems and correctly loading the sterilizer, and by using the same cycle that produced the failure. While waiting for the repeat test results, the sterilizer should remain out of service. If the dental office does not have a second sterilizer, a colleague may be able to assist or a dental supply company may lend one. Cleaning,Disinfectionand SterilizationofPatientCareItems IMPORTANT 29 ROYAL COLLEGE OF DENTAL SURGEONS OF ONTARIO •If the repeat spore test is negative, and mechanical and chemical indicators demonstrate adequate processing, then the sterilizer may be put back into service. •If the repeat spore test is positive, and all sterilization procedures have been performed correctly, then the sterilizer should remain out of service until it has been inspected, repaired and successfully rechallenged with BI tests in three consecutive empty chamber sterilization cycles. In addition, all items from suspect loads dating back to the last negative BI should be recalled, to the extent possi- ble, and reprocessed. Storage Sterile and single-use disposable items should be stored in an enclosed space, such as closed or covered cabinets. They should not be stored under sinks or in other locations where they might become wet and contaminated. Storage practices for packaged sterilized instruments may be either date or event- related. Dating assists in the recall of instruments should concerns arise with the results of sterilization tests. Some health care facilities date every sterilized package and use shelf-life practices (e.g."first in, first out"). Others use event-related practices. The latter approach recognizes that the packaged instruments should remain sterile indefinitely, unless an event causes them to become contaminated (e.g. torn or wet packaging). Packages containing sterile instruments should be inspected before use to verify barrier integrity and dryness. If packaging is compromised, the instruments should be cleaned, packaged and sterilized again. Critical and semi-critical instruments should be processed in a manner that will maintain sterility during storage.This includes ensuring that the integrity of the package is maintained. Cleaning,Disinfectionand SterilizationofPatientCareItems IMPORTANT 30 INFECTION PREVENTION AND CONTROL IN THE DENTAL OFFICE Sterilization of Unpackaged Instruments Anunpackaged cycle (sometimes called flash sterilization) is a method for sterilizing patient care items for immediate use. Unpackaged sterilization should be used only under certain conditions: •thorough cleaning and drying of instruments precedes the unpackaged cycle; •mechanical parameters are checked and an internal chemical indicator is used for each cycle; ...
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rcdso_guidelines_infection_prevention_and_control
[…] F D E N T A L S U R G E O N S O F O N T A R I O • I f the repeat spore test is negative, and mechanical and chemical indicators demonstrate adequate processing, then the sterilizer may be put back into serviceb • I f the repeat spore test is positive, and all sterilization procedures have been performed correctly, then the sterilizer should remain out of service until it has been inspected, repaired and successfully rechallenged with BI tests in three consecutive empty chamber sterilization cyclesb In addition, all items from suspect loads dating back to the last negative BI should be recalled, to the extent possi- ble, and reprocessedb Storage Sterile and single-use disposable items should be stored in an enclosed space, such as closed or covered cabinetsb They should not be stored under sinks or in other locations where they might become wet and contaminatedb Storage practices for packaged sterilized instruments may be either date or event- relatedb Dating assists in the recall of instruments should concerns arise with the results of sterilization testsb Some health care facilities date every sterilized package and use shelf-life practices (ebgb "first in, first out")b Others use event-related practicesb The latter approach recognizes that the packaged instruments should remain sterile indefinitely, unless an event causes them to become contaminated (ebgb torn or wet packaging)b Packages containing sterile instruments should be inspected before use to verify barrier integrity and drynessb If packaging is compromised, the instruments should be cleaned, packaged and sterilized againb Cleaning, Disinfection and Sterilization of Patient Care Items IMPORTANT Critical and semi-critical instruments should be processed in a manner that will maintain sterility during storage. This includes ensuring that the integrity of the package is maintained. 3b I N F E C T I...
Type: Attachment
Annual repeat influenza vaccination effects: new research results published
[…] input of investigators from the Canadian Sentinel Practitioner Surveillance Network (SPSN) and the University of Cambridge (UK). In this paper, the effects of annual repeat influenza vaccination are addressed, including several key perspectives: Historical observations, dating more than 40 years ago, including findings during UK boarding school A(H3N2) outbreaks in the 1970s, and a US randomized controlled trial in the 1980s, illustrated in the Supplementary Material. Major...
Type: Post
[…] input of investigators from the Canadian Sentinel Practitioner Surveillance Network (SPSN) and the University of Cambridge (UK). In this paper, the effects of annual repeat influenza vaccination are addressed, including several key perspectives: Historical observations, dating more than 40 years ago, including findings during UK boarding school A(H3N2) outbreaks in the 1970s, and a US randomized controlled trial in the 1980s, illustrated in the Supplementary Material. Major...
UCal_Influenza_Vaccination_Report_2014_
[…] Thomas Kellner, Dr. Gail MacKean, Dr. Stacey Page, Ms. Leora Rabatach, Ms. Mariko Roe, Dr. Robert Schulz, Ms. Jessica Robertshaw and Dr. Sharron Spicer. We thank the other members of the planning committee: Dr. Johan Bester, Dr. Mark Joffe, Dr. Diane Simpson and Ms. Dale Wright. Special thanks are due to Jessica Robertshaw and Andrew Stewart who creat ed the initial drafts of this report. Juliet Guichon...
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One-Health-Perspective-on-Food-Security-Teleclass-Slides-Jan.23.20
[…] Resistance 3 Domestication of Plants and Animals Agriculture began about 10,000 years ago. Agriculture is foundation of civilization. Towns, cities, and nations flourished with secure food supplies.. http://www.nature.com/nature/journal/v447/n7142/full/nature05775.html 4 Climate Change https://climate.nasa.gov/effects/ 5 https://commons.wikimedia.org/wiki/File:All_palaeotemps.png http://gergs.net/2015/06/up dating-the-geological-temperature-plot/all_palaeotemps/ Time of Complex Life on Earth Cambrian Explosion: Thriving life in seas but barren land Earth is 4.5 Billion Years Old Early hominids Paleozoic Era Permian-Triassic Extinction 6 Little Ice Age...
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Infection Control News: Oct 9-12, 2018
[…] in 10 ticks positive for Lyme, University of Ottawa research shows. News 100 years ago today: Province shut down over fears of Spanish flu. Really good article from CBC with few photos from newspaper articles dating back to 1918. News. In USA, an estimated 100,000 young children have not had a vaccination against any of the 14 diseases for which shots are recommended, according to a Centers...
Type: Post
[…] in 10 ticks positive for Lyme, University of Ottawa research shows. News 100 years ago today: Province shut down over fears of Spanish flu. Really good article from CBC with few photos from newspaper articles dating back to 1918. News. In USA, an estimated 100,000 young children have not had a vaccination against any of the 14 diseases for which shots are recommended, according to a Centers...
Best_Practice_Guidelines_for_Cleaning_Disinfection_and_Sterilization
Type: Attachment
Publications from Other Organizations
BC Organizations Housekeeping and Food services Audits of BC Health Care Facilities Summary: Westech Systems FM Inc. is an independent third-party auditor that conducts annual province-wide audits of housekeeping in BC hospitals and long-term care facilities. . Audit report of housekeeping practices in BC’s health authorities April 2019 to March 2020 Author(s): Westech Systems FM Date: July 2021 Audit report of housekeeping practices in BC’s health authorities April 2018 to March 2019 Author(s): Westech Systems...
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