Triangle Furniture Systems Inc.

Optiline

Triangle's commitment to innovative design is obvious with the concept of the new Optiline treatment room furniture. Created to correspond to the same infection control standards as the Steri-Center plus all current and future protocol requirements, Optiline supports the treatment recirculation 1-2-3 Protocol established by Triangle.

Step 1: Get prepared! The first step for a well organized treatment procedure!

Disinfect your hands using antiseptic soap or waterless alcohol-based hand sanitizers^1,2.
Cover all clinical contact surfaces, paying particular attention to those that are most difficult to disinfect ^1,4,5-12.
Place all items needed for the upcoming procedure ^5,6,14-15 on a working surface easily accessible from a seated position.

"Make every effort to dispense all items needed at chairside before patient care begins. (…) only items needed for the care of a single patient should be on the bracket table, portable unit, or countertops in the operatory. All other items should be stored elsewhere until needed to prevent their contamination."⁷

Protect yourself by putting on eyeglasses, mask and gloves ^4,7,9.

Step 2: Provide treatment efficiently with asepsis in mind!

Welcome your patient while washing your hands (use of waterless hand rub could be an effective alternative) and put on your eyeglasses, mask, and gloves4,7,9, an easy and effective way to reassure your patient about the care given to asepsis.
Minimize the effects of aerosol and spatter contamination from the oral cavity by using a rubber dam^5,7,8 and a high-volume evacuation (HVE) hose.
Touch as few surfaces as possible with saliva-coated gloved hands^4,5,7. Use aseptic techniques to retrieve all needed items from drawers or procedural tubs.

Step 3: Discard, Clean and Recirculate, the proper means to complete the cycle!

Discard contaminated and soiled items using the hands free access^3,5,10,13 to regulated and non-regulated waste containers.

Clean and disinfect every surface that was not covered and that may have become contaminated during the procedure^{1,6,9,11,14,15}.

"Environmental surfaces refer to both clinical contact surfaces and housekeeping surfaces4. While housekeeping surfaces (e.g. floors, sinks and walls) need only to be cleaned routinely with a detergent and water or an EPA-registered hospital disinfectant/detergent1,4,5, clinical contact surfaces should be cleaned and disinfected between each patient because they present a higher potential of cross-contamination^1,4."

Recirculate all reusable items to the Steri-Center following the Triangle 11-step sterilization procedure.

BIBLIOGRAPHY

1. CDC. « Guidelines for Infection Control in Dental Health-Care Setting-2003. » MMWR 2003; 52 (RR-17)
2. ADA.org “ADA Statement on Infection Control in Dentistry”. http://www.ada.org/prof/resources/positions/statements/index.asp#infect. 2004-07-05.
3. Canada Communicable Disease Report. “Supplement, infection control guidelines” ISSN 1188-4169 Health Canada, 1998:1-32
4. OSAP. From Policy to Practice: OSAP’s Guide to the Guidelines. Annapolis: 2004, OSAP, 162 pages.
5. Cottone, J.A., Terezhalmy, G.T., Molinari, J.A. Practical Infection Control in Dentistry, 2nd ed.. Philadelphia: Williams & Wilkins, 1996: 2-90.
6. Bird, D.L., Robinson, D.S. Torres and Ehrlich Modern Dental Assisting. Seventh Edition. Philadelphia: 2002. Saunders: 273-467.
7. Miller, C.H., Palenik, C.J., Infection control and Management of Hazardous Materials for the Dental Team, Second edition, Mosby 1998: 11-234.
8. Department of Labor, OSHA. 29 CRF Part 1910.1030: Bloodborne pathogens., www.osha.gov , 04-06-03.
9. Canadian Dental Association Board of Governors. “ Recommendation for Implementation of Infection Control Procedures.” DCA, 1999, 12 pages.
10. Williams, H.N., Singh, R., Romberg, E., „Surface contamination in the dental operatory. A comparison over two decades.”, JADA, 2003 134:328.
11. OSAP. « Managing Environmental Surfaces. » Infection control In Practice, April 2004, 3 (3): 1-5.
12. Schuster, G.M., Wetterhus, G.J., Dryden P. Handbook of Clinical Dental Assisting. Philadelphia: 1999, W.B. Saunders Company: 2-98.
13. Missika, P., Drouhet, G. Hygiène, asepsie, ergonomie. Un défi permanent. Rueil-Malmaison Cedex : Édition CdP, 2001 : 3-73.
14. Perrin, D., Pacaud, G., Pône,D. Contrôle du Risque Infectieux en Odontologie. Paris : Éditions CdP, 1997 : 1-154.
15. ADA.org: “ADA News: Analyzing CDC Guidelines, 04/29/2003”,
http://www.ada.org/prof/resources/pubs/adanews, 2004-07-05.