Training opportunities in sterilization and disinfection of patient care items and devices in dental settings

Infection prevention and control (IPC) gaps remain in dentistry due to inadequate staff training and cross training of standardized procedures and protocols.1,2 The literature emphasizes the need for education and training in the sterilization process, sterilizers, and the benefits of competency evaluations.1,3,4 From August 2018 to June 2021, the Nebraska Infection Control Assessment and Promotion Program (ICAP), funded by Nebraska Department of Health and Human Services (NE DHHS) through a grant from the Centers for Disease Control and Prevention (CDC), provided voluntary consultations to dental facilities across Nebraska using a checklist adapted from the CDC “Basic Expectations of Safe Care.” Interview Responses and Direct Observations of Sterilization and Disinfection Assessments Response Yes No. (%) No No. (%) Interview Written policies and procedures are available to ensure reusable patient care instruments and devices are cleaned and reprocessed appropriately before use on another patient. 8 (50.0) 8 (50.0) Written policies and procedures are available to ensure reusable patient care instruments and devices are cleaned and reprocessed appropriately before use on another patient at least annually. 7 (43.8) 9 (56.3) HCP are required to demonstrate competency with reprocessing procedures (ie, correct technique is observed by trainer) following each training. 5 (31.3) 11 (68.8) HCP responsible for reprocessing reusable medical devices receive hands-on training on proper selection and use of PPE and recommended steps for reprocessing assigned devices. 7 (43.8) 9 (56.3) Policies and procedures are in place outlining dental setting response (eg, recall of device, risk assessment) in the event of a reprocessing error/failure. 8 (47.1) 9 (52.9) Facility routinely audits (monitors and documents) adherence to reprocessing procedures. 3 (18.8) 13 (81.3) Facility provides feedback from audits to personnel regarding their adherence to reprocessing procedures. 3 (18.8) 13 (81.3) Direct observation Prior to transportation, items contaminated with blood and other infectious materials are placed in a container that is puncture-resistant, leak-proof on the bottom and sides, labeled as biohazardous, and sealed. 0 (0.0) 4 (100.0) Work-practice controls that minimize contact with sharp instruments are used and appropriate PPE is worn if manual cleaning is necessary. 2 (50.0) 2 (50.0) Sterile packs are labeled at a minimum with the sterilizer used, the cycle number, the