Infection Control Checklist for Office Managers

Do you document and maintain a log of CDE Credits and MandatoryTraining Requirements for Each Employee of the clinic in Infection Control?

YESNON/A

Policy on Staying Home if unwell (with possible infectious disease) and Return to Work?

YESNON/A

Taking Temperature and recording COVID-19 Risk Questions of all Clinic Personnel and Patients before entering clinical area?

YESNON/A

Proactively letting patients know to stay home if unwell or temperature above 100.4°F (Calling before appt., posting sign on clinic entry, website)?

YESNON/A

Ask all patients to wear a mask on entering the clinic waiting room?

YESNON/A

Physical Distancing in patient waiting area?

YESNON/A

Sanitizer, napkin, and level-1 mask available for patients as needed at the front desk?

YESNON/A

Sneeze/Cough Plexiglass Shields as a separator between front desk personnel and patients?

YESNON/A

Question on 'Allergic Reaction' to latex in Patient's Chart?

YESNON/A

Taking Patient's Vitals at each visit (Pulse, POP, Temperature, BP, Respiration Rate, Height/Weight)?

YESNON/A

Non-Latex Gloves and Non-Latex Dams available as alternatives in the clinic (Gloves and Dams)?

YESNON/A

Questions on TB status in the Patient's Chart?

YESNON/A

Health History pertaining to other Infectious Conditions that may require other specific information and precautions?

YESNON/A

Questions on Heart Conditions and Antibiotics if specifically indicated (varies case-by-case)?

YESNON/A

Questions on Joint Replacement and Antibiotics if specifically Indicated (varies case-by-case)?

YESNON/A

Do you follow Antibiotic Resistance Guidelines regarding prescription of Antibiotics to patients?

YESNON/A

Infection Control Protocols and Measures:?

YESNON/A

Use of antimicrobial pre-procedural mouth rinse?

YESNON/A

Change of all barriers on equipment and surfaces between patients if disinfection not done between patients?

YESNON/A

Disinfection of High Touch Surfaces, if surface barriers not used, or if visibly contaminated?

YESNON/A

Use of an Intermediate Level Hospital Disinfectant with an EPA registration for surfaces (with Hydrophilic & Lipophilic virus kill)?

YESNON/A

Unit dosing of sterile instruments and supplies for patient care before starting procedure?

YESNON/A

Unit dosing of materials and single-use-disposable items before starting procedure?

YESNON/A

Handwashing with a 2% or 4% CHG germicidal soap before wearing exam/surgical gloves at the beginning of a procedure?

YESNON/A

Handwashing immediately after taking off the gloves?

YESNON/A

Patient's Bib and Patient's Eyewear (and for protection against blue/white light)?

YESNON/A

Use of rubber/nitrile dam in combination with HVE to control bio-aerosols for restorative procedures?

YESNON/A

Use of HVE/Isolite/ReLeaf/ or similar devices during oral prophylaxis procedures to control bio-aerosols?

YESNON/A

Use of intraoral Saliva Control Systems in reducing bioaerosols during restorative procedures (examples: HVE-Dam/Isolite or ReLeaf)?

YESNON/A

Use of Air Recirculation Devices with HEPA filters to control bioaerosols in ambient Air (including ones placed proximal to patient's mouth)?

YESNON/A

Dispensing an over-glove (food handler's glove) before a dental procedure?

YESNON/A

Use of barriers on or decontaminating recording devices (Digital Impression Scanners, pencils, pens, screens, mouse or keyboards) between patients?

YESNON/A

Avoiding contamination of patient records (paperwork) or common surfaces with dirty gloves?

YESNON/A

Prohibiting employees from wearing PPE in patient waiting areas and non-clinical areas?

YESNON/A

Examining gloves for tears or punctures and hands for injuries after treating patient?

YESNON/A

Use of emollients on hands at the end of a clinic session?

YESNON/A

Use of Nitrile or Heavy Utility gloves during instrument reprocessing?

YESNON/A

Dirty instrument reprocessing receiving area for contaminated instruments?

YESNON/A

Separation of instruments and handpieces before placing instruments in holding solution?

YESNON/A

Specific manufacturer recommended protocols for reprocessing high-speed/slow speed handpieces?

YESNON/A

Using detachable Ultrasonic or Piezo Handpieces in Dental Hygiene Procedures that can be Sterilized (not inserts/tips alone)?

YESNON/A

Use of Ultrasonic devices, Solutions/Self-Dissolving Tablets or approved instrument washers for cleaning instruments?

YESNON/A

Examination of sonicated and rinsed instruments for un-removed bioburden?

YESNON/A

Testing Ultrasonic washer monthly with a foil test?

YESNON/A

Drying of instruments before placing in sterilization cassettes/pouches/bags?

YESNON/A

Recording and preserving Sterilizer Print-out or Report for each cycle before instrument release?

YESNON/A

Using chemical process indicators during sterilization to see if cycle was complete?

YESNON/A

Daily Testing with Class-II indicator (Bowie-Dick Test Pack) for air removal in B-Class Autoclaves/Sterilizers?

YESNON/A

Steps to assure sterile bags are dry before being removed?

YESNON/A

Storing Sterile instruments and Supplies in clean zones separated from the dirty zone?

YESNON/A

Weekly sterilization monitoring using biologic indicators (spore strips/spore ampoules)?

YESNON/A

Measuring chemical-efficacy if using FDA cleared chemical immersion sterilants or high-level disinfectants (using test-strips)?

YESNON/A

Servicing of Reprocessing Equipment based on manufacturer's recommendation?

YESNON/A

Chair-side disinfection and rinsing of impressions before transportation to the laboratory?

YESNON/A

Disinfection of Other Portable Patient care devices immediately after use (curing lights etc.)?

YESNON/A

Disinfection of impressions and using appropriate labeling before shipping out to lab?

YESNON/A

Periodic Shocking of Dental Water System to control environmental biofilms?

YESNON/A

Use of low-grade antimicrobials, sterile water, or daily boiled/distilled water in keeping the effluent water CFUs below 500?

YESNON/A

Quarterly Testing/Record Keeping of dental treatment water with R2A agar or in-office test kits (HPC Samplers) for every dental unit?

YESNON/A

Use of sterile water, sterile delivery system, sterile device for surgical procedures requiring irrigant/water (during endosseous surgery/implant surgery)?

YESNON/A

Special Sterilization, and Maintenance Protocols for Implantology Related Devices with documentation for each pack/load?

YESNON/A

Daily/Weekly/Periodic Cleaning of Suction Hoses with approved cleaner and replacement of suction traps?

YESNON/A

Protocols for Changing Contaminated Air-Filters (HVAC and additional HEPA filters in Air Purifying devices) with Appropriate PPE?

YESNON/A

Scheduling and Documentation of Periodic Meetings to discuss Infection Control Issues (with Minutes recorded)?

YESNON/A

Free Comprehensive IC Checklist for Office Managers

Infection Control Assessment Checklists

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Are all employees Proficient in the Knowledge and Practice of Infection Control based on the CDC's Recommendations and Guidelines and have met the CDE Requirements of your State's Board of Dental Examiners?

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