MASTER COURSE SYLLABUS

For

DEN 111 : INFECTION/HAZARD CONTROL

COURSE DESCRIPTION

This course introduces the infection and hazard control procedures necessary for the safe practice of dentistry. Topics include microbiology, practical infection control, sterilization and monitoring, chemical disinfectants, aseptic technique, infectious diseases, OSHA standards, and applicable North Carolina laws. Upon completion, students should be able to understand infectious diseases, disease transmission, infection control procedures, biohazard management, OSHA standards, and applicable North Carolina laws.

Prerequisites: Enrollment in Dental Hygiene program

Corequisites: None

Class Hours: 2        Lab Hours: 0        Clinical/Work Exp.: 0        Credit Hours: 2

STUDENT LEARNING OUTCOMES

Discuss the need for infection/hazard control in dentistry.

  • Name major contributors of the discovery of microbiology and infection control.

  • State the rationale for routinely practicing infection control.

  • List five components necessary for the spread of infection.

  • State the goal of infection/hazard control.

  • List the Federal, State, and Local agencies involved in recommendations and regulations regarding infection and hazard control and state the difference between recommendations and regulations.

Discuss the personal procedures and protective barriers utilized in the prevention of infection to the dental team including:

  • Personal procedures: 1) Patient medical histories, 2) Immunizations, 3) Concept of “universal precautions”, 4) Hand washing and 5) Patient pre-treatment rinse.

  • Personal protective equipment needed during patient treatment including selection, use, and disposal or cleaning of 1) Gloves, 2) Masks, 3) Protective eyewear and 4) Clothing.

  • State the “step – by – step” procedures for putting on and removing personal barriers.

Discuss the chemicals or surface covers available for office preparation and decontamination.

  • List a variety of surface covers and their uses.

  • Recognize the variety, properties, and uses of surface disinfectants.

  • Discuss the indications of dental unit water contamination.

Discuss the process of and equipment and chemicals used in the sterilization and the monitoring of dental instruments.

  • Cite situations that require holding or presoaking of instruments.

  • List the advantages and disadvantages of manual and ultrasonic precleaning.

  • Describe various ways to package instruments for sterilization.

  • Examine three methods of sterilization for 1) Steam, 2) Unsaturated Chemical Vapor and 3) Dry Heat.

  • Discuss three types of biologic monitoring and their applications for 1) Biologic indicators, 2) Chemical indicators, 3) Physical monitoring, 4) State the possibility of absolute proof of sterilization and its implications and 5) Examine possible potential problems for failure of sterilization.

  • Discuss modes of instrument protection.

  • Describe the flow and list the “step-by-step” procedures for instrument processing.

Develop the basis of the role that microorganisms play in dental-related diseases.

  • Review the basic characteristics of microorganisms.

  • Define infectious disease, and differentiate between endogenous and exogenous.

  • List major microbes involved in the following oral conditions: 1) Normal flora, 2) Caries related and 3) Periodontal disease related.

Discuss and differentiate the epidemiology, symptomalogy, and modes of transmission and prevention of the following diseases:

  • Hepatitis A & E (non-bloodborne).

  • Hepatitis B,C,D,G.

  • HIV.

  • Examine OSHA Bloodborne Pathogen Standard.

  • Review CVCC Bloodborne Pathogen Standard.

Discuss and differentiate the epidemiology, symptomalogy, and modes of transmission and prevention of the following diseases:

  • Human Herpes Virus Type 1 – Oral.

  • Oral Candidiasis.

  • Syphilis and Gonorrhea.

  • Human Herpes Virus Type 3 – Chicken pox.

  • Human Herpes Virus Type 4 – Epstien-Barr – Infectious Mononucleosis.

  • Streptococcal Pharyngitis.

  • Tuberculosis.

  • Examine CDC Guidelines.

  • Read CVCC TB Control Plan.

Discuss the need, availability and dosage of immunizations for the following diseases:

  • Tetanus.

  • Influenza.

  • Hepatitis B.

  • Review CVCC Tuberculosis Control Plan.

Examine the components of an Office Safety Program

  • Define and list the Regulatory Documents.

  • Define and list the Policy Documents.

  • List necessary records to be maintained.

Discuss the management of chemicals in the dental environment.

  • Explain how to determine hazardous chemicals using the downstream flow of information.

  • List components of a Hazard Communication Program.

  • Examine the CVCC Hazard Communication Program.

Determine what is needed for a comprehensive waste management plan.

  • Identify various types of waste.

  • Discuss the management of 1) Liquid or Semi-liquid blood and 2) Pathogenic material.

  • Discuss the procedure for handling sharps.

  • Examine NC Administrative Code Control Measures for Communicable Diseases.

  • Examine CVCC Exposure Control Plan.

Examine common Occupational Environmental Hazards.

  • Describe health hazards of concern to the dental hygienist.

  • List management duties.

  • Examine OSHA standards pertaining to plan.

Examine the components of an Office Emergency Procedures Plan.

  • List management duties.

  • Describe procedure for emergency administration of oxygen.

  • Describe procedure for operation of a fire extinguisher.

GRADING SCALE

A Excellent 4 Grade Points Numerical grade of 90 - 100
B Above Average 3 Grade Points Numerical grade of 80 - 89
C Average 2 Grade Points Numerical grade of 70 - 79
D Below Average 1 Grade Point Numerical grade of 60 - 69
F Failed 0 Grade Point Numerical below 60
WP Withdraw Passing 0 Grade Point Issued if the course is dropped after the
census date and on or before the 60% point
of the course unless the instructor issues
a WF based on extenuating circumstances
WF Withdraw Failing 0 Grade Point Issued if the course is dropped after the
60% point of the course or the instructor
chooses based on extenuating circumstances

ATTENDANCE REQUIREMENT
SCHOOL OF HEALTH AND PUBLIC SERVICES

Regular, prompt attendance is essential for academic success. Students should strive for perfect attendance. It is recognized, however, that students may be absent from class occasionally. Students should reference the instructor's syllabus to determine the attendance requirement for this course. The instructor is responsible for enforcing the attendance requirement. It is the student's responsibility to withdraw from the course. Students may complete the withdrawal process in the Advising Center. Students may receive a grade of WP if they withdraw from a course by the 60% point/date of the course. Any student withdrawals that occur after the 60% point will result in a grade of WF. Exceptions to the "WF" grade may exist if the student has a mitigating circumstance. Students are encouraged to discuss withdrawal options with the faculty member and complete the withdrawal process in the Advising Center.

DISABILITY STATEMENT

If you have a documented disability and wish to discuss academic accommodations, please contact Frank Pait, Counselor for Students with Disabilities, at extension 4222, in the Learning Assistance Center (LAC) located on the first floor of the Cuyler A. Dunbar Building (CAD).

If you are a student with a mobility impairment and have a class in a multi-story building, please discuss evacuation plans with your instructor.

RELIGIOUS OBSERVANCE STATEMENT

Students shall be permitted excused absences from all classes two days per academic year for religious observances required by their faith. The absences requested in accordance with this policy are "one of" and not "in addition to" any absences otherwise permitted by the faculty for a class. The excused absence request must be submitted by the second class meeting and a minimum of two (2) weeks in advance of the absence. Please contact your instructor for the required forms.

ACADEMIC HONESTY POLICY

Students at CVCC are expected to be honest in all academic pursuits, whether class, lab, shop, or clinical. Acts of academic dishonesty are considered unethical and subject to behavior sanctions. Examples of academic dishonesty include, but are not limited to the following:

1. Sharing information about the content of quizzes, exams, classroom/lab/shop/clinical assignments (scheduled or make-up) without approval of the instructor including but not limited to unauthorized copying, collaboration, or use of notes, books, or other materials when preparing for or completing examinations or other academic assignments (scheduled or make-up).

2. Buying, selling, or otherwise obtaining a copy of a quiz, exams, project, term paper, or like document, without approval of the instructor.

3. Plagiarism, which is defined as the intentional representation of another person's work, words, thoughts, or ideas (from any source) as one's own.

4. Failing to follow approved test taking procedures by performing such acts as:
  • Looking on another student's test
  • Use of unauthorized notes; written, electronic, or otherwise
  • Changing answers after exam is scored
  • Verbal, non-verbal, or electronic communication with another student during an exam

Instructors have the authority to impose either a warning, probation, or dismissal from the class for acts of academic dishonesty relative to classes under their supervision.

Students have an obligation to report any acts of academic dishonesty to the instructor or appropriate campus authority when reasonable grounds exist for such a report. Students also have a responsibility to cooperate in the investigation of any alleged acts of academic dishonesty. Failure to report acts of academic dishonesty could result in a behavior sanction as outlined in the Student Conduct Policy, Policy 3.18

CVCC EMERGENCY PROCEDURES

To Report a Serious Emergency Dial 911 from any campus phone or 911 from mobile phones; then dial 711 (Campus Safety & Security) from a campus phone.

For specific CVCC emergencies guidelines, please refer to the CVCC Emergency Guidebook

Lockdown

Quickly get all persons behind a locked door, close blinds, lock all windows/doors, and turn off lights. Sit against an interior wall away from windows and doors (hide). Keep cell phones ON in silent mode or vibrate. Do not leave the locked area until notified by a known CVCC administrator or by law enforcement that the emergency is over.

Seek Shelter (tornados, hurricanes, etc.)
Move to hallways and/or other inner rooms. Stay away from windows and doors. Sit on floor facing the inner wall and shield head with hands. Remain in shelter until notified by CVCC administration or by emergency personnel that the danger is over.

Building Evacuation
Leave the building immediately and proceed to a parking lot location at least 300 feet from the building. Do not delay to retrieve books or other personal items. Do not use elevators. Do not touch suspicious objects. Stay clear of the building once outside. Faculty should take class rosters if possible and account for all students at evacuation locations. Report any special assistance needed to CVCC faculty/staff or to emergency personnel. If you are aware or suspect someone is trapped in a threatened building, notify CVCC faculty/staff or emergency personnel. Remain at your building evacuation location until further instructions are provided by CVCC administration or by emergency personnel. In case of bomb threat, avoid using cell phones and wireless devices; this may detonate the bomb.

Smoke, Fire or Hazardous Materials
Activate the nearest fire alarm. Before attempting to fight a fire, notify someone nearby. Never attempt to fight a fire larger than wastebasket size. Close doors and windows to isolate the problem if the situation permits. If trapped in a building during a fire, use wet towels or cloths to protect you from flames and smoke. Stop/drop/roll if your clothes catch on fire. Do not open doors that feel hot. Always stay between the fire and an exit. Stay low to the floor as you try to exit.

Personal Emergencies
Unless you feel threatened, stay with the victim until emergency personnel arrive. Avoid contact with bodily fluids. Stay calm and try to minimize panic. If the person is conscious, ask if he/she is a High School student (if so, include this information in your 911 call).

Emergency Procedures Revised: April 4, 2012


Cell phone backup to 711 Campus Safety & Security:
828-514-7025

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