Occupational safety instruction for a dentist

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Occupational safety instruction for a dentist

Occupational Safety and Health

Occupational Safety and Health / Standard instructions for labor protection

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Safe Operation

1. General requirements for labor protection

1.1. Persons at least 18 years of age who have received a completed medical education, as well as special instruction, who do not have contraindications in accordance with the order of the Ministry of Health of the Russian Federation No.

1.2. The staff of the office must pass the mandatory medical examination. inspection upon admission to work and periodically at least once every 12 months.

For the purpose of timely detection and treatment of chronic inflammatory processes in the upper respiratory tract and nasal cavity, subtrophic conditions of the mucous membranes of the nose and pharynx, dental diseases, as well as the carriage of staphylococcus aureus, a scheduled examination is carried out at least once every 1 months.

1.3. All new entrants to work, regardless of their position, must undergo an introductory briefing by an OT engineer.

1.4. Each newly hired to the office must undergo an initial briefing at the workplace. Re-instruction at least 1 time in 6 months.

1.5. Upon admission to work and at least once every 1 months, an examination of the knowledge of personnel on labor safety issues must be carried out according to a program approved by the chief physician.

1.6. The staff of the office is obliged to comply with the rules of the internal labor schedule, the regime of work and rest.

1.7. When working in a dental office, exposure to the following is possible. dangerous and harmful factors:

risk of infection through contact with patients (viral diseases).
increased neuro-physical stress.
increased voltage in the electrical network, the closure of which can pass through the human body.

1.8. The office staff must.

be guided in the work by their job description;
know how to provide first aid, know the location of the first aid kit;
know the rules of fire safety.

1.9. The administration of the institution is obliged to uninterruptedly provide the employees of the department with sanitary clothing, overalls, special equipment. shoes and other PPE.

The office staff is obliged to follow the rules of personal hygiene, the rules for wearing sanitary clothing and footwear, PPE.

1.10. An eyewitness or victim is obliged to immediately notify the head of the office about each accident related to production. The head of the cabinet must provide first aid, notify the heads of the doctor and the OT engineer.

1.11. Persons who violated the OT instructions are subject to disciplinary action, and, if necessary, an extraordinary knowledge test.

2. Safety requirements before starting work

2.1. Before starting work, you must:

turn on the ventilation system;
put on sanitary clothes and shoes, prepare PPE.

2.2. The staff of the cabinet should check the readiness for operation of the equipment, its grounding, make the appropriate notes in the medical equipment maintenance log.

2.3. You should start working on dental units by checking the elimination of previously recorded defects in the journal.

3. Safety requirements during work

3.1. Dentists, depending on the nature of the medical intervention, can work in a sitting or standing position.

3.2. It is recommended to work while sitting no more than 60% of the working time, and the rest while standing and moving around the office.

3.3. During the preparation of carious cavities and when grinding teeth with high-speed drills, it is recommended to protect the respiratory organs of the doctor and assistant from the resulting various aerosols with four-layer masks made of sterile gauze, which should be changed after 4 hours and disinfected by boiling for 15 minutes from the moment of boiling, or with a respirator of the " Petal".

3.4. The selection of instruments with small working parts must be carried out in good lighting conditions to reduce the eye strain of the doctor.

3.5. The selection of instruments with small working parts (burs, pulp extractors) must be carried out in good lighting conditions (by a window or by a local lighting lamp) to reduce the eye strain of the doctor.

3.6. In order to prevent the possibility of neuro-emotional stress in the attending physician due to relationships with a patient who is distinguished by an easily excitable nervous system, it is recommended to calm the patient before treatment, prescribe small tranquilizers according to indications, and carry out subsequent therapeutic intervention using modern painkillers.

3.7. To prevent the possibility of transmission of infection, the necessary treatment of a patient with a history of hepatitis B or HB antigen carriers should be treated with a bactericidal preparation.

3.8. The level of illumination created by a local source should not exceed the level of general illumination by more than 10 times, so as not to cause a light re-adaptation that is tiring for the doctor's eyesight when looking from differently illuminated surfaces.

Luminaires for local and general lighting must have protective fittings that protect the organs of vision of personnel from the blinding effect of lamps.

3.8. When working with 30-33% hydrogen peroxide, which is part of cleaning solutions, during pre-sterilization cleaning of dental instruments, the drug is stored in places inaccessible for general use in a dark dish at a temperature of 4°C. If perihydrol gets on the mucous membranes, they must be washed with plenty of water.

3.9. The preparation of cleaning solutions and manual pre-sterilization cleaning of dental instruments is carried out with rubber gloves.

3.10. To avoid burns when sterilizing dental instruments in drying and sterilizing cabinets, remove the instruments after they have completely cooled down.

3.11. To maintain the normal condition of the skin of the hands in the process of work, it is necessary.

wash hands with room temperature water before and after each patient;
thoroughly dry the skin of the hands after washing with a dry individual towel;
do not allow drugs (antibiotics, novacaine, polymers, gypsum) to come into contact with open skin surfaces.

When washing hands, it is advisable to use neutral, over-fatty soaps. Treat the skin of the hands before starting work with protective creams such as "Ideal", "Amber" or a mixture of glycerin, water, alcohol in equal parts after working at night.

3.12. After the working day, during which there was contact of hands with chlorine preparations, the skin of the hands is treated with a cotton swab moistened with 1% sodium hyposulfite solution to neutralize residual amounts of chlorine.

3.13. When working in dental offices, it is prohibited:

work on faulty devices, instruments, devices with faulty devices, alarms;
leave unattended devices, devices, devices connected to the network, electric heaters, keep cotton wool, alcohol and other flammable liquids near them;
store and use drugs without labels, as well as in damaged packaging;
taste and smell the devices used;
work with the water supply, sewerage and ventilation systems turned off, work without the installed overalls and safety devices, store food, home clothes and other items not related to work at the workplace.

4. Labor protection requirements in emergency situations

4.1. In the event of an accident, the office staff must notify the head of the dental office.

4.2. In case of electric shock or other injuries, act according to the instructions for providing first aid to victims of electric current.

4.3. In the event of a power outage, a short circuit, a break in the power supply systems, or if there is a smell of burning, the personnel must turn off the electrical equipment and call an electrician.

4.4. In the event of a fire, evacuate the patient, call the fire brigade, and before the arrival and meeting of the fire brigade, extinguish the fire with primary fire extinguishing equipment.

4.5. In case of breakdowns in the communication systems of water supply, sewerage, heating and ventilation, which impede the performance of technological operations, stop work until the accident is eliminated.

5. Labor protection requirements at the end of work

5.1. The office staff is obliged to put the workplace in order, turn off the ventilation, take off the sanitary clothes and put them in the designated place. Hand over gauze bandages for sanitization. Dispose of disposable respirators for recycling.

5.2. Personnel operating medical equipment and devices must turn them off or switch them to the mode specified in the operating instructions.

5.3. Wet cleaning of all premises is carried out daily. Periodically, at least once a month, a complete cleaning should be carried out with washing of walls, floors, doors, window sills, and the inside of windows.

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