Clinical Practice Guideline for an Infection Control/Exposure Control Program in the Oral Healthcare Setting
Course Number: 342
Education and Training
OHCP shall participate in an education and training program at the time of initial assignment to tasks in which exposure to blood and OPIM may occur and at least annually thereafter.
Compliance with the exposure control/infection control protocol is significantly improved if OHCP understand the rationale for the written policies and practices intended to prevent HAIs. The objectives of the education and training program are to enlighten OHCP regarding (1) the risk of HAIs, (2) preventive strategies, (3) post-exposure evaluation and follow-up and (4) administrative controls.
Infection, an invasion and multiplication of microorganisms in body tissues, results from local cellular injury as a consequence of:
“Chain of infection,” the transmission of infectious agents in healthcare settings, requires three elements:
Source or reservoir of infectious agents
Pathogens associated with HAIs are derived primarily from humans, but contaminated objects and environmental sources are also implicated.
Susceptible host with a portal of entry receptive of the agent
Establishment of infection and its severity relate to the state of host defense mechanisms; however, the numbers, pathogenicity, virulence, and antigenicity of organisms are important determinants.
Mode of transmission for the agent
Pathogens may be transferred from the source to a host by contact transmission, i.e., direct or indirect contact transmission; or respiratory transmission, i.e., inhalation of droplets or droplet nuclei (airborne transmission).
Pathogenic organisms of concern in the oral healthcare setting
HBV, HCV, and HIV
Measles, mumps, and rubella
Herpes simplex, varicella (chicken pox), and varicella zoster (shingles)
Influenza, syncytial viruses, group A streptococci
Emerging pathogens (methicillin-resistant staphylococcus aureus (MRSA), Ebola virus, SARS-CoV-2, others)
Education and training
Personal protective equipment
Engineering and work-practice controls
Environmental infection control
Respiratory hygiene and cough etiquette
Post-exposure evaluation and follow-up
Administrative controls and work restrictions
An education and training program is completed by all OHCP prior to initial assignment to tasks and procedures in which exposure to blood and OPIM may occur and at least annually thereafter.
The program is scheduled at an acceptable time for and at no cost to OHCP.
The presentation is appropriate in content and vocabulary for the educational level of participants.
The program is conducted by person(s) knowledgeable about the subject.
The speaker provides an opportunity for interactive questions and answers.
An individual Training Record is maintained on all OHCP for the most recent 3-year period.