Dental Manuals - A Question about Disinfecting Wipes


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admin Total posts: 4 Joined: 03/03/16 12:53:30
Hi Ashley,
To answer your question about requirements for any disinfecting wipes or disinfection in general, take a look at the information below:
Decontamination is performance-oriented
From an OSHA perspective, the biohazards that your decontamination process and agents are effective against must be determined by what risks you have in your office. For example, if your office treats patients with HIV and HBV, your process and disinfectants need to be effective against HIV and HBV. In general, you also want to make sure you cover any common biohazards – household bacteria and viruses for example (OSHA deems a bleach solution as effective, see below). Once you’ve identified what agents you must eliminate, you move on to the next step.
Regulatory references
  • 1910.1030(d)(4)(ii)(A) – Contaminated work surfaces shall be decontaminated with an appropriate disinfectant after completion of procedures; immediately or as soon as feasible when surfaces are overtly contaminated or after any spill of blood or other potentially infectious materials; and at the end of the work shift if the surface may have become contaminated since the last cleaning.
  • Severe surface decontamination using bleach 
Identifying disinfection products
OSHA requires that you use “appropriate” disinfectants. In a letter of interpretation, they defined “appropriate” as disinfectants that are EPA-registered and are labeled as effective against the hazard in question when used according to the manufacturers guidelines. You can determine this from the manufacturer label / by contacting the manufacturer.
Here is an excerpt form that letter:
A review of the initial intent of the Bloodborne Pathogens Standard that specifically deals with the cleaning of contaminated work surfaces, i.e., 1910.1030(d)(4)(ii)(A), reveals that OSHA intended to provide a performance-based provision that would allow for future development of "appropriate disinfectant" products. OSHA has reviewed the information on the disinfectants and has reconsidered its position on EPA-registered disinfectants that are labeled as effective against HBV and HIV. OSHA's current stance is that EPA-registered disinfectants for HIV and HBV meet the requirement in the standard and are "appropriate" disinfectants to clean contaminated surfaces, provided such surfaces have not become contaminated with agent(s) or volumes of or concentrations of agent(s) for which higher level disinfection is recommended.

It is important to emphasize the EPA-approved label section titled "SPECIAL INSTRUCTIONS FOR CLEANING AND DECONTAMINATION AGAINST HIV-1 AND HBV Of SURFACES\OBJECTS SOILED WITH BLOOD\BODY FLUIDS." On the labels that OSHA has seen, these instructions require:
1.     personal protection devices for the worker performing the task;
2.     that all the blood must be cleaned thoroughly before applying the disinfectant;
3.     that the disposal of the infectious waste is in accordance with federal, state, or local regulations;
4.     that the surface is left wet with the disinfectant for 30 seconds for HIV-1 and 10 minutes for HBV.
OSHA would expect all such disinfectants to be used in accordance with their EPA-approved label instructions.
Required OSHA policies and documentation
OSHA requires that you have a “Housekeeping” policy that explains what disinfectants you use, tasks and procedures to be performed, and locations to be cleaned. The OSHA Housekeeping Hospital eTool (applicable even though you are a Dental office) is an excellent resource that will help you develop your procedure.  
Future Technical Support
I hope that this answers your question! As something to keep in mind for the future, technical support such as this is included with all of our OSHA compliance packages (for a 4 year period). In fact, I was able to pull the answer to your question from our OSHA Package materials. The required OSHA policies and documentation such as the Housekeeping policy is included in our package as well. So if you have any future questions or are in need of OSHA compliance solutions, please do keep us in mind! Here is a link to our OSHA products should you be interested.

Thank you for writing to us.

Posted: 02/09/18 18:30:15
Ashley U Total posts: 1 Joined: 02/09/18 12:15:02

What are the requirements around disinfecting wipes? What types of diseases are our disinfectants required to eliminate?

Posted: 02/09/18 12:15:02
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