Clean walls and blinds only if they are visibly
Inspect, clean, and disinfect on a regular basis,
all bins, pails, cans, and similar receptacles intended for
reuse and having the potential for contamination with
blood or OPIM. Clean and disinfect these containers
immediately or as soon as possible upon visible
Noninfectious waste refuse containers are not
considered infection control hazards. Line them with
plastic bags, leave them uncovered, and do not allow
them to overflow. Remove hinged doors on cabinet
refuse containers and hinged lids on freestanding
containers since they present an increased potential for
Do not pick up broken glassware directly with
your hands. Instead, use mechanical means such as a
brush and dust pan, vacuum cleaner, tongs, cotton
swabs, or forceps.
Bed linens, towels, smocks, trousers, and other
protective attire are considered ordinary laundry
unless they are visibly soiled by blood or OPIM.
Ordinary laundry should be sorted wearing gloves and
processed following your commands laundry policy.
Contaminated laundry is any laundry soiled with
blood or OPIM, including saliva and will be packed in
a red biohazard container or bag, or in a leakproof
plastic bag with a biohazard label, before shipment to
the laundry. When sorting laundry, you should wear
gloves and other appropriate personnel protective
attire. Bag contaminated laundry at the location of use.
Do not sort or reuse soiled laundry in patient care
areas. If your command has on-site laundry service,
follow instructions contained in BUMEDINST
6600.10, Dental Infection Control Program.
Regulated Waste Disposal
Infectious waste, now termed regulated waste in
the DTR is defined as any disposable material with
blood or saliva on which, if handled, would release or
express blood or saliva.
If there is doubt as to the
infectiousness of the material in question, contact the
ICO or supervisor.
HANDLING.Regulated waste must be placed
in closable, leakproof containers or bags that are
labeled as a biohazard (fig. 9-4). The container may be
in the DTR or in a central area in the clinic. If a
centralized area is used as the regulated waste
depository for the clinic, the regulated waste from each
DTR must be transported to this central area. If
headrest covers from the DTR are used to transport the
regulated waste to the depository, they must be
closable and identified with a biohazard label.
The ICO should ensure that all DTRs within a
clinic and all clinics within a command handle
regulated waste in a uniform manner.
implement a practical system to monitor disposal of
infectious waste. This system includes date, type of
waste, amount (weight, volume, or number of
containers), and disposition.
Further guidance for infectious waste can be found
in BUMEDINST 6600.10, Dental Infection Control
Program, and BUMEDINST 6280.1, Management of
Handwashing is one of the most important
procedures in preventing the transfer of micro-
organisms from one person to another. The purpose of
handwashing is to remove these micro-organisms from
the folds and grooves of the skin by lifting and rinsing
them from the skin surface. Good handwashing
techniques and use of gloves are essential before
anticipated exposure to patients blood or body fluids.
The skin harbors two types of flora, resident and
transient. Resident organisms have these charac-
Can survive and multiply on the skin.
Can be cultured repeatedly from the skin.
Are usually of low virulence and are not easily
Conversely, transient bacteria have these charac-
Do not survive and multiply on the skin.
Are not firmly attached to the skin.
Are effectively removed by rubbing of the hands
together and rinsing them under running water.
There are many commercial handwashing
products available for use in clinics. Because of the
variety, we will discuss the two main handwashing