Dental Infection Control Checklist: PPE & Surface Disinfection
Protect your patients and team! This Dental Infection Control Checklist ensures meticulous PPE usage and surface disinfection, minimizing risk and maximizing safety in your practice. Stay compliant & confident.
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Personal Protective Equipment (PPE)
Ensuring proper use and availability of PPE for all staff members.
Quantity of N95 Masks Available
Quantity of Surgical Masks Available
Quantity of Gloves (various sizes)
Number of Gowns Available
PPE Types Currently in Use:
Date of Last PPE Inventory Check
Notes on PPE Supply or Shortages
Hand Hygiene
Verification of adherence to handwashing and hand sanitization protocols.
Handwashing Duration (seconds)
Soap Type Used
Handrub Used?
Last Hand Hygiene Training Date
Time of Last Handwashing
Areas of Hands Washed Thoroughly
Surface Disinfection
Validation of disinfection procedures for all surfaces and equipment.
Disinfectant Contact Time (Minutes)
Disinfectant Type Used
Specific Surfaces Disinfected (Detailed List)
Date of Last Surface Disinfection
Time of Last Surface Disinfection
Frequency of Disinfection
Photo Documentation (Optional)
Instrument Processing
Confirmation of correct sterilization and disinfection cycles for dental instruments.
Autoclave Cycle Time (Minutes)
Autoclave Temperature (°C)
Autoclave Pressure (PSI)
Autoclave Load Type
Last Autoclave Maintenance Date
Cycle Start Time
Indicator Type Used
Comments/Observations
Waste Management
Proper handling and disposal of infectious waste materials.
Quantity of Red Bag Waste Generated (Approximate)
Quantity of Sharps Container Waste Generated (Approximate)
Waste Segregation Practices Followed?
Date of Last Sharps Container Replacement
Any Unusual Waste Handling Procedures?
Container Lids Secure?
Waste Storage Area Clean and Organized?
PPE Donning & Doffing
Ensuring correct procedures for putting on and taking off PPE to prevent contamination.
Order of PPE Application (Correct Sequence)
Detailed steps for Glove Donning (Observed)
Detailed steps for Mask Application (Observed)
Detailed steps for Eye Protection Application (Observed)
Detailed steps for Gown Application (Observed)
Potential Contamination Points (During Doffing)
Glove Removal Technique (Description - e.g., Over-the-wrist technique)
Gown Removal Technique (Description)
Observer Signature (Confirmation of Protocol Adherence)
Environmental Surface Cleaning
Routine cleaning and disinfection of non-critical surfaces in the dental operatory.
Dilution Ratio of Disinfectant (e.g., 1:10)
Contact Time of Disinfectant (Minutes)
Surfaces Cleaned (Check all that apply)
Date of Last Surface Cleaning
Disinfectant Used (Specify Brand and Type)
Notes/Comments Regarding Cleaning Procedure
Respiratory Protection
Assessment of respiratory protection needs and proper fit testing (if applicable).
Fit Test Frequency (Months)
Last Fit Test Date
Respiratory Protection Program in Place?
Type of Respirator Used (if applicable)
Notes on Respirator Use and Program
Employee Trained on Respirator Use?
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