Infection Control Contract

Mandatory Infection Control Procedures

1. Sterilization of instruments using one or more of the following:
   1. Steam under pressure (autoclave)
      Steam under pressure is the most effective and widely used form of heat sterilization used today. Sterilization temperature is 121 degrees Centigrade, (250 F) for 20 minutes or through the entire exposure time as recommended by the manufacturers instructions.
   2. Dry heat oven
      The most common temperatures used are 162.8 C (320 F) for 120 minutes, and 170 C (338 F) for 60 minutes, according to manufacturers instructions. (Note - beaded units are not an acceptable means to achieve verifiable sterilization.)
2. Monthly biological spore testing is essential to prove efficiency of your sterilizer. Bacillus Stearothermophilus spores are used to test steam autoclaves. Bacillus Subtilis spores are used to test dry heat sterilizers.
3. Use of one of the following appropriate sterilization packaging.
   1. Clear plastic roll
   2. Paper / Plastic Pouches
   3. Paper Pouches
   4. Doubled layer Cotton Fabric
4. Single use sterile disposable needles only.
5. It is essential to dispose of biohazard waste, according to local board of health requirements.
6. Wearing surgical gloves (latex or vinyl) during treatment.
7. Instrument cleaning methods:
   1. Manual - useage according to Canada Health Guidelines.
   2. Ultrasonic cleaner
8. Use of recommended surface cleaning solutions, (e.g. 10% bleach).
9. Skin prep - Use 70% isopropyl alcohol or chlorihexidine gluconate.
10. Draping: One of the following must be used for each client.
    1. Disposable paper products.
    2. Freshly laundered linens / towels for each client
11. Diligent, and thorough hand washing.
12. Use of a facemask if "cold" symptoms are present.