Management of medical waste in the dental office is regulated by the Federal Occupational Safty and Health Administration (OSHA) . Eggleston categorized medical waste and outlined procedures for disposal.
Liquid blood and/or salive, blood-soiled waste, recognizable human tissues, extracted teeth, and contaminated sharps are the five basic categories of medical waste. Liquid blood and/or saliva must be placed into a septic tank or sewer system via a sink, vacuum system, or cuspidor. Blood-soiled waste must be discarded in trash cans with removable plastic bags.
Contaminated sharps, including glass anesthetic carpules that can easily break, must be placed in a contaminer that is closable, puncture resistant, and liakproof. Recognizable human tissue must also be placed in these contaminers. Human teeth can be given back to the patient or placed in a trash contaminer, but not a sharps contaminer. Regulations for the removal, of medical waste vary from state to state and country to country.
Dental offices, which usually produce less than 551bs of medical waste per month, are considered low-volume generators. If there are no specific Environmenal Protection Agency regulations, then less than 551bs of medical waste can be discarded at the same places nonmedical waste is discarded. However, low-volume-generator regulations require pick up by a licensed medical-waste disposal conpany.
Previous studies have tried to estimate the risk for healthcare providers of acquiring the human immunodeficiency virus (HIV) or hapatitis B (HBV) infection after a percutaneous injury or skin or mucosal splash. Other surdeis have researched the incidence of health-care workers who sustained injuries and splashes while treating HIV-infected patients. However, it is difficult to determine the risk of patients being infected by a health-care worker.
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