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1st EDITION Compliance Catalogue Products & Price List Find out about our FREE online Verifiable CPD plus receive non verifiable CPD inside Huge Savings More Choice Essential Guidance HTM 01-05 & CQC Fundamental Standards HCAI Code of Practice To order call FREE on +44 (0)800 840 0105 or email [email protected] © Isopharm 2015 www.isopharm.co.uk/dental Guiding you to compliance Contact us Isopharm Limited The Decontamination Support Centre Units 8 & 9 Taylors Court, Parkgate Rotherham, S62 6NU Main Office: +44 (0)800 840 0105 Company Fax: +44 (0)844 8118 138 Email Address: [email protected] Special Offers! SPEND between £100-£149 and you will receive a FREE Box of Chocolates SPEND between £150-£449 CONTENTS Section Page Logbooks ................................................................... 3 Hand Hygiene ...................................................... 4 - 9 Personal Protective Equipment ....................... 10 - 15 Manual Cleaning Instruments .......................... 16 - 21 Ultrasonic Cleaning: Testing & Validation......... 22 - 27 Process Monitoring .......................................... 28 - 29 Washer Disinfectors: Testing & Validation........ 30 - 33 Instrument Inspection ..................................... 34 - 36 Sterilisers: Testing & Validation ....................... 38 - 42 Pouches, Trays and Transport .......................... 44 - 51 and you will receive a Machine Detergents ........................................ 52 - 55 FREE Wallet Sized Power Bank Phone Charger Environmental Cleaning ................................... 56 - 61 Suitable for Iphone 5 & 6, and any generic android. SPEND over £500 Surface Cleaning Cleaning .............................. 62 - 65 Spillage Kits ..................................................... 66 - 70 Medical Emergency & First Aid ........................ 72 - 77 Dental Unit Water lines .................................... 78 - 81 Computer Accessories ..................................... 82 - 85 and you will receive a Impressions ..................................................... 86 - 91 FREE 7” Android Tablet Everyday Disposables ...................................... 92 - 94 Non-verifiable CPD .......................................... 95 - 96 Products shown are indicative and may vary. Offers may change without notice. Most major cards accepted www.facebook.com/IsopharmDENTAL www.youtube.com/user/IsopharmDENTAL All prices in this catalogue are exclusive of VAT Delivery charges apply: United Kingdom Europe International - £5.13 Price on application Price on application Company Registration: 3843619 2 twitter.com/Isopharm_DENTAL www.Facebook.com/groups/ essentialdentalguidance A full copy of the Isopharm’s Terms & Conditions are available on the Isopharm website www.isopharm.co.uk. *note prices within this catalogue are correct when sent to print, however they may be subject to change without giving formal notice to customers. All goods returned must be accompanied with the returns note, located on the back of the delivery note. 15% restocking fee applied to all returned items, without a credit of the initial delivery charge. Note some items are none returnable once purchased. Charges will apply when using a credit card, unless payment is made upon ordering, debit cards excluded. E&OE. Our catalogue guidance sections have been created based on the information stated in current industry standards and is our interpretation of the guidance therein. Please be aware that our interpretation may not correspond with that of your decontamination adviser or auditor. If you have any queries please contact Isopharm on +44 (0)800 840 0105 or visit www.isopharm.co.uk/dental *Promotional items may vary from those pictured. To order call FREE on +44 (0)800 840 0105, or email [email protected] Logbooks Why Choose Isopharm Logbooks? Client Comments Our logbooks are user friendly and aim to provide dental practices with a compliance system for record keeping practice wide. With each logbook we provide Isopharm Tips and guidance throughout, to aid you in your HTM 01-05 and practice compliance. Our logbooks provide up to date guidance to current guidelines, providing assurance that the logbook you receive will always be the latest version. Lindsay (Practice Manager) ‘I have quite a large practice and the logbooks work great. They have everything in them that we need to keep the practice in check and up to date with Friendly Compliance best practice. They tick all System from ONLY the boxes!’ Decontamination Process HTM 01-05 Decontamination Flow Chart Poster Laminated A2 Complies with the latest 2013 edition of HTM 01-05 RRP: £11.55 Guiding you to compliance PREPARATION & PROCESS ANALYSIS PHASE 1: PREPARATION (STILL IN SURGERY) (REQUIRED) Is a washer disinfector to be used? Are they single use instruments or consumables? YES Dispose NO Continue Place instruments in lidded lockable container If decontamination is not going to be carried out immediately, cover instruments with wetting agent/foam Remove PPE Refer to PPE protocol Dispose of as clinical waste Move instruments to PHASE 2: PROCESS ANALYSIS All orders over £80 PHASE 2: PROCESS ANALYSIS Remain in PPE from surgery (refer to PPE protocol) Sort instrument tray contents Order Code: POSTDECONA2 YES NO Are the instruments heavily soiled? YES NO Go to PHASE 3A: MANUAL CLEANING Go to PHASE 3C: WASHER DISINFECTOR Is an ultrasonic cleaner to be used? YES CLEANING & DISINFECTION YES NO Go to PHASE 3B: ULTRASONIC CLEANER STORAGE PHASE 6: INSPECT AND STORE PHASE 3B: ULTRASONIC CLEANER PHASE 3C: WASHER DISINFECTOR PHASE 4: INSPECTION PHASE 5: STERILISER Perform hand hygiene prior to donning PPE Ensure that all HTM 01-05 and machine manual housekeeping and safety checks have been carried out Ensure that all HTM 01-05 and machine manual housekeeping and safety checks have been carried out Visually inspect all instruments under an illuminated magnifier. Are instruments clean, functional and in good condition? Ensure that all HTM 01-05 and machine manual housekeeping and safety checks have been carried out Still donning PPE Still donning PPE Apply PPE – Refer to PPE Protocol Add a measured amount of water to the sink, sufficient to completely submerge the instruments during washing. The water should be at the temperature specified by the detergent manufacturer but never greater than 45ºC Are the instruments suitable for ultrasonic cleaning? YES NO Proceed to cleaning method specified by instrument manufacturer – Revert to PHASE 3A or go to PHASE 3C Add a measured amount of detergent to achieve the concentration specified by the detergent manufacturer YES Are instruments blunt, bent, damaged or showing signs of pitting or other corrosion? Place the instruments in the washer disinfector as specified by the manufacturer / HTM 01-05 Place instruments in the ultrasonic cleaner basket as specified by the manufacturer / HTM 01-05, lower into the bath and close/ replace lid Run cycle Agitate/scrub the instruments, completely submerged in the cleaning solution, using long handled brushes with soft plastic bristles Once cycle is complete, verify cycle parameters and complete log book record and remove the instrument basket from the ultrasonic cleaner Drain any excess cleaning solution prior to rinsing Fill the rinsing sink with enough satisfactory potable (drinkable) water to cover the instruments Are any further cleaning processes to be carried out? YES NO Go to PHASE 3B: ULTRASONIC CLEANER or PHASE 3C: WASHER DISINFECTOR as required Fill rinsing sink with enough satisfactory potable (drinkable) water to cover instruments Are any further cleaning processes to be carried out? Will the instruments be processed via a vacuum cycle? YES Run cycle YES Discard Remove PPE - Refer to PPE protocol Dispose of as clinical waste NO Re-processing required – go to PHASE 2 Lubricate any relevant items prior to sterilisation with a non-oil-based lubricant certified for use on the instruments, and compatible with the sterilisation process Return to surgery Once cycle is complete, verify cycle parameters and complete log book record Go immediately to PHASE 5: STERILISER Perform hand hygiene prior to donning PPE Place instruments/sets in approved sterilisation pouches Place on steriliser trays as specified by the steriliser manufacturer Load trays into the steriliser as specified by the steriliser manufacturer, close & secure the door and select correct cycle Remove PPE - Refer to PPE protocol Dispose of as clinical waste Perform hand hygiene Once cycle is complete, verify cycle parameters and complete log book record Go to PHASE 4: INSPECTION Did the cycle pass? YES NO Go to PHASE 3C: WASHER DISINFECTOR Go to PHASE 4: INSPECTION Rinse instruments YES NO Go to PHASE 6: INSPECT & STORE Refer to steriliser manufacturer instructions. Do not use instruments without fully reprocessing Complete log book record Guiding you to compliance HTM 01-05 Decontamination Checklist Logbook HTM 01-05 Impression Disinfection Logbook Provides daily, Instrument Expiry, Medical Devices and Procedures Record Sheets. Provides daily record sheets for disinfection before and after lab work. Order Code: LOGIM001 LOGDEC001 Buy any 3 for only £25.00 Buy any 3 for only £25.00 EACH EACH RRP: £30.00 Were the instruments processed via a vacuum cycle? YES NO Check pouch integrity, date and initial, one year expiry Dry using non linting cloth Move to clean storage area YES RRP: £30.00 www.isopharm.co.uk/dental £25.00 PER BOOK When buying 3 or more Individual log books £30.00 +vat each Medical Emergency Equipment & First Aid Logbook Provides weekly and annual record keeping for Defibrillator(s), O2 Cylinder(s), Emergency Drugs and First Aid Kit(s). Order Code: Are the instruments to be used during the same day? LOGMED001 NO Take to surgery and place in covered trays or drawers Are the instruments to be used within one week? Buy any 3 for only YES NO Store in clean non clinical area on lidded tray or covered drawer for up to 1 week Pouch instruments, date and initial, one year expiry Move to clean storage area £25.00 EACH Remove PPE - Refer to PPE protocol Dispose of as clinical waste Perform hand hygiene Go to PHASE 4: INSPECTION XX Apply PPE Refer to PPE protocol Carefully open the steriliser door and remove the trays. Note: trays and instruments may be very hot – take appropriate precautions NO Dry using non linting cloth Apply PPE Refer to PPE protocol Remove instruments from the washer disinfector Perform hand hygiene prior to donning PPE Still donning PPE NO Perform hand hygiene Use a thermometer to ensure the correct temperature, as specified by the detergent manufacturer, is maintained. Ensure the thermometer is decontaminated between uses. Go to PHASE 3A: MANUAL CLEANING STERILISATION PHASE 3A: MANUAL CLEANING NO Are the instruments heavily soiled? Go to PHASE 3A: MANUAL CLEANING FREE Order Code: Jackie (Dental Nurse) ‘The logbooks save a lot of time and hassle. They are extremely helpful!’ XX HTM 01-05 Surgery Checklist Logbook RRP: £30.00 Provides daily record sheets for key tasks within the surgery. HTM 01-05 Environmental Maintenance & Cleaning Logbook Order Code: Order Code: LOGSU001 Buy any 3 for only £25.00 EACH Provides daily and monthly record sheets in accordance with the HCAI Code of Practice. LOGEN001 Buy any 3 for only £25.00 EACH RRP: £30.00 RRP: £30.00 HTM 01-05 Washer Disinfector Logbook HTM 01-05 Benchtop Steriliser Logbook HTM 01-05 Instrument Manual Cleaning Logbook HTM 01-05 Ultrasonic Cleaner Logbook Provides daily record sheets, with guidance on hand washing and sharps injuries. Provides daily, weekly, quarterly and annual test and record sheets. Order Code: Order Code: Order Code: Order Code: LOGMC001 LOGUC001 LOGWD001 LOGBS001 Buy any 3 for only Buy any 3 for only Provides daily, weekly, quarterly and annual test and record sheets. Buy any 3 for only Provides daily, weekly, quarterly and annual test and record sheets. Buy any 3 for only £25.00 £25.00 £25.00 £25.00 RRP: £30.00 RRP: £30.00 RRP: £30.00 RRP: £30.00 EACH EACH You can also order online at www.isopharm.co.uk EACH EACH 3 Hand Hygiene HOW AND WHEN TO CLEAN HANDS IN THE DENTAL SURGERY Hands must be cleaned immediately before each and every episode of dental patient care, after contact with saliva, blood or other bodily fluid and before donning gloves. This prevents contamination of the patient’s mouth and face with organisms carried on the dental team’s hands. Hands must be cleaned immediately after every episode of patient care and following removal of gloves to minimise contamination of the dental surgery environment and oneself. Working bare below the elbow encourages effective hand hygiene. Removal of rings and avoidance of nail polish reduces the carriage of pathogens on the hands. A standardised hand hygiene technique should be used to ensure that all surfaces of the hands and wrists are exposed to the soap or disinfectant and are thoroughly cleaned in a systematic manner. 15 to 30 seconds is recommended to clean hands and wrists when using plain & antibacterial soaps and waterless products. Performing surgical hand hygiene to clean hands, wrists and forearms requires 2 to 3 minutes. When using soaps and water, dry hands thoroughly afterwards as bacteria can proliferate on damp hands. Drying hands also helps to maintain skin integrity and prevent skin damage. Microbes grow faster and are shed in greater numbers from damaged skin. Use a moisturiser regularly to protect the skin from dehydration and damage. HCAI Code of Practice and HTM 01-05 specifies training in hand hygiene as an essential quality requirement for all existing staff and new staff during their induction. Motivation and compliance can be encouraged by following the example set by senior members of the dental team, the use of posters and regular hand hygiene audits with feedback. Employ vigorous rubbing to create friction which physically removes microbes. Duration of hand hygiene is also important. Hand PD eC Hygienable on il is ava aining our Tr site web Touch Free GOJO TFX Dispenser GOJO 535ml Mild Foam Soap Order Code: SOAPGJ001 4 Includes A BELT CLIP Buy 4 for only 1200ml Dispenser available in: 1200ml Dispenser £9.10 EACH White/Grey Order Code: DISPGJ005 D61 50ml Gel Tottle £6.70 EACH RRP: £7.25 Buy 24 for only £2.50 EACH Order Code: TOT001 RRP: £3.20 To order call FREE on +44 (0)800 840 0105, or email [email protected] HAND CLEANING TECHNIQUES How to handrub How to handwash with an alcohol based formulation with soap and water 1 0 Apply a palmful of the product in a cupped hand and cover all surfaces Wet hands with water 2 Rub hands palm to palm Apply enough soap to cover all hand surfaces 3 4 Right palm over left dorsum with interfaced fingers and visa versa Palm to palm with fingers interlaced 7 Rotational rubbing or left thumb clasped in right palm and vice versa Rotational rubbing backwards and forwards with clasped fingers of right hand in left palm and visa versa ...Once dry, your hands are safe. 9 Rinse hands with water 5 Backs of fingers to opposing palms with fingers interlocked 8 6 20-30 sec 9 1 Rub each wrist with opposite hand... 10 Use elbow to turn off tap 11 Dry thoroughly with a single use towel... THE IMPORTANCE OF GOOD HAND HYGIENE 12 Our hands are covered with many transient microbes most of which are harmless and live in harmony with our skin. However, some of these bacteria are pathogenic and can cause harm to our patients and staff. Because of this, hand hygiene is an important part of our daily environmental cleaning processes. If efficient hand hygiene procedures are not performed adequately, then the risk of cross contamination in categorised risk areas is far greater, and poses a risk of infection to patients and staff. The diagram above shows some examples of the techniques involved in this process. ...Once dry, your hands are safe. Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental 40-60 sec See how to do tests and procedures on the Isopharm YouTube channel www.youtube.com/isopharmdental You can also order online at www.isopharm.co.uk 5 Hand Hygiene HAND SOAP, MANUAL PUMP GOJO 535ml Mild Foam Soap Order Code: SOAPGJ001 Mild soap should be used when washing hands. Bar soap should not be used. Apply the liquid soap to wet hands to reduce the risk of irritation, and perform hand-washing under running water. Ordinarily, the hand-wash rubbing action should be maintained for 15 seconds. After the exercise, the hands should be visibly clean. Where this is not the case, the hand hygiene procedure should be repeated. Order Code: £6.70 Buy 4 for only £6.70 EACH EACH RRP: £7.25 Although some areas of compliance require specific products, we do try to provide alternatives whenever a choice is available and economising as possible. SECTION 6.5 SOAPGJ002 Buy 4 for only YOU CHOOSE HTM 01-05 COMPLIANT GOJO 535ml Antibacterial Soap RRP: £7.25 So, wherever you see our YOU CHOOSE logo, the product that you need from our range is entirely up to you. HAND DISINFECTANT GEL, MANUAL PUMP Purell 60ml Gel Tottle D61 50ml Gel Tottle Order Code: TOT003 £1.70 EACH Buy 24 for only £3.04 TOT001 RRP: £3.20 EACH EACH Purell 350ml Hand Gel D61 250ml Hand Gel Order Code: Order Code: Order Code: HANDG008 SOAPKU001 HANDG010 RRP: £5.60 YOU CHOOSE £1.60 PER 100ML RRP: £5.20 Equates to ONLY Equates to ONLY Includes A HAND PUMP HTM 01-05 COMPLIANT SECTION 6.1 The term hand hygiene covers not only hand washing, but also alternative and additional measures such as hand disinfection using antibacterial-based hand-rubs/gels. £2.08 PER 100ML D61 5 Litre Hand Gel Order Code: £7.95 Equates to ONLY £2.65 YOU CHOOSE Schülke 500ml Hand Gel RRP: £5.50 RRP: £17.50 PER LITRE YOU CHOOSE Includes A HAND PUMP RRP: Order Code: HANDG005 HANDG009 £3.50 Klin-Up 300ml Manual Hand Pump Includes A HAND PUMP PER 100ML Equates to ONLY 6 RRP: £3.55 Order Code: £2.50 RRP: £1.85 TOT002 YOU CHOOSE Buy 24 for only Includes A BELT CLIP Order Code: YOU CHOOSE Buy 24 for only Schülke 60ml Gel Tottle Includes A BELT CLIP Hand Pump Order Code: PUMPD003 RRP: £6.10 Equates to ONLY £2.32 PER 100ML To order call FREE on +44 (0)800 840 0105, or email [email protected] SKIN CARE GOJO Hand Medic Moisturiser 60ml Flip Bottle GOJO Hand Medic Moisturiser 148ml Tube Schülke Sensiva Protective Emulsion 150ml Order Code: Order Code: HANDM002 HANDC001 Order Code: HANDM001 Buy 24 for only Buy 12 for only Buy 12 for only EACH EACH EACH £2.40 £2.95 £3.60 RRP: £3.30 RRP: £2.50 RRP: £4.50 HTM 01-05 COMPLIANT SECTION 6.7 Hand cream, preferably water-based, should be used to avoid chapped or cracking skin. Communal jars of hand cream are not desirable as the contents may become contaminated and subsequently become an infection risk. Ideally, wall-mounted hand-cream dispensers with disposable cartridges should be used. Any staff that develop eczema, dermatitis or any other skin condition should seek advice from their occupational health department or general practitioner (GP) as soon as possible. WALL MOUNTED DISPENSER SYSTEMS, MANUAL PUMP 1250ml Dispenser available in: 700ml Dispenser available in: White/Grey Order Code: White/Grey Order Code: DISPGJ001 Black/Chrome Order Code: DISPGJ003 Black/Chrome Order Code: DISPGJ004 GJREF001 (700ml) GJREF002 (1250ml) Mild Foam Hand Wash Order Code: Order Code: YOU CHOOSE GJREF007 (700ml) GJREF008 (1250ml) GJREF003 (700ml) GJREF004 (1250ml) EACH £9.80 £21.75 Saraya Refills 1200ml Alsoft-E Disinfectant Order Code: SAREF004 RRP £14.60 1200ml Saraya Foam Soap Order Code: SAREF005 RRP £12.80 1250ml Refill ONLY RRP: £24.75 DISPSA001 GJREF005 (700ml) GJREF006 (1250ml) Forestberry Foam Hand Wash 700ml Refill ONLY Order Code: Lemonberry Hand & Shower Wash Order Code: Order Code: EACH £13.60 A wide range of soap & hand wash is available: 700ml Refills - pack of 4 1250ml Refills - pack of 3 Antibacterial Foam Soap £6.19 1250ml Dispenser 1250ml EACH EACH 700ml GOJO Refills Manual Hand Pump accepts choice of one of two solutions: Saraya Gentle Foaming Hand Wash (approx 1500 applications) Alsoft-E Hand/Skin Disinfectant (approx 800 applications) 1200ml Dispenser DISPGJ002 700ml Dispenser £13.60 Saraya 1200ml Manual Dispenser EACH GOJO ADX Dispenser RRP: £29.40 FULL RANGE OF WALL MOUNTED SYSTEMS, TOUCH FREE OVERLEAF You can also order online at www.isopharm.co.uk 7 Hand Hygiene WALL MOUNTED DISPENSER SYSTEMS, TOUCH FREE GOJO TFX Dispenser GOJO LTX Dispenser Saraya 1200ml Universal Automatic Dispenser 700ml Dispenser available in: White/Grey Order Code: 1200ml DISPGJ006 1200ml Black/Chrome Order Code: DISPGJ008 700ml 1200ml Dispenser White/Grey Order Code: DISPGJ005 DISPGJ007 Black/Chrome Order Code: £18.10 EACH 700ml Dispenser 1200ml 1200ml Dispenser 1200ml Universal Automatic Saraya Dispenser - 1200ml Dispenser £18.10 EACH DISPGJ009 Order Code: DISPSA002 £89.00 EACH 1200ml Dispenser available in: available in: White/Grey Order Code: Buy 8 refills and get a FREE DISPENSER £9.10 EACH 1200ml Dispenser GOJO Refills A wide range of soap & hand wash is available 700ml Refills - pack of 3 1200ml Refills - pack of 2 GOJO Refills A range of soap is available All Refills - pack of 2 Saraya Refills 1200ml Alsoft-E Disinfectant Order Code: SAREF004 RRP £14.60 Order Code: Order Code: GJREF009 GJREF010 (1200ml) £16.48 EACH 1200ml Refill ONLY RRP: £32.95 8 700ml Refill ONLY £12.30 EACH Foam Soap 1200ml Refill ONLY £18.45 EACH Antibacterial Foam Soap GJREF011 (700ml) GJREF012 (1200ml) RRP: £36.90 Order Code: GJREF015 (700ml) GJREF016 (1200ml) 700ml Refill ONLY £11.24 EACH Order Code: Mild Foam Hand Wash 1200ml Refill ONLY £16.84 RRP: £33.70 EACH Antibacterial Foam Soap Buy 8 refills and get a FREE DISPENSER 1200ml Saraya Foam Soap Order Code: SAREF005 RRP £12.80 To order call FREE on +44 (0)800 840 0105, or email [email protected] HELPING YOU CHOOSE THE RIGHT PRODUCT Touch Free Soap Dispensers Which Dispenser? Sizes Available Refills Available Comparison Price Per 100ml GOJO TFX Dispenser 1,200ml Foam Soap Antibacterial Foam Soap £1.37 £1.37 GOJO LTX Dispenser 700ml Foam Soap Antibacterial Foam Soap £1.60 £1.75 1,200ml Foam Soap Antibacterial Foam Soap £1.40 £1.53 1,200ml Alsoft-E Disinfectant Foam Soap £1.21 £1.06 Saraya Universal Automatic Dispenser HTM 01-05 COMPLIANT SECTION 6.11 Wall-mounted liquid hand-wash dispensers with disposable cartridges should be used. It should be ensured that the nozzle is kept clean. Refillable hand-wash containers should not be used as bacteria can multiply within many of these products, and are therefore a potential source of contamination. Training for the Whole Dental Team Hand Hygiene Mini Training Kit Our Education Kit will help you provide a highly effective and memorable visual demonstration of the profound importance of effective hand hygiene. This also includes how easily germs and contaminants may be transmitted on contact. es Providfiable ri on-ve N CPD You can also order online at www.isopharm.co.uk Enough for up to 50 hand washes. Enough for up to 50 hand washes. RRP £34.99 Order Code: HYKIT001 9 Personal Protective Equipment PERSONAL PROTECTIVE EQUIPMENT (PPE) PPE is part of Standard Precautions for infection prevention and control in the dental surgery. team should be trained in proper use and selection of PPE required during clinical work and instrument decontamination. Whilst protecting the dental team from exposure to infections at work, PPE should not be relied on for sole protection. PPE should be used in combination with other preventive measures such as safe working practices, adequate surgery ventilation and immunisation. PPE used in dentistry is required to be CE marked as this guarantees appropriate functional performance. Used PPE is disposed of as hazardous clinical waste. According to HCAI Code of Practice, clinical members of the dental GLOVES Gloves made of nitrile or neoprene are preferred over latex gloves as both staff and patients can become sensitised to latex and accelerators used in glove manufacture. It is important to realise that gloves do not prevent sharps injuries. Gloves are recommended for all dental treatments but should not be worn as an alternative to hand washing. They are single use items and are donned at the start of the treatment and removed at the end of the procedure. Sterile gloves should always be used for invasive surgery. Heavy duty gloves rather than examination gloves should be worn for manual cleaning dental instruments as they are less likely to be punctured by sharp instruments and protect hands from irritant chemicals. To avoid contaminating oneself, remove gloves aseptically so that the outside of the glove is not touched with the bare hand. Note that gloves can develop tears during use and may leak, so hands are required to be cleaned after disposing of gloves. EYEWEAR (GOGGLES AND VISORS) Goggles or visors should be worn during all types of dental treatment or when manually cleaning instruments. protection. Visors, unless they have been specifically designed for purpose (HTM 01-05 Section 6.28) should be worn over spectacles and loupes. Eyewear protects against splatter and foreign bodies such as amalgam fragments. Visors have the added advantage of preventing contaminated gloved hands from touching the face. Feelers Powder Free Nitrile Gloves Isopharm Face Shield Starter Kit RRP: £6.10 10 £5.10 Also available in Small, Large and XLarge Order Code: FACESK002 Full Starter Kit Only RRP: £8.20 £8.20 EACH Buy 30 Packs only EACH High quality Nitrile gloves for general surgery use and examination etc. Box of 100. (M) Order Code: GLVDIS006 The starter kit contains 1 Frame & 10 Visors. The Isopharm Face Shield Starter Kit offers a great introduction to the product at a very competitive price Isopharm Ear Looped Face Masks Pack of 50 Blue Masks Order Code: FMASK001 Buy 5 Packs for £1.90 EACH Spectacles do not provide sufficient eye protection as they lack side RRP: £2.60 To order call FREE on +44 (0)800 840 0105, or email [email protected] MASKS AND RESPIRATORY MASKS Masks are single use PPE and recommended for all dental procedures. The main function of a mask is to provide barrier protection against splatter. Most masks produce a poor facial seal and therefore do not protect the wearer effectively from aerosol inhalation. Some multi-layered masks with metal nose strips if adapted closely to the face will provide up to 70% air filtration. Try to avoid touching the outer surface of the mask, which may be contaminated. Remove the mask at the end of the patient’s treatment by breaking or undoing the straps and lifting over the ears. skin and clothes. Respirator masks are recommended to be worn whilst treating patients with infections that are spread through the air such as measles, influenza and Tuberculosis (TB). Unlike conventional masks, particulate respirator masks filter the inhaled air and remove microbes. They do not filter out gases. When fitted and worn correctly, they seal firmly to the face reducing the risk of air leakage. They can provide up to 98% filtering protection (FFP3 mask). Instructions for fit testing carried out by the wearer may vary, and are supplied by the manufacturer. Never wear the mask under your chin as you will contaminate your APRONS AND GOWNS Uniforms are not usually made of materials that are impermeable to body fluids and are therefore not considered PPE. surface is likely to be heavily contaminated. Store stocks of aprons away from potential contamination. The choice of wearing a plastic apron or gown is based on the risk. Wear a single use, long-sleeved, fluid-repellent gown if there is a risk of extensive splashing of blood and body fluids onto skin or clothing such as during MOS, periodontal or implant surgery. Wear a single use plastic apron if there is a risk that clothing may be exposed to blood or saliva such as during aerosol generating procedures, or scaling & root planning when there is likely to be excessive bleeding. Wearing a plastic apron is advised when performing instrument decontamination. Remove the apron by breaking the neck straps and folding the apron in on itself. Be careful to only touch the inner surface as the outer Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental Gloves are worn over the cuff of the gown sleeve to reduce contamination and wetting. To ensure compliance with the guidance that hand hygiene is carried out ‘bare below the elbow’, this should be carried out before donning the gown. See how to do tests and procedures on the Isopharm YouTube channel www.youtube.com/isopharmdental You can also order online at www.isopharm.co.uk 11 Personal Protective Equipment EYES & FACE HTM 01-05 COMPLIANT SECTION 6.28 Spectacles do not provide sufficient eye protection unless specifically designed for the purpose. It is advisable to wear a visor or face shield over spectacles; this gives added protection for prescription glasses. SECTION 6.27 Face masks are single-use items and should be disposed of as clinical waste. Isopharm Face Shield Starter Kit Isopharm Face Shield Frames The starter kit contains 1 Frame & 10 Visors The Isopharm Face Shield Starter kit offers a great introduction to the product at a very competitive price. Single Re-useable Frame. Order Code: ISOPHARM TIP FACESH002 The Isopharm Frames do not have to be replaced after every use unless damaged. This also applies to the Isopharm Face Visors, unless the visor is damaged or scratched the visor does not need replacing after every patient. However both parts of the Face Shield need to be thoroughly cleaned between patients. RRP £2.95 Isopharm Face Shield Visors Full Starter Kit Only £8.20 EACH Pack of 50 Visors. Order Code: Order Code: FACESK002 RRP FACEVI002 £8.20 The starter kit contains 3 Visors & 15 Shields, providing a great introduction to the product, as well as bulk buy discount. £22.10 12 Valisafe Face Shield Visors Pack of 10 Frames Pack of 25 Shields Order Code: Order Code: RRP £14.10 RRP £29.90 FACESH001 EACH Special Offers! Products shown are indicative and may vary. Offers may change without notice. Valisafe Face Shield Frames FACEVI001 Full Starter Kit Only Order Code: RRP £24.95 YOU CHOOSE Valisafe Face Shield Starter Kit FACESK001 ALL OF OUR PPE IS CE MARKED SPEND between SPEND between £100-£149 £150-£449 and you will receive a and you will receive a FREE Box of Chocolates FREE Wallet Sized Power Bank Phone Charger SPEND over £500 and you will receive a FREE 7” Android Tablet Suitable for Iphone 5 & 6, and any generic android. To order call FREE on +44 (0)800 840 0105, or email [email protected] Valisafe Eye Shield Starter Kit The starter kit contains 10 Frames & 25 Lenses, providing a great introduction to the product, as well as bulk buy discount. Valisafe Eye Shield Frames Valisafe Eye Shield Lenses Pack of 20 Frames Pack of 50 Lenses Order Code: EYEFR001 Order Code: EYESH001 RRP £8.25 Order Code: EYESK001 RRP £19.40 Pack of 100 Frames Pack of 250 Lenses Order Code: EYEFR002 Order Code: EYESH002 RRP £37.90 RRP £93.30 Full Starter Kit Only From Only From Only EACH PER FRAME PER LENSE £13.90 41p Isopharm Patient Clear Eye Shield ISOPHARM TIP Recommended for patient use at every appointment. The Isopharm eye shield can be worn over glasses. With highbrow, side shields and additional nosepiece, these lightweight glasses are both practical and comfortable. Order Code: EYSH001 RRP £5.10 Buy 3 Pairs for £4.60 EACH Isopharm Tie-on Face Masks RRP £2.60 Pack of 50 Green Masks YOU CHOOSE Although some areas of compliance require specific product, we do try to provide alternatives whenever a choice is available and economising possible. So, wherever you see our YOU CHOOSE logo, the product that you need from our range is entirely up to you. Isopharm Ear Looped Face Masks Pack of 50 Blue Masks Order Code: FMASK003 37p Pack of 50 Blue Masks FROM ONLY 3p PER MASK Order Code: FMASK001 RRP £2.60 Pack of 50 Green Masks Order Code: FMASK004 Order Code: FMASK002 RRP £2.60 RRP £2.60 YOU CHOOSE Buy 5 Packs for £1.90 EACH Buy 40 Packs for £1.39 EACH FOR OUR FULL RANGE OF BODY & HANDS PPE SEE OVERLEAF You can also order online at www.isopharm.co.uk 13 Personal Protective Equipment BODY & HANDS Feelers Powder Free Latex Gloves Cost effective Latex gloves for general surgery use and examination etc. Feelers Powder Free Vinyl Examination Gloves Compliant vinyl gloves for general surgery use, examination and low risk tasks. High quality Nitrile gloves for general surgery use and examination etc. Box of 100 gloves. (S) Order Code: Buy 30 Packs only (M) Order Code: Box of 100 gloves. (S) Order Code: GLVDIS001 Box of 100 gloves. Buy 30 Packs only (M) Order Code: Buy 30 Packs only £4.05 EACH RRP £5.10 GLVDIS002 (L) Order Code: GLVDIS003 (XL) Order Code: GLVDIS004 Feelers Powder Free Nitrile Gloves £2.80 EACH RRP £3.10 (S) Order Code: GLVDIS009 (M) Order Code: GLVDIS010 (L) Order Code: GLVDIS011 £5.10 EACH RRP £6.10 GLVDIS005 GLVDIS006 (L) Order Code: GLVDIS007 (XL) Order Code: GLVDIS008 HTM 01-05 COMPLIANT SECTION 6.16 Gloves are needed to protect hands from becoming contaminated with organic matter and microorganisms, protecting hands from certain chemicals that will adversely affect the condition of the skin. Gloves are also required to minimise the risks of cross-infection by preventing the transfer of organisms from staff to patients and visa-versa. Training for the Whole Dental Team Hand Hygiene Mini Training Kit Enough for up to 50 hand washes. es Providfiable eri Non-v CPD 14 Our Education Kit will help you provide a highly effective and memorable visual demonstration of the profound importance of effective hand hygiene. This also includes how easily germs and contaminants may be transmitted on contact. Enough for up to 50 hand washes. RRP £34.99 Order Code: HYKIT001 To order call FREE on +44 (0)800 840 0105, or email [email protected] Blue Isopharm Disposable Bibs Danicentre PPE Dispenser Isopharm PPE Glove Dispensers The Boxed Glove Dispensers are available in 2 styles: Single Boxed Glove, and Triple Boxed Glove Dispenser. The Isopharm bibs are made up of 3 layers; 2 ply paper and 1 ply poly. Single Box Dispenser Dimensions: 390mm (H) x 27omm (L) x 100mm (D) Order Code: DISPPE009 RRP £12.20 Buy 5 Packs for £8.95 EACH Order Code: BIBBL001 RRP £12.90 Lilac Utility Gloves Three compartments for different sizes of gloves, or a mix of gloves, overshoes and masks. The lower horizontal slot is designed to take rolls of aprons. Large oval apertures allow easy access to each compartment. Dimensions: 480mm (H) x 560mm (L) x 148mm (D) Triple Box Dispenser Dimensions: 1300mm (H) x 270mm (L) x 100mm (D) Order Code: DISPPE008 RRP £20.20 Order Code: DANIC001 RRP £61.20 Isopharm PPE Flat Aprons and Dispensers Isopharm PPE Rolled Aprons and Dispensers Pack of 3 Pairs — Protection for your staff during the manual cleaning process Buy 5 Packs only £6.20 Buy 10 Packs only £3.10 EACH EACH Blue Flat Pack Aprons Pack 100 White Flat Pack Aprons Pack 100 Order Code: Order Code: RRP £3.40 RRP £3.40 APRON001 (S) Order Code: APRON002 Blue Rolled Aprons Pack 200 White Rolled Aprons Pack 200 Order Code: Order Code: APRON003 APRON004 RRP £6.80 RRP £6.80 Dimensions: 370mm (H) x 550mm (L) x 35mm (D) £26.10 EACH GLVMC002 (L) Order Code: GLVMC003 (XL) Order Code: GLVMC004 HTM 01-05 COMPLIANT SECTION 6.25 Order Code: RRP £37.10 (M) Order Code: Buy 2 Packs only Dimensions Key Single Flat Pack Apron Dispenser DISPPE007 GLVMC001 RRP £29.30 Single Rolled Apron Dispenser Order Code: DISPPE006 RRP £18.35 Dimensions: 160mm (H) x 360mm (L) x 140mm (D) You can also order online at www.isopharm.co.uk H L D Aprons should be used as a single-use item and disposed of as clinical waste. Plastic aprons should be changed at the completion of each procedure. 15 Manual Cleaning Instruments WHAT IS IT? Manual cleaning is still accepted as a method under HTM 01-05: 2013 Edition allowing you to comply with essential quality requirements. However, it is the least effective method of cleaning instruments, the hardest to validate, and carries an increased risk of ‘sharps injury’. WHEN IS IT PERFORMED? Manual cleaning must be carried out in dedicated sinks that are not used for any other purpose. Lilac Utility Gloves Pack of 3 Pairs - Protection for your staff during the manual cleaning process 3E Zyme Multi Enzyme Detergent (M) Order Code: 4 Litre bottle GLVMC002 RRP: £29.30 16 Manual Cleaning Thermometer Water proof sensor. Order Code: 3ZYME Also available in Small, Large and XLarge Buy 2 Bottles only RRP: £68.70 £51.50 Order Code: THEMC001 EACH £26.10 EACH Buy 2 Packs only HTM 01-05: 2013 Edition, section 16 contains a detailed protocol for manual cleaning. This should be adapted as necessary to reflect local facilities. It would be beneficial to have a laminated copy of the Practice protocol attached to the wall above the manual cleaning area. Buy 2 for only £15.40 EACH Manual cleaning should only be considered if you have no alternative cleaning methods available in your practice, or if it has been recommended as the only method of cleaning by a manufacturer. RRP: £21.10 To order call FREE on +44 (0)800 840 0105, or email [email protected] HOW IS IT DONE? Perform hand hygiene – Refer to Hand Hygiene Protocol See page 5 Apply PPE – Refer to PPE Protocol TOP TIP Add a measured amount of water to the sink, sufficient to completely submerge the instruments during washing. The water should be at the temperature specified by the detergent manufacturer but never greater than 45ºC TOP TIP Add a measured amount of detergent to achieve the concentration specified by the detergent manufacturer You should only use an enzymatic detergent. Household cleaning products are not suitable as they are not designed to clean surgical soiling. Cleaning above 45ºC may lead to coagulation of protein, making any deposits even harder to remove. Use the thermometer to ensure the correct temperature, as specified by the detergent manufacturer, is maintained. Ensure the thermometer is decontaminated between uses Agitate/scrub the instruments while completely submerged in the cleaning solution, using long handled brushes with soft plastic bristles from Extract ’s m a Isoph r tion ina m Deconta able as il a v Poster A ated Wall in m an A2 la t. See char Page 3 Drain any excess cleaning solution prior to rinsing Are any further cleaning processes to be carried out? YES NO Go to the ULTRASONIC CLEANER or WASHER DISINFECTOR as required Fill rinsing sink with enough satisfactory potable (drinkable) water to cover instruments Rinse instruments Complete log book record – Refer to record keeping INSPECTION Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental See how to do this test on the Isopharm YouTube channel www.youtube.com/isopharmdental You can also order online at www.isopharm.co.uk 17 Manual Cleaning Instruments RECORD KEEPING HTM 01-05 COMPLIANT HTM 01-05 Instrument Manual Cleaning Logbook 4th Edition SECTION 11.9 RECORD KEEPING These protocols will require full implementation and all results need recording in a logbook dedicated to individual equipment. Standard logbooks summarising all required tests are available for most types of decontamination equipment. Contains Daily Record Sheets, plus Sharps Injury & Hand Washing Guidance HTM 01-05 Instrument Manual Cleaning Product Features: Instrument Manual Cleaning Easy to use—Presented in an understandable format with Isopharm Tips throughout Compliant—Simply complete the logbook and you will comply with HTM 01-05. Buy any 3 Log Books for £25.00 EACH Detergent Used It is important to keep a record of any chemical used during a decontamination procedure. This information should also be included as part of your COSHH file Product Product Order Code: LOGMC001 12 months of Record Keeping for ONLY Batch Number Expiry Date Detergent details if the product is changed prior to completion of this page. HTM 01-05 Instrument Manual Cleaning Batch Number Date Water temperature at start of cleaning Instruments Rinsed ISOPHARM TIP: Complete the date in which the cleaning process is carried out ISOPHARM TIP: Water should not exceed 45˚C as this may result in contaminant coagulation. Tick the box to indicate that instruments have been rinsed. Instrument Manual Cleaning Expiry Date Visual Inspection carried out ISOPHARM TIP: Use the inspection magnifying lamp that i illuminated with a day bulb to check for si soiling or staining after manual cleaning. R a pass or fail result in the space provided. ˚C Detergent Used It is important to keep a record of any chemical used during a decontamination procedure. This information should also be included as part of your COSHH file. £30.00 PER BOOK Product Batch Number Expiry Date ˚C Expiry Date ˚C Detergent details if the product is changed prior to completion of this page. Product Batch Number Date Water temperature at start of cleaning Instruments Rinsed ISOPHARM TIP: Complete the date in which the cleaning process is carried out ISOPHARM TIP: Water should not exceed 45˚C as this may result in contaminant coagulation. Tick the box to indicate that instruments have been rinsed. Visual Inspection carried out ˚C ˚C ISOPHARM TIP: Use the inspection magnifying lamp that is illuminated with a day bulb to check for signs of soiling or staining after manual cleaning. Record a pass or fail result in the space provided. Process carried out by Ensure this section is completed with the details of who has carried out the process. ˚C ˚C PERSONAL PROTECTIVE EQUIPMENT ˚C ˚C ˚C ˚C ˚C ˚C ˚C ˚C ˚C ˚C ˚C ˚C ˚C ˚C Isopharm Face Shield Starter Kit The starter kit contains 1 Frame & 10 Visors The Isopharm Face Shield Starter kit offers a great introduction to the product at a very competitive price. ˚C ˚C Isopharm Ear Looped Face Masks Full Starter Kit Only £8.20 ˚C Pack of 50 Blue Masks ˚C Weekly Protein Residue Test Order Code: FMASK001 EACH ˚C RRP £2.60 Weekly Protein Residue Test Time of Test Protein Detection Test Used Pack of 50 Green Masks ˚C Order Code: FMASK002 Order Code: © Isopharm 2014 RRP £2.60 FACESK002 RRP ˚C ˚C Time of Test Protein Detection Test Used ˚C Buy 5 Packs for Batch Number Expiry Date £1.90 Pass or Fail Batch Number Expiry Date Tested By © Isopharm 2014 EACH www.isopharm.co.uk/dental £8.20 Isopharm PPE Flat Aprons HTM 01-05 COMPLIANT SECTION 6.28 Spectacles do not provide sufficient eye protection unless specifically designed for the purpose. It is advisable to wear a visor or face shield over spectacles; this gives added protection for prescription glasses. Pack 100 SECTION 6.27 Face masks are single-use items and should be disposed of as clinical waste. Blue Order Code: SECTION 6.24 and 6.25 For aprons refer to page 15. RRP £3.40 APRON001 White Order Code: Buy 10 Packs only £3.10 EACH APRON002 FOR OUR FULL RANGE OF PPE SEE PAGES 12 - 15 18 To order call FREE on +44 (0)800 840 0105, or email [email protected] Pass or Fa INSTRUMENT PRESOAK Duck Bags Alkacide Concentrate YOU CHOOSE 420 x 430mm 420 x 670mm 1 Litre Order Code: Pack 50 Order Code: Pack 50 Order Code: RRP: RRP £36.10 RRP £54.10 DUCKB002 Pack 100 Order Code: RRP £66.95 RRP £97.95 800ml Trigger Spray Order Code: PRESOAK004 £55.65 DUCKB004 Pack 100 Order Code: DUCKB001 PRESOAK002 Instrument Suspension Foam YOU CHOOSE 5 Litre Order Code: PRESOAK003 Already diluted DUCKB003 RRP: £32.95 RRP: £7.10 HTM 01-05 COMPLIANT SECTION 3.5 Instruments cleaned as soon as possible after use may be more easily cleaned than those left for a number of hours before reprocessing. Where this is not possible, water immersion or the use of a foam spray or gel intended to maintain a moist or humid environment are thought useful in aiding subsequent decontamination. Long periods of wet storage should, however, be avoided. MANUAL CLEANING DETERGENTS 3E Zyme Multi Enzyme Detergent 4 Litre Bottle AlproZyme Detergent Cleaner 100 Sachets of 10g 1 Litre Bottle Order Code: BIBFORTE001 3ZYME APROZYME100 RRP £68.70 Buy 2 Bottles only £51.50 RRP £102.10 YOU CHOOSE Alkazyme Soluble Sachets Buy 2 Packs only £89.90 YOU CHOOSE Order Code: BIBFORTE002 RRP £199.95 YOU CHOOSE Alkazyme Loose Powder Tub Alkazyme Liquid Concentrate Order Code: ALKASEPT001 RRP £30.10 HTM 01-05 COMPLIANT SECTION 16.3 Always use detergents specifically formulated for manual cleaning of instruments. YOU CHOOSE 100 x 5g Order Code: ALKAZYME001 RRP £70.10 25 x 25g Order Code: ALKAZYME002 RRP £23.20 1 Litre Bottle 5 Litre Canister EACH EACH Alkasept Ultra Concentrate RRP £46.30 Order Code: Order Code: Bib-Forte Eco Instrument Cleaner and Disinfectant 750g Tub Order Code: ALKAZYME003 RRP £78.35 1 Litre Bottle Order Code: ALKAZYME004 RRP £55.70 Although some areas of compliance require specific product, we do try to provide alternatives whenever a choice is available and economising possible. So, wherever you see our YOU CHOOSE logo, the product that you need from our range is entirely up to you. FOR OUR FULL RANGE OF MANUAL CLEANING ACCESSORIES SEE OVERLEAF You can also order online at www.isopharm.co.uk 19 Manual Cleaning Instruments MANUAL CLEANING ACCESSORIES Manual Cleaning Thermometer Nylon Manual Cleaning Brush Order Code: BRUSHMC001 Buy 2 for only £15.40 RRP £20.60 EACH Water proof sensor Order Code: Pack of 3 THEMC001 18.4cm long RRP: £21.10 Buy 2 packs for £18.55 HTM 01-05 COMPLIANT EACH SECTION 16.b HTM 01-05 COMPLIANT SECTION 16.d Scrub instruments using long-handled brushes with soft plastic bristles. To minimise aerosol risk, fully immerse the instruments in the solution and keep under water during the cleaning process. Lilac Utility Gloves Using a mercury-free thermometer, monitor the temperature of the water throughout the cleaning procedure to ensure the temperature of the water is 45’c or lower (a higher temperature will coagulate protein and inhibit its removal). The temperature of the fluid should be as recommended by the detergent manufacturer. HTM 01-05 COMPLIANT SECTION 6.16 Dry Cleaning Cloths Gloves are needed to protect hands from becoming contaminated with organic matter and microorganisms, protecting hands from certain chemicals that will adversely affect the condition of the skin. Gloves are also required to minimise the risks of cross-infection by preventing the transfer of organisms from staff to patients and visa-versa. Pack of 3 Pairs— Protection for your staff during the manual cleaning process (S) Order Code: RRP £29.30 (M) Order Code: Buy 2 Packs only £26.10 EACH GLVMC001 GLVMC002 (L) Order Code: GLVMC003 (XL) Order Code: GLVMC004 HTM 01-05 COMPLIANT SECTION 4.23 Instruments should be dried using a disposable non-linting cloth after the cleaning process (see Phase3 of the Isopharm Decontamination Flowchart Poster). Order Code: LINTCL002 Non-Linting Pack of 150 cloths RRP £8.20 Buy 2 Boxes only £6.70 EACH FOR OUR FULL RANGE OF PPE SEE PAGES 12 - 15 20 To order call FREE on +44 (0)800 840 0105, or email [email protected] TRANSPORTATION Instrument Transport Boxes These transportation boxes are compliant with section 2.2.62.1.5.7 of the European Agreement concerning the international carriage of dangerous goods and facilitate the transportation of all used medical instruments or equipment for the purposes of decontamination, cleaning, sterilisation or repair. Please note that they are not leak proof, however these transportation boxes are used extensively throughout the NHS, and within Hospital Sterile Services departments. For size comparison: 400mm x 300mm x 220mm Blue Transport Box containing a 280mm x 180mm silver tray Unique snap-lock clasps for extra security. Will not spring open if dropped. For transporting medical instruments to and from the decontamination area Blue Transport Boxes for transportation of Decontaminated instruments Features Available in the following sizes: • Easy to clean - wipe-able surfaces • Rigid - to prevent instruments becoming a sharps hazard to those handling the goods, and to protect them against accidental damage • Secure Closing Lid - interlocking snaps located on 4 areas of the Isopharm transporting boxes • Robust - to prevent instruments being damaged in transit HTM 01-05 COMPLIANT SECTION 2.25 Transport containers should protect both the product during transit and the handler from inadvertent contamination. Transport containers should be; leak proof, easy to clean, rigid, capable of being closed securely, and robust. Red Transport Boxes for transportation of contaminated instruments 300x200x120mm (External) 280x160x100mm (Internal) Available in the following sizes: Order Code: BTB001 RRP £20.40 300x200x170mm (External) 280x160x150mm (Internal) 300x200x170mm (External) 280x160x150mm (Internal) Order Code: RTB002 RRP £28.20 Order Code: BTB002 RRP £27.20 400x300x220mm (External) 310x260x210mm (Internal) 400x300x220mm (External) 310x260x210mm (Internal) Order Code: RTB003 RRP £37.10 Order Code: BTB003 RRP £35.90 FOR OUR FULL RANGE OF TRANSPORTATION & STORAGE PRODUCTS SEE PAGE 46 You can also order online at www.isopharm.co.uk 21 Ultrasonic Cleaning TESTING & VALIDATION WHAT IS IT? HTM 01-05: 2013 Edition has a structured test schedule for checking, testing and validating ultrasonic cleaners which should be adhered to if no manufacturer guidelines have been provided. Validation is performed to ensure that the different elements of the process are functioning correctly. This ranges from simple checks to make sure that the machine can clean soiled instruments effectively, to more complicated checks to demonstrate that the ultrasonic activity within the bath is adequate. For a testing and validation schedule specific to your ultrasonic cleaner which takes into consideration HTM 01-05 and manufacturer recommendations, create your own Validation Test Schedule from the Isopharm website. WHEN IS IT PERFORMED? HTM 01-05 requires that the equipment used during the decontamination processes is regularly checked by the practice daily and weekly, and a qualified validation engineer either quarterly or annually in accordance with machine manufacturers guidance. g Testin ic on ultras PD is C baths ble on availa ining a our Tr site web Aluminium Foil Ultrasonic Activity Test Kit £25.00 Order Code: LOGUC001 22 RRP: £30.00 EACH Provides daily, weekly, quarterly and annual test and record sheets. Pack 25 Cleantrace Order code: CLEAN025 Kit contains: - Reel of Foil (20mm x 50m) - Masking Tape - Tape Measure - Scissors - Stopwatch - Carry Case - Plus detailed step by step Order Code: FOILTK001 instructions £50.70 EACH HTM 01-05 Ultrasonic Cleaner Logbook Buy any 3 for only Cleantrace Protein Residue Test RRP £56.50 Pack 50 Cleantrace Order code: CLEAN050 From only £2.09 PER TEST RRP £109.40 Pack 100 Cleantrace Order code: CLEAN100 Incubator for Cleancheck RRP £209.00 Code: INCUB002 12-18 months shelf life from date of manufacture RRP £137.40 To order call FREE on +44 (0)800 840 0105, or email [email protected] ➥ HTM 01-05 RECOMMENDS THESE SCHEDULES DOCUMENT SPECIFIC TITLE REFERENCE HTM 01-05 Remove and Clean Strainers and Filters HTM 01-05 Cleaning Efficacy (Visual) 14.3 Refers to ISO 15883 HTM 01-05 Safety Checks 15.14 HTM 01-05 Protein Residue Test 14.3 Refers to ISO 15883 HTM 01-05 Cleaning Efficacy Test Also known as, but not referenced in HTM 01-05, a Manufacturer Soil Test. 14.3 Refers to ISO 15883 HTM 01-05 Automatic Control Test 15.3 HTM 01-05 Ultrasonic Activity Test 15.6 14.3 PERIODIC TESTING D ✔ User ✔ User W Q Y ✔ ✔ ✔ User ✔ User ✔ User ✔ User ✔* User User User ✔ ✔ CP(D) or ENG CP(D) or ENG ✔ ✔ CP(D) or ENG CP(D) or ENG ✔ ✔ CP(D) or ENG CP(D) or ENG ✔ ✔ CP(D) or ENG CP(D) or ENG ✔ ✔ CP(D) or ENG CP(D) or ENG ✔ ✔ CP(D) or ENG CP(D) or ENG WHAT YOU NEED TO DO Enter results in your Isopharm logbook See page 34 Enter results in your Isopharm logbook See page 25 See page 26 See page 25 See page 24 * The machine manufacturer must provide frequency of User testing in addition to HTM 01-05 periodic requirements. ➥ YOUR MACHINE MANUFACTURER MAY RECOMMEND SOMETHING DIFFERENT Visit www.isopharm.co.uk/vts to get Your FREE Machine Manufacturer Validation Test Schedule Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental See how to do this test on the Isopharm YouTube channel www.youtube.com/isopharmdental You can also order online at www.isopharm.co.uk 23 Ultrasonic Cleaning TESTING & VALIDATION RECORD KEEPING HTM 01-05 COMPLIANT HTM 01-05 Ultrasonic Cleaner Logbook SECTION 11.9 RECORD KEEPING These protocols will require full implementation and all results need recording in a logbook dedicated to individual equipment. Standard logbooks summarising all required tests are available for most types of decontamination equipment. Contains Daily, Weekly, Quarterly & Annual Record Sheets Product Features: HTM 01-05 Ultrasonic Cleaner Log Book Easy to use—Presented in an understandable format with Isopharm Tips throughout Compliant—Simply complete the logbook and you will comply with HTM 01-05 for testing and validation. Daily & Weekly Record Sheet Daily Test Record £25.00 12 months of Record Keeping for ONLY EACH £30.00 PER BOOK to Monday Tuesday Wednesday Thursday Friday Saturda Carried out by: Carried out by: Carried out by: Carried out by: Carried out by: Carried ou Cleaning Efficacy Test (Visual Only) Monday Tuesday Wednesday Thursday Friday Cycle number / time of test Cycle number / time of test Cycle number / time of test Cycle number / time of test Cycle number / time of test Saturda Cycle num Pass or Fail Pass or Fail Pass or Fail Pass or Fail Pass or Fail Pass or Fa Visually checked by: Visually checked by: Visually checked by: Visually checked by: Visually ch HTM 01-05 Ultrasonic Cleaner Log Book Daily & Weekly Record Sheet Visually checked by: ISOPHARM TIP: An illuminated magnifying lamp should be used to check instruments after they have been processed in the ultrasonic cleaner. The check is done to ens instruments prior to them being processed in /a steriliser./Any depositsto not removed will create a barrier between the instrument and the steam during the st / during cleaning / Date Range: Daily Test Record Clean Filters & Strainers Drain Ultrasonic Cleaner at the end of the session Monday Tuesday Wednesday Carried out by: Carried out by: Carried out by: Thursday Monday (am) Friday Carried out by: Saturday TuesdayCarried (am)out by: Sunday Wednesday (am) Carried out by: Thursday (am) Carried out by: Friday (am) Saturda Performed by: This information should Performed by: the machines own manual Performed Performed by: ISOPHARM TIP: Clean filters and strainers means general housekeeping for the machine. be located within and is aimed atby: prolonging the lifespan of the equipment. Performed by: Performed Cleaning Efficacy Test (Visual Only) Monday (pm) Thursday (pm) Friday (pm) Saturda Performed by: Performed by: Performed Monday Performed by: Wednesday Tuesday Tuesday (pm) Thursday Wednesday (pm) PerformedFriday by: Performed by: Saturday Sunday Cycle number / time of test Cycle number / time of test Cycle number / time of test Cycle number / time of test Cycle number / time of test Cycle number / time of test Cycle number / time of test Pass or Fail Pass or Fail Pass or Fail Pass or Fail Pass or Fail Pass or Fail Pass or Fail Visually checked by: Visually checked by: Visually checked by: Visually checked by: Visually checked by: Visually checked by: Visually checked by: Weekly Test Record Date of Tes ISOPHARM TIP: An illuminated magnifying lamp should be used to check instruments after they have been processed in the ultrasonic cleaner. The check is done to ensure that there is no soiling or staining on the instruments prior to them being processed in a steriliser. Any deposits not removed during cleaning will create a barrier between the instrument and the steam during the sterilisation process, resulting in an un-sterile load. Drain Ultrasonic Cleaner at the end of the Checks session Safety Monday (am) ULTRASONIC ACTIVITY TEST / ISOPHARM TIP: Clean filters and strainers means general housekeeping for the machine. This information should be located within the machines own manual and is ai Order Code: LOGUC001 Buy any 3 Log Books for / Date Range: Clean Filters & Strainers Thursday (am) Friday (am) Saturday (am) Performed by: Performed by: Performed by: Monday (pm) Tuesday (pm) Wednesday (pm) Thursday (pm) Friday (pm) Saturday (pm) Performed by: Tuesday (am) Performed by: Wednesday (am) Performed by: Performed by: Performed by: Performed by: Sunday (am) Manufacturer Recommended Checks (See Manual) Performed by: Performed by: Performed by: Protein Residue Test Cycle Number or time of test Weekly Test Record Checked By: Performed by: Sunday (pm) Performed by: Protein Detection Test Batch Number Protein Detection Test Used / Date of Tests: Safety Checks ISOPHARM TIP: The ma manufacturer recommen machine. Test Expiry Date Test Results Pass or Fail / ISOPHARM TIP: The machine manual should contain the necessary Manufacturer Recommended Checks (See Manual) ISOPHARM TIP: There is no specific time of daymanufacturer that the test needs safety to bechecks carried out.forIftheyou are also performing a manufacturers recommended Soil Test at the recommended required specific machine. test, the Checked soil testBy: strip may be swabbed rather than instruments. This actually presents a greater test due to the fact that there is a known quantity of soiling on the pass the test where as instruments tested have an unknown level of soiling. Protein Residue Test Aluminium Foil Reel Aluminium Foil Test Kit 50m Foil Reel Buy 2 Reels only £15.40 EACH Order Code: FOILR001 RRP £21.10 HTM 01-05 COMPLIANT SECTION 14.3 ULTRASONIC ACTIVITY TEST Includes: • 1 50m Foil Reel Order Code: • 1 Pair of Scissors • 1 Stopwatch FOILTK001 • 1 Tape Measure • 1 Reel of Masking Tape RRP £50.70 • 1 Carry Case • Plus detailed step by step instructions Cycle Number or time of test Protein Detection Test Protein Detection Test Used Batch Number SonoCheck time of test Test Results Pass or Fail Tested By Cycle Number or time of test Alternative to foil test Pack Of 30 Vials Batch Number Soil Test Used Batch Number Soil Test Used Manufacturers Recommended Soil Test Test Expiry Date / Date of Test: Pass or Fail Test Expiry Date Date of Tes Pass or Fail / Tested By ISOPHARM TIP: When the test is performed depends on your manufacturer and varies from once per week to once per month. This test presents a difficult cleaning challenge to the machine and makes sure that a strip of dried test soil is completely cleaned. Be aware that this is NOT an alternative to the weekly HTM 01-05 Protein Residue test as it does not chemically check for the presence of protein, simply that the machine can remove a defined pre applied stain. INSERT TEST SOIL STRIP HERE Order Code: INSERT TEST SOIL STRIP HERE ISOPHARM TIP: When the test is performed depends per week to once per month. This test presents a difficult sure that a strip of dried test soil is completely cleaned. Be aw HTM 01-05 Protein Residue test as it does not chemically ch machine can remove a defined pre applied stain. SONOC001 RRP £92.80 LOG ANY FAULTS ON THE HISTORY SHEET THE BACK OF THISRECORD BOOK LOG ANYRECORD FAULTS ONATTHE HISTORY © Isopharm 2013 SHEET AT THE B www.isopharm.co.uk/dental © Isopharm 2013 12 months shelf life from date of manufacture Ultrawave Hygea Performance Metre This test checks to make sure that the ultrasonic activity in the tank is even and appropriate, and that instruments within are being cleaned effectively. HTM 01-05 has ultrasonic activity test as a quarterly requirements. Some manufacturer’s recommend the quarterly test method is carried out more frequently. Alternative to foil test Order Code: ULTRA001 24 Test Expiry Date Manufacturers Recommended Soil Test ISOPHARM TIP: There is no specific time of day that the test needs to be carried out. If you are also performing a manufacturers recommended Soil Test at the same time as the HTM 01-05 Protein Residue test, the soil test strip may be swabbed rather than instruments. This actually presents a greater test due to the fact that there is a known quantity of soiling on the soil strips that must be removed in order to pass the test where as instruments tested have an unknown level of Cycle soiling. Number or RRP £358.95 To order call FREE on +44 (0)800 840 0105, or email [email protected] PROTEIN RESIDUE TEST DentaCheck Protein Residue Test Cleantrace Protein Residue Test MediCheck Protein Residue Test Order Code: DENTACHECK RRP £20.60 From only £2.06 PER TEST SECTION 14.3 PROTEIN RESIDUE TEST This is a chemical test to detect levels of protein on a processed load that cannot be seen by visual inspection. A protein residue test must be completed weekly to confirm that the cleaning process used within your practice retains the capability of removing protein. This must be performed by the User. YOU CHOOSE YOU CHOOSE Pack 10 Protein Residue Tests HTM 01-05 COMPLIANT Pack 25 MediCheck Order Code: MEDICHECK025 RRP £60.70 Pack 25 Cleantrace Order Code: CLEAN025 RRP £56.50 Pack 50 MediCheck Order Code: MEDICHECK050 RRP £117.50 Pack 50 Cleantrace Order Code: CLEAN050 RRP £109.40 Pack 100 MediCheck Order Code: MEDICHECK100 RRP £221.65 Pack 100 Cleantrace Order Code: CLEAN100 RRP £209.00 From only From only £2.43 £2.26 PER TEST Incubator for MediCheck Order Code: ISOPHARM TIP The Protein Residue Test is performed on the instruments, not on the machine used to clean the instruments. Testing for remaining proteins left behind after cleaning, this test is required to be performed by all practices with a Ultrasonic Bath and/or a Washer Disinfector weekly. PER TEST YOU CHOOSE Incubator for Cleantrace Order Code: INCUB002 RRP £137.40 INCUB004 RRP £201.95 12-18 months shelf life from date of manufacture 12-18 months shelf life from date of manufacture 12-18 months shelf life from date of manufacture Although some areas of compliance require specific product, we do try to provide alternatives whenever a choice is available and economising possible. So, wherever you see our YOU CHOOSE logo, the product that you need from our range is entirely up to you. AUTOMATIC CONTROL TEST Single Line Display Digital Stop Watch Buy 2 for ONLY Order Code: Buy 2 for ONLY £15.40 EACH STOPW001 Water proof sensor. THEMC001 £9.80 Order Code: Manual Cleaning Thermometer RRP £11.60 HTM 01-05 COMPLIANT SECTION 14.3 AUTOMATIC CONTROL TEST This is an observational test that records the operation of the machine and demonstrates that the process is repeatable by comparing the results against previous tests. HTM 01-05 states that for an Ultrasonic Bath the automatic control test should be completed quarterly and annually. EACH RRP £21.10 FOR OUR FULL RANGE OF TEST SOILS PLUS SELECTION GUIDE SEE OVERLEAF You can also order online at www.isopharm.co.uk 25 Ultrasonic Cleaning TESTING & VALIDATION CLEANING EFFICACY SOIL TEST Load Check Test Soil Wash Check Test Soil PCD & CEI Test Soil Full Starter Kit only £68.68 EACH Full Starter Kit only £41.00 Full Starter Kit only £47.15 EACH EACH Load Check Starter Kit: including Load Check Holder and 4 Load Check Test Strips Order Code: LOADSK001 RRP £42.30 Wash Check Starter Kit: including Wash Check Holder and 4 Wash Check Test Strips Order Code: WASHSK001 RRP £48.60 PCD & CEI Starter Kit: including PCD Holder and 2 CEI Test Strips Order Code: PCDSK002 RRP £70.80 24 Load Check Test Strips 24 Wash Check Test Strips 12 CEI Test Strips Load Check Holder Wash Check Holder PCD Holder 12-18 months shelf life from date of manufacture 12-18 months shelf life from date of manufacture Order Code: WASHC024 RRP £29.60 Order Code: LOADC024 RRP £26.60 Order Code: LOADH001 RRP £42.30 Order Code: WASHH001 RRP £42.30 6 months shelf life from date of manufacture Order Code: PCDCEI012 RRP £68.70 Order Code: PCDHOL001 RRP £63.40 Your Machine Manufacturer may choose to alter their recommendations from time to time. Isopharm advise you to visit: www.isopharm.co.uk/vts to get all the latest information HTM 01-05 COMPLIANT CLEANING EFFICACY TEST This is a test that ensures that the cycle is able to adequately clean a heavily soiled load. Only the test soil recommend by the manufacturer should be used. HTM 01-05 has cleaning efficacy test as a daily and quarterly requirements, however there is a Special Offers! Products shown are indicative and may vary. Offers may change without notice. 26 difference in how they are performed. Daily cleaning efficacy is a visual check that requires the use of an inspection magnification lamp. Quarterly cleaning efficacy requires a test soil such as the products listed. (HTM 01-05 2013 edition. Section 14.3). Some manufacturer’s recommend the quarterly test method, with use of a test soil, is carried out more frequently. SPEND between SPEND between £100-£149 £150-£449 and you will receive a and you will receive a FREE Box of Chocolates FREE Wallet Sized Power Bank Phone Charger Please Note: Information is correct at the time of print, however Manufacturer recommendations can change with regards to what Test Soil to use, so make sure that you complete your Validation Test Schedule on the Isopharm website. SPEND over £500 and you will receive a FREE 7” Android Tablet Suitable for Iphone 5 & 6, and any generic android. To order call FREE on +44 (0)800 840 0105, or email [email protected] HTM 01-05 COMPLIANT ULTRASONIC CLEANERS Ultrawave Hygea2 Walker Q105 Why not fit a When buying a Q105 From only £150.00 Order Code: HYGEA2 RRP £2,255.00 • Tank Size: 285 x 205 x 160mm • Memory card port for digital cycle traceability • Integral printer provides hard copy validation • Electro-magnetic locking lid prevents cycle interruption • Thermostatic over-temperature cut off prevents the risk of protein coagulation HTM01-05 Validation Bundle for the Hygea Includes: • Ultrasonic Cleaner Log Book • 25 Cleantrace Pens • Load Check Starter Pack • Foil Test Kit ONLY £155.00 Order Code: Order Code: FREE LOGBOOK LOGBOOK WORTH £30.00 Sonozyme Ultrawave Hygea Sonozyme Enzymatic detergent 120 Sachets Order Code: SONOZYME RRP £110.80 UCVALKIT001 HTM 01-05 COMPLIANT SECTION 10.21 When procuring ultrasonic cleaners, the following specification points should be considered: • a reservoir (or tank) large enough to accommodate the required throughput; • a reservoir that should be of a polished stainlesssteel construction with internal rounded edges/ corners to aid in the cleaning process; • the maximum and minimum fluid levels clearly visible to the user marked on the reservoir; • a reservoir drainage facility that does not affect performance and does not leave pools of fluid in the reservoir, which allows the tank to be emptied without the need for operatives to put their hands in the fluid; You can also order online at www.isopharm.co.uk FREE ULTRAQ105 • Tank Size: 240 x 130 x 100mm RRP £875.00 • Stainless Steel Construction WORTH £30.00 • No/Low fluid sensing • Adjustable temperature setting to prevent coagulation of Proteins • Interlocking lid • Automatic degas cycle after cleaning fluid has been changed Equates to ONLY 92p Per Sachet HTM01-05 Validation Bundle for the Q105 Includes: • Ultrasonic ONLY Cleaner Log Book • 25 Cleantrace Pens • Load Check Starter Order Code: Pack UCVALKIT001 • Foil Test Kit • an integral purpose-built holding basket, which enables all equipment to be held within the ultrasonic bath in the optimum position so that micro-dental instruments or instruments with fine points are not blunted by the impacts resulting from fine mechanical shaking; • a hinged auto-locking lid that prevents interaction with the load once the ultrasonic equipment is in use, also reducing the risk of aerosols and noise – if not interlocked, the equipment should be clearly labelled, warning users not to put their hands in the device when it is activated; • a means to control the detergent’s concentration; • an automatic printer and data-logger (this can be integrated) that records: · time and date, · cycle type, · unique cycle number, · duration of cycle, £155.00 • • • • • Welzyme Walker electronics Welzyme Enzymatic detergent 50 Sachets Order Code: WELZYME RRP £49.60 Equates to ONLY 99p Per Sachet · equipment serial number, · minimum/maximum temperatures, · a sensor recording ultrasonic activity, · electrical demand (in watts or amperes), · cycle failure indication; a display indicator integral to the unit clearly displaying: · time and date, · elapsed cycle time, · maximum/minimum temperatures, · ultrasonic activity, · cycle failure indication, · lamp warning indicators; lower-level fluid sensor/auto cut-off; thermostatic control; over-temperature sensor, with automatic cut-off and warning indication; a cleaning cycle ideally identified by a unique cycle number. 27 Process Monitoring TESTING & VALIDATION Do you.... ... spend money on paper rolls and ribbons? ... struggle to find your process receipts when needed? ... have to allocate storage space purely for cycle printouts? ... have faded printouts over time? There is an alternative Have you considered Securilog? • Logs all your decontamination process data electronically • No more paperwork and easy record retrieval • All data stored in an encrypted format • Provides evidence of your due diligence and ‘Good Practice” • For ultrasonic cleaners, washer disinfectors and sterilisers • Provides instant local indication to the Operator of pass or failed cycles Benchtop Securilog Size: 65mm x 65mm x 28mm What is Securilog? Securilog is a data logging device designed to replace the printer on decontamination machines such as ultrasonic cleaners, washer disinfectors and sterilisers. The data that would normally print onto a hard copy receipt is instead logged onto a memory card and transferred to your computer for viewing. The data can still be printed out for archival purposes if needed. RRP from £195.00 + VAT Installation not included 28 To order call FREE on +44 (0)800 840 0105, or email [email protected] Helping to protect you through data encryption Decontamination machines supported include: Securilog provides you with Data Encryption when writing to the memory card, preventing any modification of data. Many other data loggers store data in text files or other editable formats. • DAC Universal • Eschmann LS3/SES2000/LS5/SES113/SES225 • Medisafe PICO Range • Melag Euroklave, Vacuklave • Prestige Medical C3, Advanced, Is your machine Ultraclean 2 & 3 compatible? • SMEG Instrument Washers • STEELCO Instrument Washers Call Isopharm on • Scican Statim Range 01709 525256 • Walker Electronics Q105 and speak to one With Securilog you are safe in the knowledge that encrypted, tamper proof evidence is being gathered to protect you and your decontamination process should litigation arise due to cross infection. Securilog indicates cycle results to your staff A constant green LED indicates that the Securilog is initialised and ready to receive your process data. An amber LED indicates that the Securilog is receiving your process data and recording it on the memory card. of our Compliance Advisors. and many more! A flashing green LED indicates that the previous cycle has passed and the Securilog is waiting for the next cycle to start. A flashing red LED indicates that the previous cycle has failed and the Securilog is waiting for the next cycle to start. Please note: Pass or Fail indication is only available if the decontamination machine itself is able to determine the cycle result and inform Securilog. The device is only able to record data that would have originally been printed on the paper receipt. Easy archiving through Securilog software package Securilog software can sort out the data, allow you to quickly analyse the digital receipts for specific information and present the data to an auditor on screen as it would have been printed out on a printer. File Name Encrypted Date & Time Cycle Result Message Comments Viewer Created from the machine model and serial number. Indicates YES/NO whether the data is encrypted. Shows the date and time of the cycle. Shows the process cycle number. Indicates whether the cycle has passed or failed. Shows any message from the cycle such as errors and statements. You can add your own comments here. Shows a digital copy of the cycle receipt. This can also be printed if required. You can also order online at www.isopharm.co.uk 29 Washer Disinfectors TESTING & VALIDATION WHAT IS IT? HTM 01-05: 2013 Edition has a structured test schedule for checking, testing and validating washer disinfectors which should be adhered to if no manufacturer guidelines have been provided. Validation is performed to ensure that the different elements of the process are functioning correctly. This ranges from simple checks to make sure that the machine can clean soiled instruments effectively, to more complicated engineer checks to demonstrate that the process is operating at the correct disinfection time and temperature. For a testing and validation schedule specific to your ultrasonic cleaner which takes into consideration HTM 01-05 and manufacturer recommendations, create your own Validation Test Schedule from the Isopharm website. WHEN IS IT PERFORMED? HTM 01-05 requires that the equipment used during the decontamination processes are regularly checked by the practice daily and weekly, and a qualified validation engineer either quarterly or annually in accordance with machine manufacturers guidance. Decon CPD sses Proce ilable on is ava aining our Tr site web Cleantrace Protein Residue Test Buy any 3 for only £25.00 Order Code: LOGWD001 30 RRP: £30.00 EACH Provides daily, weekly, quarterly and annual test and record sheets. Pack 25 Cleantrace Order code: CLEAN025 Single Line Display Digital Stop Watch Buy 2 for only RRP £56.50 Pack 50 Cleantrace Order code: CLEAN050 £9.80 Order Code: STOPW001 From only £2.09 PER TEST RRP £109.40 EACH HTM 01-05 Washer Disinfector Logbook (5th Edition) RRP: £11.60 Pack 100 Cleantrace Order code: CLEAN100 Incubator for Cleantrace RRP £209.00 Code: INCUB002 12-18 months shelf life from date of manufacture RRP £137.40 To order call FREE on +44 (0)800 840 0105, or email [email protected] WHEN IS IT PERFORMED, AND BY WHO? DOCUMENT SPECIFIC TITLE REFERENCE HTM 01-05 Remove and Clean Strainers and Filters 13.3 HTM 01-05 Cleaning Efficacy (Visual) 13.3 Refers to ISO 15883 HTM 01-05 Saftey Checks 15.14 HTM 01-05 Protein Residue Test 13.3 Refers to ISO 15883 HTM 01-05 Cleaning Efficacy Test Also known as, but not referenced in HTM 01-05, a Manufacturer Soil Test. 13.3 Refers to ISO 15883 HTM 01-05 Automatic Control Test 15.3 PERIODIC TESTING D ✔ User ✔ User W Q Y ✔ ✔ ✔ User ✔ User ✔ User ✔ User ✔* User User User ✔ ✔ CP(D) or ENG CP(D) or ENG ✔ ✔ CP(D) or ENG CP(D) or ENG ✔ ✔ CP(D) or ENG CP(D) or ENG ✔ ✔ CP(D) or ENG CP(D) or ENG ✔ ✔ CP(D) or ENG CP(D) or ENG WHAT YOU NEED TO DO Enter results in your Isopharm logbook See page 34 Enter results in your Isopharm logbook See page 25 See page 26 See page 25 * The machine manufacturer must provide frequency of User testing in addition to HTM 01-05 periodic requirements. ➥ YOUR MACHINE MANUFACTURER MAY RECOMMEND SOMETHING DIFFERENT Visit www.isopharm.co.uk/vts to get Your FREE Machine Manufacturer Validation Test Schedule Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental See how to do this test on the Isopharm YouTube channel www.youtube.com/isopharmdental You can also order online at www.isopharm.co.uk 31 Washer Disinfectors TESTING & VALIDATION RECORD KEEPING HTM 01-05 COMPLIANT HTM 01-05 Washer Disinfector Logbook (5th Edition) SECTION 11.9 RECORD KEEPING These protocols will require full implementation and all results need recording in a logbook dedicated to individual equipment. Standard logbooks summarising all required tests are available for most types of decontamination equipment. Contains Daily, Weekly, Quarterly & Annual Record Sheets Product Features: Easy to use—Presented in an understandable format with Isopharm Tips throughout Buy any 3 Log Books for £25.00 HTM 01-05 Washer Disinfector Log Book Daily & Weekly Record Sheet Daily Test Record Compliant—Simply complete the logbook and you will comply with HTM 01-05 for testing and validation EACH / Date Range: / Clean Filters & Strainers Monday Tuesday Wednesday Thursday Friday Sa Carried out by: Carried out by: Carried out by: Carried out by: Carried out by: Ca ISOPHARM TIP: Clean filters and strainers means general housekeeping for the machine. This information should be located within the machines own manual a Order Code: LOGWD001 12 months of Record Keeping for ONLY £30.00 PER BOOK Cleaning Efficacy Test (Visual Only) HTM 01-05 Washer Disinfector Log Book Monday Tuesday Wednesday Thursday Friday Cycle number / time of test Cycle number / time of test Cycle number / time of test Cycle number / time of test Cycle number / time of test Cyc Pass or Fail Date Range: Pass or Fail / Pass or Fail / Pass or Fail Pass or Fail Pas Visually checked by: Visually checked by: Visually checked by: Vis Daily & Weekly Record Sheet Daily Test Record / Visually checked by: to / Visually checked by: Sa Clean Filters & Strainers ISOPHARM TIP: AnFriday illuminated magnifyingSaturday lamp should be used toSunday check instruments after they have been processed in the washer disinfector. The check is done instruments prior to them being processed in a steriliser. Any deposits not removed during cleaning will create a barrier between the instrument and the steam during Monday Tuesday Wednesday Thursday Carried out by: Carried out by: Carried out by: Carried out by: Carried out by: Carried out by: Carried out by: ISOPHARM TIP: Clean filters and strainers means general housekeeping for the machine. This information should be located within the machines own manual and is aimed at prolonging the lifespan of the equipment. Cleaning Efficacy Test (Visual Only) Weekly Test Record Monday Tuesday Wednesday Thursday Cycle number / time of test Cycle number / time of test Cycle number / time of test Cycle number / time of test Friday Safety Checks Pass or Fail Pass or Fail Pass or Fail Pass or Fail Visually checked by: Visually checked by: Visually checked by: Visually checked by: Cycle number / time of test Pass or Fail Date o Saturday Sunday Cycle number / time of test Cycle number / time of test Pass or Fail Pass or Fail Manufacturer Recommended Checks (See Manual) Visually checked by: ISOPHARM TIP: manufacturer reco machine. Visually checked by: Visually checked by: Checked By: Protein Residue Test ISOPHARM TIP: An illuminated magnifying lamp should be used to check instruments after they have been processed in the washer disinfector. The check is done to ensure that there is no soiling or staining on the instruments prior to them being processed in a steriliser. Any deposits not removed during cleaning will create a barrier between the instrument and the steam during the sterilisation process, resulting in an un-sterile load. PROTEIN RESIDUE TEST Protein Detection Test Used Date of Tests: Safety Checks Protein Detection Test Protein Detection Test Used Pack 25 MediCheck Order Code: MEDICHECK025 RRP £60.70 YOU CHOOSE Pack 10 Protein Residue Tests Order Code: DENTACHECK RRP £20.60 From only £2.06 PER TEST Pack 50 MediCheck Order Code: MEDICHECK050 RRP £117.50 Test Results Pass or Fail Test Expiry Date Cycle Number or time of test Pack 100 MediCheck Order Code: MEDICHECK100 RRP £221.65 Batch Number Batch Number Date of Test: / / HTM 01-05 COMPLIANT Test Expiry Date Pass or Fail Tested By INSERT TEST SOIL STRIP HERE INSERT TEST SOIL STRIP HERE From only £2.09 From only £2.21 PER TEST 12-18 months shelf life from date of manufacture Test Results Pass or Fail ISOPHARM TIP: When the test is performed depends on your manufacturer and varies from once per week to once per month. This test presents a difficult cleaning challenge to the machine and makes sure that a strip of dried test soil is completely cleaned. Be aware that this is NOT an alternative to the weekly HTM 01-05 Protein Residue test as it does not chemically check for the presence of protein, simply that the machine can remove a defined pre applied stain. Test Expiry Date Date o Pass or Fail ISOPHARM TIP: When the test is performed de per week to once per month. This test presents a d sure that a strip of dried test soil is completely cleaned HTM 01-05 Protein Residue test as it does not chemic machine can remove a defined pre applied stain. SECTION 13.3 PROTEIN RESIDUE TEST This is a chemical test to detect levels of protein on a processed load that LOG ANYSHEET FAULTS THE LOG ANY FAULTS ON THE HISTORY RECORD AT THEON BACK OF HISTORY THIS BOOK RECORD SHEET AT THE cannot be seen by visual inspection. A protein residue test must be Pack 25 Cleantrace completed weekly to confirm that Order Code: CLEAN025 the cleaning process used within RRP £56.50 your practice retainswww.isopharm.co.uk/dental the capability © Isopharm 2013 Pack 50 Cleantrace of removing protein. This must be © Isopharm 2013 performed by the User. Order Code: CLEAN050 RRP £109.40 Pack 100 Cleantrace Order Code: CLEAN100 RRP £209.00 Incubator for MediCheck Order Code: INCUB004 RRP £201.95 32 Soil Test Used Tested By Soil Test Used YOU CHOOSE PER TEST 12-18 months shelf life from date of manufacture Cleantrace Protein Residue Test Test Expiry Date machine. Manufacturers Recommended Soil Test MediCheck Protein Residue Test Batch Number Manufacturers Recommended Soil Test Batch Number ISOPHARM TIP: There is no specific time of day that the test needs to be carried out. DentaCheck Protein Residue Test / ISOPHARM TIP: The machine manual should contain the necessary Checked By: Protein Residue Test Cycle Number or time of test / manufacturer recommended safety ISOPHARM TIP: There is no specific time of day that thechecks test required needsfortothe bespecific carried out. Manufacturer Recommended Checks (See Manual) Cycle Number or time of test Protein Detection Test Cycle Number or time of test Weekly Test Record Incubator for Cleantrace Order Code: INCUB002 RRP £137.40 12-18 months shelf life from date of manufacture YOU CHOOSE Although some areas of compliance require specific product, we do try to provide alternatives whenever a choice is available and economising possible. So, wherever you see our YOU CHOOSE logo, the product that you need from our range is entirely up to you. To order call FREE on +44 (0)800 840 0105, or email [email protected] CLEANING EFFICACY SOIL TEST Load Check Test Soil Wash Check Test Soil PCD & CEI Test Soil Full Starter Kit only £70.80 EACH Full Starter Kit only £42.30 Full Starter Kit only £48.60 EACH EACH Load Check Starter Kit: including Load Check Holder and 4 Load Check Test Strips Order Code: LOADSK001 RRP £42.30 Wash Check Starter Kit: including Wash Check Holder and 4 Wash Check Test Strips Order Code: WASHSK001 RRP £48.60 PCD & CEI Starter Kit: including PCD Holder and 2 CEI Test Strips Order Code: PCDSK002 RRP £70.80 24 Load Check Test Strips 24 Wash Check Test Strips 12 CEI Test Strips Order Code: LOADC024 RRP £26.60 Load Check Holder Order Code: LOADH001 RRP £42.30 6 months shelf life from date of manufacture Order Code: WASHC024 RRP £29.60 Order Code: PCDCEI012 RRP £68.70 Wash Check Holder PCD Holder 12-18 months shelf life from date of manufacture 12-18 months shelf life from date of manufacture Order Code: WASHH001 RRP £42.30 Order Code: PCDHOL001 RRP £63.40 Your Machine Manufacturer may choose to alter their recommendations from time to time. Isopharm advise you to visit: www.isopharm.co.uk/vts to get all the latest information Please Note: Information is correct at the time of print, however Manufacturer recommendations can change with regards to what Test Soil to use, so make sure that you complete your Validation Test Schedule on the Isopharm website. HTM 01-05 COMPLIANT AUTOMATIC CONTROL TEST HTM 01-05 COMPLIANT SECTION 13.3 AUTOMATIC CONTROL TEST This is an observational test that records the operation of the machine and demonstrates that the process is repeatable by comparing the results against previous tests. HTM 01-05 states that for an Ultrasonic Bath the automatic control test should be completed quarterly and annually. SECTION 14.3 CLEANING EFFICACY TEST Single Line Display Digital Stop Watch Buy 2 for ONLY £9.80 EACH Order Code: STOPW001 You can also order online at www.isopharm.co.uk RRP £11.60 This is a test that ensures that the cycle is able to adequately clean a heavily soiled load. Only the test soil recommend by the manufacturer should be used. HTM 01-05 has cleaning efficacy test as a daily and quarterly requirements, however there is a difference in how they are performed. Daily cleaning efficacy is a visual check that requires the use of an inspection magnification lamp. Quarterly cleaning efficacy requires a test soil such as the products listed. Some manufacturer’s recommend the quarterly test method, with use of a test soil, is carried out more frequently. 33 Instruments Inspection WHAT IS IT? The cleaning of instruments is an important part of the decontamination cycle. If this is not done correctly then the rest of the process will fail. HTM 01-05: 2103 Edition specifies that each instrument must be visually inspected after cleaning, and further recommends the use of an illuminated magnifier to improve the ease and efficiency of the inspection. If an instrument is not clean, then it can not be sterilised. Instruments that are blunt, bent, damaged or show any signs of pitting or other corrosion should be discarded or, if appropriate, sent for repair. WHEN IS IT PERFORMED? Visual inspection should be carried out after the cleaning process but before sterilisation. The reason why a visual inspection is required before sterilisation is to make sure that the cleaning process is removing staining and debris. If an instrument is not properly cleaned it may impede the sterilisation process. Dry Cleaning Cloths Inspection 3.5” Lamp Benchtop Mains Powered NaturaLight 5’’ Magnifying Lamp Order Code: Order Code: EACH 34 Non-Linting Pack of 150 cloths LAMPB001 LAMPWM001 RRP £40.15 RRP £64.40 Order Code: LINTCL002 Buy 2 Boxes only £6.70 each RRP: £8.20 To order call FREE on +44 (0)800 840 0105, or email [email protected] HOW IS IT DONE? Visually inspect all instruments under an illuminated magnifier. Are instruments clean, functional and in good condition? YES NO Are instruments blunt, bent, damaged or showing signs of pitting or other corrosion? from Extract ’s m Isophar tion mina Deconta able as vail Poster A ated Wall min an A2 la t. See char Page 3 TOP TIP NO YES - Discard Re-processing required Lubricate any relevant items prior to sterilisation with a non-oil-based lubricant certified for use on the instruments, and compatible with the sterilisation process If any of your instruments require discarding, place all instruments that are sharp or have an edge in the sharps bin. If you are in doubt please contact your instrument manufacturer or your hazardous waste contractor. Go immediately to the STERILISER Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental See how to do this test on the Isopharm YouTube channel www.youtube.com/isopharmdental You can also order online at www.isopharm.co.uk 35 Instrument Inspection INSPECTION EQUIPMENT 3.5” Magnifying Lamp & Replacement Bulb This lamp is mains powered NaturaLight 5’’ Magnifying Lamp & Replacement Bulb This lamp is mains powered Order Code: Order Code: LAMPWM002 LAMPWM001 Order Code: LAMPB001 RRP £40.15 RRP £110.95 RRP £64.40 YOU CHOOSE 4 Pin Replacement Bulb Order Code: BULBDAY001 RRP £9.55 HTM 01-05 COMPLIANT SECTION 3.5 Any instruments that are blunt, bent or damaged or show any signs of pitting or other corrosion should be discarded. An illuminated magnifier is recommended because it makes it much easier to see residual contamination, debris or damage. YOU CHOOSE Feelers Powder Free Latex Gloves Cost effective Latex gloves for general surgery use and examination etc. Buy 30 Packs only £4.05 EACH RRP £5.10 36 (S) Order Code: GLVDIS001 (M) Order Code: GLVDIS002 (L) Order Code: GLVDIS003 (XL) Order Code: GLVDIS004 This lamp is mains powered Combined Arm Length: 98cm (38.5 inches) Individual Arm Length: Two at 49cm (19.25 inches) each Combined Arm Length: 98cm (38.5 inches) Individual Arm Length: Two at 49cm (19.25 inches) each RRP £10.30 RRP £10.30 Order Code: Order Code: LAMPWM002BULB LAMPWM001BULB Bench Bracket for 5’’ & 7’’ NaturaLight Wall Bracket for 5” & 7” NaturaLight RRP £19.75 RRP £19.75 Order Code: Order Code: LAMPBRK001 Box of 100 gloves. NaturaLight 7’’ Magnifying Lamp & Replacement Bulb LAMPBRK002 Feelers Powder Free Vinyl Examination Gloves Compliant vinyl gloves for general surgery use, examination and low risk tasks. Box of 100 gloves. Buy 30 Packs only £2.80 EACH RRP £3.10 (S) Order Code: GLVDIS009 (M) Order Code: GLVDIS010 (L) Order Code: GLVDIS011 Feelers Powder Free Nitrile Gloves High quality Nitrile gloves for general surgery use and examination etc. Box of 100 gloves. (S) Order Code: Buy 30 Packs only (M) Order Code: £5.10 EACH RRP £6.10 GLVDIS005 GLVDIS006 (L) Order Code: GLVDIS007 (XL) Order Code: GLVDIS008 To order call FREE on +44 (0)800 840 0105, or email [email protected] Looking for FREE Verifiable CPD? Register and receive yours at: www.isopharm.co.uk/training COURSE: Decontamination Processes COURSE: Personal Protective Equipment COURSE: Hand Hygiene Register FREE › Select & take a course › Pass & download your certificate You can also order online at www.isopharm.co.uk 37 Sterilisers TESTING & VALIDATION WHAT IS IT? Sterilisation by means of steam (moist heat) is the recommended method for processing most dental instruments. that sterility will be achieved, whatever steriliser is used, due to the presence of lubricating materials. There are three types of small steam steriliser available. Each has specific operating conditions and load limitations. Type B Steriliser: Vacuum Type N Steriliser: Non-Vacuum Air removal is critical to enable steam to condense on instruments and effect sterilisation. Also known as Vacuum, Vacuum Assisted, and Porous Load sterilisers. Also known as Gravity, Downward Displacement, and Bowl & Instrument sterilisers. In a Type B steriliser air removal is active due to vacuum assistance, allowing appropriately wrapped items to be processed as well as lumen devices and hand pieces. The air is actively removed, and the steam forced into any lumens allowing for the sterilisation of hollow devices. Air removal is critical to enable steam to condense on instruments and effect sterilisation. In a Type N steriliser air removal is passive and for this reason packaged instruments cannot be sterilised in these machines. Devices with narrow lumens, including hand pieces, should not normally be sterilised in Type N sterilisers because the steam will not be forced into the lumen due to passive air removal. However, currently HTM 01-05: 2013 Edition permits the use of a Type N steriliser for processing lubricated hand pieces. Type S Steriliser: Vacuum This type of steriliser is designed to reprocess specific load types. The manufacturer of the steriliser must define exactly which load or instrument types are compatible. Type S sterilisers should be used strictly in accordance with manufacturer instructions. With regards to lubrication, HTM 01-05 states that it is unlikely WHEN IS IT PERFORMED? The sterilisation process should be performed after any required manufacturer safety checks and HTM 01-05 tests have been carried out on the steriliser. Tes sterili ting s is ava ers CPD ila our Tr ble on ain websi ing te Regardless of the type of steriliser used, the critical parameters for sterilisation remain the same: Temperature - The preferred temperature is 134ºC to 137ºC. Time - A minimum of three (3) minutes holding time once the load has reached the temperature of 134ºC. Pressure - Approximately 2.2 Bar. The pressure is associated with the development of steam at 134ºC and is typically recorded in addition to the temperature. HTM 01-05 Benchtop Steriliser Logbook (4th Edition) Buy any 3 for only £25.00 Order Code: LOGBS001 38 RRP: £30.00 EACH Provides daily, weekly, quarterly and annual test and record sheets. Pack of 200 Self Adhesive Browne TST Sterilisation Duplex Traceability Labels Class 6 Order Code: LABEL001 Isopharm Type B Helix & 250 Test Strips Order Code: RRP: £29.10 HELTB003 RRP: £61.95 To order call FREE on +44 (0)800 840 0105, or email [email protected] WHEN IS IT PERFORMED, AND BY WHO? DOCUMENT SPECIFIC TITLE REFERENCE HTM 01-05 Automatic Control Test 15.3 PERIODIC TESTING D ✔ User HTM 01-05 Steam Penetration Test Type B & Type S vacuum only Table on page 56 Refers to MDA DB 2002(06) HTM 01-05 Weekly Safety Checks 15.14 HTM 01-05 Air Leakage Test Type B & Type S vacuum only Table on page 56 Refers to MDA DB 2002(06) HTM 01-05 Residual Air Test Type S vacuum & Type N non-vacuum only Table on page 56 Refers to MDA DB 2002(06) HTM 01-05 Engineer Revalidation Table on page 56 Refers to EN 13060 HTM 01-05 Yearly Safety Checks 15.16 ✔* User W Q Y ✔ ✔** ✔ User ✔* User ✔ User ✔ User ✔ User CP(D) or ENG ✔** CP(D) or ENG ✔** CP(D) or ENG ✔** CP(D) or ENG ✔** CP(D) or ENG ✔** CP(D) or ENG CP(D) or ENG ✔ CP(D) or ENG ✔ CP(D) or ENG ✔ CP(D) or ENG ✔ CP(D) or ENG ✔ CP(D) or ENG ✔ CP(D) or ENG WHAT YOU NEED TO DO Enter results in your Isopharm logbook See page 41 Enter results in your Isopharm logbook Enter results in your Isopharm logbook*** Enter results in your Isopharm logbook*** Keep the validation test report with your Isopharm logbook Enter results in your Isopharm logbook * Check with the machine manufacturer whether this test should be performed with either a Helix or Bowie Dick Pack. ** Check with the machine manufacturer if quarterly engineer validation is required as some require only yearly. *** Check with the machine manufacturer if this test needs to be carried out by the user. This test is only performed if the machine has a specific test cycle for it, otherwise it is performed by the engineer during quarterly or yearly validation. ➥ YOUR MACHINE MANUFACTURER MAY RECOMMEND SOMETHING DIFFERENT Visit www.isopharm.co.uk/vts to get Your FREE Machine Manufacturer Validation Test Schedule You can also order online at www.isopharm.co.uk 39 Sterilisers TESTING & VALIDATION RECORD KEEPING HTM 01-05 COMPLIANT HTM 01-05 Benchtop Steriliser Logbook (4th Edition) SECTION 11.9 RECORD KEEPING These protocols will require full implementation and all results need recording in a logbook dedicated to individual equipment. Standard logbooks summarising all required tests are available for most types of decontamination equipment. Contains Daily, Weekly, Quarterly & Annual Record Sheets HTM 01-05 Benchtop Steriliser Log Book Product Features: Daily & Weekly Record Sheet Easy to use—Presented in an understandable format with Isopharm Tips throughout Buy any 3 Log Books for £25.00 EACH Daily Test Record / Date Range: Change Reservoir Water Compliant—Simply complete the logbook and you will comply with HTM 01-05 for testing and validation Monday Tuesday Wednesday Thursday Friday Performed By: Performed By: Performed By: Performed By: Performed By: Warm Up Cycle Completed Order Code: LOGBS001 HTM 01-05 Benchtop Steriliser Log Book Monday Tuesday Wednesday Thursday Friday Performed By: Performed By: Performed By: Performed By: Performed By: Daily & Weekly Record Sheet 12 months of Record Keeping for ONLY Automatic Control Test Daily Test Record £30.00 Monday Tuesday Wednesday Performed By: Performed By: Performed By: Thursday to / / During the sterilisation part of the cycle, what was the: Minimum Temperature Maximum Temperature Friday Saturday Sunday Performed By: Performed By: Performed By: Friday Saturday Sunday Performed By: Performed By: Performed By: Pressure Reading Wednesday Performed By: Performed By: Performed By: Thursday Thurs Performed By: Fri Cycle Number or if not available time of test Sat Sun During the sterilisation part of the cycle, what was the: Minimum Temperature Maximum Temperature Mon Tue Pressure Reading Wed INDICATOR STRIPS & LABELS Day Thurs Fri Sat Mon Sun Tue Steam Penetration Test Day Cycle Number or if not available time of test Thurs Fri Sat Sun Tested By : : Number Cycle or if not : available time : of test : : ISOPHARM TIP: Ifthereisaprinterordatalogger attachedtothemachineyoudo notneedtoperformthismanual For Vacuum Type B and Type S only. See front cover for defini test eachSterilisers day (Medical Devices AgencybulletinMDADB2002/06). However you do need to show reference to the automatically Test Used (Helix or Bowie Dick): collecteddatabyretrospectively filling in this table once a week. Test Batch Number Complete with as much Thurs Fri Pass or Fail Test Expiry Date Tested By Sat ISOPHARM TIP: Only performed on a vacuum steriliser S Type or B Type see front cover for definitions. A Bowie & Dick Pack or a Helix Device should be used. Browne TST Sterilisation Test Record IndicatorWeekly Strips Class 6 ToensurethatthecorrectHelixor Bowie Dick test is used visit the Isopharmwebsiteforinformation on this test: Sun www.isopharm.co.uk/dental Weekly Test Record Safety Checks Safety Checks ResidualDoor Air Test Seal Satisfactory or N/A Date of Tests: / Air Leakage Test Pass or Fail / Residual Air Test Pass or Fail Pass or Fail Tasks required by machine manual ISOPHARMTIP:Yourmachinemanualshouldhavealistof specific tasks required. ISOPHARMTIP:Onlyperformthistestifyourmachinehas ISOPHARMTIP:Onlyperformthistestifyourmachinehas aspecificcyclethatenablesittobeperformedautomatically, aspecificcyclethatenablesittobeperformedautomatically, aspecificcyclethatenablesittobeperformedautomatically, then logonly theresultprovided.Otherwise,thistestshouldonly thenlogtheresultprovided.Otherwise,thistestshouldonly thenlogtheresultprovided.Otherwise,thistest should beperformedISOPHARM byaqualifiedengineer machines manual beperformed aqualified theperformed machines TIP:during Yourthe machine shouldbyhave alistengineer of duringbe byaqualifiedengineerduringthemachines validation. validation. or N/A Performed by: Performed by: ISOPHARMTIP:Onlyperformthistestifyourmachinehas Tasks required by machine manual specific tasks required. validation. Performed by: Performed by: Performed by: LOG ANY FAULTS ONTHE HISTORY RECORD SHEET ATTHE BACK OFTHISSelf BOOK Order Code: STRIP001 RRP £12.85 Order Code: STRIP005 RRP £19.95 © Isopharm 2013 Pack of 100 Adhesive RECORD SHEET LOG ANY FAULTS ONTHE HISTORY www.isopharm.co.uk/dental Order Code: STRIP002 RRP £15.90 © Isopharm 2013 HTM 01-05 COMPLIANT SECTION 4.16 The daily tests should be performed by the operator or user and will normally consist of: 1. Steam penetration test - HELIX or BOWIE DICK tests (vacuum steriliser only), 2. an automatic control test (all benchtop steriliser) in line with manufacturers’ instructions, 3. a record of the temperature and pressure achieved at the daily test, to ensure this is satisfactory before the autoclave is used for sterilising instruments. 40 Valisafe Class 6 Indicator Labels Browne TST Sterilisation Duplex Traceability Self Labels Class 6 Adhesive YOU CHOOSE Self Adhesive Pack of 250 Order Code: LABEL002 RRP £20.00 or N/A Door Seal Satisfactory YOU CHOOSE Pack of 250 o Test Expiry Date informationasispresentedfrom thereceiptordatafileforthefirst cycle of each day. Wed Test Batch Number Tue Wed Pass or Fail For Vacuum Sterilisers Type B and Type S only. See front cover for definitions. Test Used (Helix or Bowie Dick): Mon Valisafe Class 6 Indicator Strips Sterilisation Time (mm:ss) : Steam Penetration Test o : : : : : : : Wed Tuesday Day Pack of 100 Sterilisation Time (mm:ss) Tue Monday Automatic Control Test YOU CHOOSE / Cycle Number or if not available time of test Mon Performed By: Warm Up Cycle Completed PER BOOK Browne TST Sterilisation Indicator Strips Class 6 / Date Range: Day Change Reservoir Water Pack of 200 Order Code: LABEL001 RRP £29.10 To order call FREE on +44 (0)800 840 0105, or email [email protected] STEAM PENETRATION TEST Steripak Bowie Dick Packs Valisafe Bowie Dick Packs Browne Bowie Dick Packs for Eschmann LS3 & SES2000 Vacuum Type S Eschmann Helix & 100 Test Strips Type S Test Pack of 20 Tests Pack of 20 Tests Pack of 10 Tests Order Code: BOWIE004 Order Code: BOWIE005 RRP £67.60 RRP £61.30 Order Code: BOWIE002 Type B Isopharm Helix & 250 Test Strips Type B Valisafe Helix & 250 Test Strips Type B YOU CHOOSE RRP £59.30 Test Order Code: HELTS003 RRP £290.60 Type B Browne Helix & 250 Test Strips Statim Helix Device Order Code: HELTS001 RRP £199.70 YOU CHOOSE 250 Statim Helix Test Strips Type B Test Type B Test Order Code: HELTB003 RRP £61.95 Equates to ONLY 25p PER TEST YOU CHOOSE Although some areas of compliance require specific product, we do try to provide alternatives whenever a choice is available and economising possible. So, wherever you see our YOU CHOOSE logo, the product that you need from our range is entirely up to you. Order Code: HELTB001 RRP £97.95 Equates to ONLY 39p PER TEST Order Code: HELTB002 Order Code: HELTS002 RRP £102.95 Type S Test Equates to ONLY 42p PER TEST RRP £105.95 HTM 01-05 COMPLIANT SECTION 4.16 A Steam Penetration Test should be performed daily on a Vacuum Steriliser. HELPING YOU CHOOSE THE RIGHT PRODUCT The Differences between Helix Devices Helix devices do look very similar to each other. They are made up of a holder for a test strip that is held sealed at the end of a length of tube. Where the Helix will differ is with the length of tubing. A Helix for use with a type B steriliser will have a tube length of 150cm (1.5 meters). This length is directly associated with an EN standard for the validation of type B sterilisers. A Helix for use with a type S steriliser does not have a governing EN. It is the manufacturer of the steriliser who dictates the length of tubing based on their specific machine. The most common length of tube for type S is 30cm (0.3 Meters). Another difference between Helix is the price. The characteristics of a type B Helix are written in the specific EN document so it can be manufactured by anyone with the ability to do so. This means that there are many types on the market which results in competitive pricing and reduced cost for the end user. The ability to manufacture a type S Helix is with the machine manufacturer. This means that, no matter where the device was purchased from, it will have come from the manufacturer of the machine. As there is no competition for the product, the price is at a premium. FOR OUR FULL RANGE OF PAPER ROLLS SEE OVERLEAF You can also order online at www.isopharm.co.uk 41 Sterilisers TESTING & VALIDATION PAPER ROLLS Standard Paper Rolls 13mm (ID) 50mm (OD) 57mm (L) 5 Standard Paper Rolls & 2 Ink Ribbons Pack 13mm (ID) 50mm (OD) 57mm (L) For Eschmann LS3/SES2000 & Prestige C3 Printer Order Code: ROLL001 RRP £6.70 3 Thermal Paper Rolls For Medisafe/Valisafe Printer 13mm (ID) 32mm (OD) 57mm (L) For Eschmann LS3 & SES2000 Printer Order Code: ROLL001INK RRP £15.90 2 Standard Paper Rolls 12mm (ID) 75mm (OD) 75mm (L) 12mm (ID) 45mm (OD) 112mm (L) Order Code: ROLL003 RRP £12.70 Ink Ribbon 4 Thermal Paper Rolls For Eschmann SES113 & SES225 Printer Order Code: ROLL002 RRP £9.50 5 Thermal Paper Rolls For Eschmann IWD & Prestige/Steelco Washer DS50 Printer For Autostar Printer Order Code: ROLL005 RRP £9.50 Order Code: ROLL006 RRP £6.90 Ink Ribbon Dimensions Key Length (L) For Eschmann LS3 LS5 & SES2000 Printer Order Code: INKRIB001 RRP £6.30 Single Line Display Digital Stop Watch For Walker Q105 & Star SP200/SP500 Printer Buy 2 for ONLY £9.80 EACH Order Code: STOPW001 Inner Diameter (ID) Outer Diameter (OD) Order Code: INKRIB002 RRP £5.30 RRP £11.60 42 13mm (ID) 50mm (OD) 57mm (L) HTM 01-05 COMPLIANT SECTION 13.3 AUTOMATIC CONTROL TEST This is an observational test that records the operation of the machine and demonstrates that the process is repeatable by comparing the results against previous tests. HTM 01-05 states that for an Ultrasonic Bath the automatic control test should be completed quarterly and annually. To order call FREE on +44 (0)800 840 0105, or email [email protected] Looking for FREE Verifiable CPD? Register and receive yours at: www.isopharm.co.uk/training COURSE: Steriliser Testing and Validation COURSE: Decontamination Processes COURSE: Ultrasonic Bath Testing and Validation Register FREE › Select & take a course › Pass & download your certificate You can also order online at www.isopharm.co.uk 43 Pouches, Trays & Transport TRANSPORTING CONTAMINATED INSTRUMENTS Once instruments are contaminated and require decontamination, they need to be taken to the decontamination area. This process needs to be carried out safely and securely in order to prevent contamination, to protect the instruments and to protect the staff member handling the transportation. It is advisable to use transport boxes even if decontamination is performed in the patient treatment area as contaminated instruments should always be stored in a secure manner. HTM 01-05 requests that dedicated transport boxes are used which are: • Rigid • Easy to clean • Robust • Capable of being closed securely • Leak proof Instrument Transport Boxes Instrument Suspension Foam For transporting medical instruments to and from the decontamination area. Available in Blue or Red in various sizes Red Transport Boxes are available in the following sizes Blue Transport Boxes are available in the following sizes 300x200x170mm 400x300x220mm 300x200x120mm RTB002 RRP £28.20 RTB003 RRP £37.10 BTB001 RRP £20.40 300x200x170mm 400x300x220mm BTB002 RRP £27.20 BTB003 RRP £35.90 800ml Trigger Spray Order Code: PRESOAK004 RRP: £7.10 FOR OUR FULL RANGE OF MANUAL CLEANING PRODUCTS SEE PAGES 18 - 20 44 To order call FREE on +44 (0)800 840 0105, or email [email protected] TRANSPORTING & STORING DECONTAMINATED INSTRUMENTS Instruments that are pouched before sterilisation, or immediately after sterilisation may be stored for the periods defined in HTM 01-05: 2013 Edition. Storage facilities should provide ease of finding the correct instrument with minimal handling and have an effective stock rotation, First In First Out. HTM 01-05 2013 Edition defines the storage time of a pouched instrument(s) to be 1 year providing the pouch is not compromised (damaged in any way) This is regardless of the type of steriliser used within your dental practice. As part of practice procedures, protocols should be put in place to check the expiry dates of instruments. The storage time can also be dictated locally. At the time of going to print, local requirements for the storage of instruments that are pouched either before or immediately after sterilisation are: England: 1 Year Wales: Wrapped instruments can be stored for one year. If using a non-vacuum steriliser it is recommended that wrapped instruments stored for more than one month should be reprocessed. Scotland: 60 Days It is expected that the pouch should be dated when closed. Best practice would be to put both the sterilisation date and the expiry date for ease of reference. Should only one date be used it is widely recognised by industry advisers and auditors such as the CQC that it is the expiry date that is written on the pouch. Where unwrapped instruments are to be used in the same day as they are sterilised, they should be stored covered to protect from contamination by aerosols in clean and dry conditions until used. Instruments stored in this way must be reprocessed if they are not used within that same day. Instruments stored un-pouched in the surgery should be kept on lidded trays or in covered drawers as far away from the dental chair as reasonably practicable. Instruments should not be stored on open work surfaces, particularly in clinical areas. It is important that practices have well developed protocols and procedures in place to prevent contamination of these instruments by ensuring that those required for a particular patient are removed from their protected environment before treatment commences. This eliminates the need to open cupboard doors or drawers during patient treatment. If an instrument does need to be retrieved from a cupboard or drawer during treatment, the practice should have protocols in place to prevent contamination and to ensure that staff hands are clean and that new gloves are donned before handling unwrapped sterilised instruments. Unwrapped instruments in the clinical area can be stored up to 1 day. All instruments, regardless if they have been used require reprocessing at the end of the working day, or the beginning of the next working day. HTM 01-05 2013 Edition has introduced an additional storage option which allows dental practices to store un-pouched instruments in a non clinical area. This can be either an unused surgery or the clean area of a separate decontamination room. Instruments that are stored in this area can be kept for 1 week without the need to be reprocessed. Instruments should still be stored dry and protected from contamination. To minimise reprocessing, only set out the instruments that are reasonably expected to be used on a particular treatment. All instruments set out for a treatment must be reprocessed even if they have not been used. Storage facilities must ensure that the instrument packs are protected from contamination and protected from moisture. Damp packaging will render the pack permeable to microorganisms. Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental See how to do tests and procedures on the Isopharm YouTube channel www.youtube.com/isopharmdental You can also order online at www.isopharm.co.uk 45 Pouches, Trays & Transport TRANSPORTATION & STORAGE Instrument Transport Boxes These transportation boxes are compliant with section 2.2.62.1.5.7 of the European Agreement concerning the international carriage of dangerous goods and facilitate the transportation of all used medical instruments or equipment for the purposes of decontamination, cleaning, sterilisation or repair. Please note that they are not leak proof, however these transportation boxes are used extensively throughout the NHS, and within Hospital Sterile Services departments. For size comparison: 400mm x 300mm x 220mm Blue Transport Box containing a 280mm x 180mm silver tray Unique snap-lock clasps for extra security. Will not spring open if dropped. For transporting medical instruments to and from the decontamination area Blue Transport Boxes for transportation of Decontaminated instruments Features Available in the following sizes: • Easy to clean - wipable surfaces • Rigid - to prevent instruments becoming a sharps hazard to those handling the goods, and to protect them against accidental damage • Secure, Lockable Lid - interlocking snaps located on 4 areas of the Isopharm transporting boxes • Robust - to prevent instruments being damaged in transit HTM 01-05 COMPLIANT SECTION 2.25 Transport containers should protect both the product during transit and the handler from inadvertent contamination. Transport containers should be; leak proof, easy to clean, rigid, capable of being closed securely, and robust. Red Transport Boxes for transportation of contaminated instruments 300x200x120mm (External) 280x160x100mm (Internal) Available in the following sizes: Order Code: BTB001 RRP £20.40 300x200x170mm (External) 280x160x150mm (Internal) 300x200x170mm (External) 280x160x150mm (Internal) Order Code: RTB002 RRP £28.20 Order Code: BTB002 RRP £27.20 400x300x220mm (External) 310x260x210mm (Internal) 400x300x220mm (External) 310x260x210mm (Internal) Order Code: RTB003 RRP £37.10 Order Code: BTB003 RRP £35.90 FOR OUR FULL RANGE OF MANUAL CLEANING PRODUCTS SEE PAGES 18 - 20 46 To order call FREE on +44 (0)800 840 0105, or email [email protected] Special Offers! Duck Bags 420 x 430mm Pack 50 Order Code: DUCKB002 SPEND between RRP £36.10 Pack 100 Order Code: £100-£149 and you will receive a DUCKB001 RRP £66.95 420 x 670mm Pack 50 Order Code: DUCKB004 RRP £54.10 Pack 100 Order Code: DUCKB003 RRP £97.95 ISOPHARM TIP The duck bags are pre-moistened instrument bags, designed to maintain a safe and sealed humid environment for contaminated instruments. Self Seal Sterilisation Pouches ISOPHARM TIP It is expected that the pouch should be dated when closed. Best practice would be to put both the sterilisation date and the expiry date for ease of reference. Should only one date be used it should be the expiry date as this is what auditors will look for. FREE Box of Chocolates SPEND between £150-£449 and you will receive a FREE Wallet Sized Power Bank Phone Charger Suitable for Iphone 5 & 6, and any generic android. SPEND over £500 and you will receive a 100 x 57mm Box of 200 230 x 90mm Box of 200 330 x 190mm Box of 200 Order Code: POUSS001 RRP £3.20 Order Code: POUSS002 RRP £3.75 Order Code: POUSS003 RRP £10.95 FREE 7” Android Tablet Products shown are indicative and may vary. Offers may change without notice. FOR OUR FULL RANGE OF INSTRUMENT TRAYS SEE OVERLEAF You can also order online at www.isopharm.co.uk 47 Pouches, Trays & Transport TRAYS & CASSETTES Perforated Aluminium Trays Aluminium Tray Lifter 28 x 18cm Trays ONLY 18 x 14cm Trays ONLY EACH EACH £7.20 £5.95 Order Code: TRAYLF001 RRP £11.80 SILVER 28cm x 18cm Trays Order Code: TRAYA0010 18cm x 14cm Trays Order Code: TRAYA18141 BLUE Disposable Plastric Tray 28cm x 18cm Trays Order Code: TRAYA0015 18 x 14 x 1.7cm with smooth bottom 18cm x 14cm Trays Order Code: TRAYA18142 RRP £6.60 Order Code: TRAYP1814 Pack of 100 28cm x 18cm Trays Order Code: TRAYA0020 18cm x 14cm Trays Order Code: TRAYA18143 Buy 8 Packs for £5.60 EACH RED GREEN 28cm x 18cm Trays Order Code: TRAYA0025 18cm x 14cm Trays Order Code: TRAYA18144 Disposable Plastric Tray 28 x 18 x 1.7cm with smooth bottom Order Code: TRAYP2818 YELLOW 28cm x 18cm Trays Order Code: TRAYA0030 RRP £8.10 18cm x 14cm Trays Order Code: TRAYA18145 TRAY LIDS TO MATCH ABOVE Colours shown are indicative and may vary when ordered. 18cm x 14cm Solid Lid. Order Code: TRAYALID1814 RRP £6.10 HTM 01-05 COMPLIANT SECTION 2.27 When transporting sterilised instruments, to avoid recontamination it is preferable that 48 they are wrapped or separated from direct contact with their container on a tray that itself has been sterilised. £7.60 Pack of 100 EACH 28cm x 18cm Solid Lid. Order Code: TRAYALID2818 RRP £6.95 Buy 8 Packs for ISOPHARM TIP Aluminium trays used to hold instruments during sterilisation must always be perforated as this allows the steam to flow through them. This is important for all types of steriliser, but particularly when sterilising instruments in a Type N or non-vacuum cycle. To order call FREE on +44 (0)800 840 0105, or email [email protected] Flexi Clip 3 Instrument Cassette Flexi Clip 5 Instrument Cassette Available in Green and Blue. Buy 3 for ONLY Available in Green and Blue. Buy 2 for ONLY Flexi Clip 10 Instrument Cassette Available in Green and Blue. £18.95 £13.30 EACH EACH RRP £37.40 RRP RRP £27.10 £18.95 Order Code: Order Code: Order Code: Order Code: CLIPFL0015 CLIPFL0025 CLIPFL0302 Order Code: CLIPFL0035 CLIPFL0020 Tray Lining Paper Flexi Clip 15 Instrument Cassette Order Code: CLIPFL1002 Flexi Clip 20 Instrument Cassette RRP £48.50 Pack of 250 sheets White Paper Order Code: TRAYLP001 RRP £6.10 Blue Paper Order Code: TRAYLP002 RRP £6.10 Available in White or Blue Special Offers! Products shown are indicative and may vary. Offers may change without notice. RRP Order Code: CLIPFL0040 SPEND between £42.80 SPEND between £100-£149 £150-£449 and you will receive a and you will receive a FREE Wallet Sized Power Bank Phone Charger FREE Box of Chocolates Order Code: CLIPFL0050 SPEND over £500 and you will receive a FREE 7” Android Tablet Suitable for Iphone 5 & 6, and any generic android. FOR OUR FULL RANGE OF BUR NECESSITIES SEE OVERLEAF You can also order online at www.isopharm.co.uk 49 Pouches, Trays & Transport BUR NECESSITIES Plug-in Bur Holder for 4 Burs up to 3cm long Plug-in Bur Holder for 6 Burs up to 4cm long Available in Red, Blue, Yellow and Green. Available in Red, Blue, Yellow and Green. Available in Red, Blue, Yellow and Green. Buy 3 for ONLY Buy 3 for ONLY Buy 3 for ONLY £7.40 EACH RRP £10.50 Order Code: BURHP43002 Order Code: BURHP43003 Order Code: BURHP43004 Order Code: BURHP43005 Plug-in Bur Holder for 6 Burs up to 5cm long £10.70 Order Code: BURHP63002 Order Code: BURHP63003 Order Code: BURHP63004 Order Code: BURHP63005 EACH RRP £13.60 Plug-in Bur Holder for 8 Burs up to 3cm long £14.50 EACH RRP £20.55 Available in Red, Blue, Yellow and Green. Available in Red, Blue, Yellow and Green. Buy 3 for ONLY Buy 3 for ONLY Buy 3 for ONLY RRP £22.25 Order Code: BURHP65002 Order Code: BURHP65003 Order Code: BURHP65004 Order Code: BURHP65005 Plug-in Bur Holder for 16 Burs up to 3cm long Buy 3 for ONLY £19.95 EACH RRP £25.30 Available in Red, Blue, Yellow and Green. Order Code: BURHP163002 Order Code: BURHP163003 Order Code: BURHP163004 Order Code: BURHP163005 £12.80 Order Code: BURHP83002 Order Code: BURHP83003 Order Code: BURHP83004 Order Code: BURHP83005 EACH RRP £16.30 Bur Mesh Clip Holder £16.20 EACH RRP £20.55 Order Code: BURHP123002 Order Code: BURHP123003 Order Code: BURHP123004 Order Code: BURHP123005 Bur Bath Order Code: BURMC001 150ml With Removable Inner Basket & Lid RRP £4.25 Buy 2 Baths only Buy 3 for ONLY £1.60 EACH EACH Order Code: BURHP64002 Order Code: BURHP64003 Order Code: BURHP64004 Order Code: BURHP64005 Plug-in Bur Holder for 12 Burs up to 3cm long Available in Red, Blue, Yellow and Green. £17.60 50 Plug-in Bur Holder for 6 Burs up to 3cm long £5.20 EACH Order Code: BURBA001 RRP: £6.30 To order call FREE on +44 (0)800 840 0105, or email [email protected] MARKING TAPE Instrument Marking Tape Binder Packs and Sheets Individual colour sheet packs (Binder not included) Instrument Marking Tape Plain Red (Pack of 5) Features • Latex Free • Suitable for Steam Sterilisation • Suitable for Wash/ Disinfection Order Code: MKTAPE001 RRP £13.20 Instrument Marking Tape Plain Blue (Pack of 5) Order Code: MKTAPE002 RRP £13.20 Instrument Marking Tape Plain Green (Pack of 5) Order Code: MKTAPE003 RRP £13.20 Instrument Marking Tape Plain Yellow (Pack of 5) Order Code: MKTAPE004 RRP £13.20 Instrument Marking Tape Zebra Yellow (Pack of 5) Order Code: MKTAPE005 RRP £17.60 Instrument Marking Tape Binder Pack with 11 Plain Colour Sheets Instrument Marking Tape Binder Pack with 10 Zebra Colour Sheets Order Code: MKTAPE009 Order Code: MKTAPE010 RRP £28.90 Includes these sheets Instrument Marking Tape Zebra Red (Pack of 5) Order Code: MKTAPE006 RRP £37.20 RRP £17.60 Instrument Marking Tape Zebra Blue (Pack of 5) Includes these sheets Order Code: MKTAPE007 RRP £17.60 Instrument Marking Tape Zebra Green (Pack of 5) Includes these sheets Order Code: MKTAPE008 RRP £17.60 Instrument Marking Tape Binder Pack with 11 Plain & 10 Zebra Colour Sheets Order Code: MKTAPE011 RRP £52.50 Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental See how to do tests and procedures on the Isopharm YouTube channel www.youtube.com/isopharmdental FOR OUR FULL RANGE OF MACHINE DETERGENTS SEE PAGE 52 You can also order online at www.isopharm.co.uk 51 Machine Detergents ULTRASONIC CLEANING PROCESS - WHAT IS IT? HTM 01-05: 2013 Edition deems ultrasonic baths to be optional, they are not required to meet either Essential Quality Requirement or Best Practice. especially with complex and hinged instruments. They are also easier to validate as the process is repeatable. All ultrasonic cleaners should be operated in accordance with the manufacturer’s instructions and local protocols. Ultrasonic cleaners can be more effective than manual cleaning, ULTRASONIC CLEANING PROCESS - WHEN IS IT PERFORMED? The ultrasonic cleaning process should be performed after any required manufacturer safety checks and HTM 01-05 tests have been carried out on the ultrasonic cleaner. Only use the furniture that belongs with the ultrasonic cleaner. Using the correct furniture ensures that the process is as efficient as possible. Only instruments that are suitable for ultrasonic cleaning should be processed. Ideally, the detergent and dosage specified by the manufacturer should be used. onic Ultras CPD ng Cleani able on il is ava aining our Tr site web Sonozyme Walker Electronics Welzyme Enzymatic Detergent 50 Sachets Ultrawave Hygea Sonozyme Enzymatic Detergent 120 Sachets Order Code: WELZYME RRP: £49.60 Equates to only 99p Per Sachet 52 3E Zyme Multi Enzyme Detergent 4 Litre bottle Order Code: 3ZYME Order Code: SONOZYME RRP: £110.80 Equates to only 92p Per Sachet Buy 2 Bottles only £51.50 EACH Welzyme RRP: £68.70 To order call FREE on +44 (0)800 840 0105, or email [email protected] WASHER DISINFECTOR PROCESS - WHAT IS IT? Washer Disinfectors are the preferred method of cleaning instruments and medical devices. Critical cycle parameters are fully controlled, repeatable and a record of the cycle is usually available via printout or memory card. The process is fully automated. Washer disinfectors both clean and disinfect consecutively during a process cycle. Washer disinfectors are a requirement to achieve Best Practice compliance. All Washer Disinfectors should be operated in accordance with the manufacturer’s instructions and local protocols. WASHER DISINFECTOR PROCESS - WHEN IS IT PERFORMED? The washer disinfector process should be performed after any required manufacturer safety checks and HTM 01-05 tests have been carried out on the washer disinfector. A typical washer disinfector cycle for instruments includes the following five stages: Flush Removes ‘difficult’ gross contamination, including blood, tissue debris, bone fragments and other fluid and solid debris. Latest standards indicate that a water temperature of less than 45ºC is used to prevent protein coagulation and fixing of soil to the instrument. Wash Removes any remaining soil. Mechanical and chemical processes loosen and break up contamination adhering to the instrument surface. Detergents used in this process must be specified by the manufacturer as suitable for use in a washer-disinfector and compatible with the quality of water used. Detergents should also be compatible with the instruments being processed to avoid instrument degradation including discolouration, staining, corrosion and pitting. Ultraclean Prestige Medical Ultraclean Detergent 2 x5 Litre Order Code: ULTRACLEAN002 RRP: £116.20 You can also order online at www.isopharm.co.uk Rinse Removes detergent used during the cleaning process. This stage can contain several sub-stages. The quality of water to be used for this stage is an important consideration in terms of ensuring a clean unmarked product after sterilisation. Advice should be taken from manufacturers with respect to the compatibility of the hardness or quality of the water supply with the equipment and detergents used. Thermal Disinfection The temperature of the load is raised and held at the pre-set disinfection temperature for the required disinfection holding time, for example 80ºC for ten minutes or 90ºC for one minute. Drying Purges the load and chamber with heated air to remove residual moisture. ICPS Solution Klenzklean Eschmann IWD51 & Hydrim C51 WD Pack of 4 Order Code: Order Code: 1 Litre bottle ICPSSOLUTION RRP: £103.50 Equates to ONLY £25.88 Per Cassett Order Code: KLENZKLEAN001 RRP: £17.10 53 Machine Detergents ULTRASONIC BATH Welzyme Sonozyme Alkasept Ultra Concentrate Medi PH Ultrawave Hygea Sonozyme Enzymatic detergent Equates to ONLY 120 Sachets Order Code: SONOZYME RRP £110.80 Walker electronics Welzyme Enzymatic detergent 50 Sachets Order Code: 92p Per Sachet Equates to ONLY WELZYME RRP £49.60 99p Can also be used with washer disinfectors 5 Litre Order Code: MEDIPH001 Per Sachet Alkazyme Soluble Sachets 1 Litre Bottle Alkazyme Loose Powder Tub RRP £75.50 Alkazyme Liquid Concentrate Order Code: ALKASEPT001 RRP £30.10 3E Zyme Multi Enzyme Detergent 4 Litre Bottle Order Code: 3ZYME RRP 100 x 5g Order Code: ALKAZYME001 RRP £70.10 25 x 25g Order Code: ALKAZYME002 RRP £23.20 £68.70 750g Tub Order Code: ALKAZYME003 RRP £78.35 1 Litre Bottle Order Code: ALKAZYME004 RRP £55.70 Buy 2 bottles for ONLY £51.50 EACH Can also be used with Washer Disinfectors WASHER DISINFECTORS Prestige Medical Ultraclean Detergent W&H Klenzeklean Detergent Medisafe AWT Automatic Water Treatment Eschmann & SciCan ICPS Solution 2 x 500ml Order Code: 1 Litre Order Code: KLENZKLEAN001 2 x 5 Litre Order Code: RRP £17.10 RRP £116.20 KLENZKLEAN005 ULTRACLEAN002 5 Litre Order Code: RRP £59.70 AWT001A RRP £32.20 Eschmann IWD51 & Hydrim C51 WD 4 Litre Order Code: Pack of 4 Order Code: AWT003 RRP £74.50 ICPSSOLUTION RRP £103.50 Equates to ONLY £25.88 Per Cassett FOR OUR FULL RANGE OF BUR NECESSITIES SEE PAGE 50 54 To order call FREE on +44 (0)800 840 0105, or email [email protected] HTM 01-05 COMPLIANT ULTRASONIC CLEANERS Ultrawave Hygea2 Walker Q105 Why not fit a When buying a Q105 From only £150.00 Order Code: HYGEA2 RRP £2,255.00 • Tank Size: 285 x 205 x 160mm • Memory card port for digital cycle traceability • Integral printer provides hard copy validation • Electro-magnetic locking lid prevents cycle interruption • Thermostatic over-temperature cut off prevents the risk of protein coagulation HTM01-05 Validation Bundle for the Hygea Includes: • Ultrasonic Cleaner Log Book • 25 Cleantrace Pens • Load Check Starter Pack • Foil Test Kit ONLY £155.00 Order Code: Order Code: FREE LOGBOOK LOGBOOK WORTH £30.00 Sonozyme Ultrawave Hygea Sonozyme Enzymatic detergent 120 Sachets Order Code: SONOZYME RRP £110.80 UCVALKIT001 HTM 01-05 COMPLIANT SECTION 10.21 When procuring ultrasonic cleaners, the following specification points should be considered: • a reservoir (or tank) large enough to accommodate the required throughput; • a reservoir that should be of a polished stainlesssteel construction with internal rounded edges/ corners to aid in the cleaning process; • the maximum and minimum fluid levels clearly visible to the user marked on the reservoir; • a reservoir drainage facility that does not affect performance and does not leave pools of fluid in the reservoir, which allows the tank to be emptied without the need for operatives to put their hands in the fluid; You can also order online at www.isopharm.co.uk FREE ULTRAQ105 • Tank Size: 240 x 130 x 100mm • Stainless Steel Construction RRP £875.00 WORTH £30.00 • No/Low fluid sensing • Adjustable temperature setting to prevent coagulation of Proteins • Interlocking lid • Automatic degas cycle after cleaning fluid has been changed Equates to ONLY 92p Per Sachet HTM01-05 Validation Bundle for the Q105 Includes: • Ultrasonic ONLY Cleaner Log Book • 25 Cleantrace Pens • Load Check Starter Order Code: Pack UCVALKIT001 • Foil Test Kit • an integral purpose-built holding basket, which enables all equipment to be held within the ultrasonic bath in the optimum position so that micro-dental instruments or instruments with fine points are not blunted by the impacts resulting from fine mechanical shaking; • a hinged auto-locking lid that prevents interaction with the load once the ultrasonic equipment is in use, also reducing the risk of aerosols and noise – if not interlocked, the equipment should be clearly labelled, warning users not to put their hands in the device when it is activated; • a means to control the detergent’s concentration; • an automatic printer and data-logger (this can be integrated) that records: · time and date, · cycle type, · unique cycle number, · duration of cycle, £155.00 • • • • • Welzyme Walker electronics Welzyme Enzymatic detergent 50 Sachets Order Code: WELZYME RRP £49.60 Equates to ONLY 99p Per Sachet · equipment serial number, · minimum/maximum temperatures, · a sensor recording ultrasonic activity, · electrical demand (in watts or amperes), · cycle failure indication; a display indicator integral to the unit clearly displaying: · time and date, · elapsed cycle time, · maximum/minimum temperatures, · ultrasonic activity, · cycle failure indication, · lamp warning indicators; lower-level fluid sensor/auto cut-off; thermostatic control; over-temperature sensor, with automatic cut-off and warning indication; a cleaning cycle ideally identified by a unique cycle number. 55 Environmental Cleaning ENVIRONMENTAL MAINTENANCE AND CLEANING IN THE DENTAL PRACTICE Dental practices need to demonstrate that they provide and maintain a clean and appropriate environment that facilitates the prevention and control of healthcare associated infections (Criteria 2 of the Code of Practice for the NHS on the Prevention and Control of Healthcare Associated Infections). Dental practices along with many other healthcare environments contain a diverse population of micro-organisms. Areas or items shared by different patients or clients (such as toilets) can become contaminated with blood, other bodily fluids, secretions and excretions during the delivery of care and therefore must be managed appropriately. HTM 01-05 Environmental Maintenance & Cleaning Logbook EACH £25.00 Order Code: LOGEN001 A written cleaning schedule should be devised specifying the persons responsible for cleaning, the frequency of cleaning and methods to be used. Generally this will involve cleaning on a daily or twice daily basis, or based on a risk assessment. The cleaning process will be most effective if the more contaminated areas are cleaned first. Colour Coded Cleaning Starter kit Provides daily, weekly and monthly record sheets in accordance with the HCAI Code of Practice. Buy any 3 for only Measures must be taken in order to limit such areas or items from becoming potential reservoirs for harmful micro-organisms which in turn could lead to the potential contamination or infection of staff, patients, clients, visitors or others. RRP: £30.00 This pack has been put together to cover your practices immediate needs Order Code: ENSK001 RRP: £84.95 Products shown are indicative and may vary when ordered. 56 Includes: 4 mop buckets and Wringer in red, yellow, green and blue. 4 disposable mop heads and aluminium handles in red, yellow, green and blue. 4 packs of 10 microfibre cloths in red, yellow, green and blue. 2 wall tidies with 2 push and grip systems on each. Also includes FREE Environmental Maintenance & Cleaning Logbook worth £30.00 To order call FREE on +44 (0)800 840 0105, or email [email protected] ENVIRONMENTAL COLOUR CODE Reception and Waiting Area Patient Toilet Surgery 1. Surgery 2. Office Decontamination Room Staff Area X-Ray Room Staff Toilet The National Colour Coding Scheme for Primary Care and Dental Practices For non-clinical areas such as offices and waiting rooms For kitchens For bathrooms For clinical and decontamination areas You can also order online at www.isopharm.co.uk ISOPHARM TIP HTM 01-05 recommends that dental practices follow this colour coding to reduce the risk of transmitting pathogens between areas. Mops and cloths should be colour coded for each area according to the guidelines. 57 Environmental Cleaning RECORD KEEPING HTM 01-05 Environmental Maintenance & Cleaning Log Book HTM 01-05 Record COMPLIANT Daily & Weekly Sheet HTM 01-05 Environmental Maintenance & Cleaning Logbook (2nd Edition) Daily & Weekly ChecklistKEEPING SECTION 11.9 RECORD Date Range: Tick and sign to state actions carried out These protocols will require full implementation and all results need recording in a logbook dedicated to individual equipment. Standard logbooks summarising all required tests are available for most types of decontamination equipment. Contains Daily, Weekly and Monthly Record Sheets Daily £30.00 PER BOOK Clean crockery, glassware and cutlery Clean sinks, taps & splash backs Clean work tops Clean Microwave/toaster Weekly Clean fridge/dishwasher (tick day carried out) Daily Kitchen Surgeries Damp dust / wipe shelving (if clear) Clean doors and handles Empty general waste rubbish bins, clean and replace liners Damp mop entire floor - move trolleys, chairs etc. to access all areas Daily Check & Spot clean walls Clean window sills Clean paper towel holders and restock if necessary Clean soap and hand rub dispenser and restock if necessary Clean floor (tick day carried out) Weekly Clean windows (tick day carried out) Clean mirrors (tick day carried out) Clean all toilets Clean all doors and door handles Clean sinks and surrounding surfaces Clean floors Clean paper towel holders and restock if necessary Toilets Refill toilet paper dispensers / soap and / hand rub dispenser / Date Range: to Clean and /restock if necessary Clean windows (tick day carried out) Thurs Fri Sat Sun mirrors Tues (tick day Weds carried out) Weekly CleanMon Clean radiators (tick day carried out) HTM 01-05 Environmental Maintenance & Cleaning Log Book Daily & Weekly Record Sheet Daily & Weekly Checklist Tick and sign to state actions carried out Vacuum carpeted areas Mop all rooms and areas with impervious flooring Clean doors, cupboards and drawer fronts Clean all door handles Daily Clean shelving and worktops if clear Staff & Check and spot clean walls Communal Empty general waste rubbish bins, clean and replace liners Areas Clean stairway hand rail Clean windows Clean window sills (tick day carried out) Weekly Clean mirrors (tick day carried out) Clean radiators (tick day carried out) Daily Spot Check Record Name Mon Tues Weds Thurs Fri Sat Sun Signature Issues Reported: © Isopharm 2013 Daily www.is Check and clean as required telephone & electrical equipment i.e. PCs Empty general waste rubbish bins, clean and replace liners Clean floor (tick day carried out) Reception Clean surfaces; desk, shelving & window sills (tick day carried out) Desk / Check & Spot clean walls (tick day carried out) Office Weekly Clean doors and handles (tick day carried out) Clean windows (tick day carried out) Clean mirrors (tick day carried out) Daily Kitchen Clean crockery, glassware and cutlery Clean sinks, taps & splash backs Clean work tops Clean Microwave/toaster Weekly Clean fridge/dishwasher (tick day carried out) Damp dust / wipe shelving (if clear) Clean doors and handles Empty general waste rubbish bins, clean and replace liners Damp mop entire floor - move trolleys, chairs etc. to access all areas Check & Spot clean walls Clean window sills Clean paper towel holders and restock if necessary Clean soap and hand rub dispenser and restock if necessary Clean floor (tick day carried out) Weekly Clean windows (tick day carried out) Clean mirrors (tick day carried out) Daily Surgeries HTM 01-05 COMPLIANT Colour Coded Cleaning Starter Kit Toilets Clean all toilets Clean all doors and door handles Clean sinks and surrounding surfaces Daily Clean floors Clean paper towel holders and restock if necessary Refill toilet paper dispensers Clean soap and hand rub dispenser and restock if necessary Clean windows (tick day carried out) Weekly Clean mirrors (tick day carried out) Clean radiators (tick day carried out) SECTION 6.39 This pack has been put together to cover your practices immediate needs Audited by Spot Check Record Name Mon Tues Weds Thurs Fri Sat Sun © Isopharm 2013 Signature The environmental conditions in the decontamination facilities should be controlled to minimise the likelihood of recontamination of sterilised instruments. Issues Reported: Outstanding Issues to be performed: Week signed off by Practice Manager/Principal: www.isopharm.co.uk/dental SECTION 6.53 For floor and general surface cleaning the national colour coding scheme for cleaning materials and equipment needs to be adopted. Red (bathrooms), Blue (non clinical areas), Green (kitchens), Yellow (clinical areas). Order Code: ENSK001 RRP £84.95 Includes: 4 mop buckets and Wringer in red, yellow, green and blue. 4 disposable mop heads and aluminium handles. Colour coded in red, yellow, green and blue. 4 packs of 10 microfibre cloths. 2 in each colour provided, red, yellow, green and blue. 2 wall tidies with 2 push and grip systems on each. Products shown are indicative and may vary when ordered. 58 SECTION 6.54 Also includes FREE Environmental Maintenance & Cleaning Logbook worth £30.00 Outstanding Iss Week signed off by Practice Manager/Principal: Tidy books and magazines Clean tables Clean toys Clean all door handles Daily Clean shelving and worktops if clear Check and spot clean walls Empty general waste rubbish bins, clean and replace liners Clean stairway hand rail Clean windows Weekly Clean chairs (tick day carried out) Waiting Area COLOUR CODED CLEANING STARTER KIT Thurs Check and clean as required telephone & electrical equipment i.e. PCs Empty general waste rubbish bins, clean and replace liners Clean floor (tick day carried out) Audited by 12 months of Record Keeping for ONLY EACH to Weds Clean doors and handles (tick day carried out) Clean windows (tick day carried out) Clean mirrors (tick day carried out) Compliant—Simply complete the logbook and you will comply with HTM 01-05. £25.00 Tues Reception Clean surfaces; desk, shelving & window sills (tick day carried out) Desk / Check & Spot clean walls (tick day carried out) Office Weekly Easy to use—Presented in an understandable format with Isopharm Tips throughout Order Code: LOGEN001 / Mon Tidy books and magazines Clean tables Clean toys Clean all door handles Daily Clean shelving and worktops if clear Check and spot clean walls Empty general waste rubbish bins, clean and replace liners Clean stairway hand rail Clean windows Weekly Clean chairs (tick day carried out) Waiting Area Product Features: Buy any 3 Log Books for / Vacuum carpeted areas Mop all rooms and areas with impervious flooring Clean doors, cupboards and drawer fronts Clean all door handles Daily Clean shelving and worktops if clear Staff & Check and spot clean walls Communal Empty general waste rubbish bins, clean and replace liners Areas Clean stairway hand rail Clean windows Clean window sills (tick day carried out) Weekly Clean mirrors (tick day carried out) Clean radiators (tick day carried out) Dental Practices must have a local protocol clearly outlining surface, and room cleaning schedules. Materials and equipment used to clean clinical areas and other higher risk areas should be stored separately from those used for general and nonclinical areas. To order call FREE on +44 (0)800 840 0105, or email [email protected] CLEANING EQUIPMENT Red Bucket & Wringer Green Bucket & Wringer Yellow Bucket & Wringer Blue Bucket & Wringer Order Code: Order Code: Order Code: Order Code: RRP £4.85 RRP £4.85 RRP £4.85 RRP £4.85 Red Mop Head Green Mop Head Yellow Mop Head Blue Mop Head Launderable (pictured) Order Code: Launderable (pictured) Order Code: Launderable (pictured) Order Code: Launderable (pictured) Order Code: RRP £3.80 RRP £3.80 RRP £3.80 RRP £3.80 BUCKET001 MOPHEADL001 Disposable Order Code: BUCKET002 MOPHEADL002 Disposable Order Code: BUCKET003 MOPHEADL003 Disposable Order Code: BUCKET004 MOPHEADL004 Disposable Order Code: MOPHEADD001 MOPHEADD002 MOPHEADD003 MOPHEADD004 Red Micro Fibre Cloth Green Micro Fibre Cloth Yellow Micro Fibre Cloth Blue Micro Fibre Cloth Order Code: Order Code: Order Code: Order Code: RRP £1.20 EACH RRP £1.20 EACH RRP £1.20 EACH RRP £1.20 EACH RRP £1.75 CLOTHMF001 RRP £1.75 CLOTHMF002 RRP £1.75 CLOTHMF003 RRP £1.75 CLOTHMF004 Red Aluminium Mop Handle Green Aluminium Mop Handle Yellow Aluminium Mop Handle Bue Aluminium Mop Handle Order Code: Order Code: Order Code: Order Code: MOPHAND001 MOPHAND002 MOPHAND003 MOPHAND004 RRP £4.65 RRP £4.65 RRP £4.65 RRP £4.65 Wall tidy not included Wall tidy not included Wall tidy not included Wall tidy not included Wall Mop Tidy HTM 01-05 COMPLIANT Products are fully compliant with HTM 01-05 sections 6.39, 6.53 and 6.54 as described on Page 58. Fornon-clinicalareassuchasofficesandwaitingrooms For kitchens Pack of 2 wall tidies including one with Green and Red brackets and the other with Yellow and Blue brackets. Order Code: MOPTIDY001 RRP £17.50 The National Colour Coding Scheme for Primary Care and Dental Practices For bathrooms Products shown are indicative and may vary when ordered. For clinical and decontamination areas FOR OUR FULL RANGE OF CLEANING CHEMICAL SOLUTIONS SEE OVERLEAF You can also order online at www.isopharm.co.uk 59 Environmental Cleaning CLEANING CHEMICAL SOLUTIONS HOSPEC Bactericidal cleaner HOSPEC Cream Cleaner 750ml Trigger Spray Bottles 750ml Trigger Spray Bottles 500ml Bottles Order Code: Order Code: Order Code: RRP £2.55 RRP £2.30 RRP £1.80 HOSBHS001 Buy 9 for ONLY £2.10 HOSPEC General Cleaner EACH Buy 9 for ONLY EACH £2.30 HOSCRM001 Order Code: HOSPEC Professional Toilet Cleaner RRP £7.45 750ml Trigger Spray Bottles 5 litre Canister HOSGEN001 Order Code: RRP £2.10 RRP £1.70 750ml Bottles Order Code: HOSBLE001 HOSTLT002 EACH £1.90 HOSPEC Thick Bleach Buy 12 for ONLY HOSPEC Thin Bleach 5 Litre canister £1.50 HOSPEC Daily Toilet Cleaner Order Code: Buy 8 for ONLY EACH £6.70 £1.60 750ml Trigger Spray Bottles HOSTLT001 Buy 3 for ONLY Buy 12 for ONLY EACH HOSGLSS001 Buy 8 for ONLY £1.50 EACH HOSPEC Glass Cleaner Effective against E.coli Order Code: HOSBLE003 EACH MRSA RRP £4.80 RRP £1.70 Pseudomonas aeruginosa Order Code: HOSBLE002 RRP £6.65 Enterococcus hirae Buy 3 canisters for £5.95 EACH Buy 3 canisters for £4.40 EACH 5 Litre canister Clostridium difficile Staphylococcus aureus Bacillus subtilis Salmonella typhirium Listeria monocytogenes FOR OUR FULL RANGE OF CLEANING EQUIPMENT SEE OVERLEAF 60 To order call FREE on +44 (0)800 840 0105, or email [email protected] CLEANING CHEMICAL SOLUTIONS HOSPEC Chorline Tablets HOSPEC Detergent Sanitiser HOSPEC Lemon Detergent 500g 5 Litre canister RRP £12.10 Order Code: Order Code: Also effective against: Bacillus cereus, Candida albicans, Aspergillus niger, Strain NCTC 11209, Poliovirus 1, Adenovirus 5 RRP £3.10 RRP £6.30 HOSPEC Cleaner/ Degreaser HOSPEC Diswasher Tablets 5 Litre canister Pack of 100 Order Code: Order Code: Order Code: RRP £8.20 RRP £7.45 RRP £9.70 HOSPEC Pine Disinfectant HOSPEC Non-bio Laundry Tablets HOSPEC 2-in-1 Laundry Tablets 5 Litre canister Pack of 96 Pack of 96 Pack of 200 (10g) Order Code: HOSCHL001 HOSPEC Ph Liquid Detergent HOSDSAN001 HOSLDET001 740ml Order Code: HOSPH001 RRP £1.75 5 Litre HOSPH002 HOSCLE001 HOSDISH001 Order Code: HOSPINE001 RRP £5.30 Order Code: HOSLAUN001 RRP £9.30 Order Code: HOSLAUN002 RRP £9.30 FULL RANGE OF ALCOHOL BASED & ALCOHOL FREE PRODUCTS SEE OVERLEAF You can also order online at www.isopharm.co.uk 61 Surface Cleaning SURFACE CLEANING & DISINFECTION Surface cleaning and disinfection is critical for effective infection control measures in the dental surgery. The practice should have a local protocol clearly outlining the surface and room-cleaning schedules. This can be in the form of an infection control policy, infection control statement and daily surgery log book checks. The practice manager should carry out regular surgery spot checks. Bacteria, viruses and fungi may be present in the surgery and in particular on the work surfaces after treating a patient, so the cleaning and disinfection of surfaces is paramount to patient safety. WHEN SHOULD SURFACES BE CLEANED & DISINFECTED? • Before clinical sessions • Aspirators • Between patients • X-ray units • End of clinical sessions • Any equipment used during dental procedures should be wiped after each use and thoroughly cleaned at the end of the session. Plastic disposable covers can be used but are not a replacement for frequent cleaning. HTM 01-05 Section 6.61 ‘The patient treatment area should be cleaned after every session using disposable cloths or clean microfibre materials – even if the area appears uncontaminated.’ After Every Session: Between Each Patient: Work surfaces • Dental chair (must be free from rips) • Curing lamps • Inspection lights and handles (should be protected with disposable coverings) Hand controls • Trolleys/ delivery units • Spittoons Alcohol Free Large Hard Surface Disinfectant Wipes (200mm x 200mm) Provides daily, weekly and monthly record sheets in accordance with the HCAI Code of Practice. Order Code: Buy any 3 for only £25.00 Order Code: LOGEN001 62 EACH HTM 01-05 Environmental Maintenance & Cleaning Logbook RRP: £30.00 • Drainage points • Splashbacks • Sinks • Cupboards • Floor surfaces • Around the foot of the dental chair • Spittoons need a thorough cleaning according to manufacturer’s instructions Large Disinfectant Wipes (200mm x 200mm) Tub of 200 WIPAF001 RRP £4.75 Refill of 200 Tub of 200 Order Code: Buy 12 Tubs for ONLY £4.40 Order Code: WIPAF002 EACH • Taps RRP £4.50 WIPST001 RRP £4.65 Refill of 200 Order Code: WIPST002 Buy 12 Tubs for ONLY £4.46 EACH • • RRP £4.40 To order call FREE on +44 (0)800 840 0105, or email [email protected] USING ALCOHOL BASED WIPES IN A DENTAL PRACTICE Since the introduction of HTM 01-05 many dental practices have been given the impression that the use of alcohol-based wipes is prohibited: this is not the case. HTM 01-05: 2013 Edition, Section 6.57 Providing that a dental practice has a risk assessment and procedure on the use of alcohol based products, and their use does not conflict with the above exert from HTM 01-05, then alcohol wipes can have a place within the dental practice. ‘The use of disinfectant or detergent will reduce contamination on surfaces. If there is obvious blood contamination, the presence of protein will compromise the efficacy of alcohol-based wipes.’ ‘Alcohol has been shown to bind blood and protein to stainless steel. The use of alcohol with dental instruments should therefore be avoided.’ USING SPRAY BOTTLES IN A DENTAL PRACTICE When using a spray it is best to spray directly into a dry wipe or microfiber cloth to minimise aerosol. Never directly spray a visibly contaminated area as this will create contaminated aerosol. Spray bottles should be single use only and not refilled when empty. Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental HTM 01-05 Section 6.58 ‘It is not good practice to refill spray bottles used to apply cleaning or disinfecting solutions. Bacteria can contaminate the bottles and become adapted to these solutions and grow in the spray mechanisms. Such bottles, whether supplied pre-filled or empty should be single use.’ See how to do tests and procedures on the Isopharm YouTube channel www.youtube.com/isopharmdental FOR OUR FULL RANGE OF BODILY FLUID SPILLAGE KITS SEE PAGES 66 & 67 You can also order online at www.isopharm.co.uk 63 Surface Cleaning ALCOHOL FREE Alcohol Free Large Hard Surface Disinfectant Wipes Alcohol Free Hard Surface Disinfectant Ultra Expert Wipes • Effective against HEP-C, HEP-B, MRSA, C-DIF, TB, E-Coli and bactericidal. • 30 second contact time. • Multi-surface wipes - including alcohol sensitive surfaces • Rapid action - Antibacterial formula • Streak free formula - no need to rinse • Safe for use - Nontoxic and pleasantly fragranced • Specifically formulated to clean down the surgery at the end of the day. One wipe can usually clean down the full surgery. • Invasive and Non-invasive (200mm x 200mm) Tub of 200 Order Code: WIPAF001 RRP £4.75 Order Code: WIPAF002 RRP £4.50 Equates to ONLY 2p PER WIPE (220mm x 400mm) Buy 12 Tubs for ONLY £4.40 EACH Refill of 200 Equates to ONLY 24p Pack of 20 Order Code: WIPAF008 RRP £4.75 PER WIPE YOU CHOOSE Alcohol Free Hard Surface Disinfectant Wipes Alcohol Free Hard Surface Disinfectant Septalkan Wipes • Effective against HEP-C, HEP-B, MRSA, C-DIF, TB, E-Coli and bactericidal. • 30 second contact time. • Soft spun-lace wipes saturated in solution • Alcohol Free • Dye Free • Fragrance Free • Allergen Free • Formulated with readily biodegradable raw materials • Single wipe dispensing system to save wastage (185mm x 135mm) Tub of 100 Order Code: WIPAF003 RRP £2.90 Order Code: WIPAF004 RRP £2.35 Alcohol Free Hard Surface Disinfectant Spray 500ml Spray Order Code: DISAF001 RRP £4.20 5 Litre Canister Order Code: DISAF002 RRP £18.50 64 Equates to ONLY 2p PER WIPE Pack of 100 Buy 12 Tubs for ONLY £1.80 Order Code: WIPAF007 RRP £6.85 EACH Refill of 100 (200mm x 180mm) Alkaspray Ultra 5 Litre Canister Order Code: DISAF005 RRP £46.95 YOU CHOOSE 750ml Spray Order Code: DISAF004 RRP £9.40 Equates to ONLY 7p PER WIPE HTM 01-05 COMPLIANT SECTION 6.57 The use of disinfectant or detergent will reduce contamination on surfaces. If there is obvious blood contamination, the presence of protein will compromise the efficacy of alcohol-based wipes. Alcohol has been shown to bind blood and protein to stainless steel. The use of alcohol with dental instruments should therefore be avoided. YOU CHOOSE Although some areas of compliance require specific product, we do try to provide alternatives whenever a choice is available and economising possible. So, wherever you see our YOU CHOOSE logo, the product that you need from our range is entirely up to you. To order call FREE on +44 (0)800 840 0105, or email [email protected] ALCOHOL BASED Hard Surface Disinfectant Wipes Large Disinfectant Wipes Hard Surface Disinfectant Alkapharm Wipes YOU CHOOSE YOU CHOOSE Equates to ONLY 2p Equates to ONLY PER WIPE 2p Tub of 250 Order Code: PER WIPE RRP £4.65 Tub of 100 Order Code: WIPHS001 (200mm x 200mm) Refill of 200 Order Code: WIPST002 RRP £4.40 RRP £1.95 Refill of 100 Buy 12 Tubs for ONLY £4.40 • Effective against C-Diff, MRSA, HIV, HCV, fungi, TB, E-coli etc. Order Code: WIPHS002 RRP £1.85 Buy 12 Tubs for ONLY £1.80 EACH WIPST001 • Effective against C-Diff, MRSA, HIV, HCV, fungi, TB, E-coli etc. EACH Tub of 200 Order Code: WIPHS003 RRP £10.00 Refill of 250 Order Code: WIPHS004 RRP £8.75 Equates to ONLY 4p PER WIPE HTM 01-05 COMPLIANT SECTION 6.57 Hard Surface Disinfectant Spray The use of disinfectant or detergent will reduce contamination on surfaces. If there is obvious blood contamination, the presence of protein will compromise the efficacy of alcohol-based wipes. Alcohol has been shown to bind blood and protein to stainless steel. The use of alcohol with dental instruments should therefore be avoided. Alkaspray + YOU CHOOSE 1 Litre Spray Order Code: DISHS006 ISOPHARM TIP RRP £18.00 500ml Spray Order Code: DISHS001 RRP £3.95 5 Litre Canister Order Code: DISHS002 RRP £19.95 5 Litre Canister Order Code: DISHS008 RRP £61.90 1 Litre Spray Aroma 5 Litre Canister Aroma Order Code: Order Code: DISHS007 DISHS009 RRP £18.00 Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental RRP £61.90 Since the introduction of HTM 01-05, many dental practices have been given the impression that the use of alcoholbased wipes is prohibited: this is not the case. Providing that a dental practice has a risk assessment and procedure on the use of alcohol based products and their use does not conflict with the above exert from HTM 01-05 then alcohol wipes can have a place within the dental practice. See how to do tests and procedures on the Isopharm YouTube channel www.youtube.com/isopharmdental FOR OUR FULL RANGE OF BODILY FLUID SPILLAGE KITS SEE PAGES 66 - 69 You can also order online at www.isopharm.co.uk 65 Spillage Kits GUIDANCE ON SPILLAGES Spillages within a dental surgery are inevitable at some point. Careful planning and protocols are required to ensure that they are dealt with in a consistent approach that protects the patient, the employee and the employer. Under Fundamental Standards Regulation 12 section 2.b: • Providers must do all that is reasonably practicable to mitigate risks. They should follow good practice guidance and must adopt control measures to make sure the risk is as low as is reasonably possible. They should review methods and measures and amended them to address changing practice. • Providers should use risk assessments about the health, safety and welfare of people who use their service to make required adjustments. These adjustments may be to premises, equipment, staff training, processes, and practices and can affect any aspect of care and treatment. It is important to have the following in place: • • A policy and procedure outlining cleaning and disposal of a bodily fluid or hazardous products in a safe and effective manner by appropriately trained persons. It should be mindful of the control of substances hazardous to health. Staff training in the correct procedure for dealing with a spillage. Ensure that they know where the spillage kit is kept, how it is used, and the procedure for reporting a spillage. orne b d o o Bl CPD s e s u Vir le on b a l i a is av aining our Tr site web Bodily Fluid Spillage Kit Blood Spill Pack Kit contains 2 blood spillage packs and 2 urine & vomit spillage packs. Order Code: Single Use Order Code: SPILLPACK001 SPILLKIT002 RRP: £51.50 66 RRP: £7.20 To order call FREE on +44 (0)800 840 0105, or email [email protected] HOW IS IT DONE? Blood Spillages Urine & Vomit Spillages Put on protective clothing: Gloves and Apron. Put on protective clothing: Gloves and Apron. Sprinkle all the SoChlor™ Granules over the spill and leave for at least 2 minutes. Sprinkle all the GV Absorbent Granules over the spill and leave for 30-60 seconds. Meanwhile place SoChlor™ Tablets in the empty granule container. Fill with water up to the line, place the lid on top and wait until the tablets are fully dissolved. DO NOT SHAKE When the granules have absorbed the spill, open the bag, collect the granules using the scoop and scraper and place in the bag along with the used scoop and scraper. Use the disinfectant surface wipes to clean the area of the spill and remove any smears. Use paper towels to dry the area. Once the granules have absorbed the spill, open the bag, collect the granules using the scoop and scraper and place in the bag along with the used scoop and scraper. Use the paper towels and SoChlor™ Tabs solution to clean the area of the spill and remove any smears. Place the used container, scoop and scraper, towels and protective clothing, gloves last in bag. Tie bag to seal. Dispose of the bag into the appropriate clinical waste disposal channel. TOP TIP Make sure that you correctly dispose of any products used during spillage clean-up. This should be in line with your practice waste segregation requirements. Place the used scoop and scraper, surface wipes, paper towels and protective clothing, gloves last in bag. Tie bag top to seal. Dispose of the bag into the appropriate clinical waste disposal channel. Instructions taken from GV Health and supplied with each kit. Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental See how to do tests and procedures on the Isopharm YouTube channel www.youtube.com/isopharmdental FOR OUR FULL RANGE OF FIRST AID KITS SEE PAGE 76 You can also order online at www.isopharm.co.uk 67 Spillage Kits SPILLAGE KITS Bodily Fluid Spillage Kit The GV Health Standard Bodily Fluids Spill Kit contains four individual spill cleaning packs, 2 for blood spills and 2 for urine and vomit spills. The kit is suitable for safe, effective cleaning and disinfection of up to 4 biohazard spillages. The small pack makes it very easy to keep ready for use in all areas and ensure accessibility where it may be needed. The one use pack format prevents fragmentation of components and ensures all items are present when opened. Urine/Vomit Spill GV Absorbent Granules have been developed for use on acidic spills such as urine and vomit. The active ingredient Tricloscan is an organic anti-bacterial agent. With a high absorbency to mass ratio, 100g of granules absorbs up to 7 litres of liquid. Disinfectant wipes are provided to wipe down the surface and surrounding area where spillages have occurred and remove any remaining residue. Blood Spill SoChlor™ NaDCC Granules release a chlorine disinfectant on contact, absorb the spill, kill pathogens on contact and reduce cross contamination risk. SoChlor™ TAB Chlorine remove disinfectant tablets dilute to produce 10,000ppm concentration chlorine disinfectant solution, fully effective against blood borne pathogerns and Tuberculosis (TB). Kit contains: • 2 Blood Spill Packs • 2 Urine & Vomit Spill Packs • Fully illustrated instruction posters • A record card • Wall Mount Bodily Fluids Spill Kit 4 Spillage Kit Order Code: SPILLKIT002 RRP £51.50 HTM Compliance SECTION 6.74 For blood spillages, care should be taken to observe a protocol that ensures protection against infection. The use of hypochlorite at 1000 ppm available chlorine is recommended. Hypochlorite should be made up either freshly using hypochlorite-generating tablets or at least weekly in clean containers. Contact times should be reasonably prolonged (not less than five minutes). A higher available chlorine concentration of 10,000 ppm is useful, particularly for blood contamination. The process should be initiated quickly and care should be taken to avoid corrosive damage to metal fittings etc. The use of alcohol within the same decontamination process is not advised. 68 To order call FREE on +44 (0)800 840 0105, or email [email protected] Bodily Fluid Spillage Kit (Mini) Kit contains: • 1 Blood Spill Pack • 1 Urine & Vomit Spill Pack • Fully illustrated instruction posters • A record card • Wall Mount Bodily Fluids Spill Kit (Mini) 2 Spillage Packs Order Code: SPILLKIT001 RRP £30.90 Urine and Vomit Spill Pack Blood Spill Pack Blood Spill Pack Single Use Order Code: Urine and Vomit Spill Pack - Single Use SPILLPACK001 Order Code: RRP £7.20 SPILLPACK002 RRP £7.20 Kit contains: • 1 clinical waste bag • 1 cloth • SoChlor TAB Chlorine release disinfection tablets • 1 pair of nitrile gloves • 1 apron • 100g SoChlor NaDCC Granules/ Tablet Diluter • Paper towels • Easy to follow illustrated instructions on pack • 1 scoop and scraper You can also order online at www.isopharm.co.uk Kit contains: • 1 pair of nitrile gloves • 1 apron • 100g sachet of Biocide Granules • 1 scoop and scraper • 2 packs of disinfectant surface wipes • 1 clinical waste bag • Easy to follow illustrated instructions on pack 69 Spillage Kits SPILLAGE KITS Chemical Spill Pack Pack contains: • Nitrile Glove • Apron or thumb loop gown • Face mask/Eye shield • Pack surface disinfection wipes • Disposal bag • Absorbent pads • Tweezers • Easy to follow illustrated instructions on pack Order Code: SPILLPACK003 RRP £9.95 Mercury Spill Kit Kit contains: • Mercury aspirator syringe • Scrapers & Dampening spray • Amalgamating powder • Collection sponges • Protective aprons & nitrile gloves • Warning tape • Full instructions for use Order Code: SPILLKIT003 RRP £85.00 70 To order call FREE on +44 (0)800 840 0105, or email [email protected] Looking for FREE Verifiable CPD? Register and receive yours at: www.isopharm.co.uk/training COURSE: Environmental Maintenance & Cleaning COURSE: Hand Hygiene COURSE: Waste Disposal Register FREE › Select & take a course › Pass & download your certificate You can also order online at www.isopharm.co.uk 71 Medical Emergency & First Aid MEDICAL EMERGENCIES ‘ARE YOU SAFE?’ HEART ATTACK Extract from Resuscitation Council 2013 Primary Dental Care ‘A patient could collapse on any premises at any time, whether they have received treatment or not. It is therefore essential that ALL registrants are trained in dealing with medical emergencies, including resuscitation, and possess up to date evidence of capability.’ Dial 999 for an ambulance. Place the casualty in the ‘W’ position on the floor. Extract from General Dental Council ‘Scope of Practice’ 2013 • Cardiorespiratory arrest is rare in primary dental practice. • There is a public expectation that dental practitioners and all other dental care professionals should be competent in treating cardiorespiratory arrest. Give reassurance to the casualty. • All primary care dental facilities should have a process for medical risk-assessment of their patients. • Specific resuscitation equipment should be available immediately in all primary care dental premises. This equipment list should be standardised throughout the UK. • All clinical areas should have immediate access to an automated external defibrillator (AED). • Primary dental care providers, general dental practitioners and all other dental healthcare professionals should undergo training in cardiopulmonary resuscitation (CPR) including basic airway management and the use of an AED. Continue to administer oxygen at 15 litres through a non-rebreathe mask. Give the casualty 300mg of aspirin to chew if: • There should be regular practice and teaching using simulationbased cardiorespiratory arrest scenarios. Medical Emergency Equipment & First Aid Logbook Buy any 3 for only £25.00 Order Code: LOGMED001 72 RRP: £30.00 EACH Provides weekly and annual record keeping for Defibrillator(s), O2 Cylinder(s), Emergency Drugs and First Aid Kit(s). Administer oxygen at 15 litres through a non-rebreathe mask. Do not repeat the GTN spray. • Each primary dental care facility should have a plan for summoning assistance in the event of a cardiorespiratory arrest. For most practices this will mean calling 999 immediately. • Dental staff’s knowledge and skills in resuscitation should be updated at least annually. If GTN spray has not been given, administer 2 sprays under the tongue now. w chart This flo le as b is availa edical e h M part of t Equipment ncy Emerge st Aid & Fir k Logboo Economy HSE First Aid Kits • • • • They are NOT taking warfarin They are NOT allergic to aspirin They do NOT suffer from asthma They ARE over 16 years of age HeartSine Samaritan PAD350P 10 Person First Aid Kit Order Code: DEFIB001 Order Code: FIRSTAK001 RRP: £10.30 RRP: £1,025.00 To order call FREE on +44 (0)800 840 0105, or email [email protected] FIRST AID ‘ARE YOU SAFE?’ Extract from The Health & Safety Executive • Have you reviewed previous accident records? ‘The Health and Safety (First Aid) Regulations 1981 requires employers to provide adequate and appropriate equipment, facilities and personnel to ensure their employees receive immediate attention if they are injured or taken ill at work. These regulations apply to all workplaces including those with less than five employees and to the self-employed.’ • Highlight the risks within the practice – e.g. flying debris, scolds and burns, trips, slips and falls Ask yourself the following? • Do you make accurate notes when accidents occur? • Have you carried out a risk assessment of the practice to identify the need for a first aider? • Do you have adequate provisions for first aid? • Do you have an accident book? Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental • Do you have control measures to reduce risks? • Do you have good systems to manage health and safety? • Do you investigate all accidents and incidents? • If you do not have a qualified first aider would your team be confident to handle the situation? See how to do tests and procedures on the Isopharm YouTube channel www.youtube.com/isopharmdental FOR OUR FULL RANGE OF MEDICAL EMERGENCY EQUIPMENT SEE OVERLEAF You can also order online at www.isopharm.co.uk 73 Medical Emergency & First Aid RECORD KEEPING PRACTICE Medical Emergency Equipment & First Aid Weekly Emergency Drug & Equipment Check Guiding you to compliance Weekly Checks Record Date of Checks DD / MM / YY Checked By Defibrillator(s) Check Medical Emergency Equipment & First Aid Logbook Signature Weekly Checks have been carried out successfully Checks should consist of: Checks should consist of: Signature • View the pressure dial, making sure that capacity of cylinder is between ½ and full (there is no need to turn on) • Check tubing for defects • Check masks for defects • Check pocket mask is present Or tick if there is no change from previous page LOGMED001 The Resuscitation Council 2013 requirements specify that oxygen cylinders should be checked at least weekly. Actual QTY Batch Number x1 Signature Salbutomol Aerosol Inhaler, 100 micrograms per actuation DD / MM / YY Batch Number x1 Signature Adrenaline Ampoules 1:1000 (1 milligram in 1 ml) DD / MM / YY Batch Number x1 Signature Adrenaline Auto-injector 150 micrograms DD / MM / YY Batch Number Optional Signature Adrenaline Auto-injector 300 micrograms DD / MM / YY Batch Number Optional Signature Adrenaline Auto-injector 500 micrograms DD / MM / YY Batch Number Optional Signature 1 pack of Aspirin Dispersible 300 milligrams DD / MM / YY Batch Number x1 Signature Glucagon Injection (1 milligram in 1 ml) DD / MM / YY Batch Number x1 Signature Glucose Drink 300ml DD / MM / YY Batch Number Optional Signature Oral Glucose gel/solution or powder DD / MM / YY Batch Number x3 DD / MM / YY Batch Number x1 Date of Checks DD / MM QTY / YY Checkedx 20 Weekly Checks Record Sterile Adhesive Plasters – Assorted DD / MM / YY Batch Number Sterile Eye Pad with Bandage DD / MM / YY Batch Number Defibrillator(s) Check Weekly Checks have been carried out successfully Signature Signature Signature Signature Signature DD / MM / YY Batch Number x6 Signature Large Sterile Dressings (Non-adherent) Oxygen Cylinder(s) Check 18x18cm DD / MM / YY Batch Number Checked x4 By Signature Weekly Checks have been carried Bandages (Crepe) 5cm out successfully DD / MM / YY Batch Number Signature Signature will reduce battery life over time. Defibrillator batteries are usually provided with a guarantee. • View the pressure dial, making sure that • Check gloves are present Bandages (Crepe) 10cmcapacity of cylinder is between ½ and full • Check Clinical present DD Batch Number / MM / YYwaste bag • Check tubing for defects Bandages (Crepe) 15cm so should be added (i.e. latex free DDincluded YY Batch Number / MM gloves and/clinical waste bag) Bandages (Cotton) 5cm DD / MM / YY (there is no need to turn on) • Check masks for defects • Check pocket mask is present Bandages (Cotton) 10cm Emergency Drug Check Sterile Saline Pods 20ml – For Eye Washing Glyceryl Trinitrate GTN spray, 400 micrograms in 1 spray Safety Pins – Assorted Sizes Expiry DateDD & Batch / MMNo. / YY Or tick if there is no change from previous page Batch Number Min BatchReq. NumberActual QTY QTY Signature Signature Signature x1 Signature N/A x1 Signature x 1 DD / MM / YY N/A Batch Number Signature Adrenaline Auto-injector 150 micrograms DD / MM / YY Batch Number Optional Signature Adrenaline Auto-injector 300 micrograms DD / MM / YY Batch Number Optional Signature Adrenaline Auto-injector 500 micrograms DD / MM / YY Batch Number Optional Signature 1 pack of Aspirin Dispersible 300 milligrams DD / MM / YY Batch Number x1 Signature Glucagon Injection (1 milligram in 1 ml) DD / MM / YY Batch Number x1 Signature Glucose Drink 300ml DD / MM / YY Batch Number Optional Oral Glucose gel/solution or powder DD / MM / YY Batch Number x3 Midazolam Buccal 4ml bottle (10milligrams in 1ml) DD / MM / YY Batch Number x1 Expiry Date & Batch No. Or tick if there is no change from previous page Min Req. QTY Signature www.isopharm.co.uk/dental Signature Signature Signature Actual QTY Checked By Sterile Adhesive Plasters – Assorted DD / MM / YY Batch Number x 20 Signature Sterile Eye Pad with Bandage DD / MM / YY Batch Number x4 Signature Non-woven Triangular Bandage DD / MM / YY Batch Number x6 Signature Medium Sterile Dressings (Gauze) 12x12cm DD / MM / YY Batch Number x6 Signature Large Sterile Dressings (Non-adherent) 18x18cm DD / MM / YY Batch Number x4 Signature Bandages (Crepe) 5cm DD / MM / YY Batch Number x2 Signature Bandages (Crepe) 10cm DD / MM / YY Batch Number x2 Signature Bandages (Crepe) 15cm DD / MM / YY Batch Number x2 Signature Signature Bandages (Cotton) 5cm DD / MM / YY Batch Number x2 Bandages (Cotton) 10cm DD / MM / YY Batch Number x2 Signature Sterile Saline Pods 20ml – For Eye Washing DD / MM / YY Batch Number x6 Signature Safety Pins – Assorted Sizes N/A N/A x6 Micro Porous Tape – For Fixing Bandages N/A N/A x1 © Isopharm 2014 Signature x6 N/A Batch Number First Aid Kit Check x6 Batch Number x1 Signature Checked x 2 By N/A Batch Number Signature x2 DD / MM / YY DD / MM / YY DD / MM / YY © Isopharm 2014 x2 The Resuscitation Council 2013 x2 requirements specify that oxygen cylinders should be checked at leastx 2 weekly. • In older lifeline bags some items may not be MicroAmpoules Porous Tape Fixing Adrenaline 1:1000–(1For milligram in 1Bandages ml) Salbutomol Aerosol Inhaler, 100 micrograms per actuation PER BOOK x4 The defibrillator lid should not be opened to check status asxthis 6 DDPlease Batch Number / MMNote: / YY Checks should consist of: £30.00 By Signature Checked By Checks should consist of: •Bandage Check operational light is showing Non-woven Triangular • Check Battery is within date • Check Pads are within date Medium Sterile Dressings (Gauze) 12x12cm 12 months of Record Keeping for ONLY Checked By DD / MM / YY Guiding you to compliance Weekly Emergency Drug & Equipment Check Min Actual Expiry Date & Batch No. Req. First Aid Kit Check Or tick if there is no change from previous page QTY Buy 3 Log Books for Order Code: Min Req. QTY Expiry Date & Batch No. Emergency Drug Check Includes emergency situation flow chart guide. EACH • Check gloves are present • Check Clinical waste bag present • In older lifeline bags some items may not be included so should be added (i.e. latex free gloves and clinical waste bag) Glyceryl Trinitrate GTN spray, 400 micrograms in 1 spray Midazolam Buccal 4ml bottle (10milligrams in 1ml) PRACTICE Medical Emergency Equipment & First Aid £25.00 Checked By Oxygen Cylinder(s) Check Weekly Checks have been carried out successfully Provides weekly and annual test sheets for 12 months record keeping. For record keeping of practice Defibrillator(s), O2 Cylinder(s), Emergency Drugs and First Aid Kit(s), giving a consistent and compliant method of gathering evidence for audit. Please Note: The defibrillator lid should not be opened to check status as this will reduce battery life over time. Defibrillator batteries are usually provided with a guarantee. • Check operational light is showing • Check Battery is within date • Check Pads are within date Signature Signature www.isopharm.co.uk/dental DEFIBRILATORS HeartSine Samaritan PAD350P HeartSine Samaritan PAD360P Order Code: DEFIB002 RRP £1,025.00 Order Code: Fully Automatic with CPR metronome coach. Following analysis the device will determine if a shock is advised and automatically shock the patient following a count down. This is particularly suitable for environments where personnel are reluctant to press the shock button. DEFIB001 RRP £1,025.00 Semi Automatic with CPR metronome coach to assist the rescuer with the correct rate of compressions. This device would normally assume the rescuer has some experience or training in CPR. Kit contains: • 1 PAD350P Semi-Automatic Defibrillator • 1 PADAK001 combined battery and electrode cartridge - Suitable for adults and children >8 years or >25kg (4 year shelf life from date of manufacture) 74 • 1 Carry Case • 1 USB Data Cable • 1 User manual and quick reference card 10 Year Warranty Kit contains: • 1 PAD360P Semi-Automatic Defibrillator • 1 PADAK001 combined battery and electrode cartridge - Suitable for adults and children >8 years or >25kg (4 year shelf life from date of manufacture) • 1 Carry Case • 1 USB Data Cable • 1 User manual and quick reference card 10 Year Warranty To order call FREE on +44 (0)800 840 0105, or email [email protected] DEFIBRILATORS HeartSine Samaritan PAD500P This device provides visual and voice prompts throughout the process of heart analysis and defibrillation, but further to this it will provide visual and voice prompts on the effectiveness of CPR specific to the patient, encouraging the rescuer to push harder, softer, faster or slower. Unlike other devices this is not based on depth of compression, but on real-time blood flow and impedance changes specific to the patient. Thus providing the patient with the best chance of unimpaired survival and the rescuer the assurance they have done everything they can. Easy-to-Follow Visual and Voice Prompts User-friendly. The Samaritan PAD 500P features easy-to understand visual and voice prompts that guide a user through the process. Three large, easy-to-see icons facilitate the rescue process: “Attach pads,” “Do not touch the patient,” and “It is safe to touch the patient”. Two-button operation. Only two buttons, ON/OFF and SHOCK, are required, providing straightforward operation. Always ready. A System Status Ready Indicator flashes to show that the complete system is operational and ready for use. Device automatically runs self check each week. Order Code: DEFIB003 HELPING YOU CHOOSE THE RIGHT PRODUCT RRP £1,325.00 SAM 350P SAM 360P SAM 500P Compact, portable, and lightweight (1.1 kg) ✔ ✔ ✔ Highest level of protection from dust and moisture ingress in the industry (IP56) ✔ ✔ ✔ Integrated battery and electrodes for one- change maintenance ✔ ✔ ✔ Four-year electrode life ✔ ✔ ✔ Paediatric compatible ✔ ✔ ✔ Semi-automatic shock delivery ✔ ✔ Automatic shock delivery ✔ Audible and visual indicators for ease of use in a noisy environment ✔ ✔ ✔ CPR coaching with metronome ✔ ✔ ✔ Kit contains: • 1 PAD500P Semi-Automatic Defibrillator • 1 PADAK001 combined battery and electrode cartridge - Suitable for adults and children >8 years or >25kg (4 year shelf life from date of manufacture) • 1 Carry Case • 1 USB Data Cable • 1 User manual and quick reference card 10 Year Warranty Integrated CPR Advisor ICG-based CPR feedback ✔ Patented low escalating energy protocol (SCOPETM) ✔ ✔ ✔ 90-minute ECG recording time ✔ ✔ ✔ Sufficient medication should be available in case of emergencies. Automatic self test ✔ ✔ ✔ Field upgradeable to latest AHA/ERC guidelines ✔ ✔ ✔ Carry case included ✔ ✔ ✔ Sufficient equipment and/or medical devices that are necessary to meet people’s needs should be available at all times and devices should be kept in full working order. They should be available when needed and within a reasonable time without posing a risk.’ You can also order online at www.isopharm.co.uk CQC Compliance ‘The provider must have arrangements to take appropriate action if there is a clinical or medical emergency. 75 Medical Emergency & First Aid FIRST AID KITS Economy HSE First Aid Kits 10 Person Economy HSE First Aid Kit Order Code: FIRSTAK001 RRP £10.30 Premium HSE First Aid Kits 20 Person Economy HSE First Aid Kit Order Code: FIRSTAK002 RRP £14.40 10 Person First Aid Kit/Refill Pack 20 Person First Aid Kit/Refill Pack Kit contains: • 1 First Aid Leaflet • 20 Assorted Washproof Plasters • 2 Sterile Eye Pads with Bandages • 4 Non Woven Triangular Bandages • 6 Safety Pins • 6 HSE Dressings (12x12) with Bandages • 2 HSE Dressings (18x18) with Bandages • 10 Sterile Saline Cleansing Wipes • 2 Pairs of Disposable Gloves • 1 Wall Bracket (not included with refill packs) Kit contains: • 1 First Aid Leaflet • 40 Assorted Washproof Plasters • 4 Sterile Eye Pads with Bandages • 6 Non Woven Triangular Bandages • 12 Safety Pins • 9 HSE Dressings (12x12) with Bandages • 3 HSE Dressings (18x18) with Bandages • 10 Sterile Saline Cleansing Wipes • 3 Pairs of Disposable Gloves • 1 Wall Bracket (not included with refill packs) 10 Person Premuim HSE First Aid Kit Order Code: FIRSTAK003 RRP £16.50 20 Person Premuim HSE First Aid Kit Order Code: FIRSTAK004 RRP £22.70 Refills 10 Person Refill (contents as stated) Order Code: FIRSTRF010 RRP £6.95 20 Person Refill (contents as stated) Order Code: FIRSTRF020 RRP £10.70 CQC Compliance ‘Providers must do all that is reasonably practicable to mitigate risks. They should follow good practice guidance and must adopt control measures to make sure the risk is as low as is reasonably possible. They should review methods and measures and amended them to address changing practice’ ‘As a minimum, a low-risk workplace such as a small office should have a first-aid box and a person appointed to take charge of first-aid arrangements, such as 76 calling the emergency services if necessary. Employers must provide information about first-aid arrangements to their employees. Workplaces where there are more significant health and safety risks are more likely to need a trained first-aider. A first-aid needs assessment will help employers decide what first aid arrangements are appropriate for their workplace.’ To order call FREE on +44 (0)800 840 0105, or email [email protected] MEDICAL EMERGENCY & FIRST AID FLOW CHARTS FAINTING ASTHMA CHOKING Lay the casualty down and raise their legs above the level of their pelvis. Place the casualty in a sitting position. Leaning the casualty forward onto a table or the back of a chair may help. Encourage the casualty to cough, bending them forward. Give reassurance and stay with the casualty. Ask the casualty if they suffer from Asthma and if they have their inhaler with them. When the casualty feels a little better, give them 200ml of Glucose drink. Keep the casualty calm and stay with them. The casualty should begin to improve rapidly within one minute. Encourage the casualty to breath slowly and deeply. Allow the casualty to sit up when they feel able to. If the object has not been expelled, give up to 5 abdominal thrusts. For a baby under 1 year old, give up to 5 chest thrusts. Never give abdominal thrusts. Ask someone to dial 999 for an ambulance. The casualty should begin to improve rapidly within two minutes. If there is no improvement or the casualty loses consciousness, place in the recovery position. When using a spacer device, give 5 to 10 sprays of Ventolin. Dial 999 for an ambulance as there may be an underlying medical problem. Dial 999 for an ambulance if: ts ow char These fl ble as ila are ava al e Medic t h t f part o ipmen ncy Equ e g r e m E id & First A k o o Logb Give up to 5 back blows between the shoulder blades. For a baby or small child, lay them over your knee face down to perform back blows. • There is no improvement • It is their first Asthma attack • They become exhausted • If you are at all unsure Repeat the back blows and abdominal thrusts again until the casualty loses consciousness. Lower the casualty gently to the ground if possible. Start resuscitation immediately and continue until ambulance staff arrive and take over. If the casualty has deteriorated making them unable to talk, give Adrenaline by injection. Dosage according to age. Do not lie the casualty down unless unconscious. If unconscious, place in the recovery position. Monitor the casualty for breathing and be prepared to resuscitate. You can also order online at www.isopharm.co.uk 77 Dental Unit Waterlines DENTAL UNIT WATERLINES Dental Unit Waterlines (DUWL) can be contaminated by microbes coming from three different sources: - - Suck-back of oral bacteria via the dental handpiece. - From hands and the surgery environment during filling and handling of the self-contained water bottles. Incoming mains water which is a possible source of legionella and mycobacteria spp. KEY DISEASE CAUSING MICROBES IN DUWL A variety of organisms are found in DUWL including bacteria, fungi and protozoa. Of particular concern to health are the respiratory disease causing bacteria such as legionella spp, atypical mycobacterium spp and pseudomonas species. The dental team is exposed to contaminated aerosols on a daily basis over the long term, and patients are exposed in the short term during treatments. The high speed rotation of the airturbine aerosolises the DUWL microbes providing a route of transmission particularly for respiratory bacteria. Contaminated aerosols can be inhaled (portal of entry described in the chain of infection) by both the dental team and patients during treatment. The overall microbial quality is also of importance as high levels of bacteria in DUWL have been associated with occupational asthma in dentists. As patients, including those who may be of increased susceptibility to legionella, are likely to be exposed to aerosols during the course of their dental treatment, and the water which produces that aerosol is likely to be above 20°C, it is essential that the biofilm and bacteria including legionella are not allowed to proliferate in the water system. BIOFILM FORMATION IN THE DENTAL UNIT WATERLINES In DUWL that are not treated with a biocide such as disinfectant, Sterilox or a UV light system, the contaminating bacteria are able to multiply and form a biofilm on the inner surface of the DUWL. - DUWL are made of micro-bore tubing that has a large surface area to volume ratio. - Overnight stagnation. Biofilms form rapidly, and within a week start shedding large numbers of bacteria into the waterline. - Relatively low levels of water usage. Under the Health and Safety Act and associated regulations e.g. The Control of Substances Hazardous to Health (COSHH) Regulations 2002 (as amended), a risk assessment must be carried out in order to identify favourable conditions for bacteria proliferation within the water systems. A combination of factors promote biofilm formation: - When not in use Dental Unit Waterlines (DUWLs) are a dead leg on the plumbing system. - Unused or sporadically used outlets. R2A Agar Water Monitoring Dipslides Alpron Biofilm Removal Starter Kit No need to empty your bottle at night or at weekends. Simply leave your diluted alpron in the system continuously. Includes: 2 Part Biofilm Removal System 1 Alpron Maintenance Solution 1 BC-SAN 100 Water Bottle Disinfectant 2 Dipslides for water testing 1 Mixing jug and funnel for installation 1 Storage canister and drain tap 78 Single Dipslide Order Code: DIPWM001 RRP: £3.10 Pack of 10 Dipslide Order Code: DIPWM004 Order Code: ALPSK001 RRP: £113.40 RRP: £25.80 To order call FREE on +44 (0)800 840 0105, or email [email protected] DUWL QUALITY AND MANAGEMENT Water quality in dental premises is regulated under the ‘Code of Practice: Legionnaires disease’, ‘The Control of Legionella Bacteria in Water Systems (L8)’, ‘HTM 01-05’, and ‘HTM 04-01’. A separate supply of sterile water or saline should be used to cool rotary instruments used during minor oral surgery in order to prevent surgical wound infections. Water supply to dental unit waterlines (DUWLs) should be of drinking water quality with a total viable count (TVC) expected to be between 100 and 200 cfu/ml of bacteria. As DUWL can be contaminated via three different routes, a variety of methods are required to prevent contamination and biofilm formation. METHODS OF MAINTAINING WATER QUALITY In order to prevent back-siphonage of clinical material into the municipal water supply, all dental equipment that is supplied by mains water must have a ‘Type A’ air gap separating it from the mains water. A legionella risk assessment should be carried out on the DUWL. The following combination of methods are used to maintain drinking water quality in the DUWL: - Flush the DUWL at the start of every day for two minutes, and between patients for 20-30 seconds. Manufacturer guidelines should be followed for the end of day procedure. Flushing reduces the number of free floating bacteria but has no impact on biofilm formation. Therefore flushing is insufficient on its own to control the bacterial count in the DUWL. - Use continuous or short purges of disinfection with a biocide (daily or weekly according to the manufacturer’s instructions). Only use a product that is compatible with your dental chair. - Service and maintain dental handpiece anti-retraction valves and DUWL waterlines check valves. - Use distilled or reverse osmosis water in the self-contained water bottle. Tap water is to be avoided as this will introduce respiratory bacteria into the DUWL. - Disinfect reservoir bottles with a biocide before refilling to prevent biofilm formation in both the bottle and the waterlines. - Drain down the DUWL at the end of the day. Self-contained water bottles should be removed, disinfected with a compatible biocide, flushed with distilled or reverse osmosis water and left open to air dry. Store inverted overnight. If you are using a system where Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental the manufacturers don’t recommend the removal of the bottle then this advice should be followed. - Flush dental chairs that are not used, or sparadically used, at least twice a week. Where a control scheme is put into place it is essential that the control measures are validated to ensure that they are effective and that ongoing monitoring takes place to verify their continued effectiveness. Monitoring for microbiological parameters such as the heterotroph count can be useful for validation. In accordance to HTM 01-05 “All microbiological measurements should be by approved methods and / or be carried out by United Kingdom Accreditation Service (UKAS) accredited laboratories. Dip slides are not acceptable” (Paragraph 19.68). The bacterial standard required for the water being used in the DUWLs being that for drinking water quality. The frequency of these checks in a dental practice is to be risk assessment led. The frequency for legionella in cooling water for example is quarterly and this might be considered a reasonable frequency for dental systems. TVC’s taken at the same time could be used to help reassure the responsible person that the hygiene regime is adequately maintaining the water quality within normal drinking water parameters. Should legionella or other bacteria be found then the correct response (borrowing from ‘L8’ principles) might be to: 1. Check the regime 2. Undertake a sterilisation – using a method written specifically for the dental practice See how to do tests and procedures on the Isopharm YouTube channel www.youtube.com/isopharmdental You can also order online at www.isopharm.co.uk 79 Dental Unit Waterlines BIOFILM REMOVAL Alpron Biofilm Removal Starter Kit No need to empty your bottle at night or at weekends. Simply leave your diluted alpron in the system continuously. Includes: 2 Part Biofilm Removal System 1 Alpron Maintenance Solution 1 BC-SAN 100 Water Bottle Disinfectant 2 Dipslides for water testing 1 Mixing jug and funnel for installation 1 Storage canister and drain tap ISOPHARM TIP The build up of biofilm with a dental unit water line is a natural phenomenon that results in bacterial contamination of the water expressed from the waterlines so that it is not of drinking quality standard. This system has been designed to eliminate biofilm and prevent its growth ensuring drinking water quality. Order Code: ALPSK001 RRP £113.40 local circumstances.’’ the exact priority will depend on be given to patient areas although minimise any risks. Priority should programme should be prepared to sources of infection and a be regularly reviewed for potential RRP £69.95 (2009) states: ‘’Premises should Order Code: LEG agents, the HCAI Code of Practice accurate as most lab other water-borne pathogenicresults within 25 minu With regard to Legionella andAn accurate Rapid Tes 6.81 Jug HTM 01-05 1SECTION 250ml Sample 1 Hollow Fibre Filter, 1 1.0ml Red Capped Syringe, 1 Wrapped Luer Lock 60ml Syringe, 1 Hydrosense Rapid Legionella Test, Includes: COMPLIAN Test (Complete Kit) Rapid Dental Legionella HTM 01-05 COMPLIANT Clean & Clear Re-treatment Kit SECTION 6.86 Disinfection of DUWLs should be carried out periodically. In all cases, the manufacturer’s instructions should be consulted. Sodium hypochlorite and isopropanol and a number of other agents have been shown to be effective in the removal of biofilm as well as the reduction of microbacterial contamination. However, these agents should only be used where recommended by manufacturers. If they are used, care should be taken to ensure that DUWLs are thoroughly flushed after disinfection and before being returned to clinical use. Includes: 2 Part Biofilm Removal System 1 Alpron Maintenance Solution 1 BC-SAN 10 Order Code: CLERE001 RRP £71.10 Alpron Concentrate Refill 1 Litre Helps eliminate biofilm build up in dental unit water lines Order Code: ALPRF001 RRP £42.60 80 Buy 2 for ONLY £36.90 EACH HTM 01-05 COMPLIANT SECTION 6.82 Guidance from L8 advises that at-risk systems, particularly those used with the patient, be drained down at least at the end of each working day. Where manufacturers provide protocols for daily cleaning, these should be applied. Bilpron Intensive Dental Unit Treatment Buy 2 for ONLY £36.90 EACH Order Code: 1 Litre For dental units that will be out of use for a prolonged period of time BILRF001 RRP £42.60 To order call FREE on +44 (0)800 840 0105, or email [email protected] WATER TESTING ISOPHARM TIP R2A Agar Water Monitoring Dipslides While the use of dip-slides is not advocated by HTM01-05 Paragraph 19.68 as they are not sensitive enough for use as a test for drinking water quality nor do they detect legionella, they are quite capable of detecting the higher levels of bacteria associated with the presence of biofilms, so they could be used frequently as an inexpensive method of checking that gross bacterial invasion is not occurring. Allows you to ensure your dental unit is continually producing the correct quality of water. Average shelf life 6 months from date of manufacture. 1 dipslide per 1 water line, performed every 3 months. Single Dipslide Order Code: DIPWM001 RRP £3.10 Where dip slides are taken they should be used according to the manufacturers instructions. Pack of 10 Dipslide Order Code: DIPWM002 RRP £25.80 These dipslides offer only a short shelf life so Isopharm recommends to only purchase the appropriate amount required for your practice. 5 EGITK001 tests, but much quicker! nutes. Easy to use test, as est for Legionella. On site NT HPC Water Monitoring Dipslides Incubation provides a quicker test result Order Code: DIPWM005 RRP £199.95 This type of dipslide is supplied with the Alpron Starter Kit, ensuring your dental unit provides the highest quality of water. 1 dipslide per 1 water line, performed every 3 months. Single Dipslide Order Code: DIPWM003 RRP £6.20 Pack of 10 Dipslide Order Code: DIPWM004 RRP £59.30 Special Offers! Products shown are indicative and may vary. Offers may change without notice. SPEND between SPEND between £100-£149 £150-£449 and you will receive a and you will receive a FREE Wallet Sized Power Bank Phone Charger FREE Box of Chocolates You can also order online at www.isopharm.co.uk SPEND over £500 and you will receive a FREE 7” Android Tablet Suitable for Iphone 5 & 6, and any generic android. 81 Computer Accessories NON-CLINICAL AREAS Sharing a keyboard with other team members can be difficult at times, and poses a threat of germ proliferation.The keyboard may be visibly dirty with dust and even sometimes crumbs embedded into the keys. The washable keyboards allow you to wash the dirt away with no worries about breaking it, allowing a clean work station at all times. CLINICAL AREAS Clinical areas should have a keyboard, or keyboard cover and mouse which can be disinfected. Cling film is non-compliant and should not be used. The computer user should also remove their contaminated gloves before using the mouse or keyboard. WHAT IS A WASHABLE KEYBOARD? A washable keyboard is not totally sealed because the case and keys are the same as a standard keyboard. The electronics inside are sealed so that the keyboard can be washed and/or flushed under a tap. Of course, it can be flushed through with a disinfectant, but there is no real control over what may be happening inside the case. This is why the keyboard is ‘washable’ rather than ‘disinfectable’. It is the type of keyboard that is ideal for use in practice reception areas. WHAT IS A DISINFECTABLE KEYBOARD? A disinfectable keyboard is one that is completely sealed so that all contaminants, whether particle or fluid, stay on the surface. Therefore they can be completely eradicated by a standard approved B Cool Keyboard - Washable disinfectant used according to the manufacturer’s instructions. It is the type of keyboard that is ideal for use in patient treatment areas. Really Cool Keyboard Disinfectable Sterilsable Mouse Mat Order Code: MOUSM001 Order Code: KEYBSTD002 RRP: £43.30 Order Code: KEYBDIS001 RRP: £155.70 RRP: £23.80 Universal Keyboard Cover Standard Disinfectable Mouse Splatter Zone Silicone Cup Covers Buy 2 Mice for £72.10 Order Code: KEYBCOV002 RRP: £10.60 MOUSDIS001 EACH Buy 2 Packs for Order Code: CUPCV001 RRP: £77.30 £19.60 Pack Of 5 EACH Order Code: Buy 2 packs for RRP: £15.90 £11.85 EACH Cup not included See page 80 & 81 for colour coding explanation 82 To order call FREE on +44 (0)800 840 0105, or email [email protected] REGULATION 12 ‘Care and treatment must be provided in a safe way for service users assessing the risk of, and preventing, detecting and controlling the spread of infections, including those that are healthcare associated’ HTM 01-05 SECTION 6.66 For infection control reasons, in clinical areas: • • Covers should be provided over computer keyboards; or Conventional keyboards should be replaced as recommended in the Department of Health’s 2008 Clean, safe care: reducing infections and saving lives Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental Where covers or conventional keyboards are provided, care should be taken to ensure that covers are changed or that washing is performed at frequent intervals. This should be regarded as useful priority. See how to do tests and procedures on the Isopharm YouTube channel www.youtube.com/isopharmdental FOR OUR FULL RANGE OF COMPUTER ACCESSORIES SEE OVERLEAF You can also order online at www.isopharm.co.uk 83 Computer Accessories WASHABLE KEYBOARDS & MICE are ideal for use in non-clinical areas! B Cool Keyboard - Washable The B Cool Keyboard is available in two colours; white or black. Features: • UK Layout • Fully submersible • HTM 01-05 Compliant • Provides protection from dirt, germs and spills with sealed inner components and a rigid body featuring drainage holes • Dirt and Dust Resistant • Tactile Feedback - Full sized keyboard, similar to a standard keyboard • Plug and play communication - USB connection B Cool White Keyboard UK Layout - Standard B Cool Black Keyboard UK Layout - Standard Order Code: KEYBSTD001 Order Code: KEYBSTD002 RRP £43.30 RRP £43.30 Unotron Keyboard - Washable Unotron Mouse - Washable The Unotron Keyboard is available in two colours; Grey or black. The Unotron mouse is available in two colours; Grey or black. Grey Keyboard Order Code: KEYBSTD003 Grey Mouse Order Code: Black Keyboard Order Code: MOUSSTD001 KEYBSTD004 Black Mouse Order Code: RRP £74.80 MOUSSTD002 RRP £73.20 MOUSE MATS & KEYBOARD COVERS Universal Keyboard Cover Single Cover Order Code: Pack of 10 Order Code RRP £10.60 RRP £84.50 KEYBCOV002 KEYBCOV003 Sterilisable Mouse Mat Pack of 5 Order Code: MOUSM001 RRP £23.80 HTM 01-05 COMPLIANT SECTION 6.66 For infection control reasons, in clinical areas: • Covers should be provided over computer keyboards; or • Conventional keyboards should be replaced as recommended in the Department of Health’s 2008’Clean, safe care: reducing infections and saving lives Buy 2 packs for £19.60 EACH Where covers or conventional keyboards are provided, care should be taken to ensure that covers are changed or that washing is performed at frequent intervals. This should be regarded as useful priority. FOR OUR FULL RANGE OF FIRST AID KITS SEE PAGE 76 84 To order call FREE on +44 (0)800 840 0105, or email [email protected] DISINFECTABLE KEYBOARDS & MICE are ideal for use in clinical areas! Really Cool Touch Keyboard - Disinfectable Really Cool Keyboard Disinfectable Standard Disinfectable Mouse Available in white or black. Buy 2 Mice for £72.10 EACH White Keyboard Order Code: Black Keyboard Order Code: RRP £155.70 RRP £155.70 KEYBDIS001 White Keyboard Order Code: KEYBDIS002 KEYBDIS003 Slim Cool Keyboard Disinfectable RRP £216.50 Slim Cool Touch Keyboard Disinfectable White Mouse Order Code: Black Mouse Order Code: MOUSDIS001 MOUSDIS002 RRP £77.30 RRP £77.30 Petite Disinfectable Compact Mouse White Mouse Order Code: MOUSDIS003 RRP £77.30 White Keyboard Order Code: Black Keyboard Order Code: KEYBDIS004 KEYBDIS005 RRP £152.60 RRP £152.60 White Keyboard Order Code: KEYBDIS006 RRP £212.40 Purekeys Disinfectable Keyboard Features: • HTM 01-05 compliant • UK Layout • Silicone based cover • Non allergic • Can be cleaned with hospital grade antibacterial fluids • Dedicated Clean key to quickly disable input during cleaning procedures • CE Marked • Easy installation, no drivers required Black Mouse Order Code: MOUSDIS004 RRP £77.30 Purekeys Disinfectable Mouse White Keyboard Order Code: KEYBDIS007 RRP £144.40 White Mouse Order Code: MOUSDIS005 RRP £78.35 FOR OUR FULL RANGE OF IMPRESSION TRAYS SEE PAGE 90 & 91 You can also order online at www.isopharm.co.uk 85 Impressions WHY? The responsibility of ensuring impressions have been cleaned and disinfected before dispatch to the dental laboratory lies solely with the dentist. impression it will require disinfection again, which may result in detrimental consequences for its dimensions. HTM 01-05 states that impressions, prostheses and orthodontic appliances must be decontaminated prior to and after placing in a patients mouth. Uncertainty of impression disinfection poses risk to both the health of the receiving dental technician, and the disinfected impression itself. If a disinfected impression comes into contact with a non disinfected WHEN? Decontamination of these devices is a multi-step process that needs to be conducted in accordance with the device or material manufacturer’s instructions. There are two methods of disinfection: immersion and spraying. Immersion in disinfectant (following the manufacturer’s recommendations if available for dilution and duration) can be the most effective method but may be compromised by the limited working life of the disinfectant, which is affected by the frequency of use and the presence of biological debris. The procedure should be as follows 1. Immediately after removal from the mouth, any device should be rinsed under clean running water. This process should continue until the device is visibly clean from saliva, blood or debris. Spraying to disinfect is not a preferred method due to the aerosols that may be released. Spraying also does not guarantee that all surface areas will be covered. 2. All devices should receive disinfection according to the manufacturer’s instructions (Where these are available). This will involve the use of specific cleaning materials, please visit www. HTM01-05.com for a range of suitable options. After disinfection, the device should again be thoroughly washed. This process should occur before and after any device is placed in a patient’s mouth. If the device is to be returned to a supplier/ laboratory or in some other fashion sent out of the practice, a label to indicate that a decontamination process has been used should be affixed to the package. HTM 01-05 Impression Disinfection Logbook Buy any 3 for only 86 £25.00 EACH Provides daily record sheets Order Code: for disinfection before and LOGIM001 after lab work. RRP: £30.00 Impression Disinfectant Inbound & Outbound Soaking Tray 5 Litre bottle TRAIN001 Order Code: RIMP005 RRP £68.15 360 x 235 x 110mm Order Code: Buy 2 Trays for £23.50 EACH Buy 2 Canisters £61.70 EACH RRP £26.40 To order call FREE on +44 (0)800 840 0105, or email [email protected] HOW? 1 2 Remove impression 4 3 Rinse under cold running water 5 Immerse in impression disinfectant Visually inspect 6 Rinse under cold running water Label as disinfected and send to laboratory METHODS OF DISINFECTION The Immersion Method Spray to Disinfect This is the preferred method because: This is not the preferred method because: • The impression is submerged throughout contact time. • Every surface is disinfected. • The impression can be left submerged for the manufacturer’s specified amount of time without constant checking. • You must check with the manufacturer of the detergent regarding determining when the solution is over soiled. • Aerosols may be produced. • Spraying does not guarantee that all areas are covered. • Contact time is difficult to judge and the impression must not dry out during the process. FOR OUR FULL RANGE OF IMPRESSION DISINFECTION PRODUCTS SEE OVERLEAF You can also order online at www.isopharm.co.uk 87 Impressions RECORD KEEPING Buy any 3 Log Books for HTM 01-05 COMPLIANT £25.00 SECTION 11.9 RECORD KEEPING Contains Daily Record Sheets, including an Isopharm guide to impression disinfection. EACH These protocols will require full implementation and all results need recording in a logbook dedicated to individual equipment. Standard logbooks summarising all required tests are available for most types of decontamination equipment. 12 months of Record Keeping for ONLY HTM 01-05 Impression Disinfection Log Book £30.00 Impression disinfectant used Patient Name Stage of treatment Disinfected prio Date Impressions (Prosthetics/Crown and bridge/Whitening) It is important to keep a record of any chemical used during the disinfection process. 2nd impression Bite Product Name Try Fit PER BOOK Batch Number Additional visits 1) Order Code: LOGIM001 2) Expiry Date Patient Name Stage of treatment ISOPHARM TIP: HTM 01-05 Impression Disinfection Logbook (3rd Edition) 2nd impression Bite Try Method of disinfection Product Features: HTM 01-05 Impression Disinfection Log Book Easy to use—Presented in an understandable format with Isopharm Tips throughout Compliant—Simply complete the logbook and you will comply with HTM 01-05 Fit Additional visits Immersion 1) 2) Impression disinfectant used Patient Name Dipping Stage of treatment Disinfected prior to sending to lab Date Initial Patient Name Impressions (Prosthetics/Crown and bridge/Whitening) It is important to keep a record of any chemical used during the disinfection process. Product Name Disinfected upon receipt from lab Date Initial Stage of treatment 2nd impression Impressions (Prosthetics/Crown and bridge/Whitening) Bite 2nd impression Spray Try Try Additional visits 1) Fit ISOPHARM TIP: 2) Expiry Date Patient Name ISOPHARM TIP: If using the preferred immersion method it is important to note that you must ensure the treatment disinfectant is clean prior Stage to theofimmersion of any appliance Impressions (Prosthetics/Crown and bridge/Whitening) Additional visits Disinfected prior to sending to lab Date Initial Disinfected upon receipt from lab Date1) Initial 2) 2nd impression Bite Try For further details about roles and responsibilities defined in HTM 01-05 you can visit www.isopharm.co.uk/dental or Fit call our compliance helpline FREE on 0800 840 0105. Additional visits Method of disinfection Immersion 1) 2) © Isopharm 2014 Dipping Patient Name Stage of treatment Disinfected prior to sending to lab Date Initial Disinfected upon receipt from lab Date Initial Impressions (Prosthetics/Crown and bridge/Whitening) Spray 2nd impression Bite Try ISOPHARM TIP: If using the preferred immersion method it is important to note that you must ensure the disinfectant is clean prior to the immersion of any appliance Fit Additional visits 1) 2) For further details about roles and responsibilities defined in HTM 01-05 you can visit www.isopharm.co.uk/dental or call our compliance helpline FREE on 0800 840 0105. © Isopharm 2014 Mixing Bowl & Spatula Single Mixing Bowl Order Code: MIXINGB001 RRP £4.10 Alginate Container Smart opening, sealed container preventing any leakage of powder. Reinforced top cover and silicon ring seal. www.isopharm.co.uk/dental Impression Disinfectant Label 100 Self-Adhesive Labels Order Code: LABELIM001 220x150x190mm Capacity 1000mg Buy 3 Packs for £10.30 EACH RRP £15.90 HTM 01-05 COMPLIANT Single Spatula Order Code: SPATULA001 Order Code: RRP £2.60 RRP £25.75 ALGCONT001 SECTION 7.1 (C) If the device is to be returned to a supplier/laboratory or in some other fashion sent out of the practice, a label to indicate that a decontamination process has been used should be affixed to the package. FOR OUR FULL RANGE OF COMPUTER ACCESSORIES SEE PAGE 84 & 85 88 Disinfected prio Date Bite Fit Batch Number Ensure the disinfectant you are using is suitable for the appliance it is disinfecting and CE marked/ classified correctly. IMPRESSION ACCESSORIES Disinfected prio Date Impressions (Prosthetics/Crown and bridge/Whitening) Ensure the disinfectant you are using is suitable for the appliance it is disinfecting and CE marked/ classified correctly. To order call FREE on +44 (0)800 840 0105, or email [email protected] IMPRESSION DISINFECTION Schülke Perform Impression Disinfectant Sachets Impression Disinfectant Inbound & Outbound 5 Litres YOU CHOOSE Order Code: RIMP005 Schülke Perform Impression Disinfectant Tubs YOU CHOOSE 30 Sachets of 40g 900g Tub Order Code: Order Code: DISIM005 Buy 2 Cannistors DISIM006 Buy 2 Packs for £61.70 Buy 2 Tubs for £36.10 EACH £32.95 EACH RRP EACH RRP £68.15 RRP £44.80 £39.90 Soaking Tray Impressions Soaking Tray 360x235x110mm With insert for disinfection of crowns SECTION 7.1.(B) After disinfection, the device should again be thoroughly washed. This process should occur before and after any device is placed in a patient’s mouth. 260x110x80mm YOU CHOOSE Buy 2 Trays for Order Code: TRAIN001 RRP £23.50 EACH £26.40 Special Offers! Products shown are indicative and may vary. Offers may change without notice. HTM 01-05 COMPLIANT Buy 2 Trays for £23.70 Order Code: TRAIN002 RRP £27.40 SPEND between EACH SPEND between £100-£149 £150-£449 and you will receive a and you will receive a FREE Box of Chocolates FREE Wallet Sized Power Bank Phone Charger SPEND over £500 and you will receive a FREE 7” Android Tablet Suitable for Iphone 5 & 6, and any generic android. FOR OUR FULL RANGE OF IMPRESSION TRAYS SEE OVERLEAF You can also order online at www.isopharm.co.uk 89 Impressions IMPRESSION TRAYS 2 Size 20 Sectional Tray Order Code: IMTRAY001 ONLY 18p Per Tray Bossklein Den-Tray Impression Trays Disposable Impression trays, with perforated plastic, non-autoclavable. Pack of 25 RRP £4.40 Size 21 Sectional Tray Order Code: IMTRAY002 Size 22 Sectional Tray Order Code: IMTRAY003 Upper Edentulous Large Order Code: IMTRAY004 Lower Edentulous Large Order Code: IMTRAY006 Upper Dentate Large Order Code: IMTRAY008 Lower Dentate Large Order Code: IMTRAY0010 Upper Dentate Small Order Code: IMTRAY0012 Upper Dentate Orthodontic Order Code: IMTRAY0014 Upper Edentulous Average Order Code: IMTRAY005 Lower Edentulous Average Order Code: IMTRAY007 Upper Dentate Average Order Code: IMTRAY009 Lower Dentate Average Order Code: IMTRAY0011 Lower Dentate Small Order Code: IMTRAY0013 Lower Dentate Orthordontic Order Code: IMTRAY0015 FOR OUR FULL RANGE OF IMPRESSION DISINFECTION PRODUCTS SEE OVERLEAF 90 To order call FREE on +44 (0)800 840 0105, or email [email protected] Small Upper Order Code: IMTRAY016 Professor Hans Rosslings Technical Impression Trays Anatomically shaped with comfort edges. Can be used for all techniques. With a large handle to ensure easy removal and placing. Non-autoclavable. Average Lower Order Code: IMTRAY018 Upper Left/Lower Right Order Code: IMTRAY025 Large Lower Order Code: IMTRAY021 Average Upper Order Code: IMTRAY019 Sign up for FREE Verifiable CPD COURSES Visit www.isopharm.co.uk/training/dental 2 ONLY 25p Per Tray Pack of 20 RRP £4.95 X - Large Lower Order Code: IMTRAY023 Large Upper Order Code: IMTRAY020 Small Lower Order Code: IMTRAY017 Upper Right/ Lower Left Order Code: IMTRAY024 X - Large Upper Order Code: IMTRAY022 See how to do tests and procedures on the Isopharm YouTube channel www.youtube.com/isopharmdental FOR OUR FULL RANGE OF EVERYDAY DISPOSABLES SEE OVERLEAF You can also order online at www.isopharm.co.uk 91 Everyday Disposables CONSUMABLES Cotton Wool Rolls There are 2 diameter sizes of the cotton rolls available; 0.8 cm and 1.0cm. (Size 1) 0.8cm Box of 2000 Order Code: COTRL001 RRP £7.70 (Size 2) 1.0cm Box of 2000 Order Code: COTRL002 RRP £7.70 Buy 3 Packs for Cotton Wool Roll Dispenser Available in Blue or Green. Blue Dispenser Order Code: Green Dispenser Order Code: RRP £8.75 RRP £8.75 COTDS003 COTDS002 Starter kits with Blue dispenser & rolls Buy 12 Packs for COTSD003 & COTRL001 COTSD003 & COTRL002 EACH FOR BOTH Order Code: COTSK001 FOR BOTH Order Code: COTSK002 £7.40 £7.10 EACH £13.40 £13.40 YOU CHOOSE Isopharm Ear Looped Face Masks Cotton Wool Roll Dispenser Pack of 50 Blue Masks COTRL001 & COTDS001 ROLLS & DISPENSER Order Code: FMASK001 RRP £2.60 Pack of 50 Green Masks Order Code: Order Code: FMASK002 COTDS001 RRP £7.20 RRP £2.60 £13.40 FOR BOTH Order Code: COTSK003 COTRL002 & COTDS001 ROLLS & DISPENSER £13.40 FOR BOTH Order Code: COTSK004 Buy 5 Packs for YOU CHOOSE £1.90 EACH Buy 40 Packs for Isopharm £1.39 EACH Tie-on Face Masks Pack of 50 Blue Masks Order Code: FMASK003 RRP £2.60 Saliva Ejectors Pack of 100 Order Code: SALTP001 RRP £1.50 Buy 10 Packs for £1.30 EACH Surge Inserts Pack of 50 Order Code: SURIN001 RRP £5.10 Buy 10 Packs for £4.10 Pack of 50 Green Masks EACH Order Code: FMASK004 RRP £2.60 92 All of our Everday Disposables are CE marked. 2 To order call FREE on +44 (0)800 840 0105, or email [email protected] Looking for FREE Verifiable CPD? Register and receive yours at: www.isopharm.co.uk/training COURSE: Safeguarding Children and Vulnerable Adults in the Dental Practice (Level 2) COURSE: Legionella Fundamentals COURSE: An Introduction to BloodBorne Viruses (BBVs) Register FREE › Select & take a course › Pass & download your certificate You can also order online at www.isopharm.co.uk 93 Everyday Disposables CONSUMABLES Evacuation Tips Vented S Buy 10 Packs for Pack of 100 Order Code: TIPVS001 RRP £2.75 £2.10 EACH Evacuation Tips NonVented Buy 10 Packs for £1.60 Pack of 100 Order Code: TIPNV001 RRP £1.80 EACH Micro Applicator Brushes Pack of 100 Order Code: MICAP001 RRP £3.35 Jet Inserts Buy 10 Packs for £3.10 Buy 10 Packs for £4.10 EACH EACH Colour supplied subject to availability Barrier Film Buy 4 Reels for Buy 20 Packs for £11.10 Available in 2 colours; Transparent and Blue £1.60 EACH Transparent Single Reel Order Code: BARR001 RRP £12.30 Dappens Dishes Available in 4 colours; Yellow, White, Blue and Red. EACH CPD Non-ve Further copies of this section are available to download from the Isopharm Isopharm Dental Compliance Catalogue 1st Edition NAME: White, Pack of 100 Order Code: DAPD002 RRP £2.10 £10.20 EACH RRP £12.30 Blue, Pack of 100 Order Code: DAPD003 RRP £2.10 Barrier Film Dispenser Red, Pack of 100 Order Code: DAPD004 RRP £2.10 Single Dispenser Order Code: BARDS001 RRP £8.20 £15.00 FOR BOTH Order Code: BARSK001 Yellow, Pack of 100 Order Code: DAPD001 RRP £2.10 You can a Each question below is based on a subject from each chapter, simply write Personal Hand Hygiene Protective Q. should -Q. hand Q. hygiene PPE should be how performed? beoften categorised as what Manual Instrument Ultrasonic Washer Sterilisers Cleaning Disinfector -Bath Inspection Q.-Name - Instruments Q.When -Equipment According the Q.- According Q. three In the -types to decontamination HTM Why toUsed of HTM 01-05, is sterilisers. manual 01-05, how cleaning often process, do of you when doinstruments you perform should perform an visu the ua This section of the Isopharm Dental Compliance Catalogue is for you to gai Buy 8 Reels for Blue Single Reel Order Code: BARR002 TRANSPARENT REEL & DISPENSER Pack of 50 Order Code: JETIN001 RRP £5.10 BLUE REEL & DISPENSER All of our Everday Disposables are CE marked. £15.00 FOR BOTH Order Code: BARSK002 2 FOR OUR FULL RANGE OF CONSUMABLES SEE PAGE 92 Special Offers! Products shown are indicative and may vary. Offers may change without notice. 94 SPEND between SPEND between £100-£149 £150-£449 and you will receive a and you will receive a FREE Box of Chocolates FREE Wallet Sized Power Bank Phone Charger SPEND over £500 and you will receive a FREE 7” Android Tablet Suitable for Iphone 5 & 6, and any generic android. To order call FREE on +44 (0)800 840 0105, or email [email protected] Guiding you to compliance Non-verifiable CPD Isopharm Dental Compliance Catalogue 1st Edition NAME: GDC NUMBER: CPD HOURS: This section of the Isopharm Dental Compliance Catalogue is for you to gain non-verifiable CPD from the guidance sections within. Each question below is based on a subject from each chapter, simply write your answers below and add to your personal CPD portfolio. Further copies of this section are available to download from the Isopharm website www.isopharm.co.uk/dental Hand Hygiene - Q. When should hand hygiene be performed? Personal Protective Equipment - Q. Used PPE should be categorised as what type of waste?, and why? Manual Cleaning Instruments - Q. Why is manual cleaning of instruments the least effective method? Instrument Inspection - Q. In the decontamination process, when should visual inspection of dental instruments take place? Ultrasonic Bath - Q. According to HTM 01-05: 2013 Edition, how often do you perform an ultrasonic activity test? Washer Disinfector - Q. According to HTM 01-05: Edition, how often do you perform a protein residue test? Sterilisers - Q. Name the three types of sterilisers. © Isopharm 2015 www.isopharm.co.uk/dental Guiding you to compliance Guiding you to compliance Transporting Instruments - Q. In accordance with HTM 01-05: 2013 Edition, what are the five required characteristics for a transportation box? Machine Detergents - Q. What is the preferred method of cleaning instruments? Environmental Cleaning - Q. What colour mop and bucket should be used for clinical areas? Spillages - Q. What is the most important substance ingredient when decontaminating a blood spillage? Medical Emergencies - Q. What is the very first first course of action when dealing with a suspected heart attack? Dental Unit Water Lines - Q. For how long should dental unit water lines be flushed between patients? Computers - Q. What is the most important infection control requirement of a keyboard, keyboard cover and mouse which is to be used in a clinical area? Impression Disinfection - Q. What is the preferred method of impression disinfection? Further Non-verifiable forms are available to download at: www.isopharm.co.uk/dental © Isopharm 2015 www.isopharm.co.uk/dental Guiding you to compliance