To the rockin’ dental assistants in charge of OSHA and infection control programs

By Karen Daw, MBA, CECM

It’s a big responsibility to be in charge of a dental practice’s OSHA and infection control programs, one that often falls on the shoulders of the dental assistants. They need to learn all they can about the job, and get the entire team involved.

My sister recently gave me a trick lottery scratch-off card. As I scratched and the card revealed I had won the grand prize, I was shocked and scared. I felt extremely lucky, yet worried about how my life would change. My sister burst out laughing and told me it was all a joke. I’m sure the video can be found on her Facebook page.

You may be feeling the same elation and anxiety I did when I thought my day-to-day life was going to change because you were volunteered (rather, volunt-told) that you’re taking over the OSHA and infection control program in your dental office. Good for you! This is a huge responsibility, so you were obviously selected for your skills and capability. (Either that or you lost a bet.) Regardless, I’m confident you’re in this role because the doctor believes you’re the most qualified to ensure you have a comprehensive and robust set of policies. (Also, didn’t you receive a nice raise, company car, and trip to Hawaii for the added responsibilities? Yeah, me neither.) But I know you can do it!

The Centers for Disease Control and Infection Prevention (CDC) states in its Guidelines for Infection Control in Dental Health-Care Settings, 2003 (the bible of infection control in dentistry as we know it), “An infection-control coordinator (e.g., dentist or other DHCP) knowledgeable or willing to be trained should be assigned responsibility for coordinating the program. The effectiveness of the infection control program should be evaluated on a day-to-day basis and over time to help ensure that policies, procedures, and practices are useful, efficient, and successful.” Did you read that? It said day-to-day basis. So, it is very wise to have one person overseeing the program, but that doesn’t mean you have to do all of the work by yourself.

The infection control coordinator (ICC) may also have responsibilities related to OSHA. Whether you call yourself the ICC, the safety director, or the OSHA queen, your job responsibilities should be clearly defined, you should enlist the support of the leaders in the practice, and you will need the support of other team members. You will also need to network and consult with experts in the field. For example, working with an OSHA and infection control (IC) consultant can help you immensely with getting the program going, and can provide you with ongoing guidance.

You’ll need to attend and then schedule IC training for the team. As you know, OSHA training is an annual requirement. You must also be allowed to connect with resources. I strongly suggest a membership with the Organization for Safety, Asepsis and Prevention (OSAP), a non-profit dedicated to the safest dental visits. All of this helps you to ultimately create a “culture of safety.” But for now, leave that OSHA binder on the shelf, don’t think about all the weekly, monthly, quarterly, and annual checklists you’ll eventually need to create. Focus on making sure you have the right assistance to tackle this responsibility. Because let’s face it, it’s going to be B-I-G and it’s going to take time, but the rewards will be worth it!

My lottery prank was about a year ago, and since then I’ve been thinking about how I’m going to get payback. I’ve enlisted the help of friends and family so that I leave no stone unturned. I’ve even hired a camera crew to film the prank. With that kind of planning and support the results are going to be epic, just like your office’s OSHA and infection control program!

Originally published in Dentistry iQ


Karen K. Daw, MBA, CECM, received her bachelor’s degree from Ohio State University and has a master’s in business and health care administration. Her career includes positions as the assistant director of sterilization monitoring, and clinic health and safety director for the Ohio State University College of Dentistry. She is a speaker, consultant, authorized OSHA trainer, member of OSAP, and has served as cochair for OSAP’s annual conferences and bootcamps.


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