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CSA Regulations for daily monitoring with Biological Indicators, Bowie-Dick Tests and Chemical Indicators are now required.

VIEW CANADA REGULATIONS

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DENTAL REGULATIONS:

Many of the following links will provide you with the most up to date information for recommended practices for your Dental practice.  Some states have their regulations posted below hyperlinked to the corresponding law.

The CDC (Center for Disease Control and Prevention) www.cdc.gov

Recommended Infection-Control Practices for Dentistry, 1993.  “Proper functioning of sterilization cycles should be verified by the periodic use (at least weekly) of biological indicators (i.e. spore tests).   Heat sensitive chemical indicators (e.g. those that change color after exposure to heat) alone do not ensure adequacy of a sterilization cycle but may be used on the outside of each pack to identify packs that have been processed through the heating cycle.  A simple and inexpensive method to confirm heat penetration to all instruments during each cycle is the use of a chemical indicator inside and in the center of either a load of unwrapped instruments or in each multiple instrument pack; this procedure is recommended for use in all dental practices.  Instructions provided by the manufacturers of medical/dental instruments and sterilization devices should be followed closely.”

Morbidity and Mortality Weekly Report (MMWR) 41(RR-8), May 28, 1993

ADA (American Dental Association) www.ada.org

“This report is based on the recommendations of the Centers for Disease Control and Prevention (see the CDC recommendations above) and other publications in the medical and dental literature.  The recommendations in this document have been accepted by the Council on Scientific Affairs and the Council on Dental Practice.  The Councils strongly urge practitioners and dental laboratories to comply with these infection control practices…Since this document is not intended to cover every aspect of infection control compliance, the dentist, his or her staff and that of dental laboratories should refer to the referenced publications.”     Infection Control Recommendations for the Dental Office and the Dental Laboratory

Ø       See also www.ada.org/members/resources/topics/cdc/cdc_sterilization.pdf - 2004-01-26

Ø       See also ADA.org: AZ Topics: Infection Control Recommendations
... Maintain a log of spore test results. Check with your state dental board to determine how long you need to keep spore testing records. “
www.ada.org/prof/resources/topics/icontrol/art_sterilization.asp -33k

ANSI / AAMI (American National Standards Institute Inc. / Association for the Advancement of Medical Instrumentation)  www.aami.org

“Biological indicators should be used within PCDs for routine sterilizer efficacy monitoring at least weekly, but preferably every day that the sterilizer is in use.” ANSI/AAMI  ST79:2006, Section 10.5.3.2

To view a State’s law regarding spore testing, click directly onto the State. 

STATE

Test Frequency Required

LINK TO STATE LAW

Alabama

Weekly *

http://www.dentalboard.org/pdf/dentalpracticeact.pdf

Alaska

 

 

Arizona

Weekly *

http://www.azdentalboard.org/pdfdocuments/substantive_policy.pdf

Arkansas

Monthly

http://www.asbde.org/dentalpracticeact/dental_practice_act.pdf

California

Weekly

http://www.dbc.ca.gov/lawsregs/regulations/ch1_article1.htm#1005

Colorado

Weekly *

http://www.dora.state.co.us/DENTAL/RULES.pdf

Connecticut

 Weekly *

http://df7s0hkt8o8r9.cloudfront.net/media/english/pdf/sanctions/HGPY0F2023BA7C4A4133B10242013.pdf

Delaware

 

 

Florida

Every 40 hours or at least Monthly

https://www.flrules.org/gateway/readFILE.asp?sid=0&tid=2394850&type=1&file=64B5-25.003.doc

Georgia

Weekly *

http://www.sos.state.ga.us/acrobat/PLB/Rules/chapt150.pdf

Hawaii

Weekly *

 

Idaho

Weekly *

http://adm.idaho.gov/adminrules/rules/idapa19/0101.pdf

Illinois

 

http://www.isds.org/lawsLegislation/ILDentalPracticeAct/index.asp

Indiana

Weekly

 

Iowa

Weekly *

http://www.state.ia.us/dentalboard

Kansas

Test every 6 days of use or at least tested monthly

http://www.accesskansas.org/kdb/Documents/Dentalpracticesactregsandrelatedlaws406.pdf

Kentucky

 

 

Louisiana

Weekly

http://www.Isbd.org/applications/Dental%20Practice%20Act202006.pdf

Maine

 

 

Maryland

 

 

Massachusetts

Weekly *

http://www.mass.gov/Eeohhs2/docs/dph/regs/234cmr002.pdf

Michigan

 

 

Minnesota

Weekly *

http://www.revisor.leg.state.mn.us/arule/6950/1030.html

Mississippi

Weekly *

http://www.msbde.state.ms.us/msbde/msbde.nsf/webpages/Laws_lawsregs/$File/lawsregs.pdf

Missouri

Weekly *

http://www.moga.mo.gov/statutes/c100-199/1910000694.htm

Montana

 

 

Nebraska

 

 

Nevada

Weekly *

 

New Hampshire

Weekly *

http://www.gencourt.state.nh.us/rsa/html/XXX/317-A/317-A-17.htm

New Jersey

 

 

New Mexico

Weekly *

http://www.rld.state.nm.us/dental/PDF/16.05.01%20Proposed.pdf

New York

 

 

North Carolina

Weekly *

http://www.ncdentalboard.org/pdf/RulesRevised.pdf

North Dakota

 

 

Ohio

Weekly

http://www.dental.ohio.gov/pdfs/laws2005.pdf

Oklahoma

Weekly

http://www.dentist.state.ok.us/2007rules.pdf

Oregon

Weekly

http://arcweb.sos.state.or.us/rules/OARS_800/OAR_818/818_012.html

Pennsylvania

Weekly *

http://www.pacode.com/secure/data/049/chapter33/s33.211.html

Rhode Island

Weekly *

http://www2.sec.state.ri.us/dar_filing/regdocs/released/pdf/DOH/4863.pdf

South Carolina

Weekly *

http://www.scstatehouse.net/coderegs/c039.htm

South Dakota

Weekly *

http://legis.state.sd.us/rules/DisplayRule.aspx?Rule=20:43:04:03

Tennessee

Weekly *

http://www.state.tn.us/sos/rules/0460/0460-02.pdf

Texas

Weekly *

http://www.tsbde.state.tx.us/documents/rules/Rules-Regulations-Feb07.pdf

Utah

 

 

Vermont

Weekly

http://www.vtprofessionals.org/opr1/dentists/pubs/dentnews2005.pdf

Virginia

 

 

Washington

 

 

West Virginia

Weekly *

http://www.wvdentalboard.org/NEWSLETTER%20FALL%202007.pdf

Wisconsin

“at least Weekly”

http://drl.wi.gov/boards/den/digest/20001000.pdf

Wyoming

 

 

         * this State has adopted infection control standards as recommended by the CDC or ADA

DISCLAIMER:  This information has been disclosed to ATS visitors as a courtesy and is intended as a general information resource only.  ATS takes no responsibility regarding the accuracy of the information provided.  Although every effort has been made to make the information provided herein accurate and timely, users should understand that State laws are constantly being revised and updated.  Please rely on the official State versions of their rules, laws, statutes, and policy. (If you do discover inaccuracies, we would appreciate being notified as soon as possible so that we can correct it for others.  Thank you).

 
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  Title Description
Biological Indicators (Spore Testing)

 

In-Office and Mail-To-Lab Testing! Verify the sterilization process of all steam sterilizers which include Statim, Midmark, Tuttnauer, Lisa, Mocom and Pelton & Crane sterilizers.

In-Office Testing as low as $1.59/test!

Mail-To-Lab Testing as low as $2.96/week!

Bowie-Dick Tests

 

Bowie-Dick Test Packs should be used daily to evaluate the performance of air-removal (vacuum) system of dynamic pre-vacuum type sterilizers.   Available as test cards or preassembled test packs.  

As low as $2.98 per test!

Chemical Indicators, Class 5 Integrators

 

Internal CI’s should be used within each pouch or package, tray, or container. Class 5 Integrators should be used in conjunction with physical monitoring and biological indicator testing for verifying the efficacy of a sterilization system. (See AAMI ST79:2006) 

Indicator Tape

 

Indicator tapes provide a seal for sterilization packs and an immediate identification of processed items.  Dispensers available for all sizes.

Recordkeeping

 

Recordkeeping is a must for all sterile processing departments.  This ensures accountability and allows operators to trace errors to their source. Tips on sterilizer maintenance and technical advice are included with each book.

Sterilization Crepe Paper

 

Teal green Crepe Paper is compatible with types of sterilization processes including Steam, EO Gas, and Gamma Radiation. Click here to see all sizes!

Sterilization Pouches/Bags

 

Our easy peel-and-seal pouches work with Steam, Chemical Vapor, and Ethylene Oxide Gas sterilization procedures. Choose from 13 different sizes!

Sterilization Tubing

 

Our high quality sterilizer tubing comes in 3 different sizes. Buy in case quantity and save!

Sterilization Wrap

 

Blue non-woven SMS wrap and teal green crepe paper are compatible for most sterilization processes. Click here for available sizes.

Sterilizer Cleaner

 

Click to view all brands of sterilizer cleaner! We stock Duraclean, Omni-Cleaner, Chamber-Brite.

 

GLOSSARY OF TERMS USED:

 

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