 Hello, everybody Andrea here. So I want to do this short video on infection control for a dental office. It can be very confusing. Talking about sport testing indicators, pouches sterilizing what should be done every day what should be done per load what should be done for help so I'm going to show you guys something right now I'm going to share my screen. So I'm going to show you guys what I do. Please remember I am a mobile dental hygienist with my own business so what I do is going to be different than what you're going to do in a dental office but I'm going to explain the differences for you. So these are class five indicators. Okay, so notice how it says type five right here, I just simply peel one off. This would be your indicator your class five there needs to be something in your load per day. This is just basically to test that your sterilization is working your sterilizer is working so they say one load per day. And this is per cycle so if you're doing a rubber and plastic cycle. You're going to do one class five indicator per day and then do another one if you're going to be using the unwrapped cycle one load per day in your sterilizer typically in a dental office you're just going to do one load per day in each sterilizer that you have. So basically it's going to be the wrapped cycle. And I don't know if I said unwrapped earlier but I meant wrapped your cycles should always be in the wrapped cycle, or the rubbers and plastic so if you guys look at your sterilizer you typically pick one and that's kind of how that works there. But you also want to put it in something called a processing challenging device so this is this pink thing here okay. So you can make your own by like putting it in a pouch in something else but this is just the easiest way to do it to ensure that your dental office is doing the right thing and that's why I purchased one to they were literally 30 or $40 I can't remember now and they last forever. So what I do is I put one class five in here one sport test I shove them both in there, put it in my first load of the day and that's the test that the sterilizer is working. Okay, that's what you're going to do for your dental business. If you haven't or sorry your dental office if you have any questions about that though, let me know. So the sport test that I have, you then put that sport test in an incubator which I have right here, mine happens to be for 24 hours, you can get some that are good for 12 hours you can get some that are good for, I think, even like 15 minutes, you're going to pay more for depending on what you're using mine is for 24 hours which I don't mind that because I don't do that much sterilizing because I have my own business. I'm not seeing 50 patients a day I'm seeing three to seven patients a day so that's a big difference. I have plenty of instruments to quarantine for 24 hours and not use them so when you're working in a dental office so I'm just going to do a little recap for you here. If you want a class five indicator, you want a sport testing these are your sport tests, put that into your processing challenging device at the beginning of the day usually it's the dental assistant that does this or the first person who's in the office. So they would put that in each sterilizer and you would run an empty load do not put any instruments in there. It's just meant to run on empty of course make sure there's plenty of water in the sterilizer. And once that comes out, what you do is you place those sport tests in your incubator but then you're also going to have a, a sport test that wasn't used because you need something to compare them to okay. So typically your sport test that was used in the sterilizer, let's just say you have to, they're going to go one to right here but then you are going to also have to blank ones that you, you haven't used so you have something to compare them to. You do have to crush your sport test depending on the incubator and the sport vial you have they're all a little bit different, but your dental office will show you how to do that somebody will show you how to do that. So of course make sure to obviously turn it on and then these sit here for 24 hours or 12 hours or 15 minutes eight hours, depending on what type of sport vial and incubator you have okay but the reason for this is, you cannot use those instruments until this sport test is is done. So if it's a 12 hour, then you can't use the instruments for 12 hours if it's for 15 minutes then you can't use the instruments for 15 minutes, depending on when the sport test is done. So you can see that it has killed all spores that the sterilizer has killed all spores because spores are the hardest to kill. So you know that if the sterilizer killed them all then it's going to kill anything does that make sense. It's extremely important. So again, I wait 24 hours before I can use my instruments. So class five indicators, if you need to use your instruments right away, then you would put a class five indicator inside the pouch, not just inside the stair lighter, but inside each pouch of instruments I do not do this because I don't have to. So class five indicators are expensive, which is why dental offices prefer not to put a class five in every single pouch because they're expensive, but some offices do spend the money to do that so they can use the instruments right away, but you do still need a sport test and the incubator. So just make sure that this the sterilizer is working properly, but again it's it's a good indication that it is if you have a class five indicator. They just like us to do more work and spend more money, which is why you have to double check and triple check everything, which is where the sport test and the incubator comes in. If you ever get you need your log sheet so this is just an example. So every load has to be logged where you have to put down the date, the load number, the temperature pressure which will say on the sterilizer, what time you put the instruments in what time you took the instruments out. So that's why it says past of course hopefully it's going to. And then you would also put down your biological indicator which is another term for a sport test. So the biological indicator and sport means the same thing. So that's why it says bi in this in the PID or sorry PCD can you guys see that. I'm going to zoom in here. So a bi in the PCD means that sport test in the, the processing challenging device did that pass or did it fail, obviously passed you would hope so or you have to stop using the sterilizer. And then the bi in the control means that's that sport test that I had said you need to take out another sport test that wasn't put in this the sterilizer at all. And obviously that's going to pass because that is showing you that will that wasn't put in this or you know it's going to show you that the items weren't sterilized okay so you would say pass. The incubator time so when did you put those spores in the incubator, what's the temperature it's going to be the same temperature for every incubator check your manufacturers instructions for the incubator, your initials of you know who's putting this on the log, and then contents. So is it nine pouches of instruments, or is it nine pouches of cheaper tractors is it nine pouches of restorative instruments you know so you do need to be specific here quantity of packages, you would say how many packages were in that load. That makes sense so far. Let me know you guys if any questions. I did zoom in but I'm just going to keep it like this. So, I have pouches from maxill and some from Henry shine, but I purchased the pouches that have a internal and an external indicator. Some do and some don't okay that just says that yes the instruments inside the pouches have reached optimal temperature. So these change color. This blue becomes like a darker blue and and this pink becomes a darker blue so these are two different pouches but I wanted to show you that you want the pouch to change color. So that is showing you that the pouch has reached a certain temperature, but not the inside of the pouch unless you have an internal indicator, but you still cannot use the instruments right away, unless you took it a step further and use a class five internal indicator inside the pouch. Again you guys let me know if there is any questions about that. So those are basically kind of what you have to know about the indicators and the sport testing let me know though if you have any questions because I know it's very confusing even for me. I don't quite understand it fully until I had to do it myself for my own business. I was a dental assistant, where we didn't have all of this like 17 years ago so things have definitely changed, but let me know if you have any questions and I am more than happy to help. Thank you guys so much for watching and I'll see you in the next one.