Housekeeping

in the Dental
Office
○ You will be able to:

• Know what are the 7S

• Recognize the importance of good
housekeeping
• Understand housekeeping
responsibilities
• Develop good housekeeping habits
• Identify and eliminate housekeeping
hazards
• Help prevent workplace fires and
accidents
Objectives

NAME OR LOGO 2
 • Eliminates accident and fire
hazards.
• Maintains safe, healthy work
conditions
• Saves time, money, materials,
space, and effort.
• Improves productivity and
quality.
• Boosts morale.
Benefits of Good • Reflects a well-run organization.
Office Housekeeping

NAME OR LOGO 3
 • Slips, trips, and falls
• Fires
• Chemical and machine
accidents
• Injuries from electrical
problems
• Collisions and falling objects
• Lost if important medical
files/records
Cost of Poor • Health problems
Housekeeping

NAME OR LOGO 4
7S Methodology of
Organization
The 7S Methodology is an expanded form of the original 5S.
More efficient and waste-free operations.

NAME OR LOGO 5
NAME OR LOGO 6
It was Sakichi Toyoda and son
Kiichiro as well as Toyota engineer
Taiichi Ohno who developed the 5S
methodology or what they called the
Total Production System of TPS
after World War II.
The 5S Methodology formed by Toyota offered each
employee a level of importance and encouragement that
every job was essential to the process and end product.
Waste was kept to a minimum and workspace
organization led to timely outcomes with genuine
employee pride.

NAME OR LOGO 7
7S of Good Housekeeping in the office

Sort Set in Order Shine Standardize Sustain

Seiri Seiton Seiso Seiketsu Shitsuke

NAME OR LOGO 8
The Problem

Safety Spirit

NAME OR LOGO 9
 Take out unnecessary items

In a process called “red tagging,” all workplace

items are sorted through, with a red tag placed
on any that are not absolutely necessary for
completing a task. Once tools, supplies,
materials and equipment have been tagged,
they are then relocated to a holding area for a
follow up evaluation. Items that are only seldom
used can be stored closer in proximity to
the workspace, while obsolete clutter should be
discarded.
Sorting’s benefits include: a more effective
SORT use of space, simplified tasks, a reduction in
hazards, and a significant decrease in distracting
clutter.

NAME OR LOGO 10
 Arrange items to promote
efficient workflow.
The goal of this step is to examine methods of
storage that are effective and efficient, sometimes
referred to as “visual management,” and then create
a work environment that is organized, ergonomic,
uncluttered and easily navigable.

Some questions to ask during this step might be:

Which specific items are needed to perform a task?
How many items need to be readily accessible and
where should they be located?

The methodical storage of materials means that every

item has a predetermined location where it will
remain until it used, and then it will be returned
immediately following its use. Labels and color coding
SET IN ORDER are also helpful techniques to use in this step. With
an organized and efficient use of storage, everyone is
easily able to locate important items and enjoy a less
stressful work environment.
NAME OR LOGO 11
 Clean the work area so it is
neat and tidy.
With the clutter gone and the storage
organized, the next step is to properly
and thoroughly clean the work area
every day. This step is critical as a way
of sustaining the improvements begun
in the Sort and Set phases. All storage
areas, machines, equipment, tools and
work surfaces must be cleaned and
checked regularly. Employees will feel
more comfortable in this clean and
uncluttered environment, which could
SHINE also lead to increased ownership of the
organization’s goals and vision.

NAME OR LOGO 12
 Sets standards for a
consistently organized
workplace.
All employees need to be included in
the creation of a set of standards that
will become the new norm for the
workspace. When these new standards
and best practices are implemented, the
old habits will soon die out and be
replaced by the more efficient patterns
of behavior. New standards, however,
will probably require some oversight and
enforcement until they are habitual;
STANDARDIZE reminders such as visuals and emails
are effective tools to help these new
standards become set in stone.
NAME OR LOGO 13
 Maintain and review
standards.
The final step of 5S is certainly the
most challenging: remaining disciplined
enough to sustain the positive changes
made in the first three steps. It is critical
that the new system be maintained or
the efforts and costs put into developing
the new system will be pointless. By
putting a formal system in place that
includes regular training and
communication, employees will be able
to comfortably conform to the
SUSTAIN company’s 5S procedures..

NAME OR LOGO 14
How is it evaluated?

NAME OR LOGO 15
Occupational Health
and Safety in Dentistry
“If you think compliance is expensive, try
accident.” -Anonymous

NAME OR LOGO 16
Occupational safety and health is a
discipline with a broad scope involving
three major fields – Occupational Safety,
Occupational Health and Industrial
Hygiene.

○ Occupational safety deals with

understanding the causes of accidents at
work and ways to prevent unsafe act
and unsafe conditions in any workplace.
Safety at work discusses concepts on
good housekeeping, proper materials
handling and storage, machine safety,
electrical safety, fire prevention and
control, safety inspection, and accident
investigation.
Introduction to OSH

NAME OR LOGO 17
○ Occupational health is a broad concept
which explains how the different hazards
and risks at work may cause an illness
and emphasizes that health programs
are essential in controlling work-related
and/or occupational diseases.

○ Industrial hygiene discusses the

identification, evaluation, and control of
physical, chemical, biological and
ergonomic hazards.

Other terms

Introduction to OSH
○ Hazard – a source or situation with a
potential to cause harm in terms of
injury, ill health, damage to property,
damage to the environment or a
combination of these.

NAME OR LOGO 18
Dental healthcare professionals (DHPs)
may be exposed to a variety of workplace
hazards in the course of performing their
functions . The type and degree of
exposure is dependent upon:

 Type of services provided

 Types of service users

 Specific tasks performed

Introduction to OSH

NAME OR LOGO 19
Types of Hazards

1.Physical
2.Chemical
3.Biological
4.Psychosocial

NAME OR LOGO 20
Physical Hazards

During dentistry procedures, the dentist’s posture is strained, which

PHYSICAL induces stress injury on the musculoskeletal system . This occurs in
37 .7% of work time (Ayatollahi, 2012) .
a) Musculoskeletal (i .e .
The main factors associated with any task risk assessment are:
posture) • Static positions that may be required (defined as “working
b) Ionizing radiation posture maintained longer than four seconds; this applies to slight
or non-existent variations around a fixed force level, delivered by
c) Non-ionizing radiation muscles and other body structures)
• Duration of task
d) Pressure systems • Awkward postures for dental personnel
• Tasks requiring:
• extended reach; bent or twisted necks; or abducted arms
(drawing out to the side) .

NAME OR LOGO 21
Physical Hazards
Engineering Controls
PHYSICAL
• Good ergonomic design of
workstation, chairs, instruments
a) Musculoskeletal (i .e . and equipment.
posture) • Use of automatic and ultrasonic
instruments / tools
b) Ionizing radiation whenever possible
c) Non-ionizing radiation • Use of indirect vision when
treating maxillary teeth
d) Pressure systems • Minimization of glare through
the use of appropriate lighting
and window coverings
Administrative/Management
controls
• Adjustment of the workstation to
the patient each time
• Scheduling of patients in an
effort to reduce risk factors
• Training regarding ergonomic
hazards and control strategies
• Alternating working posture
frequently and performing
stretches during any micro-
breaks
• Including ergonomic
considerations in all
workstation/work equipment
procurement policies.
NAME OR LOGO 22
Physical Hazards

PHYSICAL

a) Musculoskeletal (i .e .
posture)
b) Ionizing radiation
c) Non-ionizing radiation
d) Pressure systems

NAME OR LOGO 23
Physical Hazards

Dental xray units are important diagnostic devices. The dental team
PHYSICAL needs to protect both the patient and the operator of the ionizing
radiation emitted by the unit.
a) Musculoskeletal (i .e . Engineering Controls Administrative/Management
posture) controls
• Workplace design to provide • Radiation safety program
b) Ionizing radiation distance between worker and
source.
c) Non-ionizing radiation
• Appropriate shielding materials.
d) Pressure systems • Positioning devices for patients

NAME OR LOGO 24
Physical Hazards

PHYSICAL

a) Musculoskeletal (i .e .
posture)
b) Ionizing radiation
c) Non-ionizing radiation
d) Pressure systems

NAME OR LOGO 25
Physical Hazards

PHYSICAL

a) Musculoskeletal (i .e .
posture)
b) Ionizing radiation
c) Non-ionizing radiation
d) Pressure systems

NAME OR LOGO 26
Physical Hazards
Non-ionizing radiation has become an important concern with the use of lasers, blue light and to cure various
dental materials (for example composites and other resins) .

The main occupational hazards associated with the use of lasers

PHYSICAL
a) Musculoskeletal (i .e .
posture)
b) Ionizing radiation
c) Non-ionizing radiation
d) Pressure systems
are: Eye damage, Skin damage, Fire, Smoke inhalation (cellular
and viral debris.
Engineering Controls Administrative/Management
controls
• good workplace design (covering • Laser safety programme
curing site), and • Staff training,
• blue light filters • Equipment maintenance as per
• lock/key access for activation manufacturer’s guidelines

NAME OR LOGO 27
Physical Hazards
Non-ionizing radiation has become an important concern with the use of lasers, blue light and to cure various
dental materials (for example composites and other resins) .

PHYSICAL

a) Musculoskeletal (i .e .
posture)
b) Ionizing radiation
c) Non-ionizing radiation
d) Pressure systems

NAME OR LOGO 28
Physical Hazards
The failure of pressure equipment can result in serious injuries to staff/patients and cause major damage to
structure / property . The control measures to prevent such failures relate to the mechanical integrity of the
equipment involved .

PHYSICAL
Typical pressure equipment used in
dentistry includes:
a) Musculoskeletal (i .e .
posture) • compressed gas cylinders,
• autoclaves,
b) Ionizing radiation • compressed air systems (fixed and
c) Non-ionizing radiation portable)
d) Pressure systems

NAME OR LOGO 29
Physical Hazards
The failure of pressure equipment can result in serious injuries to staff/patients and cause major damage to
structure / property . The control measures to prevent such failures relate to the mechanical integrity of the
equipment involved .
COMMONLY USED IN THE PHILIPPINES
PHYSICAL
AUTOCLAVES CONTROL MEASURES

a) Musculoskeletal (i .e . • The most serious risks • Control measures to mitigate

posture)
b) Ionizing radiation
c) Non-ionizing radiation
d) Pressure systems
associated with autoclaves come such risks include:
from the uncontrolled release of • determine the type of
stored energy (for example equipment (for example size,
inadvertent opening or failure of operating pressure, pressurising
door mechanism while under medium) and control system
pressure) . Others include: (manual or automated);
• Scalding • Assess the risk of door opening
• Explosion of sealed glass violently, under pressure
containers containing liquids .

NAME OR LOGO 30
Physical Hazards
The failure of pressure equipment can result in serious injuries to staff/patients and cause major damage to
structure / property . The control measures to prevent such failures relate to the mechanical integrity of the
equipment involved .
COMMONLY USED IN THE PHILIPPINES
PHYSICAL
AUTOCLAVES CONTROL MEASURES

a) Musculoskeletal (i .e . • The most serious risks • Control measures to mitigate

posture)
b) Ionizing radiation
c) Non-ionizing radiation
d) Pressure systems
associated with autoclaves come such risks include:
from the uncontrolled release of • determine the type of
stored energy (for example equipment (for example size,
inadvertent opening or failure of operating pressure, pressurizing
door mechanism while under medium) and control system
pressure) . Others include: (manual or automated);
• Scalding • Assess the risk of door opening
• Explosion of sealed glass violently, under pressure
containers containing liquids .

NAME OR LOGO 31
Physical Hazards
The failure of pressure equipment can result in serious injuries to staff/patients and cause major damage to
structure / property . The control measures to prevent such failures relate to the mechanical integrity of the
equipment involved .

PHYSICAL

a) Musculoskeletal (i .e .
posture)
b) Ionizing radiation
c) Non-ionizing radiation
d) Pressure systems

NAME OR LOGO 32
Chemical Hazards
Dental medicaments and materials, as well as disinfectants used in dental surgeries, can cause allergies and
skin diseases .

Chemical Hazard Sources and Controls

Chemical
Anesthetic Gases The main sources of exposure to
dental healthcare professionals are
a) Anesthetic Gases from:
• the patient’s exhaled breath,
b) Amalgam • leaks in breathing circuits and
face masks .
c) Acrylate and its The main controls are:
compounds • Scavenging system
• Room ventilation
d) Latex • Maintenance of equipment
Amalgam All those involved with the
handling of mercury in any form
should understand its potential
hazards and receive training in
safe handling procedures to deal
with mercury spills, including t LOGO
NAME OR 33
Chemical Hazards
Dental medicaments and materials, as well as disinfectants used in dental surgeries, can cause allergies and
skin diseases .
Chemical Hazard Sources and Controls
Anesthetic Gases The main sources of exposure to
Chemical dental healthcare professionals are
from:
• the patient’s exhaled breath,
a) Anesthetic Gases
• leaks in breathing circuits and
b) Amalgam face masks .
The main controls are:
c) Acrylate and its • Scavenging system
compounds • Room ventilation
• Maintenance of equipment
d) Latex Amalgam All those involved with the
handling of mercury in any form
should understand its potential
hazards and receive training in
safe handling procedures to deal
with mercury spills.
NAME OR LOGO 34
Chemical Hazards
Dental medicaments and materials, as well as disinfectants used in dental surgeries, can cause allergies and
skin diseases .
Chemical Hazard Sources and Controls
Chemical Amalgam Dispatch documentation for
hazardous waste (including waste
transfer forms, hazardous waste
a) Anesthetic Gases transport documents and tagging
records) must be completed correctly
b) Amalgam and records kept by the waste
generator .
c) Acrylate and its
Acrylate and its Compounds Dental polymer materials based on
compounds
Methacrylate, used as a filler, seem to
d) Latex be a major cause of contact
dermatitis in dental personnel and
also a cause of occupational asthma.

NAME OR LOGO 35
Chemical Hazards
Dental medicaments and materials, as well as disinfectants used in dental surgeries, can cause allergies and
skin diseases .
Chemical Hazard Sources and Controls
Chemical Acrylate and its Compounds • When possible, substitution with
less harmful product,
• Maintain adequate general
a) Anesthetic Gases ventilation,
• Enclosed mixing devices
b) Amalgam • Local exhaust ventilation
• Develop safe work procedures,
c) Acrylate and its • Maintain good hygiene practices,
compounds • Staff training

d) Latex Latex Natural rubber latex (NRL) can cause

asthma and dermatitis . Latex is used
in medical gloves, but is also found in
medical products (for example rubber
dam equipment, elasticised
bandages, dressings).
• Use alternative like Nitrile
NAME OR LOGO 36
Chemical Hazards
Dental medicaments and materials, as well as disinfectants used in dental surgeries, can cause allergies and
skin diseases .
Chemical Hazard Sources and Controls
Chemical Acrylate and its Compounds • When possible, substitution with
less harmful product,
• Maintain adequate general
a) Anesthetic Gases ventilation,
• Enclosed mixing devices
b) Amalgam • Local exhaust ventilation
• Develop safe work procedures,
c) Acrylate and its • Maintain good hygiene practices,
compounds • Staff training

d) Latex Latex Natural rubber latex (NRL) can cause

asthma and dermatitis . Latex is used
in medical gloves, but is also found in
medical products (for example rubber
dam equipment, elasticised
bandages, dressings).
• Use alternative like Nitrile
NAME OR LOGO 37
Chemical Hazards
Dental medicaments and materials, as well as disinfectants used in dental surgeries, can cause allergies and
skin diseases .

Chemical

a) Anesthetic Gases
b) Amalgam
c) Acrylate and its
compounds
d) Latex

NAME OR LOGO 38
Biological Hazards
Dentists may be exposed to a variety of microorganisms via blood or oral / respiratory secretions .
BIOLOGICAL HAZARD
May become in contact with
viruses, such as hepatitis B and C, Herpes
Simplex virus types 1 and 2, HIV and
cytomegalovirus; and bacteria, such as
mycobacterium tuberculosis .
Sources and Controls
• Contact with contaminated sharps and
healthcare waste
• Respiratory infectious disease through
splatters from bodily fluids and/or
projectiles while using high-speed rotary
handpieces;
• Respiratory infectious disease through
airborne transmission; and
• Environmental biological contaminants from
water/ventilation systems (for example
legionella
NAME OR LOGO 39
Biological Hazards
Dentists may be exposed to a variety of microorganisms via blood or oral / respiratory secretions .

The elements of standard precautions are:

• Occupational health programme (including immunization and
screening)
• Hand hygiene,
• Use of personal protective elements
• Management of spills of blood and bodily fluids,
• Appropriate patient placement, management of sharps,
• Management of needle-stick injuries

NAME OR LOGO 40
Biological Hazards
Dentists may be exposed to a variety of microorganisms via blood or oral / respiratory secretions .

NAME OR LOGO 41
Biological Hazards
Dentists may be exposed to a variety of microorganisms via blood or oral / respiratory secretions .

DENR Administrative Order No. 2013-22 requires

PCOs to complete a Basic PCO Training Course
by an EMB-recognized training organization.
RA6969: Toxic Substances and Hazardous and
Nuclear Waste Control Act of 1990

One dental clinic, one PCO (Pollution Control Officer)

NAME OR LOGO 42
Biological Hazards
Dentists may be exposed to a variety of microorganisms via blood or oral / respiratory secretions .

NAME OR LOGO 43
Psychosocial Hazards
According to (Ayatollahi, 2012), 83% of dentists believe dentistry is “very stressful”, with nearly 60% believing
that dentistry is more stressful than other professions .

How to address:
Some of the main sources of stress in dentistry include: • ensuring adequate staffing levels
• Overcoming pain and fear and skill mix,
• Patient dissatisfaction with treatment • Organizing shift patterns, clearly
• Running behind schedule specifying roles and responsibilities,
• Work–life balance • Internal communication
• “Technostress” • Employee discretion and promoting
worker participation
• Stress management counselling

NAME OR LOGO 44
ARCTRAININGTOOLS
7s-https:/www.slideshare.net/BeenaEdward/7s-73144515
https:/www.scribd.com/presentation/330139588/01-7S-Methodology
https:/www.brighthubpm.com/monitoring-projects/70488-history-of-the-5s-methodology/
https:/www.sixsigmadaily.com/5s-sort-set-shine-standardize-sustain/

GuidanceonOccupationalHazardsinDentistryofHealthandSafetyAuthortity