Effective date: 10/16/1996

    (1) Licensees infected with the Hepatitis B virus will be monitored by Board approved consultants to verify compliance with accepted barrier techniques as set forth in Rule 64B5-25.004, F.A.C.
    (2) Board-approved consultants acting as monitors shall be required to successfully complete a Board approved educational program for licensees infected with the Hepatitis B virus as described in Rule 64B5-25.004, F.A.C., prior to monitoring any licensee infected with the Hepatitis B virus.
    (3) Monitors will perform their duties by making random, onsite visits at least once a year for a three (3) year period and at least tri-annually thereafter, to any clinical dental setting where an identified licensee infected with the Hepatitis B virus practices or is employed. The inspection and evaluation of compliance shall include the following procedures, the results of which must be reported to the Board’s Executive Director within 14 days of the monitor’s visit:
    (a) Personal interviews with each member of the office staff regarding procedures which are followed in the clinical setting.
    (b) Review of the dentist’s appointment book to document the number of days the dentist has practiced since notification of being infected or the last evaluation, and the number of patients seen since that date.
    (c) The number of boxes of examination and surgical protective gloves on hand and the number purchased since notification of infection or the last evaluation.
    (d) The number and type of masks on hand and the number and type purchased since notification of infection or the last evaluation.
    (e) A determination of whether all personnel since notification of infection or any new personnel since the last evaluation have been checked for surface antigens and surface antibodies and whether all personnel have been specifically educated regarding appropriate sterilization, disinfection and barrier technique necessary to prevent communication of the Hepatitis B virus.
    (f) Identification and description of training provided and procedures and protocols utilized.
    (g) A determination of whether all office personnel are familiar with procedures and reporting requirements which are necessary if a break in barrier techniques occurs.
    (h) A determination of whether heat sterilization is routinely used and whether the heat sterilization is monitored monthly.
    (i) A determination of the type of cold disinfectant used, its spectrum, brand name and chemical composition.
    (j) A list of instruments and materials which are routinely cold sterilized and a determination of the efficacy of the procedures.
    (k) Identification and documentation of any incidents of a break in barrier technique or potential breaks which were averted.
    (l) Documentation of the monitor’s conclusions regarding compliance which addresses the results of each of the procedures outlined above.
    (4) Should a monitor determine that unreported breaks in barrier techniques have occurred, or should the monitor determine that appropriate sterilization, disinfection and barrier techniques have not been followed adequately to protect the public, the monitor shall so notify the Board’s Executive Director by telephone within 24 hours of the on-site inspection and provide written confirmation within 72 hours.
Rulemaking Authority 456.032, 466.004(4), FS. Law Implemented 456.032, 466.028(1)(t), (v), (y), 466.041(3) FS. History—New 7-12-88, Amended 10-28-91, Formerly 21G-25.005, 61F5-25.005, Amended 10-16-96, Formerly 59Q-25.005.