teknik asepsis otopsi

7/26/2019 Teknik Asepsis Otopsi

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Rahmadaniah Khaerunnisa -130120150002

Mata kuliah : Forensik Odontologi

Pengampu : Yuti Malinda, drg., MM., M.Kes.

Program Magister Ilmu Kedokteran Dasar

Fakultas Kedokteran Universitas Padjadjaran


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safe working in a mortuary and post-mortem

facility requires a high standard of trainingand education, and visitors should be guided

in all aspects of health and safety

the guidance represents what is consideredto be good practice


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those in charge of health and safety in the mortuary

should be able to : identify and assess risks

ensure such risks are avoided or adequately controlled

prepare comprehensive standard operating procedures

specific to the facility

there is a potential, through poor hygiene, totransmit infections to the environment outside

the mortuary setting adherence to the appropriate health and safety

principles greatly reduces this risk


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forensic dentists/odontologists working in the

mortuary will be advised how to conduct their

examinations safely a risk assessment is required for each case and

the precautions to be followed are decided

factors to consider include the following :

known or suspected infection hazards


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strictly controlled access using ID badges an organized methodical workflow to prevent

excess manual handling restricted movements between clean and dirty

areas appropriate cleaning and disinfection of

instruments, workstations and floors designated working hours and rest breaks to

prevent human error due to tiredness appropriate use and disposal of personal

protective equipment (PPE) radiation protection


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standard operating procedures in the mortuary will set out strict standards of personalhygiene which all staff must follow, measures for personal hygiene include :

change into protective clothing before carrying out any post-mortem examination always wear the correct protective clothing (high-risk cases may require respiratory

protection) remove protective clothing when leaving the post-mortem area, and dispose of it

appropriately open wounds, cuts, skin abrasions or active dermatitis on exposed skin should have

the area adequately protected by waterproof dressings actions that bring the hands (gloved or otherwise) into contact with face, eyes,

nose and mouth should be avoided

hands should be thoroughly washed prior to leaving any of the designated dirtywork areas of the mortuary, and showering ensures that skin and hair are free fromcontamination

smoking, drinking and eating are strictly prohibited in areas that are not specificallydesignated for that use


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protective clothing usually supplied is : surgical shirt and trousers (scrubs)

long-sleeved surgical gown or coverall (TYVEK)

plastic apron which extends outside boots

waterproof boots with non-slip soles

disposable surgical gloves (double gloving may be appropriate in high-risk cases)

visor or mask with goggles (a ventilated visor/hood should be used for high-risk cases)

disposal of PPE is strictly controlled and the changing area should have adirty and clean side

reusable PPE such as scrubs should be placed in an appropriately labeled

laundry container on the dirty side reusable PPE such as visors or boots should be cleaned and disinfected atthe end of each session as detailed in standard operating procedures

disposable PPE such as gloves, aprons or gowns/overalls can be disposedof in a clinical waste bin on leaving the post-mortem area


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the mortuary and post-mortem room environment must beregularly cleaned and disinfected so that all infectiousagents are kept to a level which is not harmful to health.

all surfaces should be washed down with detergent and

rinsed prior to application of the disinfectant the most commonly used disinfectants in the mortuary andpost-mortem room are clear soluble phenolics, chlorine-based hypochlorites, quaternary ammonium compounds(quats) and halogenated tertiary amines

instruments, after use, decontaminated using a washer-disinfector

non-disposable protective equipment such as visors andboots should also be cleaned and disinfected at end of eachsession


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waste generated from the post-mortem room isclassified as clinical waste

all clinical waste is required to be contained within thecorrect sack and appropriately sealed and labeled

contaminated sharps which are disposable should bediscarded in a solid container

protective clothing that is reusable is divided into threecategories : used (soiled and foul)

infected

heat-labile (fabrics that would be damaged by normal heatdisinfection processes and likely to be damaged at thermaldisinfection temperatures)


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all those working in the mortuary should be

immunized, as a minimum, against hepatitisb, tetanus and tuberculosis

immunization procedures for staff are based

on guidance in several relevant departmentof health publications

teknik asepsis otopsi

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