title: Are oral-maxillofacial surgery patients given proper postoperative instructions for disposal of blood-soaked gauze packs?
abstract: OBJECTIVE
  Although there are Occupational Safety and Health Administration guidelines for the proper disposal of hazardous waste in the dental office, there are no guidelines for patients regarding the disposal of the gauze packs that are usually placed after tooth extraction or other dental surgery. Thus there is the possibility of cross contamination by patients with undiagnosed blood-transmitted viral diseases. The purpose of this study was to determine what, if any, instructions are given by oral and maxillofacial surgeons (OMSs) and if such instructions are adequate.
  
  
  METHODS
  A 5-question survey was sent electronically to 375 randomly selected OMSs, and there was a 17% response. They were asked whether they provided written and verbal postoperative instructions, whether these included instructions about gauze pack disposal, and whether they gave special instructions to patients with known viral diseases such as hepatitis or human immunodeficiency virus infection.
  
  
  RESULTS
  All respondents indicated that they provided both written and verbal postoperative instructions. However, only 1 respondent's instructions indicated how to dispose of the gauze pack, and only 1 gave special instructions to patients with known viral infections.
  
  
  CONCLUSIONS
  There is a need for OMSs to provide specific instructions to all patients about the proper disposal of blood-soaked sponges to avoid potential cross contamination.
authors.affiliation: Dental Student, Department of Oral and Maxillofacial Surgery, Virginia Commonwealth University School of Dentistry, Richmond, VA.
authors.forename: Alyssa
authors.initials: A
authors.lastname: Franklin
authors.affiliation: Professor and Chairman Emeritus, Department of Oral and Maxillofacial Surgery, Virginia Commonwealth University School of Dentistry, Richmond, VA. Electronic address: dmlaskin@vc.edu.
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Laskin
mesh_terms: D001769:Blood; D006801:Humans; D010353:Patient Education as Topic / Q000379:methods*; D011182:Postoperative Care; D013515:Surgery, Oral; D015503:Surgical Sponges; D011795:Surveys and Questionnaires