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Who is required to sign off on the bottom of the safer device evaluation form for dental practices?

Ask ADS is not sure of the exact form that you are referring to, however relevant forms available on the CDC website will be used in this response.

The Oral Health Division of the Centers for Disease Control and Prevention includes information pertaining to the screening and evaluation of safer dental devices on its website. This information can be accessed at: https://www.cdc.gov/oral-health/index.html. 

Screening and Evaluating Safer Dental Devices: https://www.cdc.gov/dental-infection-control/media/pdfs/sample-screening-form.pdf ¹

This section includes sample forms for screening and device evaluation.

Instructions for using the sample screening form states:

Completing the Form
It is recommended that an appropriately trained staff person be designated as the safety coordinator for your clinic. In the screening phase, include a representative of each type of dental health care personnel (DHCP) that will be using or handling the device. Be sure that each person completing the form has a sample of the safer device as well as the traditional device in front them. ¹

Instructions for using the sample device evaluation form states:

Obtaining Feedback
Select staff who represent the scope of dental health care personnel (DHCP) who will use or handle the device. It is recommended that an appropriately trained staff person be designated as the safety coordinator for your clinic. Choose a reasonable testing period − 2 to 4 weeks should be sufficient. Staff should receive training in the correct use of the device, which can often be provided by product representatives. Encourage staff to provide informal feedback during the evaluation period. Monitor the pilot test to ensure proper use of the safer device and remove the device immediately if it is found to be unsafe. Forms should be completed and returned to the safety coordinator as soon as possible after the evaluation period. ¹

Further information is available at:
Further information is available at: https://www.cdc.gov/oral-health/index.html.²

Resources

1) US Centers for Disease Control and Prevention – Oral Health. Screening and Evaluating Safer Dental Devices.
 https://www.cdc.gov/dental-infection-control/media/pdfs/sample-screening-form.pdf. Accessed on December 11, 2017.

2) US Centers for Disease Control and Prevention – Oral Health. Instructions for Using the Sample Screening Form. https://www.cdc.gov/oral-health/index.html. Accessed on December 11, 2017.

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