Universal Infection Control Precautions
Contents
1. 2009 Infection Prevention and Control Minimum Standards RCN London Peate 2008 Body fluids part 1 infection control British Journal of Healthcare Assistants 2008 Vol 02 No 01 The Epic Project Developing National Evidence based Guidelines for preventing Healthcare associated Infections Phase 1 Guidelines for Preventing Hospital Acquired Infections Journal of Hospital Infection 2001 47 Supplement Page 13 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse Thomas V ed 2011 Fundamental Aspects of Infection Prevention and Control Quay Books London Chapter 7 UK Health Departments 1998 Guidance for Clinical Health Care Workers Protection against infection with blood borne viruses Recommendations of the Expert Advisory Group on AIDS and the Advisory Group on Hepatitis London DH WHO 2009 Guidelines on Hand Hygiene in Health Care First Global Patient Safety Challenge Clean Care is Safer Care Chapter 7 Page 14 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse Tri stel Appendix 1 Management of blood bodily fluid spillages Put on PPE gloves and apron Using absorbent material Conti wipe or paper towel soak up the spill removing as much as physically possible Discard the soiled wipes to clinical waste bag Apply Tristel Fuse or Jet to the contaminat2. Fresh PPE to be worn immediately prior to that patient contact episode Gloves should be worn as single use items Remove gloves immediately after completing the task they were required for Change gloves between caring for different patients or between different care treatment activities for the same patient If known or highly suspected infection gloves must be disposed of through the orange waste stream e Sterile gloves low protein should be worn for all operative and invasive procedures that require an aseptic technique ANTT e Non sterile gloves low protein should be worn for non sterile procedures when contact with blood or body fluids is possible Non sterile gloves can be worn when performing an aseptic non touch technique see Aseptic Policy Section G e Special gloves are required for use with certain chemicals Seek advice from the manufacturer of the Chemical and comply with COSHH e Staff with a known or suspected latex allergy must not use latex gloves and must contact Occupational Health as soon as possible for advice Latex gloves must not be used if the patient has or is suspected of having a latex allergy Alternative gloves can be provided for those with allergies Page 8 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse d e f Plastic Aprons Disposable plastic aprons must be worn when there is a risk that clothing or unif
3. in the Trust Nursing staff must always comply with Nursing and Midwifery Code of Professional Conduct The Code and delegate to those only who are competent for that delegated task All other professional staff must abide by their Professional Code together with the Trust s policies and procedures Page 5 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse 5 Risk Assessment All healthcare workers HCWs must carry out a risk assessment on the possible exposure to blood and body fluids and the risk of substances containing harmful organisms HCWs should always implement infection prevention and control precautions to prevent transmission of these organisms and minimise the spread of infection HCWs with direct clinical and environmental contact must also assess the risk of contamination to their own clothing uniform from microorganisms and implement infection prevention and control precautions to prevent further spread Infection Prevention and Control Precautions a Hand Hygiene and Hand Care Hand decontamination is the single most important measure in infection control Effective hand decontamination can significantly reduce infection rates WHO 2009 Hand hygiene should be undertaken immediately before and directly after any patient contact or procedures including those defined as social contact Hands should be free from organic materia
4. with certain respiratory diseases e g multi drug resistant TB and procedures e g bronchoscopy A limited emergency supply is available from the Infection Control cupboards located outside Old Ward 10 Calderdale Royal Hospital key held by site co ordinator and Infection Prevention and Control Nurses and outside Pathology at Huddersfield Royal Infirmary key from security staff on the front desk For further information on the usage of masks please refer to Section S Tuberculosis of the Infection Control Policies and Guidelines Manual If a patient is suspected to have or is confirmed to have flu seasonal or pandemic a surgical mask is sufficient to wear upon entering the patients service users side room and for performing most medical nursing Page 9 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse g tasks If however aerosol generating procedures are to be performed e g bronchoscopy CPR a FFP3 mask is advised The ordering and stock levels of the FFP3 masks are the sole responsibility of the ward department All PPE together with any waste produced must be disposed of into the appropriate waste stream Hands should always be decontaminated before and after removal of any PPE Disposal of Sharps Sharps that are handled incorrectly and not disposed of adequately are extremely dangerous It is the responsibility of the user to dispose of their sharps dev
5. Surfaces Activator amp Base Safety Data Sheet Product Name Triste Fuse for Surfaces Activator Solution Handling and storage Handling Safe handling in accordance guidelines with label instructions Not to be mixed with other chemicals Keep from children Storage Store out of direct sunlight guidelines Shelf life two years see product for expiry date Exposure controls personal protection Personal protection Avoid eye contact and prolonged skin contact Gloves and apron Recommended Skin contact Low risk No known hazard Eye contact Low risk No known hazard Inhalation Low risk Ingestion Low risk substantial ingestion may cause discomfort to mouth and digestive tissues Physical and chemical Properties Physical state Liquid Appearance and Clear colourless solution no odour odour Evaporation rate As water Boiling point 100 degrees centigrade Product Name Revision Number FUS SUR SDS 006 Publication Date 19 02 08 Tristel Fuse for Surfaces Base Solution Handling and storage Handling guidelines Storage guidelines Safe handling in accordance with label instructions Not to be mixed with other chemicals Keep from children Store out of direct sunlight Shelf life two years see product for expiry date Exposure controls personal protection Personal protection Skin contact Eye contact Inhalation Ingestion Avo
6. UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse Calderdale and Huddersfield NHS NHS Foundation Trust Section C Standard Precautions Version 4 Important This document can only be considered valid when viewed on the Trust s Intranet If this document has been printed or saved to another location you must check that the version number on your copy matches that of the document online Page 1 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse Document Summary Table Unique Identifier Number C 47 2011 Status Approved Version 4 Implementation Date June 2002 Current Last Review February 2006 Dates July 2008 Next Formal Review April 2013 Sponsor Infection Prevention amp Control Director Author Infection Prevention amp Control Nurse Where available Trust Intranet Target audience All Staff Ratifying Committees Executive Board July 2011 Consultation Committees Committee Name Committee Chair Date Infection Prevention amp Control Consultant June 2011 Committee Microbiologist Infection Prevention amp Control Doctor Other Stakeholders Consulted All Calderdale and Huddersfield NHS Foundation Trust Infection Prevention and Control Nurses Does this document map to other Regulator requirements Regulator details Regu
7. act Rinse eyes with water Skin contact Wash affected area with water Skin contact Wash affected area with water Ingestion Do not induce vomiting Ingestion Do not induce vomiting give milk or water to drink Seek medical advice where necessary Fire fighting measures Non flammable Accidental release measures Environmental Precautions Environmental precautions required but product is biodegradable under OECD conditions operational 6 1995 Flush to drain with water or soak up onto inert material and dispose of with clinical waste Clean up method Clothing for disposal Wear appropriate gloves and apron give milk or water to drink Seek medical advice where necessary Fire fighting measures Non flammable Accidental release measures Environmental Precautions Environmental precautions required but product is biodegradable under OECD conditions operational 6 1995 Clean up method Flush to drain with water or Clothing for disposal soak up onto inert material and dispose of with clinical waste Wear appropriate gloves and apron This document conforms with Regulation 6 of the Chemicals Hazard Information and Packaging Supply Regulations 2002 CHIP3 Tristel User Manual Section 4 Master File January 2008 Revision Number 005 5 Page 19 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse Tristel Fuse for
8. amp Guidelines Page 12 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse 11 Section G Aseptic Technique Policy Section H Hand Hygiene Section M Management of Clinical Sharps Injuries and Exposure to Blood and High Risk Body Fluids Section P Care of the Deceased Section S Tuberculosis Section T Multi Resistant Organism Policy NICE Clinical Guideline 2 2003 Infection Control Prevention of Healthcare Associated Infections in Primary and Community Care NICE London Wilson J 2006 Infection Control in Clinical Practice 3 Edition Bailliere Tindall London References DH 2008 The Health and Social Care Act Code of practice for the NHS on the prevention and control of healthcare associated infections and related guidance epic2 National Evidence Based Guidelines for Preventing Healthcare Associated Infections in NHS Hospitals in England Journal of Hospital Infection 2007 65 Supplement p S18 Hawker J Begg N Blair I Reintjes R Weinberg J 2005 Communicable Disease Control Handbook 2 edition Blackwell London Needlestick Injuries Document available at http Awww nhsemployers org Aboutus Publications Documents Needlestic k 20injuryPDF NPSA Based on My 5 moments for Hand Hygiene Copyright WHO 2009 NMC 2008 The Code Professional Code of Conduct for Nurses and Midwives Nursing and Midwifery Council London RCN
9. anual Section 4 Master File January 2008 Revision Number 005 7 Page 22 of 22
10. body which includes blood urine faeces saliva tears breast milk CSF semen vaginal fluid amniotic fluid pleural fluid peritoneal fluid bile digestive juices vomit pus other infected discharges and serous fluid Definition of Contact a Social Contact Social contact may be defined as a physical contact occurring between a healthcare worker and the patient service user that might occur in a non intimate social setting such as a simple handshake b Direct Clinical Contact Direct contact is more than would be expected in a social environment and involves close contact with the patient service user and or their immediate environment including physical examinations performed on ward rounds Direct clinical contact that involves contact with open wounds invasive devices and other vulnerable sites significantly increases the risk of infection cross transmission c Indirect Contact Indirect contact would include for example the use of chairs within a waiting room during a consultation in the ward environment seat backs examination trolleys shared toilet bathroom facilities some viable fungus persist in shower bathroom for long periods The use of equipment e g drip stands BP machines pulse oximeters also any contact with the patients environment e g bedside tables lockers Duties Roles and responsibilities The Chief Executive is responsible for ensuring that there are effective infection control arrangements
11. cautions are infection prevention and control precautions that should be applied as standard principles by all healthcare staff to the care of all patients at all times Standard precautions includes universal precautions which regards all blood and body fluids to be potentially infected Standard precautions also considers the risk of contact with patients intact skin and the possibility that the immediate environment may be potentially contaminated with pathogenic micro organisms These precautions include the use of personal protective equipment PPE the safe handling and disposal of sharps managing blood and bodily fluids handling and disposal of waste and hand hygiene It is generally recognised that many patients service users visitors and staff who are not obviously ill may be carrying viruses or other pathogens in their blood body fluids and pathogens such as MRSA on their skin Such organisms present an infection hazard to other patients service users and all healthcare workers who come into contact with them The implementation of precautions only upon diagnosis of infection may not prevent cross transmission Therefore in order to protect patients service users and staff we must consider all blood and body fluids from all patients i e adults children and neonates and staff to be infected and incorporate measures to minimise the risk of exposure into everyday practices The DH 2008 states Effective prevention and contr
12. ed surface and leave to dry Do not rinse Discard PPE and used cloths to clinical waste bag Page 15 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse Tristel Fuse for Surfaces Working Solution Safety Data Sheet Product Name Tristel Fuse for Surfaces Working Soluti Product Code FUS SUR Type of product Manufacturer Telephone Number Fax Number Emergency Number Chemical type High level disinfecting and sporicidal solution for surfaces Tristel Solutions Limited Lynx Business Park Fordham Road Snailwell Cambs CB8 7NY 44 0 1638 721500 44 0 1638 721911 44 0 7798 805692 out of business hours Mild Oxidising Solution Appendix 2 Revision Number FUS SUR SDS 006 Publication Date 19 02 08 Composition Ingredients Chlorine dioxide in aqueous solution Surfactant Decamine Oxide Water Hazards identification First aid measures Inhalation Eye contact Skin contact Ingestion Fire fighting measures CAS No EINECS No Wt Vol Symbol 10049 04 4 233 162 8 0 01 0 0125 ClO 2605 79 0 0 002 HO Chlorine dioxide generator OES of 0 3ppm short term 0 1ppm long term Non toxic Rinse eyes with water Wash affected area with water Do not induce vomiting Give water to drink Seek medical advice where necessary Non flammable Accidental release measures Environmental precautions Clean
13. hould be steam cleaned at the first available opportunity Spillages of Blood and Body Fluids Protective clothing must be worn prior to dealing with any spillage of blood and or body fluids Procedure for spillages of blood or blood stained body fluids e Cover spillage with disposable paper towels In the event of large spillages soak up the majority with paper towels and place into the appropriate waste stream taking care not to cause any spillages then apply further paper towels to area e Make up chlorine releasing agent e g Tristel Fuse Impregnate paper towels or disposable j cloths with the Tristel and clean the area thoroughly before discarding paper towels j cloths and worn PPE into appropriate waste stream e Allow to dry thoroughly e Decontaminate hands Spillages of faeces vomit and urine should be removed with paper towels and the area cleaned with a chlorine releasing agent e g Tristel Page 11 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse 10 Fuse using paper towels discarding all waste and protective clothing into the appropriate waste stream Any floor surface that has been cleaned and remains wet must have the appropriate Yellow warning sign in place Training and Implementation Training will be carried out to all Trust staff by the Infection Prevention and Control Team through Induction Training Back to Basics trai
14. ice safely immediately after use This means the sharps container should be portable enough to take to the site of the intended procedure and be designed specifically to allow sharp instruments and needles to be disposed of safely and easily at the point of use For further advice see Section M Sharps Policy of the Infection Control Policies and Guidelines Manual Accidental Spillages Protective clothing must be worn prior to dealing with any spillage of blood and or body fluids Ensure adequate ventilation prior to using disinfection solutions or granules Spillage from domestic waste clear bag waste Clean up with dustpan and brush or mop and place in fresh clear bag for disposal Spillage from offensive waste bags clinical waste bags tiger stripe bags orange bags sharps containers or laboratory waste bags Inform the appropriate departmental manager immediately A full risk assessment must be made prior to cleaning up spillages from the Orange waste bags as masks may need to be worn Follow guidelines below and complete an incident report form e Clinical Waste Spillage wearing disposable apron and gloves together with any other appropriate PPE having made a thorough risk assessment carefully place the waste into another same type bag Clean the contaminated area with paper towels followed by a chlorine releasing agent e g Tristel Fuse solution Tristel Fuse is sufficient to use where there is visible blood Place protect
15. id eye contact and prolonged skin contact Gloves and apron recommended Low risk No known hazard Low risk No known hazard Low risk Low risk substantial ingestion may cause discomfort to mouth and digestive tissues Physical and chemical Properties Physical state Appearance and odour Evaporation rate Boiling point Liquid Pale green mild odour As water 100 degrees centigrade This document conforms with Regulation 6 of the Chemicals Hazard Information and Packaging Supply Regulations 2002 CHIP2 Tristel User Manual Section 4 Master File January 2008 Revision Number 005 6 Page 20 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse Tristel Fuse for Surfaces Activator amp Base Safety Data Sheet Product Name Triste Fuse for Surfaces Activator Solution Physical and chemical Properties continued Freezing point As water Volatile Not known by weight Solubility in water Soluble 20 C pH 11 5 13 approximately Specific gravity 1 025 20 C Stability and reactivity No decomposition if stored and used as directed Hazardous None under normal use decomposition products Chlorine donors and oxygen produced if heated Toxicological information Animal studies No known risks to skin Exposure Human studies No known risks to skin exposure Ecological information No
16. ific gravity Liquid Light yellow with mild odour As water 100 degrees centigrade As water Not known Soluble 5 5 approximately 1 005 20 C Revision Number FUS SUR SDS 006 Publication Date 19 02 08 This document conforms with Regulation 6 of the Chemicals Hazard Information and Packaging Supply Regulations 2002 CHIP3 Tristel User Manual Section 4 Master File January 2008 Revision Number 005 3 Page 17 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse Tristel Fuse for Surfaces Working Solution Safety Data Sheet Stability and reactivity Decomposes to simple salt solution Hazardous decomposition products None under normal use Chlorine donors and oxygen produced if heated Toxicological information LD50 oral rat Irritation to skin rabbit Irritation to eyes rabbit Sensitisation guinea pig Ecological information Disposal considerations Packaging Contaminated packaging Product Transport information Regulatory information Not a licensed medicine Other information Safety phrases 2 Keep out of reach of children 50 Do not mix with other chemicals gt 5 000 mg kg Negative Negative Negative Presents no known hazards to the environment Can be disposed of as normal waste in accordance with local authority regulations May be disposed of safely under normal conditions in acc
17. ion 4 Master File January 2008 Revision Number 005 7 Page 21 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse Tristel Fuse for Surfaces Activator amp Base Safety Data Sheet Product Name Triste Fuse for Surfaces Activator Solution Disposal considerations continued Product Solution to be disposed of in accordance with spillage instructions as explained in accidental release measures Transport information No special conditions apply non hazardous Regulatory information Not a licensed medicine Other information Safety phrases 2 Keep out of reach of children 24 25 Avoid contact with skin and eyes 50 Do not mix with other chemicals Revision Number FUS SUR SDS 006 Publication Date 19 02 08 Product Name Tristel Fuse for Surfaces Base Solution Disposal considerations continued Product Solution to be disposed of in accordance with spillage instructions as explained in accidental release meansures Transport information No special conditions apply non hazardous Regulatory information Not a licensed medicine Other information Safety phrases 2 Keep out of reach of children 24 25 Avoid contact with skin and eyes Do not mix with other chemicall This document conforms with Regulation 6 of the Chemicals Hazard Information and Packaging Supply Regulations 2002 CHIP3 Tristel User M
18. ive clothing and all paper towels into same type bag seal and dispose of immediately e Sharps Container Spillage Always wear a disposable apron and gloves For broken or partially open containers place into a larger sharps bin where possible Any spilled medicine and all items used Page 10 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse h in the cleaning process e g gloves paper towels clothes mop heads etc must be placed into the correct stream bin Please refer to the Medicine Code section 17 using this link http nww cht nhs uk index php id 4848 amp cat 3 The section reads 12 Pharmaceutical Spillage e Hazardous spillage For full information on cytotoxic spillage process and kit please refer to http intranet cht nhs uk formulary WebFormulary Files pdf doc files etc MMC 086_ Cytotoxic Drug Spillage pdf lf a dust pan and brush is used the dust pan will require a thorough clean using Tristel The brush may be contaminated with glass particles chemicals and would therefore require disposing of in the appropriate waste stream e g Pharmaceutical Liquid bin Otherwise decontamination using Tristel would be required Spillages onto carpeted areas wearing disposable apron and gloves soak up the excess with disposable cloth and clean area with detergent and hot water This may need repeating several times to remove all spillage The carpet s
19. known adverse effects from normal use Disposal considerations Packaging Can be disposed of as normal waste in accordance with local authority regulations Contaminated May be disposed of safely packaging under normal conditions in accordance with local authority regulations Revision Number FUS SUR SDS 006 Publication Date 19 02 08 Product Tristel Fuse for Name Surfaces Base Solution Physical and chemical Properties continued Freezing point As water Volatile Not known by weight Solubility in water Soluble 20 C pH 1 5 3 5 approximately Specific gravity 1 020 20 C Stability and reactivity No decomposition if stored and used as directed Hazardous None under normal use decomposition products Not compatible with alkaline substance and chlorine donors Toxicological information Acute oral LD50 gt 4000 mg kg Animal studies No known risks to skin exposure Human studies No known risks to skin Exposure Ecological information No known adverse effects from normal use Disposal considerations Packaging Can be disposed of as normal waste in accordance with local authority regulations Contaminated May be disposed of safely packaging under normal conditions in accordance with local authority regulations This document conforms with Regulation 6 of the Chemicals Hazard Information and Packaging Supply Regulations 2002 CHIP3 Tristel User Manual Sect
20. l or dirt if using an alcohol gel and the solution must have evaporated and hands allowed to dry Hands can also be decontaminated using soap and water and dried thoroughly Hands should be decontaminated before and after all procedures and before and after removing gloves and or any other PPE Also hands should be washed immediately if contaminated with blood and or body fluids using soap and water and then dried thoroughly A suitable hand moisturiser should be available for use in wards and departments and used as required Any staff with chronic skin lesions or infected skin conditions to hands or forearms must seek advice from the Occupational Health Department as soon as possible before commencing work Any existing cuts lesions or any other breaks in the skin should be covered with a waterproof dressing and replaced when necessary see below Before a shift of clinical work begins all wrist and ideally hand jewellery should be removed epic2 p S18 This will facilitate effective hand hygiene All healthcare staff who carry out social or direct clinical contact with patients service users and or the healthcare environment should adhere to Section H Hand Hygiene Policy of the Infection Control Policies and Guidelines Manual Cover cuts and abrasions with waterproof dressings Keep nails short clean and varnish free Not wear false nails Not wear wrist jewellery Page 6 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date A
21. lator standards numbers etc Document Version Control Version 4 The document has been redesigned to ensure that all new and revised procedural documents are set out to a Trust wide format and the content of which includes a minimum set of criteria which include the training requirements for implementation monitoring arrangements for the document Equality Impact of the document In addition the monitoring arrangements for this document have been included Page 2 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse Contents Section Document Summary Table Contents Introduction Purpose Definitions Duties Roles and Responsibilities Risk Assessment Infection Prevention amp Control Precautions a Hand Hygiene and Hand Care b Personal Protective Equipment PPE c Gloves d Plastic Aprons e Eye Protection f Masks g Disposal of Sharps and Accidental Spillages h Spillages of Blood and Body Fluids Training and Implementation Equality Impact Assessment Monitoring Compliance with this Policy Associated Documents Further reading References oe ee R et cat O Appendices 1 Tristel Spillages 2 Tristel Fuse COSHH Page 3 of 22 Page ODOONNDOAAAHA A 14 15 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse 1 Introduction Standard pre
22. ning sessions as well as targeted training sessions to key personnel areas This includes Link Infection Prevention and Control Practitioners in departments and wards across the trust who will then cascade the information to colleagues within their area departments Equality Impact Statement Calderdale and Huddersfield NHS Foundation Trust aims to design and implement services policies and measures that meet the diverse needs of our service population and workforce ensuring that none are placed at a disadvantage over others We therefore aim to ensure that in both employment and services no individual is discriminated against by reason of their age race faith culture gender sexuality marital status or disability Monitoring Compliance with this Procedural Document Monitoring compliance with the policy will be monitored through clinical audit as an ongoing process Associated Documents Further Reading Calderdale and Huddersfield NHS Foundation Trust Swine Flu Ward Managers Resource pack 2009 Clean Safe Care revised website www clean safe care nhs uk Epic2 National Evidence Based Guidelines for Preventing Healthcare Associated Infections in NHS Hospitals in England Journal of Hospital Infection 2007 65 Supplement General Policies Principles for Uniform and Non Uniform Staff Waste Disposal Policy Medicine Code Medicine Code 17 Medicines no longer required Return or disposal Infection Control Policies
23. ol of HCAI has to be embedded into everyday practice and applied consistently by everyone It is particularly important to have a high awareness of the possibility of HCAI in both patients and healthcare workers to ensure early and rapid diagnosis This should result in effective treatment and containment of the infection Effective action relies on an accumulating body of evidence that takes account of current practices Standard precautions apply to both non uniform and uniform wearing staff and all pertinent guidance issued within this policy and Section H Hand Hygiene Policy of the Infection Control Policies amp Guidelines Manual should be followed Standard precautions are essential components in preventing the transmission of infectious diseases in the healthcare setting Purpose These guidelines describe the processes and rationales required by all healthcare workers that need to be undertaken to protect themselves and patients service users against any potential cross transmission of pathogens Page 4 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse By adhering to these standard precautions the Healthcare workers HCWs patient and service users safety can be enhanced and the risks of acquiring a healthcare associated infection HCAI are greatly reduced Definitions Definition of Body Fluids Any fluid found in produced by or excreted from the human
24. ordance with local authority regulations Solution to be disposed of in accordance with spillage instructions as explained in accidental release measures No special conditions apply non hazardous Revision Number FUS SUR SDS 006 Publication Date 19 02 08 This document conforms with Regulation 6 of the Chemicals Hazard Information and Packaging Supply Regulations CHIP3 Tristel User Manual Section 4 Master File January 2008 Revision Number 005 4 Page 18 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse Tristel Fuse for Surfaces Activator amp Base Safety Data Sheet Revision Number FUS SUR SDS 006 Publication Date 19 02 08 Product Name Tristel Fuse for Surfaces Product Tristel Fuse for Activator Solution Name Surfaces Base Solution Chemical Chemical Type Sodium salt solution Type Organic acid blend Composition information on Composition information on ingredients ingredients Major 2 1 Sodium chlorite solution in Major 5 solution of citric acid with ingredients de mineralised water ingredients preservatives and 20 surfactant Decamine Oxide in de mineralised water Hazards No specific hazards Hazards No specific hazards Identification Contact with acids liberates Identification chlorine dioxide First aid measures First aid measures Inhalation Non toxic Inhalation Non toxic Eye contact Rinse eyes with water Eye cont
25. orm may become exposed to contamination from the environment blood body fluids secretions and excretions with the exception of sweat Full body fluid repellent gowns should be worn where there is a risk of extensive splashing of blood body fluids secretions and excretions onto the skin of staff Uniforms clothing that becomes contaminated must be laundered at the earliest opportunity Please note only the Trust s laundry should be used for staff uniforms irrespective of contamination Disposable plastic aprons are single use items and must only be used for one procedure or episode of patient care i e bed making handling linen During procedures where protection from splashes is required and plastic aprons cannot be worn e g X ray alternative clothing must be water resistant and cleanable Eye Protection Eye protection must be available in all areas for use when there is a risk of blood body fluids secretions and excretions splashing into the eyes These should be decontaminated after use and stored clean If single use then dispose of immediately into the appropriate waste stream Masks Surgical face masks should be worn when there is a risk of contamination of the mouth and nose by splashes of blood body fluids secretions and excretions or from an aerosol that may be created and inhaled e g bone sawing air power tools open airway management or some respiratory diseases Respirators FFP3 masks may be recommended
26. pril 2013 Review Lead Infection Prevention amp Control Nurse e Not wear rings the only exception being a plain wedding band e Be Bare Below the Elbow All HCWs including non uniformed staff who carry out direct clinical contact which involves contact with open wounds invasive devices or other vulnerable sites must adhere to the above and also Remove outer clothing i e white coat jacket Roll sleeves up above the elbow Put on a plastic disposable apron and any other appropriate PPE If wearing a tie tuck this under the plastic apron The next sections of the Policy discuss the use of protective clothing This applies to all uniformed and non uniformed HCWs Professionals who are undertaking any patient service user contact Further information on dress code can be found under General Policies for the Principles of Uniform and Non Uniform Staff b Personal Protective Equipment PPE PPE should be selected on the basis of an assessment of the risk of transmission of micro organisms to the patient and the risk of contamination of healthcare practitioners clothing and skin by blood body fluids secretions excretions This can be by direct or indirect contact with the patient service user and or their immediate environment All PPE together with any waste produced must be disposed of into the appropriate waste stream For further information on the disposal of PPE please refer to the Waste Disposal Policy available on the T
27. rust s intranet Hand hygiene must be performed prior to and following removal of all PPE Personal Protective Equipment Risk Assessment Assess Risk of Task No contact Contact with Contact with Contact with patients with blood body blood body and or equipment blood body fluids low risk fluids high risk irrespective of un known fluids of splashing of splashing infectious microorganism with potential risk of contamination to clothing No gloves Gloves aprons Gloves Disposable aprons aprons eye plastic aprons mouth protection Page 7 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse c Gloves Gloves must be worn for e invasive procedures e contact with sterile sites e contact with non intact or skin mucous membranes e all activities that have been assessed as carrying a risk of exposure or involve direct contact with blood body fluids secretions and excretions e handling contaminated instruments e when in contact with a patient or their environment who is known or highly suspected to have Clostridium Difficile Hands should always be decontaminated before donning gloves and after their removal Gloves are not a substitute for hand washing they should be put on immediately before the task is to be performed Therefore if items are collected from a cupboard whilst wearing any PPE e g dressings that PPE must be removed and discarded
28. up method Clothing for disposal Environmental precautions required but product is biodegradable under OECD conditions operational 6 1995 Flush to drain with water or soak up onto inert material and dispose of with clinical waste Wear appropriate gloves and apron This document conforms with Regulation 6 of the Chemicals Hazard Information and Packaging Supply Regulations 2002 CHIP3 Tristel User Manual Section 4 Master File January 2008 Revision Number 005 2 Page 16 of 22 UNIQUE IDENTIFER NO C 47 2011 Review Date April 2013 Review Lead Infection Prevention amp Control Nurse Tristel Fuse for Surfaces Working Solution Safety Data Sheet Handling and storage Handling guidelines Storage guidelines Safe handling in accordance with label instructions Not to be mixed with other chemicals Keep from children Store out of direct sunlight Single Use solution Exposure controls personal protection Personal protection Skin contact Eye contact Inhalation Ingestion Avoid eye contact and prolonged skin contact Gloves and apron recommended Low risk No known hazard Low risk No known hazard Low risk Low risk substantial ingestion may cause discomfort to mouth and digestive tissues Physical and chemical properties Physical state Appearance and odour Evaporation rate Boiling point Freezing point Volatile by weight Solubility in water 20 C pH Spec
Download Pdf Manuals
Related Search