NHSGGC Decontamination Policy - NHS Greater Glasgow and Clyde
Contents
1. ENVIRONMENT INCLUDING THE USE OF SINGLE USE AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 um poe date Cost an DECONTAMINATION OF EQUIPMENT AND THE Page 1 of 16 Replaces The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol Policy Objective To provide HCWs with details of the actions and responsibilities necessary to ensure that procedures in relation to decontamination do not pose risks to patients or HCWs and comply with current legislation This policy applies to all staff employed by NHS Greater Glasgow amp Clyde and locum staff on fixed term contracts KEY CHANGES FROM THE PREVIOUS VERSION OF THIS POLICY e Update reference list e Update blood spill procedure Document Control Summar Approved by and date Board Infection Control Committee 12 January 2009 Date of Publication 12 January 2009 Developed by Infection Control Policy Sub Group 0141 201 4931 Related Documents NHSGGC Standard Precautions Policy NHSGGC CJD Policy NHSGGC Hand Hygiene Policy NHSGGC SOP Cleaning of Near Patient Healthcare Equipment Distribution Availability NHSGGC Infection Prevention and Control Policy Manual and the Internet www nhsggc org uk infectioncontrol Impli2. USE OF SINGLE USE Replaces AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol 8 8 1 8 2 DISINFECTANTS Disinfectants are chemicals that are subject to the Control of Substances Hazard to Health COSHH Regulations 2002 Their use in hospitals or healthcare premises is limited to e Disinfection of body fluid spillages e Disinfection of heat labile equipment such procedures must be approved of by the ICT and take place in a designated central decontamination unit Terminal or twice daily cleans of source isolation rooms Terminal clean after outbreaks of infection Routine cleaning during outbreak of infection To comply with COSHH all disinfectants must be kept in locked cupboards Instructions for use must be displayed close to the cupboard When using disinfectants the approved procedure must be followed this is to ensure that the disinfectant works and does not cause harm to HCWs equipment or the environment The approved procedure is detailed in 9 4 Personal Protective Equipment Protective clothing should be worn in accordance with Body Fluid Spillage Procedure 8 3 and the local COSHH assessment for the disinfectant used The HCW prior to any procedure must undertake a risk assessment where any chemicals including DISINFECTANTS and DETERGENTS are use
3. follow advice with regard to the precautions necessary prior to sending equipment for service or repair Ask two HCWs There is a supply of labels certificates for decontamination of equipment Totals General comment on performance Agreed action plan Date Signed Manager Signed ICN Copy of audit to The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 ee poe date Greater Glasgow DECONTAMINATION OF EQUIPMENT AND THE Page 15 of 16 and Clyde ENVIRONMENT INCLUDING THE USE OF SINGLE USE Replaces AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol 12 REFERENCES amp BIBLIOGRAPHY Advisory Committee on Dangerous Pathogens Transmissible Spongiform Encephalopathy Agents Safe Working and the Prevention of Infection 2003 http www advisorybodies doh gov uk acdp tseguidance index htm Ayliffe G A J Fraise A P Geddes A M amp Mitchel K 4 ed Control of Hospital Infection A Practical Handbook Chapman amp Hall Bloomfield S F Smith Burchnell C A Dalgleish A G 1990 Evaluation of hypochlorite releasi
4. to and follow this policy e Seek advice from ICT regarding the correct method of decontamination of equipment if required Managers e Support Clinical Managers Senior Charge Nurses in implementing this policy ICT e Provide teaching opportunities on the implementation of this policy e Act as a resource for guidance with regards to decontamination of blood and body fluid spills e Keep this policy up to date SSD Manager Estates Manager Procurement Managers e Liaise with the ICTs on matters relating to decontamination e Seek the advice of ICTs before purchasing new items that require reprocessing and cannot be autoclaved Medical Physics Technicians e Report adverse incidents to appropriate authorities The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 um poe date Greater Glasgow DECONTAMINATION OF EQUIPMENT AND THE Page 4 of 16 and Clyde ENVIRONMENT INCLUDING THE USE OF SINGLE USE Replaces AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol 2 INTRODUCTION This policy details the actions necessary for the safe use of medical devices and appropriate use of dis
5. AN ELEMENT OF STANDARD PRECAUTIONS NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 um a date Greater Glasgow DECONTAMINATION OF EQUIPMENT AND THE Page 16 of 16 ENVIRONMENT INCLUDING THE USE OF SINGLE USE Replaces www nhsggc org uk infectioncontrol The most up to date version of this policy can be viewed at the following website Medical Devices Agency DB2000 04 Single use Medical Devices Implications and Consequences of Reuse National Institute for Health and Clinical Excellence patient safety and reduction of risk of transmission of Creutzfeldt Jakob disease CJD via interventional procedures November 2006 Guidance endorsed by NHS QIS for implementation by NHS Scotland Siegel J D Rhinehart E Jackson M Chiarello L The Healthcare Infection Control Practices Advisory Committee Guidelines for Isolation Precautions Preventing Transmission of Infectious Agents in healthcare Settings CDC 2007 Websites http www advisorybodies doh gov uk acdp tseguidance index htm http www hps scot nhs uk hatic ic guidelines aspx http www cjd ed ac uk The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol
6. LE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol 5 4 Decontaminating equipment Each time a piece of equipment is decontaminated it must be examined to ensure it remains fit for purpose and does not pose an infection hazard Deteriorated equipment that cannot be decontaminated must be replaced There must be sufficient equipment to allow for effective decontamination between patients Where there is insufficient equipment this must be reported 6 GENERAL GOOD PRACTICE GUIDELINES Before using any equipment check the manufacturer s instructions regarding reprocess See section 8 Symbols on Packaging and their meaning Decontaminate your hands before using any equipment Check the wrapper and identify the markings on the medical device See Section 8 When cleaning medical devices or the environment follow the manufacturer s instructions for volume of detergent to water If wrapped Check the expiry date has not passed If beyond the expiry date DO NOT USE Check the wrapping is intact If not intact DO NOT USE Check there is no staining on the wrapper or indication that it has been wet after sterilisation If staining present DO NOT USE All new equipment must be CE marked See Section 8 for Symbols 6 1 Training Managers must ensure that all HCWs are appropriate
7. N HS CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 um poe date Greater Glasgow DECONTAMINATION OF EQUIPMENT AND THE Page 10 of 16 and Clyde ENVIRONMENT INCLUDING THE USE OF SINGLE USE Replaces AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol BATCH CODE DATE OF MANUFACTURE DO N OT REUSE ABC 1234 Po al this are 1999 12 Se for this are e Lot number e Single use e Batch number e Use only once USE BY DATE SERIAL NUMBER ATTENTION SEE INSTRUCTIONS FOR USE SN ABC123 CATALOGUE NUMBER 2002 06 30 REF ABC123 STERILE STERILE Sterilized by Ethylene Oxide TNG CE mark indicates that the device complies with the essential STERILE R requirements for the Sterilized by Irradiation performance and safety of medical devices supplied or sold in the UK under UK and EU laws Items sold as Sterile will have a number under the CE mark STERILE Sterilized by Steam or Dry Heat The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 um poe date Greater Glasgow DECONTAMINATION OF EQUIPMENT AND THE Page 11 of 16 and Clyde ENVIRONMENT INCLUDING THE
8. cations of Race Equality and other diversity duties for this document This policy must be implemented fairly and without prejudice whether on the grounds of race gender sexual orientation or religion Equality amp Diversity 12 January 2009 Impact Assessment Completed Lead Nurse Consultant Infection Control Responsible Board Infection Control Manager Director Manager The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol and Clyde NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 um poe date Greater Glasgow DECONTAMINATION OF EQUIPMENT AND THE Page 2 of 16 ENVIRONMENT INCLUDING THE USE OF SINGLE USE Replaces AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol Contents ls Responsibilities succionar A RE OA EEAS 3 1 1 HEW chico ep E E E EE E E E E E gon antec acuminate 3 1 2 Clinical Managers Senior Charge Nurses ssivsnsccensvssspuonsscaevennesnnssncetventincetieticgns conduvnancteties 3 1 3 Mana ders cecen ins e aE E E E E EE EENE 3 1 4 ICT serratis a o A eb elas O A 3 1 5 SSD Manager Estates Manager Purchase Managers ccccccssessesesesesseceseeeeeeeeeseneeeeaees 3 1 6 Medical P
9. cy can be viewed at the following website www nhsggc org uk infectioncontrol 4 DEFINITIONS gt Decontamination the combination of processes including cleaning disinfection and or sterilisation used to render a re usable item safe for further use gt Cleaning is the process which physically removes large numbers of micro organisms and the organic matter on which they thrive gt Disinfection is the reduction of the number of viable micro organisms on a device to a level previously specified as appropriate for its intended further handling or use gt Sterilisation a process which if specified conditions are met renders a device sterile i e free from all micro organisms amp spores The theoretical probability of there being a viable micro organism present on the device shall be equal or less than 1 in a million BS EN 556 1 2001 5 RE USABLE MEDICAL DEVICES RE USABLE DEVICES ARE NEVER MARKED SINGLE USE A medical device is any piece of equipment that is used on a patient It includes all equipment e g tourniquets blood pressure cuffs as well as surgical instruments Different medical devices require different levels of decontamination The level of decontamination depends on e Where the device has been used e The type and amount of contamination e The complexity of the device This necessitates a risk assessment before reprocessing begins There are three categories of risk t
10. d Spillages on Carpets Please note carpets are not recommended for clinical areas Carpets in healthcare premises should be able to withstand 10 000 ppm available chlorine If there are areas that do not meet this standard discolouration will occur during decontamination Contact ICT if large volume body fluid spillages occur on carpets The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 um awe date Greater Glasgow DECONTAMINATION OF EQUIPMENT AND THE Page 12 of 16 mes ENVIRONMENT INCLUDING THE USE OF SINGLE USE Replaces AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol NB Spillages within community healthcare settings HCWs cannot use disinfectant to deal with blood and body fluid spillages occurring in the patient s own home because of the possibility of damage to carpeting or furnishings HCWs should wear the appropriate PPE e g gloves and aprons and where possible and remove spillages with paper towels and dispose of in the domestic waste stream If required spillage area should be cleaned with detergent water and paper towels Gloves and aprons should be removed and disposed o
11. els and place in a clinical waste bag Still wearing protective clothing pick up the paper towels and place in a clinical waste bag Wipe over area with chlorine based detergent Dispose of any paper towels as clinical waste Clean spillage area with General Purpose Neutral Detergent Clean spillage area with General Purpose Neutral Detergent If still required clean spillage area with General Purpose Neutral Detergent Dry the area thoroughly Remove gloves decontaminate hand replace gloves and discard the remaining disinfectant rinse the container leave to dry and return to the disinfectant cupboard Remove gloves and apron and wash hands thoroughly The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY lt rom eview Jan 2012 um a date Greater Glasgow DECONTAMINATION OF EQUIPMENT AND THE Page 13 of 16 oe ENVIRONMENT INCLUDING THE USE OF SINGLE USE Replaces AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol 8 4 Formulae for disinfectant calculations 1 000 ppm 1 7 gm tablet in 1 litre General available chlorine of cold lukewarm tap environmental water disi
12. f in the domestic waste stream and hands thoroughly washed 8 3 Body Fluid Spillage Procedure As part of the Standard Precautions Policy spillages of blood and body fluids must be decontaminated as follows Get someone to guard the area whilst you collect the necessary equipment Put on protective clothing gloves apron and eye protection if necessary Apply Chlorine releasing granules e g ACTICHLOR Granules Leave granules over spillage for a minimum of 3 minutes The spillage should no longer have a fluid consistency If the spillage is still liquid apply more granules and leave for a further 3 minutes Put paper towels over the spillage Make up 10 000ppm available chlorine disinfectant by putting a 1 7gm tablet of ACTICHLOR PLUS into 100mls of cold lukewarm tap water safely securing the lid of the container and leave for 3 minutes Then invert the container to ensure the tablets are dissolved Using paper towels or incopad if necessary remove spillage contents and discard into clinical waste bag Make up a solution of a chlorine based detergent ACTICHLOR PLUS 1 7gm tablet in 1 litre of cold lukewarm tap water Remove spillage with a scoop if available or envelope spillage in paper towels and discard into a clinical waste bag Pour enough of the solution over spillage to saturate the paper towels and leave for 5 minutes Still wearing protective clothing pick up the paper tow
13. hysics Tec hint C1 atis sg ciasisxcsxvxccereonecesncanedeeroorrncseidnnapomconntenetrusnereiieseanapisenvesitenmnemndey 3 23 ANTM adresses tateceaes asneea esenicdecucamna sees ta aswo cereeete rs ware aso eee ee 4 3 The Use of Single Use and Single Patient Use Equipment cceeecceeceeeteeeeeeeeteeeeeees 4 A TOS TIMIPIONS 5 sos ieiuniis e a EE EAE EEEE EAEE 5 5 Re usable Medical Devices Re usable devices are NEVER marked single use 5 5 1 Risk Categorisation for the Decontamination of Medical Devices ceeeeeeeeeeee 6 5 2 arenes eee E ees 6 5 3 Surgical Instruments used on patients with or suspected of having CJD 7 5 4 Decontaminating SUN PIN CA sisal ctsesccatanctantncatecce Gduratandiserencdeibeatuducaumaibscseeithacinedbiareediateetnedees 8 6 General Good Practice Guideline S avacsearsvussavassiverkarsooaeteaverabadioneaaindomuwenteniendeadeaaebednenns 8 6 1 Trainieren a A A N A A E E E 8 7 Symbols Used On Medical Packaging amp Their Meanings ssssessssseseseressseressssrressserre 9 hes Disinfectants scrasaccuccasdeci cas Scxcuaaet indy ieaedeau saa EE a eoea eater 11 8 1 Personal Prote tiye BQui pict wcscsascsentaloamniannccannantemrenianncsadnmnaaianekenmaaanns 11 8 2 UES On Capelse caren eases veeusltaduasinciadaduceuvnnch EE ENE EEN easier na ein SNESEN Ea 11 8 3 Body Fluid Spillage PICEA si sen cncissinistunnaieca nlenoneneannutsettiiaved dnibibsoicceiimensvea end vandviwmni
14. infectants in NHS Greater Glasgow amp Clyde to minimise the risk of healthcare associated infection Medical devices can pose significant hazards to patients if they are reprocessed inadequately or incorrectly Additionally risks can arise from equipment that should not be reprocessed i e single use items All HCWs involved in the use of medical devices must be aware of their role and responsibilities towards patient safety and infection control 3 THE USE OF SINGLE USE AND SINGLE PATIENT USE EQUIPMENT Prior to use packaging must be checked for single use markings and decontamination instructions Items marked Single Use must be used once on one patient and discarded as clinical waste Items marked Single Patient Use may be decontaminated and only re used on the same patient provided the manufacturer s instructions on decontamination and re use are followed See Section 8 for the Symbol for Single Use The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 um poe date Greater Glasgow DECONTAMINATION OF EQUIPMENT AND THE Page 5 of 16 and Clyde ENVIRONMENT INCLUDING THE USE OF SINGLE USE Replaces AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS The most up to date version of this poli
15. ly trained and have access to detailed instruction illustrating the correct procedure taking into account the manufacturer s instructions Seek the advice of the ICT when necessary The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 um poe date Cost a DECONTAMINATION OF EQUIPMENT AND THE Page 9 of 16 y ENVIRONMENT INCLUDING THE USE OF SINGLE USE Replaces AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol 7 SYMBOLS USED ON MEDICAL PACKAGING amp THEIR MEANINGS These symbols are the most common ones appearing on medical devices and their packaging They are explained in more detail in the British and European Standard BS EN 980 2008 Graphical symbols for use in the labelling of medical devices Symbols appearing on medical devices and or their packaging must be adhered to If a user does not understand a symbol they should first look in the instructions for use or user manual for an explanation The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol NHS GREATER GLASGOW amp CLYDE Effective Jan 2009
16. nfection 10 000 ppm 1 7 gm tablet in 100 Disinfection of available chlorine mls of cold lukewarm dried blood spills tap water 1 000ppm 1 7gm tablet in 1 litre General available chlorine of cold lukewarm tap environmental in detergent water disinfection 9 ADVERSE INCIDENT REPORTING MEDICAL DEVICES An adverse incident is an event which causes or has the potential to cause unexpected or unwanted effects involving the safety of patients users or other persons Any adverse incident involving a medical device should be reported following the local Incident Reporting System 10 EQUIPMENT SENT FOR SERVICE OR REPAIR See http www show scot nhs uk shs hazards_safety hazardsp3 HTM for how to report incidents e Before equipment is presented for repair it must be appropriately decontaminated Single use items that are in use and are found to be faulty should be decontaminated before being sent back to the manufacturers or to pharmacy seek advice from ICT e In addition to the repair slip a Certificate of Decontamination Label must be completed and attached to the item for repair by a suitably trained HCW aware of the likely contamination and whether the equipment has been appropriately decontaminated e No equipment will be accepted for repair if visibly soiled e No equipment will be accepted for repair if a Certificate of Decontamination has not been completed The most up to date version of
17. ng disinfectants against the human immunodeficiency virus HIV Journal of Hospital Infection 15 3 273 278 Brady R R Kalima P Damani N N Wilson R G Dunlop M G 2007 Bacterial contamination of hospital bed control handsets in a surgical setting a potential marker of contamination of the healthcare environment Annals of the Royal College of Surgeons of England 89 656 60 Chitnis V Chitnis S Patil S Chitnis D 2004 Practical limitation of disinfection of body fluid spills with 10 000ppm sodium hypochlorite American Journal of Infection Control 32 5 306 308 Control of Substances Hazardous to Health Departments of Health 2002 HPS Endoscopy Reprocessing Guidance on the requirements for decontamination equipment facilities and Management Interim Guidance 2007 http www documents hps scot nhs uk hai decontamination publications end 001 01 v1 1 pdf HPS Model Policies 2008 Management of Care Equipment Policy and Procedure HPS Model Policies 2008 Management of Blood and Other Body Fluid Spillages Policy and Procedure Health Service Guidelines HSG 93 Decontamination of equipment prior to inspection service or repair Medical Devices Agency Reporting Adverse Incidents and Disseminating Medical Device Alerts 2008 001 The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol and Clyde AND SINGLE PATIENT USE ITEMS
18. o be considered for the equipment the procedure and the patient They are explained in e Risk Categorisation for the Decontamination of Medical Devices See 5 1 e Surgical Instruments used on patients with or suspected of having CJD See 5 3 The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol NHS a Greater Glasgow and Clyde NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 date DECONTAMINATION OF EQUIPMENT AND THE Page 6 of 16 ENVIRONMENT INCLUDING THE USE OF SINGLE USE Replaces AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol 5 1 Risk Categorisation for the Decontamination of Medical Devices High Risk Items in close contact with a break Sterilisation Decontamination to in the skin or mucous membrane or be undertaken in a specialist introduced into a sterile body area facility e g Sterile Services Dept Intermediate Items in contact with intact skin Sterilisation or disinfection particularly after use on infected required Decontamination to be Risk patients or prior to use on immuno undertaken in a specialist facility compromised patients or items in e g Sterile Services Dept or ICT contac
19. on 12 8 4 Formulae for disinfectant calculations sevsczncccsskcedsvesnceuvernbienteindecnessnewises tocenceaondicetnetensaiares 13 9 Adverse Incident Reporting Medical Devices ssssssssessesssssereessseressssrersssereessseresssse 13 10 Equipment Sent for Service or Repair cccecccecceeeeseceeeeeneeeeeeseeeeecseneeeeecseeeeeeeseeaeeees 13 Il A dit eene E O A E EEE EN REE 14 11 1 SIA ic deine E E E AA 14 12 R ferences amp Bibliography esensina A A EEEE AE EEE 15 The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 um poe date Greater Glasgow DECONTAMINATION OF EQUIPMENT AND THE Page 3 of 16 and Clyde ENVIRONMENT INCLUDING THE USE OF SINGLE USE Replaces AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol 1 RESPONSIBILITIES HCW e Follow this policy e Attend appropriate training e Report to supervisor manager when they are unable to follow the policy or if they think there is a problem issue with equipment Clinical Managers Senior Charge Nurses e Ensure HCWs involved in implementing this policy are trained to do so e Ensure HCWs have access
20. sider the use of single use disposable equipment wherever possible retain for the use of the named patient e g endoscopes All other instruments should be sent for incineration in the yellow waste stream Consider the use of single use wherever disposable equipment possible Patient in high risk group See CJD Policy e patients with antithrombin deficiency If possible decontaminate and haemophilia or other familial bleeding retain for the use of the named disorders patient e g endoscopes e recipients of growth hormones or gonadotrophin treatment before 1986 All other instruments should be in the UK or at any time whilst abroad sent for incineration in the e recipients of human dura mater grafts yellow waste stream e patients with a family history of familial CJD Consider the use of single use e patients who have been contacted by wherever disposable equipment public health and told that they are at possible risk of CJD Patient diagnosed as having CJD If possible decontaminate and See CJD Policy The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol and Clyde NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 um poe date Greater Glasgow DECONTAMINATION OF EQUIPMENT AND THE Page 8 of 16 ENVIRONMENT INCLUDING THE USE OF SINGLE USE Replaces AND SING
21. t with mucous membranes or Approved Area body fluids Low Risk Items in contact with healthy skin Decontamination may be or not in contact with patient undertaken in the clinical area 5 2 CJD There are Technical Requirements for Decontamination for specific instruments in relation to CJD The rationale for additional precautions in the decontamination of equipment for instruments potentially contaminated with CJD is that normal steriliser temperatures do not inactivate the prion which is thought to cause CJD For further information please refer to the NHSGGC CJD policy http library nhsggc org uk mediaAssets Infection 20Control CJD 202008 20 doc The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 ee poe date Greater Glasgow DECONTAMINATION OF EQUIPMENT AND THE Page 7 of 16 and Clyde ENVIRONMENT INCLUDING THE USE OF SINGLE USE AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS Replaces The most up to date version of this policy can be viewed at the following website www nhsggc org uk infectioncontrol 5 3 Surgical Instruments used on patients with or suspected of having CJD vCJD Patient suspected of having CJD Quarantine instruments in See CJD Policy designated box Con
22. this policy can be viewed at the following website www nhsggc org uk infectioncontrol and Clyde AND SINGLE PATIENT USE ITEMS AN ELEMENT OF STANDARD PRECAUTIONS NHS GREATER GLASGOW amp CLYDE Effective Jan 2009 N a S CONTROL OF INFECTION COMMITTEE POLICY From Review Jan 2012 te awe date Greater Glasgow DECONTAMINATION OF EQUIPMENT AND THE Page 14 of 16 ENVIRONMENT INCLUDING THE USE OF SINGLE USE Replaces www nhsggc org uk infectioncontrol The most up to date version of this policy can be viewed at the following website 11 AUDIT Area being audited HCWs are aware of and have access to this policy Ask two HCWs if they know of the policy and where it is kept HCWs are aware of the differences between single use and single patient use equipment Ask two HCWs HCWs understand the symbols used on packages Ask two HCWs HCWs comply with the policy in relation to decontamination of equipment Ask two HCWs what they would do with an item from the minimal e g bed intermediate e g laryngoscope blade and high risk categories e g surgical instruments Disinfectants are stored in a locked cupboard Information on how to decontaminate spillages is accessible and in close proximity to the disinfectant There is a notice on the cupboard on how to decontaminate spillages HCWs know why they must not put chlorine releasing granules on urine Ask two HCWs HCWs
Download Pdf Manuals
Related Search