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Decontamination of Equipment and the ... - NHS Lanarkshire

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<strong>NHS</strong> <strong>Lanarkshire</strong><br />

Health Protection Committee<br />

SECTION I – <strong>Decontamination</strong> <strong>of</strong> <strong>Equipment</strong> <strong>and</strong><br />

<strong>the</strong> Environment (including <strong>the</strong> use <strong>of</strong> single-use <strong>and</strong><br />

single-patient use items<br />

Section<br />

Effective<br />

From<br />

I<br />

October<br />

2013<br />

Replaces Jan 2010<br />

Review<br />

Date<br />

September<br />

2016<br />

1. INTRODUCTION<br />

It is not always possible to identify people who are infectious from those who are not.<br />

Therefore, to ensure <strong>the</strong> safety <strong>of</strong> those being cared for, staff <strong>and</strong> visitors in <strong>the</strong> care<br />

environment must apply St<strong>and</strong>ard Infection Control Precautions (SICPs). SICPs are intended<br />

for use by all staff, in all care settings, at all times, for all individuals whe<strong>the</strong>r infection is<br />

known to be present, or not. This guideline should be read in conjunction with <strong>the</strong> National<br />

Infection Prevention <strong>and</strong> Control Manual Chapter 1: St<strong>and</strong>ard Infection Control Precautions as<br />

contained within <strong>NHS</strong>L’S Control <strong>of</strong> Infection Manual accessible through FirstPort via:<br />

http://firstport2/staff-support/healthcare-associatedinfection/Control%20<strong>of</strong>%20Infection%20Manual/Chapter%201Version%202.1.pdf<br />

This guideline provides additional actions necessary for <strong>the</strong> safe use <strong>of</strong> medical devices <strong>and</strong><br />

appropriate use <strong>of</strong> decontamination processes in <strong>NHS</strong> <strong>Lanarkshire</strong> to minimise <strong>the</strong> risk <strong>of</strong><br />

healthcare associated infection. Medical devices can pose significant hazards to patients if <strong>the</strong>y<br />

are reprocessed inadequately or incorrectly. Additionally risks can arise from equipment that<br />

should not be reprocessed, i.e. single-use items.<br />

2. THE USE OF SINGLE-USE AND SINGLE-PATIENT USE EQUIPMENT<br />

Prior to use packaging must be checked for single-use markings <strong>and</strong> decontamination<br />

instructions (see Appendix 1).<br />

Items marked “Single-Use” must be used once, on one patient, <strong>and</strong> discarded as clinical waste.<br />

Items marked “Single-Patient-Use” may be decontaminated <strong>and</strong> only reused on <strong>the</strong> same patient<br />

provided <strong>the</strong> manufacturer’s instructions on decontamination <strong>and</strong> reuse are followed.<br />

3. PRINCIPLES OF CLEANING, DISINFECTION AND STERILISATION<br />

The decontamination method selected should be based on <strong>the</strong> risk <strong>of</strong> <strong>the</strong> item acting as a source<br />

or vehicle <strong>of</strong> infection <strong>and</strong> <strong>the</strong> optimum process that <strong>the</strong> item will tolerate.<br />

I 4

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