Guidelines on the Prevention and Control of Tuberculosis in Ireland

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<strong>Guidelines</strong> on the Prevention and Control of Tuberculosis in Ireland 2010HSE/HPSCClinicalWorkPracticeUse ofPersonalProtectiveEquipment(PPE)ClinicalWorkPracticeEnvironmentalDecontaminationPatient CareEquipment &Decontamination ofMedical DevicesDiscard mask into healthcare risk wasteDecontaminate hands immediately after removing maskSTANDARD PRECAUTIONS AIRBORNE PRECAUTIONSAprons orgownsDisposable aprons should be worn where there is a risk that the front ofuniform/clothing may become exposed to blood, body fluids, excretionsor secretionsNo extra precautions recommendedLong sleeved fluid repellent gowns may be required if there is a riskthat uniform/clothing and skin may be exposed to blood, body fluids,excretions or secretionsRemoval of PPE Remove PPE when procedure is complete. PPE should be removedin the following order and disposed of into healthcare risk waste ifcontaminated with blood and/or body fluids••••••GlovesApron/gownDecontaminate handsEye wearMask (handle by the mask straps to avoid touching the front)Decontaminate handsAll masks should be discarded into healthcarerisk wasteSTANDARD PRECAUTIONS AIRBORNE PRECAUTIONSRoutine environmental cleaning is required to minimise the number of micro-organisms in theenvironment.Particular attention should be given to frequently touched surfaces and those most likelyto be contaminated with blood or body fluids e.g. bedrails, mattress, bedside tables,commodes, doorknobs, sinks, surfaces and equipment close to the patientChemical disinfectants are not recommended for routine environmental cleaningWhen using disinfectants, staff should follow the manufacturer’s instructions for dilution andcontact timesPatient care environment be cleaned anddisinfected with a detergent and 1000ppmof available chlorine daily before use onanother patient if contaminated withrespiratory secretions. PPE should be wornfor all cleaning procedures as per page 180-182.Room should remain vacant for one hourwith windows open before re-useRefer to National Hospital Office Cleaning Manual 2006Medical devices designated as “Single Use Only” must not be reprocessed or reused underany circumstances (MDA DB 2000), (MDD) 93/42/EECNo extra precautions recommendedNon-critical equipment-179-
<strong>Guidelines</strong> on the Prevention and Control of Tuberculosis in Ireland 2010HSE/HPSCClinicalWorkPracticeEnvironmentalDecontaminationPatient CareEquipment &Decontamination ofMedical DevicesClinicalWorkPractice•••Eye wearMask (handle by the mask straps to avoid touching the front)Decontaminate handsSTANDARD PRECAUTIONS AIRBORNE PRECAUTIONSRoutine environmental cleaning is required to minimise the number of micro-organisms in theenvironment.Particular attention should be given to frequently touched surfaces and those most likelyto be contaminated with blood or body fluids e.g. bedrails, mattress, bedside tables,commodes, doorknobs, sinks, surfaces and equipment close to the patientChemical disinfectants are not recommended for routine environmental cleaningWhen using disinfectants, staff should follow the manufacturer’s instructions for dilution andcontact timesPatient care environment be cleaned anddisinfected with a detergent and 1000ppmof available chlorine daily before use onanother patient if contaminated withrespiratory secretions. PPE should be wornfor all cleaning procedures as per page 180-182.Room should remain vacant for one hourwith windows open before re-useRefer to National Hospital Office Cleaning Manual 2006Medical devices designated as “Single Use Only” must not be reprocessed or reused underany circumstances (MDA DB 2000), (MDD) 93/42/EECNo extra precautions recommendedNon-critical equipmentNon-critical equipment refers to equipment that is either not in contact with a patient or incontact with healthy skin. Such equipment should be:• In a state of good repair in order to facilitate effective cleaning• Must be thoroughly cleaned prior to use on another patient/resident. If soiled withblood or body fluids, disinfect using a chlorine-releasing solution of 1000ppm, orequivalent according to manufacturer’s instructions, rinse and dry.Reusable invasive medical devices (RIMD)RIMD refers to equipment that is classified as semi-critical or critical. RIMDs are in contactwith sterile body sites, mucous membranes and breaks in the skin. HCWs must ensure thatRIMDs are not used for another patient until they have been cleaned and reprocessedappropriately.(HSE Code of Practice for Decontamination of Reusable Invasive Medical Devices 2007)www.hse.ie/eng/Publications/Hospitals/Code_of_Practice_for_Decontamination_of_Reusable_Invasive_Medical_Devices_.htmlwww.hpsc.ie/hpsc/A-Z/MicrobiologyAntimicrobialResistance/CJD/Guidance/STANDARD PRECAUTIONS AIRBORNE PRECAUTIONS-180-
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Guidelines on the Prevention and Control of Tuberculosis in Ireland

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