HHC Health & Home Care Clinical Policy And

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<strong>HHC</strong> EHALTH & HOME CARE Section: 13-11 Infection Control: Disposal/Handling of Infectious Medical Waste __RN __HHA PURPOSE: To prevent the spread of infection when handling infectious medical waste. CONSIDERATIONS: 1. Follow applicable regulations for disposal of all infectious medical waste. 2. Instructions must be given to patient/caregiver on appropriate handling/disposal of infectious waste in the home. 3. Volumes of blood/body fluids/body secretions can be safely disposed of in the patient's toilet. Pouring should be done slowly and carefully to minimize splashing, spattering, or aerosolizing. If there is a potential for splashing, spattering, or aerosolizing, Personal Protective Equipment must be worn including mask, eye protection, gown, and gloves. 4. All needle/sharps containers must be leakproof, puncture-proof, closable. Sharps containers must be easily accessible, maintained upright, and discarded when 3/4 full. 5. In circumstances where no alternative to recapping is feasible, or such action is required; an acceptable method such as the one-handed technique should be utilized. 6. Containers that become contaminated on the outside must be placed in secondary containers. EQUIPMENT: Gloves Antimicrobial and/or non-antimicrobial soap, alcoholbased handrub Appropriate-sized container Impervious trash bags Tape or twist tie Trash receptacle, with lid if possible PROCEDURE: 1. Disposal of needles, syringes, and sharps. a. Adhere to Universal Precautions. b. Disposal of needles, syringes, lancets, and other sharps used by clinical staff. (1) Never re-cap, bend, clip, or otherwise manipulate needles. (2) Needles and syringes used for injections or lancets should be placed intact into needle disposal container. (4) When container is approximately 3/4 full or according to agency policy, secure lid and tape down. Store and transport sealed, waste containers separate from patientcare supplies, such as in the trunk of the car. (See #e. below.) c. Disposal of IV therapy needles and/or needles and syringes being used by the RN on a frequent basis in a patient's home. (1) If the home infusion therapy company supplies a disposal container to dispose of needles/syringes, then utilize their system; or (2) A large, needle disposal container should be left in the home for short-term, frequent, parenteral therapy. (3) At the end of therapy and/or when the container is 3/4 full, the RN should secure lid and tape down for removal by the IV company. (4) If the IV company does not remove and replace containers, then the container must be disposed of by the agency. See #(4) above. d. RN instructions to patient/caregiver for disposal of needles, syringes, and other sharps used by patient/caregiver: (1) Adhere to Universal Precautions. (2) Use a leakproof, puncture-proof closable container. (3) Needles and syringes should not be clipped, bent, or recapped, but disposed intact into this container. (4) Do not overfill container and maintain container in an upright position. (5) Prior to disposal, secure the lid to the container and tape down, and then dispose into the household trash. Note: Tape cannot be used in place of a lid. 2. Disposal of contaminated patient-care supplies, e.g., dressings, catheters, etc. a. Adhere to Universal Precautions. b. Place contaminated supplies in impervious bag and close tightly. c. Double bag in a second impervious bag. A plastic trash bag. A plastic trash bag lining a wastebasket is acceptable. Seal second bag when full by tying, use of tape, or twist tie. d. Dispose of double-bagged waste in household trash. e. RN instructions to patient/caregiver for disposal of contaminated patient care supplies: (1) Adhere to Universal Precautions (2) Dispose of contaminated supplies using a double-bag system. (3) Dispose in household trash. (4) Decontaminate hands 288
<strong>HHC</strong> EHALTH & HOME CARE Section: 13-11 Infection Control: Disposal/Handling of Infectious Medical Waste __RN __HHA AFTER CARE: 1. Document instructions given to patient/caregiver in patient’s record. 289
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