infection control guidelines for haemodialysis - Royal Devon ...

INFECTION CONTROL PROTOCOL FOR CONTROLLING BLOOD-BORNE VIRUS INFECTIONS IN HAEMODIALYSIS UNITSMONTHLY CHECK OF HEPATITIS B AND C RESULTS APPENDIX 2Does the patient have a negativeHepatitis B result recorded withinthe last month?(3 months if from Taunton/ Yeovil)YESDoes the Patient have a negativeHepatitis C result recorded withinthe last month?(3 months if from Taunton or Yeovil)YESNO• Dialyse in a single room• Restrict movement from room to aminimum during dialysis• Where possible one nurse to carefor this patient only. (Essentialwhen the Patient is Hepatitis Bpositive)DecontaminationRequirements• Disinfect machine and equipment inside room surfaces using hypochloritesolution e.g. chlorclean• Run internal citrate disinfection usingclean cart C, followed by hypochloritedisinfection using clean cart AMachine Usage• Dedicate machine, to one patient,clearly labelled for that patient useDialyse in a single room• Disinfect machine and equipment inside room surfaces using hypochloritesolution e.g. chlorclean• Run internal citrate disinfection usingclean cart C, followed by hypochloritedisinfection using clean cart ANONODecontaminationRequirementsMachine UsageIs this machine required urgentlyfor use with another patient?YESA local risk assessment must be performedbefore using a haemodialysis machine formore than one patient who is Hepatitis CpositiveDialyse using Standard Infection controlprecautionsDecontaminationRequirements• After each patient use machines are rinsedrained• Outer surface cleaned using detergentwipes• Daily disinfection clean of haemodialysismachine outer surface and entire stationusing hypochlorite solution e.g. chlorclean• End of each day machines undergo internalcitrate disinfection (clean cart C)• Once each week all machines are heatdisinfected (clean cart A)Machine UsageMachine is available for generalservice useInfection Control Guidelines for Preventing and Controlling Blood-Borne Virus Infection in Haemodialysis Units 10 of 10Approved by: Infection Control Committee: 8 th February 2010Review Date: February 2012