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TheatrePracticeStandardsGeneric1

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lood, CSF or brain tissue, should be cleaned with sodium hypochlorite 10,000 ppm<br />

using standard disinfection processes.<br />

o<br />

For asymptomatic patients at risk from familial or iatrogenic CJD, the same<br />

precautions apply.<br />

• Surgical Instruments<br />

o<br />

o<br />

o<br />

o<br />

o<br />

Use single-use disposable instruments and equipment where possible.<br />

If single use items are not available, the instruments and equipment should NOT be<br />

re used under any circumstances. For asymptomatic patients at risk from familial or<br />

iatrogenic CJD, the same precautions apply.<br />

A tracking system should be in place that will trace instruments back to all patients<br />

who have undergone a surgical procedure, including flexible endoscopes and<br />

associated equipment.<br />

In order to facilitate tracking and removing the instrument set from circulation, it is<br />

imperative to contact SSD so that the staff can instigate ‘quarantine’ procedures<br />

for the instrument set, isolation transport from the theatres to SSD and perform<br />

either adequate decontamination process or destruction of the set.<br />

See relevant section Policy for the Management of Patients who are symptomatic or<br />

at increased risk of Transmissible Creutzfelt-Jakob disease (CJD).<br />

Compliance: 100%<br />

Exceptions: None<br />

References:<br />

• AfPP Principles of Safe Practice in the Perioperative Environment 2011<br />

• RCH Trust Policy Policy for the Management of Patients who are symptomatic or at<br />

increased risk of Transmissible Creutzfelt-Jakob disease (CJD)<br />

• RCHT Decontamination Policy RCHT IPAC Decontamination Policy<br />

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