Infection prevention and control - Royal Marsden Manual of Clinical ...

Recommendations

Info

98 Infection prevention and control Procedure guideline 3.3 (Continued) Action Figure 2 Remove gloves from the box. Action Figure 7 Remove the fi rst glove by fi rmly holding the outside of the glove wrist, then pull off the glove in such a way as to turn it inside out. Action Figure 9 Dispose of used gloves. Action Figure 3 Holding the cuff of the glove, pull it into position. Action Figure 8 Remove the second glove by slipping the thumb of the ungloved hand inside the wrist of the glove and pulling it off while turning it inside out.
Procedure guideline 3.4 Putting on and removing a disposable apron Essential equipment ■ Disposable apron Preprocedure Action Rationale 1 Remove an apron from the dispenser or roll using clean hands and open it out. To make it easy to put on. E Procedure 2 Place the neck loop over your head and tie the ties together behind your back, positioning the apron so that as much of the front of your body is protected as possible (see Action Figures 2a , 2b ). 3 If gloves are required, don them as described in Procedure guideline 3.3 . At the end of the procedure, remove gloves fi rst. 4 Remove the apron by breaking the ties and neck loop; grasp the inside of the apron and dispose of it (see Action Figure 4 ). Postprocedure 5 Dispose of used aprons as ‘hazardous infectious waste’, that is, into an orange waste bag, unless instructed otherwise by the infection prevention and control team. Infection prevention and control To minimize the risk of contamination being transferred between your clothing and the patient, in either direction. E The gloves are more likely to be contaminated than the apron and therefore should be removed fi rst to prevent cross-contamination ( DH 2010b , C ). The inside of the apron should be clean. E All waste contaminated with blood, body fl uids, excretions, secretions and infectious agents thought to pose a particular risk should be disposed of as hazardous infectious waste. Orange is the recognized colour for hazardous infectious waste that does not require incineration and may be made safe by alternative treatment ( DH 2006a , C ). 6 After removing the apron, decontaminate your hands. Hands may have become contaminated ( Pratt et al. 2007 , C ). Action Figure 2a Place the neck loop of the apron over your head. Action Figure 2b Tie the ties together behind your back, positioning the apron so that as much of the front of your body is protected as possible. Action Figure 4 Remove the apron by breaking the neck loop and ties. 99
Page 1 and 2: Infection prevention and control Ov
Page 3 and 4: Box 3.1 Terms used when discussing
Page 5 and 6: Bacteria Bacteria are probably the
Page 7 and 8: Table 3.2 Medically signifi cant ba
Page 9 and 10: the appearance of a sponge, hence t
Page 11 and 12: many of these organisms may be less
Page 13 and 14: of regular visits to clinical areas
Page 15 and 16: Assessment and recording tools Asse
Page 17 and 18: 1 2 3 4 5 6 Infection prevention an
Page 19: Procedure guideline 3.3 Putting on
Page 23 and 24: Procedure guideline 3.5 (Continued)
Page 25 and 26: Procedure guideline 3.7 Donning ste
Page 27 and 28: Action Figure 5a Slide the fi ngert
Page 29 and 30: Postprocedure 11 At the end of the
Page 31 and 32: Action Figure 8d Push your hand thr
Page 33 and 34: ■ Traceability system for any reu
Page 35 and 36: Source isolation Evidence-based app
Page 37 and 38: Linen Place infected linen in a red
Page 39 and 40: Postprocedure 11 Assess the patient
Page 41 and 42: 5 If the patient has an infection r
Page 43 and 44: Prevention and management of inocul
Page 45 and 46: Box 3.3 Actions to take in the even
Page 47 and 48: Table 3.7 (Continued) Management of
Page 49 and 50: DH/HPA ( 2008 ) Clostridium diffi c

Infection prevention and control - Royal Marsden Manual of Clinical ...

Create successful ePaper yourself

Delete template?

Save as template?