Page 100 - policy and procedure infection control
P. 100

Policies and Procedures on Infection Control


                  Respiratory care

                  Tracheal intubation                                                      

                  Tracheostomy                                                     

                  Tracheostomy tube change                                                 
                  Tracheal suctioning                                                      

                  Ventilator tubing change                                                 
                  Others
                  Wound dressing                                                            

                  Physiotherapy                                                            

                  Sponging                                                                  

                Note : Mask is to be worn for all the above procedures

                6.2.3 Ward Environment
                      1.  The ward shall be kept tidy and neat at all times.
                      2.  Flowers and plants are not allowed in patient-care areas.
                      3.  Patients who are infected or colonised shall be nursed in isolation rooms if available
                          or cohorted in a designated area or cubicle.
                      4.  The cleaning schedule shall be followed, with adequate daily cleaning of all work
                          areas.  Cleaning tasks shall follow in the order from ‘clean’ to ‘dirty’.
                      5.   Floors shall be cleaned according to cleaning schedule or as necessary. Brooms
                          shall not be used in clinical areas. Use dust-retaining mops, which are specially
                          treated or manufactured to attract and retain dust particles.

                      6.  Clean and disinfect high touch areas (work areas, bedrails, drip stands, bedside
                          nursing tables, keyboards, light switches, doorknobs) with medium-level disinfectant
                          at least daily or when visibly dirty.
                      7.  Sinks, hand basins and surrounding floor and wall areas shall be cleaned at least
                          daily, or more frequently as required.
                      8.  Handbasins shall ideally be equipped with nontouch taps with antisplash devices.
                          Antiseptic hand wash in non-refillable dispensers and disposable paper towels shall
                          be readily available.
                      9.  Clean wall, blinds or window in patient-care areas when visibly dusty or soiled and
                          when patients are discharged.

                      10. Curtains in patient-care areas shall be changed weekly and when patients are
                          discharged. Use plastic curtain that can be decontaminated regularly (e.g. daily) if feasible.



                                                                          Ministry of Health Malaysia  89
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