Page 110 - policy and procedure infection control

Policies and Procedures on Infection Control

• Recognizing that the edges of a package containing a sterile item are considered
non sterile;
• Recognizing that a sterile barrier that has been penetrated (wet, cut or torn) is
considered contaminated;
• Being conscious of where your body is at all times and moving within or around
the sterile field in a way that maintains sterility;
• Not placing sterile items near open windows or doors.

6.3.17 Management of infectious cases that requires additional precaution. e.g.TB, MRO.
1. Pre-operative Management
• Appropriate personal protective equipments should be worn when managing
hazardous procedures..
• All infectious cases should be listed last, unless emergency situation. Terminal
cleansing will have to be done after this. Patient to be sent straight from ward to
the operation room.
• All personnel involved should be informed regarding the infectious case.
• Proper specific disposable and protective attire to be used by all personnel.
• Personnel involved should be kept to the minimal..

• Only specifically required equipment should be kept in the operation room.
2. Intra operative
• Induction of patient to be done on operation table in the theater. Disposables
items should be use wherever possible..
• Gentle handling during draping is required to minimize aerosol contamination of
environment.
• Additional protective face shield should be worn during the procedure to protect
splashes.
• Any operating attire to be changed as soon as possible when soiled during the
procedure.
• All the clinical waste should be thrown onto the clinical waste bin,and sharps to
be disposed into sharp bin by the person handling the sharp.
3. Post operative
• Surgical instruments should be sent to CSSD as soon as possible.
• Whenever it is not possible to do so (after office hours –soak in disinfectant for 30
min, pick up to rinse and pack for CSSD cm), the blood should be wiped off the
instruments and rinsed with water and soaked with high–level disinfectant adhering
to manufacturer’s recommendations and then sent to CSSD. (to confirm with
CSSD section- stuck!!!!)

• All laboratory specimens must be in clean secure containers and placed into the
biohazard specimen plastic bag before being send to pathology.

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