Page 115 - policy and procedure infection control

Policies and Procedures on Infection Control

2. It should be noted that the antibody response rate in these patients is lower than in
the general population and hence the vaccination dose and schedule should follow
those recommended for haemodialysis patients (refer vaccine).

6.4.7 Connection to dialysis machine in HIV patients
1. It is necessary to have a dedicated machine for HIV-positive patients but all venous
pressure transducers must be changed between patients.
2. Disposable dialysers should be used and dialysers should not be reprocessed.
3. Staff should wear eye glasses or visors to protect against the spray of blood that
may occur when inserting needles into the patient.

6.4.8 Disinfection and disposal at the end of haemodialysis
1. Staff must take care to avoid accidents with re-useable sharp instruments.
2. Gloves and an apron must be worn.
3. On completion of the haemodialysis treatment, all used dialysers and blood lines
should be placed in a leak proof containers/bags when transporting them from the
dialysis station to the reprocessing or disposal area.
4. All machines should be cleaned with a 0.1% hypochlorite solution.
5. Normal cleaning is adequate for the beds, mattresses, lockers and other furniture,
unless contaminated by blood or other body fluids in which case the spillage procedure
is followed.
6. Blood-stained linen must be placed in a special bag which is labeled “Biohazard’.
7. Heavily blood-soaked linen should be placed in yellow bag for incineration.

6.4.9 Infection Control Precautions for all Patients

1. Disposable gloves MUST be worn whenever caring for the patient or when touching
the patient’s equipment (including the haemodialysis machine) at the haemodialysis
station. The disposable gloves MUST be removed and hands MUST be washed
between patients or dialysis stations.
2. Items taken into a dialysis station should be disposed of, dedicated for a single
patient or cleaned and disinfected before using on other patients.

3. Dialysis chairs, table, haemodialysis machines etc MUST be cleaned and disinfected
between patients.
4. Clean area should be clearly designated for handling and storage of medications,
unused disposables, equipments and machines.

5. Venous and arterial pressure transducers filter/protector should be used and these
should be changed between each patient and should not be reused.
6. Common cart should not be used to deliver medications or food to patients. If common
cart has to be used, the cart must not be moved from one dialysis station to another
and should remain in a designated area of sufficient distance from dialysis stations.

104 Ministry of Health Malaysia