Page 127 - policy and procedure infection control

Policies and Procedures on Infection Control

• Staff / personnel should follow the disinfection and sterilization policy and practice
and standard precaution guideline practice.
• Staff with skin ailments should not work in CSSU.
• Long finger nails, inclusive of artificial nail and heavy make-up are not allowed in
CSSU.
3. Safety
• The department shall identify safety precaution and measures for their work areas.
• Personal Protective Equipment (PPE) must always be worn accordingly.
• Equipment operating instruction shall be available at the site of the equipment.

• Staff handling chemical should follow the manufacturer’s guideline.

6.6.4 Instruments
1. Contaminated instrument following manufactures guideline.
2. Instrument used on Biohazard case must be double bagged, labeled biohazard and
sent to CSSU as soon as possible after informing CSSU staff.
3. When the CSSU is closed, decontamination is carried out at users place following
the guidelines ‘disinfection and sterilization policy and practice’.

6.6.5 Packing

All packing methods and wrapping procedures must allow for removal of air and direct contact of
the sterilant with the contents of the package. Sterilization wrapping paper should be use instead
of linen as packaging material.

6.6.6 Sterilization
1. Heat sensitive items should be sterilized by low temperature sterilizer
2. All sterilized items shall have name of item, date of sterilization, code number of
packer and load number of sterilizer on the package.
3. Sterility will be determined by inspecting the integrity of the package for sign of
damage or contamination, handling and storage condition. Sterility is event-related;
it is not time-related unless the package contains unstable components such as
drug or chemical.
4. Re-processing of single used devices should be discouraged.

6.6.7 Storage and preparation rooms
1. Sterile store is used for storage of sterile items only
2. Only authorized personnel shall be allowed to enter the sterile store
3. Bulk store is used for storage raw materials with non-sterile consumables

4. Linen room is use for preparation and storage of linen only.

116 Ministry of Health Malaysia