Page 137 - policy and procedure infection control

Policies and Procedures on Infection Control

3. Treatment room
i. Common treatment room
Common treatment room should be used with caution as this will risk
contaminating the surrounding environment and dressing materials stored within
the vicinity. Change of dressing is best done by the patient’s bedside.
ii. Hydrotherapy room
Hydrotherapy and its related equipments should be disinfected with high-level
disinfection in between patients.
*It is difficult to disinfect the pipelines, drains or tanks as these aquatic
environments will be continuously inoculated by organisms from patients and the
caregivers.
4. Plants and flowers
Plants and flowers should not be allowed in the Burn unit as they harbor gram
negative organisms such Pseudomonas species and fungi. These organisms may
colonize the burn wound and many are intrinsically resistant to multiple antibiotics.
5. Toys
Pediatric patient with burns should be restricted to non porous and washable toys
only. This should be designated to individual patient use only, and thoroughly disinfect
after use or before giving to another patient.

6.8.4 Patient Care Items and Equipments

All equipments and surfaces (such as beds, side rails, tables, wheelchairs and trolleys)
should be adequately decontaminated (Refer MOH guidelines for disinfection).
1. Non invasive items
• Non critical items such as blood pressure cuffs, oxygen mask, nasal prongs,
tubing, stethoscopes, bedpans, wheelchair, infusion pumps if used on areas
without dry, occlusive dressings, may need high-level disinfection.
• These items should be restricted to an individual patient treated in the isolation
room.
2. Invasive items
• This refers to the care of endotracheal/ tracheostomy tube,intravascular catheter
and continuous bladder catheterization.
Intravascular catheter should be placed through unburned skin, preferably at a
sufficient distance from the wound to prevent contamination at the insertion site. If
insertion of catheters is placed within or near the burn wound, appropriate dressing
is required to cover the site of insertion.
Prevention of UTI includes removal of the catheter as soon as it is no longer required
for monitoring of urine output, maintaining a closed urinary drainage system, and
performance of urinary catheter care.

126 Ministry of Health Malaysia