Page 154 - policy and procedure infection control

Policies and Procedures on Infection Control

2. Signage directing patients with chronic cough to go to specific or identified
counter. These patients should be provided with surgical mask.
3. Provide N95 respirator for HCW in-charge of triaging.

4. Educate patient with suspected or confirmed infectious TB disease on
strict respiratory hygiene and cough etiquette.
5. Sputum induction room should be made available at OPD.
6. Ideally patients should be seen in a designated consultation room for TB
equipped with appropriate environmental control, good ventilation with or
without UV light. HCW should be protected using N95.
7.3.4 Dental Clinic

1. Dental HCWs should routinely identify and document whether the patient
has symptoms or signs of TB disease. Educate patient with suspected or
confirmed infectious TB on strict respiratory hygiene and cough etiquette.
2. Non-urgent dental treatment should be postponed, and these patients
should be promptly referred to an appropriate medical /respiratory unit for
further assessment.

3. These patients should be kept in the dental health-care setting as short as
possible.
4. For urgent dental cases for a patient who has suspected or confirmed
infectious TB disease, dental care should be provided in a setting that
meets the requirements for an AII room (if available).N95 must be used
while performing procedures on such patients.
7.3.5 Pharmacy

Cut down patient mix/movement at pharmacy – patient to collect medication at
chest clinic or special counter at pharmacy or other options.
Dispensing should be done at special counter and positive pressure from phar-
macy area out.

1. Allocate special code number or counter for TB infectious patients to col-
lect anti-TB drugs or other medications.
2. Pharmacist or assistant pharmacist on duty at that counter must wear
N95 mask when dealing with Tb infectious patients.
3. Provide priority service to TB patients to minimize the length of time spent
in the department.
7.3.6 Intensive Care Unit (ICU)

1. ICUs with a high volume of patients with suspected or confirmed TB dis-
ease should have at least one AII room. Place ICU patients with suspected
or confirmed infectious TB disease in an AII room, if possible.
2. Where AII is not available, portable air cleaning system e.g. HEPA filter
should be installed in ICU wards.

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