Page 196 - policy and procedure infection control

Policies and Procedures on Infection Control

• Wear an apron when entering the room of a patient infected or
colonised with VRE:
 If substantial contact with patient or with environmental
surfaces in the patient’s room is anticipated.
 If the patient is incontinent.
 If the patient has had an iliostomy or colostomy, has
diarrhoea,or has a wound drainage not contained by a
dressing.
 Remove gloves and apron BEFORE leaving the patients room
and immediately wash hands or use alcohol hand gel.
 Dedicated thermometers, blood pressure cuffs, stethoscopes,
should be kept in the patients room. After discharge they
should be cleaned and disinfected appropriately.
13.3.6.6 Transfer Of Infected Or Colonized Patients
• Patients that are colonised with VRE must not be transferred
without prior knowledge of the receiving hospital or department.
• VRE positive patients may attend other hospital departments such
as radiology, with prior arrangement with the receiving department.
13.3.6.7 Waste Disposal
• Dispose of aprons/ gloves and incontinence wear in clinical waste
bin.
13.3.6.8 Linen
• Soiled linen must be placed in an alginate bag prior to placement
in outerbag. Other linen treat as normal.
13.3.6.9 Cleaning Policy
• Separate equipment must be kept for isolation areas.

• Thorough cleaning of all surfaces including bed rails, call bells,
bedside tables, commodes, bathroom and toilets must be done
on at least a daily basis.
• On the advice of the Infection Control Nurse, hypochlorite 1: 1000
maybe recommended after cleaning.
• On discharge of the patient all areas/surfaces of the room or ward
must be thoroughly cleaned with hypochlorite.

Ministry of Health Malaysia 185