Page 27 - policy and procedure infection control

Policies and Procedures on Infection Control

Gown As per standard precautions
(For procedures/activities likely to generate splashes/sprays
of blood, body fluids, secretions and excretions)
Patient Transport Limit the movement and transport of the patient from the
room to essential purposes only. If transport or movement is
necessary, minimize patient dispersal of droplet nuclei by
placing a surgical mask on the patient.

Droplet Precautions

Designed to prevent the transmission of diseases by large particle (droplet) (particles >
5 μm) or dust particles containing the infectious agent. Unlike droplet nuclei, droplets are
larger, do not remain suspended in the air, and do not travel long distances. They are
produced when the infected patient talks, coughs, or sneezes, and during some procedures
(e.g., suctioning and bronchoscopy). A susceptible host may become infected if the
infectious droplets land on the mucosal surfaces of the nose, mouth, or eye.

Patient Placement No special air handling or ventilation required

In descending order of preference;
1. Single room with en-suite bath
2. Single room
3. Cohort – place the patient in a room with a patient(s) who
has active infection with the same microorganism but with
no other infection.
4. In the general ward, but maintain a spatial separation of
at least 3 feet between infected patient and other patients
and visitors. Place an isolation trolley/tray* at the entrance
of the isolation zone.

Respiratory protection Wear mask when working within 3 feet of the patient. If
placed in a single room, wear mask before entering the room.

Face shield/eye As per standard precautions
protection
(For procedures/activities likely to generate splashes/sprays
of blood, body fluids, secretions and excretions)
Gloves and Hand As per standard precautions
washing
(When touching blood, body fluids secretions, excretions,
contaminated items, mucous membranes, non intact skin)

16 Ministry of Health Malaysia