Page 60 - policy and procedure infection control

Policies and Procedures on Infection Control

Causes of Contamination Preventive Measures
Physical facility 1. There should be a room equipped with the necessary facilities
for the preparation of enteral feeds following aseptic technique
for the whole hospital and proper delivery system to the wards.
2. The preparation area should be clean and hand washing
facilities must be made available.

Touch contamination 1. Practice hand hygiene before handling formula or
during preparation and administration system.
administration
2. Use disposable gloves.
3. Sanitise all equipments and surfaces used for formula
preparation
4. When using decanted formula, sanitise the container before
opening.
5. Avoid touching any part of container or the administration
system that will come into contact with the formula (e.g:
the container feeding port, piercing pin on the feeding set).

Formula preparation 1. Use commercial formulas and avoid blenderised foods.
Adding water or other 2. Avoid adding water, colorants, medications or other
substances, or using
procedures that increases substances directly to formula.
handling of formulas or 3. Use clean technique to add medication to the feeding tube
administration systems if cannot be given by other route.
increases the potential for 4. Use full strength formula. For GI intolerance, reduce
contamination.
administration rate instead of diluting the formula.
5. Reduce handling by using closed feeding system.
6. Label product, date and time of preparation on the container.

Administration and 1. Limit hang time of refilled formula to 24 hours.
prolonged hang time 2. Limit hang time of decanted formula to 8 – 12 hours.
Regardless of administration
system, all tube-feeding 3. When using decanted formula, allow feeding to empty
formulas have risk of completely and rinse before adding fresh formula.
microbial growth. Prolonged 4. Avoid topping up freshly prepared formula until all the
hang time is associated with previous formula in feeding bag is completely administered.
unacceptable microbial
levels. 5. Flush feeding tube with sterile /boiled water.
6. Change feeding set every 24 hours.

Ministry of Health Malaysia 49