Page 96 - policy and procedure infection control

Policies and Procedures on Infection Control

6.1.7.2 Skin care
• Maternal blood and secretions will be removed with sterile cotton sponges
and sterile water once the newborn’s temperature has stabilized. Gloves
will be worn for handling of all infants until this has been done.
• Localized cleaning of the diaper area and other soiled areas will be carried
out as needed, using sterile water.
• Whole body bathing and antiseptic soaps are not necessary for routine
care but may be indicated in outbreaks.
6.1.7.3 Cord care
• The cord will be cut and tied using aseptic technique.
• The umbilical cord stump is left to dry or may be cleaned with alcohol daily.
6.1.7.4 Eye care
• At delivery, the newborn’s eyes should be cleansed with sterile cotton to
remove secretions and debris.
• Profuse purulent discharge within the first day of life should be informed
immediately to the paediatric doctor to treat as gonococcal conjunctivitis
until proven otherwise
• Eyes may become infected with water-borne organisms in humid incubators
or from contamination with respiratory tract secretions.
• Care must be taken to prevent contamination of the eyes with drips from
suction catheters after suctioning the nasopharynx or endotracheal tube.

6.1.8 Infant Contact with Mothers and Visitors
Infants rooming with their mothers should not be handled by non-family members. Family
members may hold the infants after proper handwashing.
• Visitation is not allowed during sterile procedures.
• Only parents are allowed to visit in the neonatal wards. Routine handwashing should
be performed. Parents may visit at any time.
• Parents or visitors who are sick eg. respiratory or diarrheal illness, should not visit.

6.1.9 Patient Care Equipment.
• Disposable items are utilized as much as possible where available.
• All infant care units are cleaned and disinfected between each use. Equipment will
be labeled cleaned and stored ready for use.
• All infants are transferred to a clean bassinet, incubator or radiant warmer every
seven days.
• Ventilator circuits and tubing are replaced after 72 hours.

• Air filters from incubators should be changed every three months. Fan, unit, and
housing unit will be cleaned with a damp cloth on a weekly basis.

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