Page 99 - policy and procedure infection control
P. 99

Policies and Procedures on Infection Control


                     4.  Change gloves when performing separate procedures, from a contaminated to a
                         clean body site on the same patient.
                     5.  Wear surgical mask and protective eyewear or face shield to protect mucous
                         membranes of the eyes, nose and mouth during procedures and patient-care activities
                         that are likely to generate splashes or sprays of blood, body fluids, secretions e.g.,
                         tracheal intubation, tracheal suction and tracheostomy.
                     6.  Wear gown (clean, non-sterile) or plastic apron during procedures and patient-care
                         activities that are likely to generate splashes or sprays of blood, body fluids,
                         secretions or excretions, e.g. chest physiotherapy, wound dressing, sponging,
                         tracheal intubation, tracheal suction.
                     7.  Remove gloves, soiled gown or apron promptly and perform hand hygiene after removal.
                         Do not use the same gown, apron or gloves on different patients.
                     8.  Refer to table below for common procedures and recommendations for personal
                         protective equipment.


                                                        Gloves         Gown

                                                        Sterile  Sterile  Sterile  Sterile  Goggle/  Eye Shield  Apron
                 Procedures                                   Non-           Non-

                 Invasive procedures
                 Arterial cannulation                                                     

                 Bone marrow aspiration                                           

                 Bronchoscopy                                                     
                 Blood sampling for culture                                                

                 Central venous catheter,                                         
                 haemodialysis catheter insertion

                 Chest tube insertion                                             

                 Lumbar puncture                                                  
                 Nasogastric tube insertion                                                

                 Peripheral venous cannulation                                            
                 Pulmonary artery catheterisation                                 

                 Peritoneal dialysis catheter insertion                           

                 Urinary catheterisation                                                   




                 88   Ministry of Health Malaysia
   94   95   96   97   98   99   100   101   102   103   104