5 steps of cleaning blood and body fluid spillage

Rinse eyes or mouth with For all environmental cleaning procedures, always use the following general strategies: Conduct Visual Preliminary Site Assessment. Your healthcare provider will also perform a baseline test for hepatitis B and HIV, and will schedule follow-up testing at 4 weeks, 12 weeks, and 6 months after the exposure. Where large spills (more than 10 cm) have occurred in a wet area, such as a bathroom or toilet area, the spill should be carefully washed off into the sewerage system using copious amounts of water and the area flushed with warm water and detergent. 5 steps of cleaning blood and body fluid spillage - Fit & Healthy If the spillage is on a hard surface, start by blotting it up with paper towels. Saving Lives, Protecting People, General environmental cleaning techniques, Methods for assessment of cleaning and cleanliness, Appendix B1 Cleaning procedure summaries for general patient areas, Appendix B2 Cleaning procedure summaries for specialized patient areas, Appendix A Risk-assessment for determining environmental cleaning method and frequency, 2.4.3 Cleaning checklists, logs, and job aids, Appendix C Example of high-touch surfaces in a specialized patient area, Appendix D Linen and laundry management, Appendix E Chlorine disinfectant solution preparation, Decontamination and Reprocessing of Medical Devices for Health-care Facilities, 4.2.3 Terminal or discharge cleaning of inpatient wards, Areas with Contact and Droplet Precautions, 4.4.2 Routine cleaning of inpatient wards, WHO 2019: Implementation manual to prevent and control the spread of carbapenem-resistant organisms at the national and health care facility level, WHO: Infection prevention and control guidance for care of patients in health-care settings, with focus on Ebola, WHO | Ebola virus disease: Key questions and answers concerning water, sanitation and hygiene, 4.7.1 Material compatibility considerations, Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Healthcare Quality Promotion (DHQP), Antibiotic Resistance & Patient Safety Portal, Data Summary: Assessing Progress 2006-2016, Central Line-associated Bloodstream Infections, Catheter-associated Urinary Tract Infection, Carbapenem-resistant Enterobacterales (CRE), Occupationally Acquired HIV/AIDS in Healthcare Personnel, Vancomycin-resistant Enterococci (VRE) in Healthcare Settings, Patients with Indwelling Urinary Catheter, Patients without Indwelling Urinary Catheter, Options for Evaluating Environmental Cleaning, Appendices to the Conceptual Program Model for Environmental Evaluation, Basic Infection Control and Prevention Plan for Outpatient Oncology Settings, Infection Prevention and Control Assessment Tool for Nursing Homes Preparing for COVID-19, Environmental Cleaning in Resource-Limited Settings, Environmental Cleaning Supplies and Equipment, Appendix B2: Cleaning specialized areas, Appendix C: Examples of high-touch surfaces, Appendix E: Chlorine disinfectant preparation, Healthcare Environmental Infection Prevention, Antibiotic Resistance Laboratory Network (AR Lab Network), HAI/AR Program Successes & Public Health Impact, Interim Local Health Department (LHD) HAI/AR Strategy, Modeling Infectious Diseases in Healthcare Network (MInD Healthcare), Multiplex Real-Time PCR Detection of KPC & NDM-1 genes, Detection of Imipenem or Meropenem-resistance in Gram-negative Organisms, Labs Role in the Search and Containment of VRSA, Inferred Identification of Pulsed Field Types based on MLST clonal complex, Microscopic Gallery of Pathologic Results, Outbreak Resources for State Health Departments, U.S. Department of Health & Human Services, At least once daily (e.g., per 24-hour period), Procedural (minor operative procedures; e.g., suturing wounds, draining abscesses), Before and after (i.e., between [Footnote e]) each procedure, High-touch surfaces and floors, with an emphasis on the patient zone, procedure table, Scheduled basis (e.g., weekly, monthly) and when visibly soiled, Scheduled basis (e.g., weekly) and when visibly soiled, High surfaces (above shoulder height) such as tops of cupboards, vents, At least once daily (e.g., per 24-hour period), after routine cleaning of patient care area, High-touch and frequently contaminated surfaces in toilet areas (e.g., handwashing sinks, faucets, handles, toilet seat, door handles) and floors, Public or shared toilets (e.g., patients, visitors, family members), Floors in general inpatient and outpatient areas, always cleaned last after other environmental surfaces, At least once daily (e.g., per 24-hour period) or as often as specified in the specific patient care area, Clean (unless otherwise specified within specific patient care area), Any spill in any patient or non-patient area. Place the towels in the biohazard bag. Illustration of mopping strategy, working toward the exit. Use a wet vacuum cleaner or soap and water to clean the area, then disinfect it with a household cleaner. Useful links Hepatitis B Immediately send all reusable supplies and equipment (e.g., cleaning cloths, mops) for reprocessing (i.e., cleaning and disinfection) after the spill is cleaned up. Cookies used to make website functionality more relevant to you. Clean up the Spill Use a disposable cloth or paper towel to soak up as much of the spill as possible. This includes contact with intact skin, mucous membranes, or broken skin. 9h57j,O8|`:e!.~2 5L Recommended Frequency and Process for Airborne Precautions, Unit manager or shift leader should coordinate schedule, Take care to keep the door closed during the cleaning process (ventilation requirement), Table 25. Always work from the outside of the spill and move inward to avoid any spread. Change cleaning cloths when they are no longer saturated with solution, for a new, wetted cloth. "YdcHs.f_9fJq4.a[=Civ>m If not, clean at different times of the day depending on the workflow. Disinfectant with sporicidal properties, for example: sodium hypochlorite solution (e.g., 1,000ppm or 5,000ppm). DOCX Safe Work Procedure for Cleaning and handling of blood and body fluids If you develop any symptoms during this time period, it is important to notify your healthcare provider immediately so that you can be tested for other infections such as hepatitis C or syphilis. Alternatively, it is possible to train and assign a dedicated cleaning staff member to this area. While dealing with such a situation may seem daunting, this guide provides you with 5 steps for cleaning and containing such spills for the safety of everyone involved. Dealing with body fluid spillages (not blood/ blood stained) r%"FOH"V#oJpX]$D3JY/6Oxmla^mv*WEo8O4bBZi/qy&+o?0}a`UD{#Id#f"chQt%!D(]T-U]bAtt%MHHiH>}kVjUinO? '9$hwm1*>4~OrOn5}I? Protective eyewear 3. You will be subject to the destination website's privacy policy when you follow the link. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Using water and detergent clean the area. It is generally unnecessary to use sodium hypochlorite for managing spills, but it may be used in specific circumstances. In this situation, clean up the spillage and record the incident, using the following procedure. Terminal cleaning of inpatient areas, which occurs after the patient is discharged/transferred, includes the patient zone and the wider patient care area and aims to remove organic material and significantly reduce and eliminate microbial contamination to ensure that there is no transfer of microorganisms to the next patient. 4. Step One: Fully Train Cleaners And Ensure They Are Wearing The Appropriate Clothing For Their Safety Portable or stationary noncritical patient care equipment incudes IV poles, commode chairs, blood pressure cuffs, and stethoscopes. Cleaning is a process that physically removes contamination, including some microorganisms and, if soiling is present, it is an essential step before effective disinfection or sterilisation can. Dried body fluids or small spill with low splash potential: Use absorbent material to soak up and contain spill with absorbent powder/ paper towels if necessary. Proceed from cleaner to dirtier areas to avoid spreading dirt and microorganisms. whether there is any likelihood of bare skin contact with the soiled (contaminated) surface. all surfaces (high- and low-touch) and the floor inside of the surgical field, including: horizontal surfaces (high- and low-touch) and fixed equipment in the room, including booms and wheels of any equipment (e.g., carts), vertical surfaces such as walls and windows as needed to remove visible soiling, handwashing sinks, scrub and utility areas/sinks, take care to move the operating table and any mobile equipment to make sure to reach the floor areas underneath. Blood and body fluids can contain viruses and bacteria that can cause serious illnesses. Under normal circumstances, it is not necessary to perform the cleaning step in the morning if terminal cleaning was conducted the evening before. This implementation guide discusses the key elements of environmental cleaning needed for prevention and control of these organisms: WHO 2019: Implementation manual to prevent and control the spread of carbapenem-resistant organisms at the national and health care facility level pdf icon[PDF 98 pages]external icon. Recommended Frequency and Process for Special Isolation Units, Table 22. Here, were taking a look at blood spills, OSHA guidance, and walking you through what to do in the event of a blood spill. (For larger spills:) 1. You may need to use a brush to scrub the area. This is particularly important in clinical areas. Cleaning blood and body fluid spillage can be a challenging task, but following these 5 steps will ensure that you are cleaning the area safely, effectively, and efficiently. j[VKZFJJdgw8Zek&S$jQ282)t@R_@T Discard these towels in a biohazard bag as well. Take care not to contaminate other surfaces during this process. Take care to allow the disinfectant to remain wet on the surface for the required contact time (e.g., 10 minutes), and then rinse the area with clean water to remove the disinfectant residue (if required). Place any laundry items soaked with blood or body substances in a leak proof bag before placing in a linen bag Clean area with a neutral detergent and warm/cold water using mop or disposable cleaning cloth Risk assess need for disinfection Clean bucket and mop, dry and store appropriately Perform hand hygiene. Splashes of blood or body fluids to the eyes, nose or mouth must be treated as potential exposure to a blood-borne virus. Methods of decontamination - Blood borne viruses (BBV) You can then use a household cleaner to disinfect the area. PDF BLOOD AND BODY FLUID SPILLAGE POLICY - sfh-tr.nhs.uk In 2017, the World Health Organization published the first global guidelines for the prevention and control of CRE-CRAB-CRPsA in healthcare facilities, which include environmental cleaning and disinfection as a key recommendation. Staff who work in the SSD might be responsible for cleaning and disinfecting it, instead of environmental cleaning staff. Pour a 10% bleach mixture (1 part bleach to 9. This chapter provides the current best practices for environmental cleaning procedures in patient care areas, as well as cleaning for specific situations (e.g., blood spills) and for noncritical patient care equipment; see summary in Appendix B1 Cleaning procedure summaries for general patient areas and Appendix B2 Cleaning procedure summaries for specialized patient areas. Wipe up the bleach solution using paper towels or other absorbent material. The area of the spill should then be cleaned with a mop, and bucket of warm water and detergent. *If there is prolonged time between procedures or local conditions that create risk for dust generation/dispersal, re-wipe surfaces with disinfectant solution immediately before the subsequent procedure. Leave the bleach solution on the contaminated surface (s) for 20 minutes. After cleaning a small area (e.g., 3m x 3m), immerse the mop or floor cloth in the bucket with rinse water and wring out. OSHA Sell Sheet Additional Safetec Products Five Step Spill Clean Up 29 CFR 1910.1030 - Bloodborne Pathogens* Universal precautions is an approach to infection control to treat all human blood and certain human body fluids as if they were known to be infectious for HIV, HBV, and other bloodborne pathogens. generation of aerosols from spilled material should be avoided. PDF Blood and Body - Health Service Executive %%EOF Proceed in a systematic manner to avoid missing areasfor example, left to right or clockwise (Figure 10). Table 18. Join us by subscribing to our Blog and receive updates on whats new in the world of EHS, our software and other related topics. Control access to the area by blocking off the area of spill from others until clean up and disinfection is complete. 5_6~_:"I`-{8 CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. You have entered an incorrect email address! Be sure to dispose of these materials properly afterward. Hypochlorites are corrosive to metals and must be rinsed off after 10 minutes and the area dried. If the spillage is on carpet or fabric, you will need to take special care to avoid spreading the fluids. becasue. Clean Thrice. remove privacy and window curtains for laundering, Rigorous mechanical cleaning process (e.g., using friction). wG xR^[ochg`>b$*~ :Eb~,m,-,Y*6X[F=3Y~d tizf6~`{v.Ng#{}}jc1X6fm;'_9 r:8q:O:8uJqnv=MmR 4 All equipment should include detailed written instructions for cleaning and disinfection from the manufacturer, including pictorial instructions if disassembly is required. PDF Cleaning and Disinfecting: Blood Spills, Feces, Vomit and Other Body Fluids Hands should be washed and dried after cleaning. Table 19. Replace a single use spill kit / check the level of a multi-use kit ,vcIOR5[H]Zk+]cHOA .W%5vTsYC:P #! *B:jH>]P`H|UD|v #I7dv#o^Gv=m?uu(. Examples include: Proceed in a Methodical, Systematic Manner, Figure 10. These aspects are covered in more detail in 2.4.3 Cleaning checklists, logs, and job aids. Think of disposable gloves and gowns as your PPE in this case. Risk-Based Environmental Cleaning Frequency Principles. Be sure to follow the instructions on the label of the bleach product you are using. To receive email updates about this page, enter your email address: We take your privacy seriously. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Fold the cleaning cloth in half until it is about the size of your hand. This is the general process for cleaning of spills of blood or body fluids: Specialized patient areas include those wards or units that provide service to: Pay special attention to roles and responsibilities for environmental cleaning. Cleaning Blood Spill Flashcards | Quizlet n3kGz=[==B0FX'+tG,}/Hh8mW2p[AiAN#8$X?AKHI{!7. PDF Body Fluid Spill Clean-up Document Number: Procedure EHS.SPILL.06 - UMass Contain the spill by using paper towels or other absorbent material. Management of blood and body fluid spillages - Camden As you enter the spill area, be careful not to step in any contaminated fluids. Thoroughly clean and disinfect portable patient-care equipment that is not stored within the operating room, such as suction regulators, anesthesia trolley, compressed gas tanks, x-ray machines, and lead gowns, before introduction into the operating room. Hb``$WR~|@T#2S/`M. increase the probability of contamination of the environment from infectious agents or blood and body fluids, make them more susceptible to infection (e.g., trauma patients), high-touch surfaces and floors with focus on the patient zone and low-touch surfaces, any surface (e.g., walls) that is visibly soiled with blood or body fluids, all surfaces of the dialysis station/area (e.g., bed/chair, countertops, external surfaces of the machine) and floors in the patient zone, high-touch surfaces (e.g., light switches, door handles, handwashing sinks), entire floor (move procedure table and other portable equipment), high-touch surfaces and floors with focus on the patient zone, high-touch and low touch surfaces and floors, last clean of day: entire floor and low-touch surfaces, high-touch surfaces and floors in the patient zone/ procedure table; any surface visibly soiled with blood or body fluids, last clean of the day: other high-touch surfaces and low-touch surfaces, handwashing sinks and scrub/sluice areas and the entire floor, toys; for toys that may be put into mouth of infant or toddler ensure that they are cleaned, disinfected and rinsed thoroughly after each use, high-touch surfaces (e.g., procedure table/station, countertops, external surfaces of fixed equipment) and floors with focus on the patient zone, any surface that is visibly soiled with blood or body fluids, environmentally hardy pathogens (e.g., resistant to disinfectants). Advantages and Disadvantages of Monitoring Methods for Assessing Cleanliness: Effectiveness of Cleaning Procedures, Lacks a standardized threshold or benchmark for determining the level or status of cleanliness (i.e., safe post-cleaning ATL levels) for specific surfaces or patient care areas, Interference of cleaning products, supplies and in some cases surfaces, which can both reduce or enhanced ATP levels (e.g., bleach, microfiber, stainless steel), Provides direct indication of presence of specific pathogens (direct swab cultures), May be useful for identifying source of outbreaks and/or environmental reservoirs, Requires access to laboratory resources and trained personnel for interpreting results, Lack of defined threshold or benchmark for determining the level or status of cleanliness (e.g., colony-forming units per surface area). Disposable towels used for wiping up blood or other body fluids . stream Disinfect using a chlorine releasing solution of 1,000ppm or equivalent according to manufacturers' instructions, rinse and dry. The plastic bag may then be thrown away with household waste. Once visibly finished, saturate with sodium hypochlorite 0.5% (10,000 ppm available chlorine). Disinfect bedpans with a washer-disinfector or boiling water instead of a chemical disinfection process. If the spill is on a hard surface: clean with detergent and water dry the surface consider further treatment such as disinfection if site is large or in contact with skin immersed in sodium hydroxide or sodium hypochlorite for 1 hour, rinsed and placed in a pan of clean water, and sterilised on an 18-minute cycle. Blood or other body fluids on surfaces (walls, floor, counter tops, inanimate objects, etc.) They help us to know which pages are the most and least popular and see how visitors move around the site. Clean (scrub) and disinfect handwashing sinks. It should also be stored in an area known to all. If you come in contact with someone else's blood or bodily fluids, you should take immediate steps to disinfect yourself: Wash the infected material from your skin with soap and running water. Your gut health can significantly impact your health, well-being, and feelings of vitality. It is best practice to perform routine, standardized assessments of environmental cleaning (i.e., practices, level of cleanliness) in order to: This section includes an overview of the available methods, as well as their advantages and disadvantages. (*(%8H8c- fd9@6_IjH9(3=DR1%? You may need to receive a booster immunization for hepatitis B, and you will be started on a regimen of post-exposure prophylaxis (PEP) for HIV. Publisher: NHS Education for Scotland (NES) MetaLifecycleVersion: Version 3, created April 2023 Type: Handout Format: PDF Audience: General audience Download (6 MB) 5 0 obj 927 0 obj <> endobj Recommended Frequency and Process for Contact and Droplet Precautions, Any surface (e.g., walls) that is visibly soiled with blood or body fluids, See Cleaning for C. difficile spore forming below, Last clean of the day: clean and disinfect low-touch surfaces. HW[o6~#U4X2,[+b${I-1?\yao/'Lo',O$bl5[ Communicable Disease Section Department of Health GPO Box 4057, Melbourne, VIC 3000. Open windows to ventilate if necessary 4. Granular formulations that produce high available chlorine concentrations can contain the spilled material and are useful for preventing aerosols. Recommended Frequency and Process for Hemodialysis Units, Table 20. HyTSwoc [5laQIBHADED2mtFOE.c}088GNg9w '0 Jb A scraper and pan should be used to remove the absorbed material. nQt}MA0alSx k&^>0|>_',G! Steam cleaning may be used instead. If the spill is on carpeting or upholstery, blot it with a clean, absorbent cloth to remove as much of the liquid as possible. In patient care areas, do not purchase, install, or use equipment that cannot be cleaned and disinfected, unless they can be fitted with plastic (or other material) coverings. endstream endobj 928 0 obj <>/Metadata 62 0 R/Outlines 186 0 R/PageLayout/OneColumn/Pages 922 0 R/StructTreeRoot 203 0 R/Type/Catalog>> endobj 929 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 930 0 obj <>stream Depending on resource and staffing levels, dedicated cleaning staff posted at shared toilets in healthcare facilities could reduce risk associated with these areas. Examples include: Environmental Cleaning Supplies and Equipment for the Operating Room (OR): Have dedicated supplies and equipment for the OR (e.g., mops, buckets). Standalone training programs and strict adherence to required PPE is essential for conducting effective environmental cleaning in these situations. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Pour a broad spectrum disinfectant such as a 10% bleach solution onto the body spill and leave on for 10-30 minutes before clean-up. A full list of pathogens/infections requiring these precautions are included in CDCs Guideline for Isolation Precautions. How to clean up a Blood or Biohazard Spill - YouTube Best Practices for Environmental Cleaning in Healthcare Facilities: in RLS. See Appendix C Example of high-touch surfaces in a specialized patient area. The determination of environmental cleaning procedures for individual patient care areas, including frequency, method, and process, should be based on the risk of pathogen transmission. Provide dedicated supplies and equipment for the ICU (e.g., mops, buckets) that are not used anywhere else. Remove gloves and apron and dispose of in the plastic bag. See 2.4.3 Cleaning checklists, logs, and job aids. 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