Decontamination Policy & Procedures

INTRODUCTION

The purpose of this policy is to ensure there in a system in place that all reusable medical devices are properly decontaminated prior to use.

The policy will cover all aspects of decontamination that are required to protect all staff and service users.

The responsibility for ensuring this policy lies with EHCS management.

All medical devices/ equipment are ‘single use’ or ‘reusable’. Single use devises has legal implications and can affect safety and effectiveness of the device. All reusable equipment must be decontaminated before use and between each service user use:

• Devices designated for single use must not be reused under any circumstances
• Devices designated for single service user use should only be used once
• The reuse of single use devices can affect safety and expose the service user to risk
• If a single use item is reused this may negate the manufacturer’s warranty
• EHCS would be liable under criminal law (Provision and Use of work equipment 1998) and civil law for injury caused by the reuse of single items
• An employee could be held liable under criminal law (Health and safety at work Act 1974) for reusing a single use item

CLINICAL WASTE

All incontinence pads, dressings etc. are considered as clinical waste. They should be placed in a yellow bag marked CLINICAL WASTE. The bag should be tied securely and stored outside in a clinical waste store/space. Arrangements must be made for bags to be disposed of by the relevant local authorities on the approved suppliers list and incinerated. For service users who self-administer insulin a sharps box will be supplied and this will be dealt with in the same way.

PREVENTION AND CONTROL OF INFECTION

If an Infectious Disease is suspected the GP must be call to decide what action is to be taken.

If a Service User has an Infectious Disease, then he/she will not be allowed to work until medical clearance has been given

If a member of staff has an Infectious Disease, then he/she will not be allowed to work until medical clearance has been given

NOTIFICATION

It is the responsibility of the GP to notify the relevant officials of the Registering Authority, Local Authority, Environmental Health Officer and District Medical Officer.

HAND HYGIENE

Hands must be washed with HIBISCRUB before and after a task has been carried out and then cleaned with HIBISOL, this will stop any infection spreading from one house to another.

Invasive procedures, dressing wounds or dealings with clinical waste should be avoided when moist lesions are present on hands.

ACCIDENTS INVOLVING BLOOD BORN INFECTION

Such accidents include:

• All sharps
• Contamination of abrasions with blood and body fluids
• Human scratches/bites causing bleeding
• Splashes of body fluids into mucous membranes e.g. mouth and eyes

• These incidents should be dealt with as follows:

• Bleeding from wound should be encouraged
• Wound washed with soap in running water
• Skin, eyes or mouth washed in plenty of water
• Person who sustained wound should see GP

INCIDENT TO BE REPORTED TO ESSENTIAL HOMECARE SERVICES AND ACCIDENT FORM COMPLETED

EXCRETA, BLOOD AND BODY FLUIDS

A disposable apron and gloves should always be worn when dealing with excreta, blood and body fluids along with good hand hygiene. Excreta should be discarded directly into the toilet. When dealing with diarrhoea along with soiled clothing or linen then they must be washed in an appropriate fluid to kill germs. Paper rolls, gloves, aprons must be double bagged in yellow bags and stored in the clinical waste store for incineration.

Spillages of blood, vomit, urine and excreta should be cleaned up as quickly as possible. The correct cleaning agent should be used after spillage. When the task is completed the correct hand washing will take place. (using HIBISCRUB & HIBISOL). All gloves, aprons and paper rolls should be disposed of in the described manner.

If clothing is contaminated with blood or body fluids, they should be sponged with cold water and laundered separately in a hot wash. The sponge should be disposed of as clinical waste.

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