Standard Precautions

Introduction
Transmission-Based Precautions
Hand Hygiene
Barrier Protection
Sharps Disposal
Patient Placement
Patient Transport
Food and Nutrition
Lab Specimens
Housekeeping
Medical Waste
RMW
Routine Waste
Decon. of Spills
Decon. of Clothing
Patient/Visitor Exposures
Linen/Laundry Services
Medical Emergencies


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Yale New Haven Hospital
QISS
GB 325
New Haven, CT
06504 USA

Dr. Jeff Topal
688-4634




Decontamination and Cleaning of Blood and Body Substance Spills
All spills of blood and body fluids or any other potentially infectious material should be cleaned from environmental surfaces as soon as possible.
Personnel must wear gloves during this procedure and a gown if the spill might be expected to contaminate clothing. To clean large spills that might splash, a mask and safety glasses/face shield should also be worn.
To wipe excess liquid that may accidentally splash, an absorbent cloth or paper towels should be used.
NOTE: If glass is involved, do not attempt to clean spill by hand. Tweezers, needleholder or another instrument should be used to pick up glass prior to cleaning.
Environmental surfaces should be decontaminated with a 1:10 solution of 5.25% sodium hypochlorite in water (1 part chlorine bleach to 9 parts water) or with an EPA-approved disinfectant and diluted according to the manufacturer's directions.
NOTE: These disinfectants may be caustic unless properly diluted. In addition, disinfectant solution is intended for use on environmental surface only, since it can damage instruments and equipment and burn skin.
When there are large spills of cultured or concentrated infectious agents, such as in the clinical laboratory setting, the contaminated area should first be flooded with a liquid disinfectant, then physically cleaned and decontaminated with an EPA-approved disinfectant. Gloves, gowns, masks, and safety glasses should be worn for cleaning large spills of blood or body fluids.



Last modified: September 30, 2002.



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