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Universal Precautions

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  • 1. IIPP Quarterly Training Universal Precautions & Cleanup ProceduresUniversal PrecautionsPracticing Universal Precautions at the workplace means that all humanblood and body fluids are to be considered potentially infectious. Althoughnot all blood and body fluids are infectious, Universal Precautions allowsworkers to be safe rather than sorry.The safe handling of these substances requires a good understanding ofyour cleanup options are for each situation. It also requires knowledge ofwhat Personal Protective Equipment (PPE) is available on-site. For yourfacilities the most important PPE continues to be disposable Nitrile glovesand when necessary, eye protection (goggles or face shields) Find outwhat PPE and cleaning options are available at your site.Employees may encounter potentially infectious materialswhile performing their jobs. Exposure can occur in four ways: 1) Needles & Syringes 2) Materials Soaked With Blood Or Other Body Fluids 3) Human Fecal Material / Vomit 4) Vermin (Lice) Infested Clothing & Blankets Page 1 of 5
  • 2. 2nd Bloodborne Pathogens, Body Fluids, Vermin: Universal Precautions & Cleanup Procedures 1. Needles & Syringes (Sharps) Personal Protective Equipment (PPE): Disposable Nitrile Gloves Never Use Your Fingers To Pick Up A Sharp! Cleanup: After any procedure that involves a sharp dispose of it in a sharps container. Do not recap, bend, wrap, or alter the sharp prior to disposal. Keep sharps containers close to where procedures are being conducted to avoid unnecessary travel. If sharps containers are full, replace and dispose of the container using appropriate procedures for your Clinic. If collecting dropped sharps Use a Pick Up Device (Grappler or tongs) and deposit in a sharps container. Porter’s may consider keeping one on their cart for easy access. Each facility area has sharps containers on site. If you do not know where they are…ask! Decontamination: Non Disposable or Dedicated Medical Sharps Clean reusable equipment and affected surfaces with detergent followed by a germicide or mild bleach solution. Wear personal protective equipment (gloves, face shields) and use tongs to handle these items. Recommended Hand washing Method: Wet hands with running water Apply soap over entire surface of hands Vigorously rub all hand surfaces for at least 10 to 15 seconds Rinse hands thoroughly with hot water Dry hands completely Unusual Situations: If large quantities of sharps are found, or an unusual situation presents itself, contact supervisor and call the Department of Public Health’s Medical Waste Program: (415) 252-3800. If you have a Needlestick Call Needlestick Hotline at (415) 469-4411 This Hotline is on 24/7. Page 2 of 5
  • 3. Bloodborne Pathogens, Body Fluids, Vermin: Universal Precautions & Cleanup Procedures2. Materials Soaked With Blood or Other Body Fluids Personal Protective Equipment (PPE): Put on disposable gloves. Double gloving is the recommended practice. Wear Nitrile gloves and put on additional long cuff Nitrile gloves for added protection from splashing during handling of materials. If large quantities of blood or blood soaked materials are present, wear additional PPE (disposable tyvek, goggles, face shield, and protective overshoes) as needed. Cleanup: If the material is not dried, apply a hardener to the materials. This will reduce the risk of splashes during cleanup. Use a Grappler or tongs to pick up materials. Disposal: Put materials and disposable PPE in red plastic biohazard bags. Unusual Situations: If an unusual situation or a large quantity of material is present, contact your supervisor before proceeding. Decontamination: Clean reusable equipment and affected surfaces with detergent followed by a germicide or mild bleach solution. Follow dilution instructions to avoid possible problems. Recommended Hand washing Method: Wet hands with running water Apply soap over entire surface of hands Vigorously rub all hand surfaces for at least 10 to 15 seconds Rinse hands thoroughly with hot water Dry hands completelyPage 3 of 5
  • 4. Bloodborne Pathogens, Body Fluids, Vermin: Universal Precautions & Cleanup Procedures3. Human Fecal Material / Vomit Personal Protective Equipment (PPE): Wear disposable gloves with additional long cuff Nitrile over gloves. If the situation is severe, or if there is a large quantity of fecal material on the floor, rubber over boots can be worn over shoes. Cleanup: Mix 2 to 4 ounces of Soil_Solv All Purpose Cleaner and one ounce of Big “E” Lemon Odor Handler for each gallon of water. Apply cleaning solution with a 3M “Doodle Bug” Applicator attached to a mop handle. Using an even motion, apply solution to the affected area. If the “Doodle Bug” does not provide results, a Rubbermaid Hand Scraper can be used for close work. For tougher jobs, a deck brush attached to a mop handle can be applied to the affected surface. Heavy-duty paper towels can be used for final cleanup of any residual fecal material. Disposal: Solid fecal materials, paper towels used during clean up, and disposable PPE can be contained in plastic bags and disposed of in regular trash. Decontamination: Clean all reusable equipment with detergent followed by a germicide or mild bleach solution. Recommended Hand washing Method: Wet hands with running water Apply soap over entire surface of hands Vigorously rub all hand surfaces for at least 10 to 15 seconds Rinse hands thoroughly with hot water Dry hands completelyPage 4 of 5
  • 5. Bloodborne Pathogens, Body Fluids, Vermin: Universal Precautions & Cleanup Procedures4. Vermin (Lice) Infected Clothing & Blankets Personal Protective Equipment (PPE): Nitrile Gloves Cleanup: Use Grappler to pick up all contaminated items. Disposal: Place into large plastic bags to be disposed of as normal garbage. Decontamination: Clean all reusable equipment with detergent followed by a germicide or mild bleach solution. Remove PPE: Carefully remove PPE – gloves last. Place into garbage bag. Seal the bag and dispose of as normal garbage. Recommended Handwashing Method: Wet hands with running water Apply soap over entire surface of hands Vigorously rub all hand surfaces for at least 10 to 15 seconds Rinse hands thoroughly with hot water Dry hands completely Shower: If shower facilities are available, shower before leaving work.Page 5 of 5