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Chapter 8 decontamination

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  • 1. DECONTAMINATION: POINT OF USE PREPARATION & TRANSPORT CHAPTER 8
  • 2. OBJECTIVES: As a result of successfully completing this chapter, readers will be able to:  Review the three priority goals of soiled item transport  Identify the sources of contaminated items  Explain point-of-use preparation procedures
  • 3. OBJECTIVES:  Review basic procedures to transport soiled items from user areas to the Central Service decontamination area.  Discuss safety guidelines for transporting soiled items to the Central Service decontamination area.  Provide basic sources for education and training information applicable to the transport of contaminated items.
  • 4. R EUSABLE EQ UIPM EN T, IN STR UM EN TS, AN D UTEN SILS M UST BE SAFELY TRANSPORTED FROM PATIENT ACRE AND TREATM ENT AREAS TO THE CENTRAL SERVICE DECONTAM INATION AREA.
  • 5. GOALS OF SOILED ITEM TRANSPORT: Prepare contaminated items so they will not be damaged after use or before return to the Central Service decontamination area
  • 6. GOALS OF SOILED ITEM TRANSPORT: To transport soiled items without cross- contaminating the environment between point-of- use and the decontamination area
  • 7. GOALS OF SOILED ITEM TRANSPORT: To assure that all individuals who may come in contact with contaminated items remain safe during the transport process
  • 8. SOURCES OF CONTAMINATED ITEMS: Surgery (largest volume) Labor and Delivery Emergency Services Cardiac Catherization Lab Endoscopy …any patient care and treatment area.
  • 9. METHODS OF TRANSPORT Lifts, elevators, or dumbwaiters dedicated to soiled item transport Covered Transport Carts Hand delivery by employees of the user department
  • 10. USER DEPARTMENTSShould have dedicated holding areas to hold items until they are picked up by Central Service staff Those areas should be marked with Biohazard Signs
  • 11. INSTRUMENT DECONTAMINATION BEGINS AT POINT OF USE
  • 12. REASONS FOR POINT-OF-USE PREPARATION Point-of-use preparation helps prolong instrument life If soil is allowed to dry on instruments it is much more difficult to remove
  • 13. POINT-OF-USE GUIDELINES• Remove Gross Soil. • Follow manufacturer’s instructions for point of use cleaning. • Keep soiled instruments moist. • Remove disposable components and dispose of properly. • Put sharps in sharps containers, etc.
  • 14. GROSS SOIL Tissue, body fat, blood, and other body substances
  • 15. POINT-OF-USE GUIDELINES• Separate reusable linen and place in an appropriate container. • Empty fluids from reusable containers or remove disposable containers and dispose of according to policy. • Separate reusable sharps from other instruments. • Keep items together. • Notify Central Service if items need repair, tag them so they can be removed from the system for refurbishing or repair.
  • 16. TRANSPORT SOILED ITEMS IN COVERED CONTAINERS OR CARTS
  • 17. TRANSPORT CARTS If the same carts are used to transport soiled items to the decontamination area and return clean items to user units, they must be decontaminated between uses
  • 18. TRANSPORT SAFETYConsider all used items as contaminated Wear appropriate PPE if you are going to handle contaminated items. items Maintain control of transport carts at all times and be careful near doors, elevators, and hallway intersections where accidents may occur Hallway mirrors can help reduce “blind spots”
  • 19. EDUCATION Everyone who has contact with contaminated items must understand the dangers associated with the transport of biohazard items
  • 20. CONCLUSIONPoint-of-use instrument preparation requires a partnership between Central Service and user departments. Good work practices can protect patients, visitors, and healthcare workers.

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