Dr Hatem ElBitar د حاتم البيطار أستشاري وجراح أسنان زميل الزمالة المصرية محاضر ادارة المستشفيات ومكافحة العدوى 01005684344 #دحاتم_البيطار http://bit.ly/2xzMIlo

1. INFECTION
CONTROL DIPLOMA
Papered by :Tmomen Almanori
Under Supervision of Dr Hatem Al-bitar
Assignment 11

2. Cleaning procedures policies?
Policies and procedures for cleaning medical equipment/devices shall be based on the
manufacturer’s instructions an‫ش‬d must be developed in consultation with Infection Prevention
and Control, Occupational Health and Safety, Full PPE shall be worn for handling and cleaning
contaminated equipment/devices.
Reusable medical equipment/devices must be thoroughly cleaned prior to before disinfection or
sterilization.
The process for cleaning shall include written protocols for disassembly, sorting, soaking, manual
or mechanical cleaning, rinsing and drying.
There shall be a process to ensure that item which have been cleaned can be reliably
differentiated from equipment/devices which have not been cleaned (e.g., color coding).
Products shall be approved by the committee/ team responsible for product selection. Audits of
the cleaning process shall be done on a regular basis.
Divide processing area into work areas:
- Receiving, decontamination, and cleaning.
- Preparation and packaging.
- Sterilization.- Storage.

3. -Devices and instruments should flow from high contamination areas to clean and
sterile area.
-Cleaning should always occur before disinfection or sterilization.
-Use carrying containers to transport contaminated instruments.
-Wear personal protective equipment (e.g., heavy duty utility.
gloves, mask, protective eyewear and clothing.
Automated Cleaning:-
1- Ultrasonic cleaner.
2- Instrument washer.
3-Washer-disinfector.

4. Spaulding classification?
Dr, Earle H. Spaulding in1968 devised a rational approach to disinfection and sterilization of
patient-care items and equipment. This classification scheme is so clear and logical ,successfully
used by infection control professionals and others when planning methods for disinfection or
sterilization. Spaulding believed the nature of disinfection could be understood readily if
instruments and items for patient care were categorized as critical, semi critical, and noncritical
according to the degree of risk for infection involved in use of the items.

6. Vaccination programs for healthcare workers give examples /influenza ,/ hepatitis B viruses
/and tetanus oxides?
Vaccination of healthcare worker is an essential part of infection prevention and control program . healthcare worker
should be provided a copy of their vaccination records and encourage to keep it with them . healthcare worker have
additional risk of coming contact with patient and effective material from patients . vaccine record should include -
1name of vaccine.
2-date of administration .
3- site of administration .
4-number of dose .
5 -any observer any ( reaction /allergic response) health condition of the healthcare worker (history of smoking ،presence
of liver disease spleen damage ,bone marrow transplant,....etc).

7. 1- influenza vaccine:-Single dose of inactivated flu vaccine of 0.5m is given IM into deltoid muscle . -Live attenuated and
flu vaccine can be intranasally given to non-pregnant adult aged between 2 -49yearAnnual vaccination is
recommended because predominant variant reamonging in the community changes every year.
2-hepatitis B virus.Hepatitis vaccin:-Dose:0 , 1 , 6 months-route:IM in deltoid region-Vaccine effectiveness:>90%after third
dose-Anti-HBsAgtiter>10mlU/ml after1-2months of 3rd dose isprotectiv doseif the titer<10mlU/ml .3dose revaccination
schedule is followed.-non Responders:those who fail to achieve ,>10mlU/ml titer even after revaccination schedule.
3-tetatus toxoid:-single dose of TD vaccine followed by TD booster every 10 years -TD vaccine is contraindicated to person
with anaphylaxis to vaccine components.