This document provides protocols for managing blood, body fluid, and mercury spills. It describes preparing a 1% hypochloride solution to disinfect blood and body fluid spills. Mercury spills should be cordoned off and any beads collected using stiff paper and a syringe before placing in an airtight container labeled as mercury waste. Proper personal protective equipment including masks and gloves should be worn, and hands washed after cleanup. Spills should be cleaned using approved detergents, and any waste disposed of properly.

1. NATIONAL AYURVEDA RESEARCH INSTITUTE FOR
PANCHAKARMA, (CCRAS, MINISTRY OF AYUSH, GOVT:
NOF INDIA) CHERUTHURUTHY, THRISSUR, KERALA

2.  Protocol for body fluid splash &
spillages
 Blood and body fluid spillage
 Prepare 1% hypochloride solution (200 ml 5% hypochloride in 800
ml of
 water)
 Wear gloves pour 1% hypochloride on the spillage
 Cover it with a piece of paper or cloth
 Keep it there for 10 – 20 minutes
 Wipe the spillage using the covered paper or cloth
 After wiping discard the same in the yellow cover
 If it is a large spillage, after covering the spillage with paper or
cloth, Mop it
 with Separate mop (which is dipped in 1 % hypochlorite for 30
minutes)

3. MANAGEMENT OF BLOOD / BODY FLUIDS
SPILLAGE
 EVERY AREAS WHICH HAVING THE RISK FOR
THE OCCURRENCE OF BLOOD/BODY FLUIDS
ARE EQUIPPED WITH A BLOOD AND BODY
FLUID SPILL KIT WITH ITS CONTENTS
 CATEGORYS OF SPILL
 SPOT SPILL- ONE DROP (CLEAN WITH 70% ALCOHOL USING
COTTON)
 MINOR SPILL UP TO 10 CM
 MAJOR SPILL ABOVE 10 CM

4. THE STEPS INVOLVED IN THE
MANAGEMENT OF BLOOD / BODY FLUIDS
ARE DESCRIBED BELOW
 PROTECT THE AREA AND INFORM HOUSEKEEPING STAFF
 TAKE THE SPILL KIT TO THE AREA
 WEAR PROPER PERSONNEL PROTECTIVE EQUIPMENTS
 PUT AN ABSORBENT ON THE SPILL
 SPRAY 1 % HYPOCHLORITE SOLOUTION
 WAIT FOR 10-20 MINUTES
 COLLECT THE WASTE FROM FAR TO NEAR MANNER
 PUT THE WASTE INTO THE YELLOW BAG TIE IT CLOSELY AND
DISCARDIT IN THE BIOMEDICAL WASTE SEGREGATION AREA
MOP THE AREA WITH PROPER DISINFECTANT
 HAND WASHING
 RISE INCIDENT REPORT FORM

5. MANAGEMENT OF MERCURY SPILL
 GUIDELINES: IF THE MERCURY SPILL IS THE RESULT OF A
SINGLE BROKEN THERMOMETER OR A SIMILAR SMALL AMOUNT
OF MERCURY FOLLOW THESE PROCEDURES
 IMMEDIATELY AFTER A SPILL
 KEEP ALL PEOPLE AWAY FROM THE SPILL AREA
 TO MINIMIZE THE MERCURY THAT VAPORIES, TURN OFF ANY
HEATERS AND TURN OFF ANY AIR CONDITIONERS
 VENTILATE THE AREA BY OPENING WINDOWS AND WHEN
POSSIBLE KEEP OPEN FOR ATLEAST TWO DAYS
 DO NOT TOUCH THE MERCURY. REMOVE ALL JEWELERY AND
WATCHES FROM YOUR HANDS AS MERCURY WILL BOND WITH THE
METAL
 IF THERE IS ANY OPEN WOUND IN THE HAND IT SHOULD BE
COVEREDBEFORE HANDLING MERCURY

6. REQUREMENTS
 MASK
 HAND GLOVES
 AIR TIGHT CONTAINER
 STIFF PAPER
 SYRINGE
 PLASTIC BAGS 2 NUMBERS
 TORCH LIGHT

7. THE STEPS INVOLVED IN THE MANAGEMENT OF MERCURY SPILL
 CORDON OFF THE MERCURY SPILLAGE AREA AND DON’T TOUCH THE
MERCURY WITH BARE HANDS OR EVEN WITH GLOVES
 WEAR MASK,HAND GLOVES
 USING A TORCH LIGHT SEARCH FOR MERCURY BEADS BENEATH THE
TABLE CHAIR SHELVES ETC AND COLLECT ALL POSSIBLE MERCURY BEADS
 COLLECT THE BEADS OF MERCURY TOGETHER ON A HARD SURFACE WITH
STIFF PAPER
 USE A SYRINGE OR DROPPER TO SUCK THE BEAD OF MERCURY
 CAREFULLY PLACE THE MERCURY IN WIDE MOUTHED AIR TIGHT
CONTAINER
 LABEL THE BAG AS MERCURY WASTE
 PLACE THIS BAG AND SEALED CONTAINER IN THE SECOND BAG
 LABEL IT AS MERCURY WASTE AND ALL TO HOUSEKEEPING STAFF AND
HAND OVER THE BAG AND THE COLLECTED MERCURY TO BE SEND TO
BIOMEDICAL WASTE DEPARTMENT.
 WASH HANDS
 CLEAN THE AREA WITH HOSPITAL APPROVED DETERGENT

8.  THANKS YOU