OR Room Cleaning after Potentially Infectious Case

Type of precautions Standard Standard &

ContactStandard & Airborne

Standard & Droplet

Standard & Airborne

& Contact

Standard & Droplet & Contact Standard and

ContactDisease Examples

HIVHepatitis

Multi Drug Resistant Organisms – MRSA, VRE, ESBL (E. Coli., Klebsiella)Resistant Acinobacter

Scabies, Lice, Shingles

C Diff

TBMeasles

MeningitisSeasonal InfluenzaMumpsRubellaPneumonia (Group A Strep, Mycoplasma, Adenovirus)Pertussis

MERSSARSChicken PoxDisseminated Herpes Zoster

Group A strep necrotizing fasciitiisPandemic Influenza such as Influenza A (H1N1)

Creutzfeld-Jakob Disease

Solution terminal cleaning of room

Germicidal detergent

Cleaning should progress from

clean to dirty areas and from top to

bottom areas

Germicidal detergent

C Diff: :10 bleach solution. Soap and water hand hygiene after completion of cleaning

Cleaning should progress from clean to dirty areas and from top to bottom areas

Germicidal detergent

Cleaning should progress from clean to dirty areas and from top to bottom areas

Germicidal detergent

Cleaning should progress from clean to dirty areas and from top to bottom areas

Germicidal detergent

Cleaning should progress from clean to dirty areas and from top to bottom areas

Germicidal detergent

Cleaning should progress from clean to dirty areas and from top to bottom areas

Bleach-full strength (8.25%). Flood areas, let stand 1 hour. Mop up, rinse with warm water

Use disposable equipment

Cleaning should progress from clean to dirty areas and from top to bottom areas.

WasteHandling

All waste from room goes into red trash bags

All waste from room goes into red trash bags.

All waste from room goes into red trash bags.

All waste from room goes into red trash bags.

All waste from room goes into red trash bags.

All waste from room goes into red trash bags.

All waste from room goes into red trash bags. Label all trash bags for incineration as soon as possible

PPE Use Standard Precautions.

All blood and body fluids and other potentially

infectious materials or fluids are handled as if infected with a

Gown and gloves always required upon entry to room.

Mask used if there is a risk of fluid splash or spray.

PAPR orN-95 Respiratory mask if fit tested within the last year

Must be fit

Standard mask within three feet of patient.

Gown and gloves always required upon entry to room. Eye protectionEasily transmitted on the hands.

PAPR or

Gown and gloves always required upon entry to room.Eye protectionEasily transmitted on the hands.

Regular mask within three feet of patient.

Wear PPE- single use impervious gown, gloves,chemical splash goggles, and masks

September 29, 2014

OR Room Cleaning after Potentially Infectious Case

blood borne pathogen.

Gloves and other barriers are used

when needed.Eye protection

Easily transmitted on the hands.

Eye protection

tested by Family Medicine ext 5555

Eye protection

Eye protection

N-95 Respiratory mask if fit tested within the last year

Must be fit tested by Family Medicine ext 5555

MERS: Eye protection = goggles or face shield

For H1N1, wear tight fitting goggles with other PPE.For H1N1, wear N-95 respirator when participating in cough inducing procedures such as intubation, suctioning, etc.

Type of Precaution

Standard Standard & Contact

Standard & Airborne

Standard & Droplet

Standard & Airborne

& Contact

Standard & Droplet & Contact

Standard and Contact

Equipment

Disposable or clean well between patients with Sani-wipes or hospital

disinfectant.

Disposable or clean well

between patients with Sani-wipes

or hospital disinfectant.

Disposable or clean well between

patients with Sani-wipes or

hospital disinfectant.

Disposable or clean well

between patients with Sani-wipes

or hospital disinfectant.

Disposable or clean well

between patients with Sani-wipes

or hospital disinfectant.

Disposable or clean well between patients

with Sani-wipes or hospital disinfectant.

Use disposable equipment

CleaningClean the room with germicidal detergent/wipes

Clean the room with germicidal detergent/wipes

For C-Diff, clean room with bleach or bleach cloths.

Use soap and water hand hygiene.

Allow room to filter for 1 hour, then - clean the room with germicidal detergent/wipes

Clean the room with germicidal detergent/wipes

Allow room to filter for 1 hour, then - clean the room with germicidal detergent/wipes

Clean the room with germicidal detergent/wipes

Bleach-full strength (8.25%). Flood areas, let stand 1 hour. Mop up, rinse with warm water

Standard Standard +Contact Standard

+AirborneStandard +Droplet

Standard +Droplet +Contact

Standard +Contact

September 29, 2014

OR Room Cleaning after Potentially Infectious Case

Standard +Airborne +

Contact

Facilities /Environmental

Services Protection

When you are in any area that could be the source of a fluid exposure, you should wear eye protection, in addition to these recommendations.

Always use a barrier when you are dealing with any type of body fluids. Usually gloves will be

enough but you may have to wear a face shield or fluid

resistant gown also.

Always wear gloves and gown

when entering the room that has been used for a

pt who is on contact

precautions.

PAPR

If you think you will have contact with any type of body fluids, you should wear gloves and gown.

Wear a standard surgical mask when entering the room. This does not require fit testing. If you think you will have contact with any type of body fluids, you should wear gloves and gown.

PAPR required

Wear gown and gloves for contact precautions.

MERS: Eye protection

Wear a standard surgical mask when entering the room. This does not require fit testing.

Always wear gown and gloves when entering the patient room that is on contact precautions.

Always use a barrier when you are dealing with any type of body fluids.

Chemical splash goggles

Additional information can be found on the Infection Control Website, by requesting information on-line from the CDC or calling the Infection Control Department at 5006 or 5134. Weekends, Holidays and off shifts, page through the hospital operator. Information can also be obtained from the Environmental Health and Radiation Safety Dept at 3603 Updated: Sept. 2014

September 29, 2014