Policies and Procedures Manual Infection Control in General Nursing Unit
Policies and Procedures Manual Infection Control in General Nursing Unit
Policies and Procedures Manual Infection Control in General Nursing Unit
I. OBJECTIVES
1. To protect endoscopy personnel from exposure to infection and prevent
transmission to other patients.
II. SCOPE
IV. POLICY
1. The personnel involved in the Endoscopy Unit shall understand infection control
activities that may influence or decrease risk of infection transmission to themselves
and to patients in Endoscopy Unit.
V. PROCEDURES
1. Personnel
1.1 All healthcare personnel in the endoscopy suite should be trained in and
adhere to standard infection control recommendations (e.g. Standard
Precaution), including those to protect both patients and healthcare
workers.
1.2 The personnel should understand the risk of infection with agents such
as mycobacterium tuberculosis, HBV, HCV, HIV, herpes simplex and enteric
pathogens. The infected cases should be placed last in the list.
1.3 The personnel should understand that a patient’s infectious status may
be unknown at the time, of procedures hence the same precautions should
be applied to all patients.
1.4 Personnel should perform hand hygiene thoroughly before and after
procedure.
2. Reprocessing of Endoscopes
JAN MARVIN M. PALIJO, MSN, RN GINA M. GARCIA, MD JM PALIJO MSN,RN/ R. RAYOS DEL SOL, MD NEIL ANDREW S.J. DE LUMEN, MD
2.1.3 Rinse: rinse the endoscope and all channels with sterile water,
filtered water or tap water (e.g. high quality potable water that
meets federal clean water standards at the point of use).
2.1.4 Dry: rinse the insertion tube and inner channels with alcohol
and dry with forced air after disinfection and before storage.
2.2 The suggestion to use only sterile water tor filtered water is not
consistent with published guidelines that allow tap water with an alcohol
rinse and forced air drying. In addition, no evidence of disease transmission
has been found when a tap water rinse is followed by an alcohol rinse and
forced air drying.
JAN MARVIN M. PALIJO, MSN, RN GINA M. GARCIA, MD JM PALIJO MSN,RN/ R. RAYOS DEL SOL, MD NEIL ANDREW S.J. DE LUMEN, MD
3.1 Laparoscope and Arthroscopies and other scopes that enter normally
sterile tissue should be sterilized before each use, if this is not feasible, they
should receive at least high level disinfection.
4.1 Before disconnecting the scope from the machine, take a secure hold of
the endoscope and wipe down the entire length of the insertion tube with
gauze soaked with enzymatic solution several times. Place the distal end of
the scope into a container with water and enzymatic solution. Suck through
suction channel by pressing the suction valve for at least 5 seconds. Change
the air/ water valve to blue cleaning adaptor flush with water and blow air
for at least 5-10 seconds.
4.2 Turn off the machine; remove the suction tubing and water bottle.
4.3 Replace video protector cap before disconnecting the scope from the
machine. Remove all the valves and clean separately with enzymatic
detergent and water.
4.4 Perform leakage test before submerging the entire scope to water with
detergent. If regularities or continuous bubbling observed, submersion of
the scope to water is prohibited. Send the scope immediately for repair.
4.5 Use the port manufacturer recommended cleaning brush to clean the
biopsy and suction port opening and carefully clean the distal end of the
scope to remove all organic, blood tissues and other residues.
4.6.4 Clean the brush head time it emerges from the endoscope.
JAN MARVIN M. PALIJO, MSN, RN GINA M. GARCIA, MD JM PALIJO MSN,RN/ R. RAYOS DEL SOL, MD NEIL ANDREW S.J. DE LUMEN, MD
4.8 Clean biopsy forceps used. Valves and other accessories. Brush
tip gently to remove any debris.
4.15 Maintain a log indicating for each procedure the patients name
and medical record number, the procedure, the endoscopist, and
the serial number or other identifier of the endoscope to assist in
outbreak investigation.
JAN MARVIN M. PALIJO, MSN, RN GINA M. GARCIA, MD JM PALIJO MSN,RN/ R. RAYOS DEL SOL, MD NEIL ANDREW S.J. DE LUMEN, MD
Patient name
Medical record
Procedure
Identifier number of endoscope used (serial number).
JAN MARVIN M. PALIJO, MSN, RN GINA M. GARCIA, MD JM PALIJO MSN,RN/ R. RAYOS DEL SOL, MD NEIL ANDREW S.J. DE LUMEN, MD
JAN MARVIN M. PALIJO, MSN, RN GINA M. GARCIA, MD JM PALIJO MSN,RN/ R. RAYOS DEL SOL, MD NEIL ANDREW S.J. DE LUMEN, MD
V. REFERENCES:
2. APIC 2014.
JAN MARVIN M. PALIJO, MSN, RN GINA M. GARCIA, MD JM PALIJO MSN,RN/ R. RAYOS DEL SOL, MD NEIL ANDREW S.J. DE LUMEN, MD
Owner
INFECTION CONTROL
Initiator
Reviewer
Approvals:
ARGYLL T. ARCIGAL, MD
CHIEF OF CLINICS
JAN MARVIN M. PALIJO, MSN, RN GINA M. GARCIA, MD JM PALIJO MSN,RN/ R. RAYOS DEL SOL, MD NEIL ANDREW S.J. DE LUMEN, MD
Revision History
JAN MARVIN M. PALIJO, MSN, RN GINA M. GARCIA, MD JM PALIJO MSN,RN/ R. RAYOS DEL SOL, MD NEIL ANDREW S.J. DE LUMEN, MD