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Infection Prevention and Control – Clean and Sterile Technique Strength of Evidence Level: 3 PURPOSE: To define the use of clean and sterile technique in accordance with infection control standards. 4. 5. CONSIDERATIONS: 1. Clean, No Touch Technique: a. Most often in homecare it is an acceptable practice unless your agency’s policies or physician orders indicate otherwise. b. Refers to reducing the overall number of microorganisms present or to preventing or reducing the transmission of microorganisms from one person to another or from one place to another. c. Involves hand hygiene, using barriers and sterile materials and supplies, maintaining a clean environment, and preparing a clean field to prevent the direct contamination of supplies. d. Clean technique also includes using detergents to remove soil and a disinfectant to clean up a spill of blood or other infectious material 2. Sterile Technique: a. Refers to rendering and maintaining objects and areas free from microorganisms. b. Involves thorough hygiene, the use of sterile barriers, and the use of sterile instruments and materials. c. In the home, a sterile field should be established to prevent transmission of microorganisms from the environment or from the person to person. d. Involves using a sterile barrier and at a minimum, wearing sterile gloves. e. In the home setting, maintaining a clean environment is not always within direct control of the agency, however, the immediate environment should be maintained as clean as possible. f. If possible, turn off ceiling fans and close doors to reduce the potential for airborne transmission of microorganisms. 3. Once sterile solutions are opened, they must be dated and discarded at established intervals. 6. 7. 8. SECTION: 14.04 __RN__LPN/LVN__HHA When opening the item take extreme care to make sure the inside does not touch anything on the outside. Do not touch any sterile item with your hands. Always wear sterile gloves before touching sterile items. Always place sterile items only on a sterile surface. This may include a separate sterile tray or cloth/paper barrier. The inside of the sterile package can be used as the sterile surface, if it has not touched a non-sterile item. Perform sterile or clean procedure. Dispose of soiled supplies in appropriate containers. AFTER CARE: 1. Document procedure performed in patient's record. 2. Educate patient and/or caregiver in dressing technique and signs and symptoms of infection as appropriate. 3. Instruct patient and/or caregiver in importance of maintaining a clean environment and keeping supplies clean and dry. REFERENCES: Centers for Disease Control and Prevention. (2007) Guideline for Isolation Precautions: Preventing Transmission of Infectious agents in Healthcare Settings. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). Retrieved from http://www.cdc.gov/ncidod/dhqp/gl_isolation.html Rhinehart, E., & McGoldrick, M.M. (2006). Infection Control in Home Care and Hospice. Sudbury, MA: Jones and Bartlett. EQUIPMENT: Sterile gloves or non-sterile gloves Personal protective equipment (PPE) Sterile tray or items for procedure to be performed PROCEDURE: 1. Perform hand hygiene. 2. Inspect all packaging. If damaged, wet or stained, DO NOT use the items. Verify that the expiration date has not expired. 3. Inspect all bottles or solution bags for signs of contamination. This includes chips, tears, cracks, cloudiness, discoloration or solid items floating inside, no matter how small. 631 Last Update 9/10 (This page intentionally left blank) 632 Last Update 9/10