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Infection Prevention and Control – Handling of Blood and Body Fluid Spill Strength of Evidence Level: 3 PURPOSE: The purpose of this procedure is to protect patients, caregivers and staff from exposure to bloodborne pathogens resulting from a spill of blood or body fluids. 6. CONSIDERATIONS: 1. Spills of blood or body fluid on any surface should be cleaned up immediately and handled according to this procedure. 2. Per OSHA 1910.1030(d)(4)(ii)(D), broken glassware which may be contaminated shall not be picked up directly with the hands. It shall be cleaned up using mechanical means, such as a brush and dust pan, tongs or forceps. 3. Per OSHA 1910.1030(d)(4)(ii)(A), contaminated work surfaces shall be decontaminated with an appropriate disinfectant after completion of procedures; immediately or as soon as feasible when surfaces are overtly contaminated or after any spill of blood or other potentially infectious materials; and at the end of the work shift if the surface may have become contaminated since the last cleaning. 8. 9. EQUIPMENT: Blood spill kit Gloves Disposable gown or apron as necessary per standard precautions Goggles and mask or mask with eye shield per instructions on disinfectant Paper towels Plastic bags Disinfectant: 1:10 freshly made bleach or EPA registered tuberculocidal disinfectant Dust pan with broom or brush, tongs or forceps, if glass or sharp objects are involved in the spill. PROCEDURE: 1. Adhere to standard precautions. 2. Place paper towels over the spill area and allow spilled material time to absorb into the towels. Allow to sit per manufacturer instructions. 3. If broken glass is involved use broom or brush to sweep broken glass and towels onto dustpan and discard in rigid, impermeable container. Place in plastic bag and discard in regular household trash. Disinfect reusable dustpan and broom/brush after use. 4. If no broken glass involved, place towels containing spill material in plastic bag and discard in regular household trash. 5. Disinfectants may be damaging to carpet, fabric and other surfaces. Use in residence only with the homeowner’s permission. Disinfect the area by applying disinfectant wipes or paper towels wetted with disinfectant. 7. SECTION: 14.08 __RN__LPN/LVN__HHA Keep surface damp with disinfectant for length of time per manufacturer instructions; remove wipes/paper towels and allow area to air dry. Place used disinfectant wipes/paper towels in plastic bag and discard in regular household trash. Discard disposable gloves. Perform hand hygiene. AFTER CARE: 1. Use extreme care to prevent self contamination. 2. Report incident to supervisor. 3. Document per agency policy: a. Details of spill of blood or body fluids. b. Method for handling the spill. REFERENCE: OSHA. (n.d.). Bloodborne Pathogens Standard. Retrieved from http://www.osha.gov/pls/oshaweb/owadisp.show_document ?p_table=STANDARDS&p_id=10051