Download Isolation Guide for Procedures

OR Room Cleaning after Potentially Infectious Case
Type of precautions
Standard
Standard & Contact
HIV
Hepatitis
Multi Drug Resistant
Organisms – MRSA,
VRE, ESBL (E. Coli.,
Klebsiella)
Resistant Acinobacter
Disease Examples
Standard &
Airborne
Standard & Droplet
Standard & Airborne
& Contact
Meningitis
Seasonal Influenza
Mumps
Rubella
Pneumonia (Group A
Strep, Mycoplasma,
Adenovirus)
Pertussis
MERS
SARS
Chicken Pox
Disseminated Herpes
Zoster
Group A strep necrotizing
fasciitiis
Pandemic Influenza such as
Influenza A (H1N1)
Germicidal detergent
Germicidal detergent
Germicidal detergent
Germicidal detergent
Cleaning should
progress from clean
to dirty areas and
from top to bottom
areas
Cleaning should
progress from clean to
dirty areas and from top
to bottom areas
Cleaning should
progress from clean to
dirty areas and from
top to bottom areas
Cleaning should progress
from clean to dirty areas and
from top to bottom areas
TB
Measles
Scabies, Lice, Shingles
C Diff
Solution terminal
cleaning of room
Germicidal detergent
Germicidal detergent
Cleaning should progress
from clean to dirty areas
and from top to bottom
areas
C Diff: :10 bleach
solution. Soap and
water hand hygiene
after completion of
cleaning
Standard & Droplet &
Contact
All waste from room
goes into red trash bags
Use Standard
Precautions.
PPE
All blood and body fluids
and other potentially
infectious materials or
fluids are handled as if
infected with a blood
borne pathogen.
Gloves and other barriers
are used when needed.
Eye protection
All waste from room
goes into red trash
bags.
Gown and gloves
always required upon
entry to room.
Creutzfeld-Jakob Disease
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.
Cleaning should
progress from clean to
dirty areas and from top
to bottom areas
Waste
Handling
Standard and Contact
All waste from room
goes into red trash
bags.
PAPR or
N-95 Respiratory
mask if fit tested
within the last year
All waste from room
goes into red trash bags.
Standard mask within
three feet of patient.
Must be fit tested by
Family Medicine ext
5555
Eye protection
Eye protection
All waste from room goes
into red trash bags.
Gown and gloves
always required upon
entry to room. Eye
protection
Easily transmitted on
the hands.
Gown and gloves always
required upon entry to room.
Eye protection
Easily transmitted on the
hands.
PAPR or
N-95 Respiratory mask
if fit tested within the
last year
Mask used if there is a
risk of fluid splash or
spray.
Easily transmitted on
the hands.
All waste from room
goes into red trash
bags.
Eye protection
Must be fit tested by
Family Medicine ext
5555
All waste from room goes
into red trash bags. Label
all trash bags for
incineration as soon as
possible
Wear PPE- single use
impervious gown, gloves,
chemical splash goggles,
and masks
Regular mask within three
feet of patient.
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.
MERS: Eye protection
= goggles or face
shield
September 29, 2014
OR Room Cleaning after Potentially Infectious Case
Type of Precaution
Standard
Equipment
Cleaning
Disposable or clean well
between patients with
Sani-wipes or hospital
disinfectant.
Clean the room with
germicidal
detergent/wipes
Standard & Contact
Disposable or clean
well between patients
with Sani-wipes or
hospital disinfectant.
Clean the room with
germicidal
detergent/wipes
For C-Diff, clean room
with bleach or bleach
cloths. Use soap and
water hand hygiene.
Standard &
Airborne
Disposable or clean
well between
patients with Saniwipes or hospital
disinfectant.
Allow room to filter
for 1 hour, then clean the room with
germicidal
detergent/wipes
Standard & Droplet
Disposable or clean
well between patients
with Sani-wipes or
hospital disinfectant.
Clean the room with
germicidal
detergent/wipes
Standard & Airborne
& Contact
Disposable or clean
well between patients
with Sani-wipes or
hospital disinfectant.
Allow room to filter
for 1 hour, then - clean
the room with
germicidal
detergent/wipes
Standard & Droplet &
Contact
Disposable or clean well
between patients with Saniwipes or hospital
disinfectant.
Clean the room with
germicidal detergent/wipes
Standard and Contact
Use disposable equipment
Bleach-full strength
(8.25%). Flood areas, let
stand 1 hour. Mop up, rinse
with warm water
Standard +Droplet +
Contact
Standard +Contact
Standard
+Airborne
Standard
Standard +Contact
Standard +Droplet
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.
PAPR
Always wear gloves
and gown when
entering the room that
has been used for a pt
who is on contact
precautions.
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 use a barrier when
you are dealing with any
type of body fluids.
Chemical splash goggles
Always wear gown and
gloves when entering the
patient room that is on
contact precautions.
September 29, 2014
OR Room Cleaning after Potentially Infectious Case
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