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Management of spillages of blood and body fluid

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					From: Spillage of blood and body fluid policy
                                                                             ICC 04



          Management of spillages of blood and body fluid

All spillages should be cleaned up promptly, to minimise the risk of
transmission of blood-borne viruses and other pathogens.

Materials for dealing with spillages must be readily available; a spillage kit will
help to ensure that they are (see overleaf).

If there is any delay in dealing with a spillage, e.g. staff with appropriate
training are not readily available, the spillage must be safely cordoned off
and/or the room locked. If in a public area, it must not be left unattended by
staff.

Spillage of blood and blood stained body fluid on impervious flooring

   Wear protective clothing (gloves and apron)
   Cover spillage with NaDCC (chlorine-releasing) granules, e.g. Presept
   Leave for 2 minutes (prepare bucket with hot water and detergent solution)
   Scoop up the spillage with paper towels and discard as clinical waste into
    orange bag
   Clean area with hot water and detergent using disposable cloths, rinse and
    dry
   Clean bucket in fresh water and detergent, rinse and dry
   Dispose of protective clothing and cloths as clinical waste and wash hands
   Replenish spillage kit

N.B. If a spill contains glass or other sharps, these should be picked up with
forceps and disposed of carefully into a sharps bin.


Spillage of low-risk body fluids, e.g. urine, vomit, onto any flooring
Blood spillage on carpet

   Wear protective clothing (gloves and apron)
   Use paper towels to absorb as much of the spillage as possible
   Clean area thoroughly using hot water and detergent and disposable
    cloths, rinse and dry
   Impervious flooring: wipe over the area with chlorine solution, e.g.
    Presept tablets made up to 1,000 ppm strength, and paper towels
   Dispose of all materials as clinical waste
   Clean the bucket in fresh water and detergent, rinse and dry
   Dispose of protective clothing as clinical waste and wash hands
   Replenish spillage kit
   Carpet: arrange for the carpet to be steam cleaned if possible.




Infection Control Team
June 2006
From: Spillage of blood and body fluid policy
                                                                                    ICC 04



                                      Spillage kits

A spillage kit should be kept in each clinical area (at least one per clinic, ward
or surgery), so that all the equipment for dealing with a spillage is available in
one place. Staff dealing with spillages are responsible for ensuring that the
equipment is replenished after the kit is used.

If a commercially produced spillage kit is purchased, it should contain all the
items listed below as a minimum.

It is recommended that the kit is kept in a bucket, which may then be used for
cleaning the area after the spillage has been cleared up.

The bucket should be red in colour. It should be designated for this purpose
only, and should contain:

   Gloves and aprons
   Paper towels
   Written procedure (this sheet)
   Infectious waste(orange)bag
   Chlorine-releasing granules and tablets, e.g. Presept
   Measuring jug to make up solution
   Disposable cloths
   General Purpose Detergent

Because of the presence of a chemical disinfectant, the spillage kit must be
stored in accordance with COSHH requirements.


CHLORINE-RELEASING PREPARATIONS


Presentation                    To make a dilution of          To make a dilution of
                                10,000 ppm.                    1,000 ppm.


NaDCC Granules                  Use directly (do not           Not applicable
e.g. Presept                    dilute)

NaDCC Tablets (2.5g)            8 tablets in 1 litre of cold   1 tablet in 1.25 litres of
e.g. Presept                    water                          cold water


Hypochlorite                    Dilute 1 part bleach           Dilute 1 part bleach
e.g. Domestos or other          solution to 10 parts           solution to 100 parts
household bleach                water                          water
(for use in patients’           (Add solution to water,        (Add solution to water,
homes only)                     not vice versa)                not vice versa)

Infection Control Team
June 2006

				
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