High level of disinfection using liquid chemical sterilant by compliancedoctor


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									High Level Disinfection Using            Policy # 0122
Liquid Chemical Sterilant



1.    POLICY.

1.1   The facility will utilize recommended practices for high level
      disinfection of heat-sensitive instruments and equipment used for patient

2.    PROCEDURE. Items to be disinfected should be categorized as one of the

2.1   Critical item: Instruments or other objects that are introduced directly
      into the human body, either into or in contact with the bloodstream or
      normally sterile areas of the body. These items should be rendered
      sterile. Examples: surgical instruments, cutting endoscopic accessories
      that break the mucosal barrier, cardiac and urinary catheters, needles.
      (This includes arthroscopes and laparoscopes.)

2.2   Semi-critical item: Items that come in contact with non-intact skin or
      mucous membranes. These items should be high-level disinfected. Examples:
      respiratory therapy equipment, bronchoscopes, gastrointestinal endoscopes,
      and cystoscopes.

2.3   Non-critical: Instrument or items that come in contact with the patient,
      but in most instances only with unbroken skin. These items should receive
      low or intermediate-level cleaning. Examples: bedpans, blood pressure
      cuffs, crutches, linens, and furniture.


3.1   Chemical disinfectant/germicide: A generic term for a government-
      registered agent that destroys microorganisms. Germicides are classified
      as sporicides, general disinfectants, hospital disinfectants, sanitizers,
      and others.
      Note: Manufacturer’s instruction must be followed for each product
      regarding disinfection/sterilization parameters, temperature for use,
      ventilation requirements and testing and recording of efficacy prior to

3.2   Decontaminations: Any physical or chemical process that serves to reduce
      the number of microorganisms on any inanimate object to render that object
      safe for subsequent handling.

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3.3   Disinfection: A process that destroys some forms of microorganisms,
      excluding bacterial spores.

3.4   Hospital disinfectant: A chemical germicide with label claims for
      effectiveness against Salmonella choleraesuis, Staphylococcus aureus, and
      Pseudonomas aeruginosa. Hospital disinfectants may be either a low-level,
      intermediate-level, or high-level disinfectants.

3.5   High-level disinfectant: A process that destroys microorganism, with the
      exception of high numbers of bacterial spores, High-level disinfectants
      has the capability of inactivation of hepatitis B virus, and HIV, and
      Mycobacterium tuberculosis. High-level disinfectants do not inactivate the
      virus-like prion the causes Crautzfeldt-Jakob disease.

3.6   Intermediate-level disinfectant: A process that inactivates Mycobacterium
      tuberculosis, vegatative bacteria, most virus, and most fungi, but does
      not necessarily kill bacterial spores.

3.7   Low-level disinfectant: A process that kills most bacteria, some viruses,
      and some fungi, but cannot be relied on to kill resistant microorganisms
      such as tubercle bacilli or bacterial spores. The level of disinfection
      required is based on the nature of the item and the manner in which it is
      to be used.

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