LEVEL I – GRANT
TRINITY VALLEY COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING
RNSG 1216
PROCEDURE GUIDE AND CHECK-OFF SHEET
CLEANING BLOOD SPILL
According to CDC, Hepatitis B virus, Hepatitis C virus and Human Immunodeficiency viruses have never been transmitted from a housekeeping surface but prompt removal and surface disinfection of an area contaminated by blood or body fluids is a fundamental aseptic practice and an OSHA requirement. If the facility has a procedure for cleaning a blood spill, follow that procedure.
Delegation: This procedure can be delegated to unlicensed assistive personnel with proper training.
| | |
|Procedure |Scientific Rationale |
|The following equipment is needed for this skill: | |
|a. Personal protective equipment (depending on | |
|size of the spill): | |
|For small spills: |For small spills, disposable gloves are all that are needed. |
|1. Disposable gloves (latex or rubber). | |
|For larger spills: |Mask, eyewear and gown should be used if clean up is expected to generate|
|Double disposable gloves |infectious aerosols or splashing. |
|Protective eyewear | |
|Face mask | |
|Disposable gown |Absorbent material is needed to contain the spill and to remove organic |
|b. Spill cleaning materials: |material. |
|Disposable absorbent material such as paper towels. | |
|Red medical waste or biohazard bag |HBV and HIV are readily inactivated with a variety of germicides. Sodium |
|Appropriate disinfectant (10% bleach solution is recommended - 1:10|hypochlorite solutions are inexpensive broad-spectrum germicidal |
|parts bleach to water) |solutions. Solutions of 1:10 to 1:100 are effective depending on the |
| |amount of organic material (blood, mucus and urine) but 1:10 is most |
| |widely used and recommended. |
| |Forceps or tongs are needed to pick up sharp or other hazardous materials|
| |safely. |
|Forceps or other mechanical means for picking up sharp objects. | |
| | |
|Or |Commercially prepared kits usually have powder to solidify spill, scoop |
| |to pick it up, PPE and other materials needed for disinfection. |
|C . Commercially prepared spill kit which contains | |
| | |
|needed equipment. | |
|Assess extent of blood and body fluid contamination. |Strategies for decontamination will differ based on the setting and the |
| |volume of spill. |
|Wash hands. |Prevents spread of microorganisms. |
|Put on disposable latex gloves and other personal protective |For small spills, only disposable gloves are needed. If aerosol or |
|equipment as needed. |splashing is likely, other PPE would be required. |
|Control access to the area by blocking off the area of spill from |Prevents tracking of blood or other infected material to other areas. |
|others until clean up and disinfection is complete. | |
|Contain the spill by using paper towels or other absorbent material.|CDC studies demonstrated that even strong chorine solutions (1:10) might |
|Remove visible organic material with absorbent material. |fail to totally inactive high titers of viruses in large quantities of |
| |blood, supporting the need to remove most organic material before final |
| |disinfection of the surface. |
|Place paper towels in a red biohazard trash bag. |Follows protocol for handling medical waste. |
|If using commercially available spill kit, follow instructions. |Powdered material will solidify the spill and plastic scoop should be |
| |used to pick up the solidified spill. Instructions will provide direction|
| |related to contents of kit. |
|Use forceps, tongs, plastic scoop or other mechanical means to |Prevents injury from contaminated glass or needles. |
|remove any broken glass or other sharp objects from area. | |
|Place sharp objects in sharps or other container and place the |Prevents possibility that sharp objects will tear red biohazard bag. |
|container in the biohazard bag. | |
|Gently pour bleach or other EPA recommended disinfectant solution |Bleach and water lose strength quickly so it must be mixed fresh before |
|onto all contaminated areas. Make sure to use a fresh bleach |each clean up. Gently pouring decreases chance of splashing. |
|solution or a commercially prepared solution. | |
|Allow bleach solution to soak into contaminated material. Pour from |Pouring from outside toward inside prevents production of contaminated |
|outside edge inward. |aerosols. |
|Leave bleach solution in contact with contaminated surfaces for at |Allows enough time for the germicidal solution to inactive the germs. |
|least a minute, preferably more. | |
|Wipe affected area with new paper towels. |Provides final disinfection. Disinfection with bleach solution will be |
| |more effective when organic material has already been removed. |
|Dry area with new paper towels. |Contaminated material will be fully removed. |
|Place all contaminated material in biohazard bag. |Follows protocol for handling medical waste. |
|Remove personal protective equipment. |Do not remove PPE from face with soiled gloves. Remove outer gloves then |
|a. For small spills: |mask and eyewear with inner gloves. This prevents the introduction of |
|1) Remove gloves and place in biohazard bag. |blood or other potentially infectious material to the mucous membranes of|
|For larger spills, remove PPE in this order: |the face via contaminated glove. |
|1) Remove gown | |
|2) Remove outer pair of disposable gloves | |
|3) Remove face mask and protective eyewear. | |
|Remove inner pair of gloves. | |
|When all PPE, spill control equipment and other contaminated items |Assures that medical waste is contained and disposed of properly. |
|are in the biohazard bag, seal bag securely, and dispose of | |
|according to policy. | |
|Wash hands. |Prevents spread of microorganisms. |
N:ADN/ADN Syllabus/CBC Curriculum/Level I/1216/Performance Checklist for Basic Skills - Clean Blood Spill Reviewed 04/16
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