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

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download