Standard precautions and cleanliness A4 38V0 STANDARD PRECAUTIONS AND CLEANLINESS 8 Observe these precautions to protect the Protect yourself from blood and Practice safe waste disposal Clean and woman and her baby,and you as the health other body fluids during deliveries disinfect gloves provider.from infections with bacteria and Dispose of placenta or blood,or body fluid 超 Wear gloves;cover any cuts,abrasions or contaminated items,in leak-proof containers. viruses,including HIV. Wash the gloves in soap and water. broken skin with a waterproof bandage; Bum or bury contaminated solid waste. Check for damage:Blow gloves full of air,twist Wash hands take care when handling any sharp Wash hands,gloves and containers after the cuff closed,then hold under clean water disposal of infectious waste. 石 instruments(use good light);and practice and look for air leaks.Discard if damaged. Wash hands with soap and water: safe sharps disposal. Pour liquid waste down a drain or flushable toilet. Soak ovemight in bleach solution with 0.5% Before and after caring for a woman .Wear a long apron made from plastic or Wash hands after disposal of infectious waste available chlorine (made by adding 90 ml or newbom,and before any treatment other fluid resistant material,and shoes. water to 10 ml bleach containing 5%available procedure If possible,protect your eyes from splashes Deal with contaminated chlorine) Whenever the hands(or any other skin of blood. laundry Dry away from direct sunlight. area)are contaminated with blood or other Dust inside with talcum powder or starch. body fluids Practice safe sharps disposal Collect clothing or sheets stained with blood After removing the gloves,because they or body fluids and keep them separately from This produces disinfected gloves.They are not may have holes Keep a puncture resistant container nearby. other laundry,wearing gloves or use a plastic sterile. After changing soiled bedsheets or clothing. Use each needle and syringe only once. bag.DO NOT touch them directly. ■Keep nails short Do not recap,bend or break needles after Rinse off blood or other body fluids before Good quality latex gloves can be disinfected 5 or giving an injection. washing with soap. more times. Wear gloves Drop all used (disposable)needles,plastic syringes and blades directly into this Wear sterile or highly disinfected gloves when Sterilize and clean contaminated container,without recapping.and without Sterilize gloves perfomming vaginal examination,delivery,cord equipment passing to another person. Sterilize by autoclaving or highly disinfect by cutting.repair of episiotomy or tear,blood Empty or send for incineration when the Make sure that instruments which penetrate steaming or boiling. drawing. container is three-quarters full. the skin(such as needles)are adequately Wear long sterile or highly disinfected gloves for sterilized,or that single-use instruments are manual removal of placenta. disposed of after one use. Wear clean gloves when: Thoroughly clean or disinfect amy equipment -Handling and cleaning instruments which comes into contact with intact skin Handling contaminated waste (according to instructions). Cleaning blood and body fluid spills Use bleach for cleaning bowls and buckets, ■Drawing blood and for blood or body fluid spills.Standard precautions and cleanliness PRINCIPLES OF GOOD CARE A4 Observe these precautions to protect the woman and her baby, and you as the health provider, from infections with bacteria and viruses, including HIV. Wash hands N Wash hands with soap and water: ¡ Before and after caring for a woman or newborn, and before any treatment procedure ¡ Whenever the hands (or any other skin area) are contaminated with blood or other body fluids ¡ After removing the gloves, because they may have holes ¡ After changing soiled bedsheets or clothing. N Keep nails short. Wear gloves N Wear sterile or highly disinfected gloves when performing vaginal examination, delivery, cord cutting, repair of episiotomy or tear, blood drawing. N Wear long sterile or highly disinfected gloves for manual removal of placenta. N Wear clean gloves when: ¡ Handling and cleaning instruments ¡ Handling contaminated waste ¡ Cleaning blood and body fluid spills N Drawing blood. Protect yourself from blood and other body fluids during deliveries ¡ Wear gloves; cover any cuts, abrasions or broken skin with a waterproof bandage; take care when handling any sharp instruments (use good light); and practice safe sharps disposal. ¡ Wear a long apron made from plastic or other fluid resistant material, and shoes. ¡ If possible, protect your eyes from splashes of blood. Practice safe sharps disposal N Keep a puncture resistant container nearby. N Use each needle and syringe only once. N Do not recap, bend or break needles after giving an injection. N Drop all used (disposable) needles, plastic syringes and blades directly into this container, without recapping, and without passing to another person. N Empty or send for incineration when the container is three-quarters full. Practice safe waste disposal N Dispose of placenta or blood, or body fluid contaminated items, in leak-proof containers. N Burn or bury contaminated solid waste. N Wash hands, gloves and containers after disposal of infectious waste. N Pour liquid waste down a drain or flushable toilet. N Wash hands after disposal of infectious waste. Deal with contaminated laundry N Collect clothing or sheets stained with blood or body fluids and keep them separately from other laundry, wearing gloves or use a plastic bag. DO NOT touch them directly. N Rinse off blood or other body fluids before washing with soap. Sterilize and clean contaminated equipment N Make sure that instruments which penetrate the skin (such as needles) are adequately sterilized, or that single-use instruments are disposed of after one use. N Thoroughly clean or disinfect any equipment which comes into contact with intact skin (according to instructions). N Use bleach for cleaning bowls and buckets, and for blood or body fluid spills. Clean and disinfect gloves N Wash the gloves in soap and water. N Check for damage: Blow gloves full of air, twist the cuff closed, then hold under clean water and look for air leaks. Discard if damaged. N Soak overnight in bleach solution with 0.5% available chlorine (made by adding 90 ml water to 10 ml bleach containing 5% available chlorine). N Dry away from direct sunlight. N Dust inside with talcum powder or starch. This produces disinfected gloves. They are not sterile. Good quality latex gloves can be disinfected 5 or more times. Sterilize gloves N Sterilize by autoclaving or highly disinfect by steaming or boiling. STANDARD PRECAUTIONS AND CLEANLINESS