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2007 ICU Decontamination Guidelines
Page updated 30 April 2007
|Equipment||Key||Comment or alternative methods of treatment|
|Blood Pressure cuffs||GPD , SU||Wash and dry between patient or use disposable cuff per patient.
Use covers or send to the laundry
|ECG Monitors||GPD||Damp dust daily and between patients.|
|Electrode leads||GPD||Clean between patients|
|Horizontal Surfaces, e.g. Ledges, tops of bed rails, radiators, equipment rails||GPD||Damp dust with GPD and dry with paper towels daily and between patients.
Duties to be performed by domestic staff.
|Walls||GPD||Wash with GPD between infected cases: MRSA, Group A Streptococcus, gentamicin-resistant coliforms; HIV HCVand HBV with overt blood spillage (See Spillage Guidelines).|
|eg Cascade||GPD||Rarely used now. Wash and dry daily.|
|eg Aquapak||SU||Disposable units (e.g."Aquapaks") must be discarded when contaminated||INTRAVASCULAR DEVICES AND SUNDRY EQUIPMENT|
|LINES for intravenous/intra-arterial administration||SU||No traffic lights unless absolutely clinically indicated.
Use Y-giving sets in preference to 3-way taps on IV infusions.
All lines to be dated.
Sites to be inspected twice a day as well as when giving infusion.
|Peripheral Cannulae||SU||Date. Inspect daily and record as "not inflamed".
Change at first sign of inflammation and preferably every 48h
|Central Venous catheters||SU||Change intravenous lines at first sign of inflammation.
Inspect daily and record "not inflamed".
Railroading over infected lines is to be discouraged.
|TPN catheters||SU||Should be dedicated for this purpose|
|Giving sets||SU||Change every 48 hours (24 hours for TPN).|
|Arterial lines||SU||Change all equipment every 48 hours (including bag and 3-way tap).|
|Infusion, feed and syringe pumps||GPD/ALC||Cleaned daily - wiped by the nursing staff. Wipe with alcohol wipe after if overtly contaminated by blood.|
|Rectal and other probes (if used)||SU or sheath||Use disposable sheaths or wash clean in GPD followed by alcohol.
Rinse and store dry.
|Ultrasound||Sheath or ALC||COMMON USER EQUIPMENT|
|Stethoscopes||ALC||One per patient. Clean daily and between patients with alcohol wipes.
Preferably should not be worn by the nurses or doctors and carried from patient to patient without cleaning.
|Wall Suction||SU||Use disposable units.
Discard in approved container for incineration
|Reservoir||GPD||Empty and clean and daily between patients|
|Tubing (patients to reservoir)||Changed daily and between patients|
|Tubing (wall to reservoir)||GPD||Wiped daily.
Date and change monthly.
|Urine/drainage bags||SU||Should not require changing until catheter/drain changed.||VENTILATOR AND SUNDRY EQUIPMENT|
|Ventilators||GPD||Damp dust daily with GPD and dry with paper towels between patients.Internal operation:
Clean internal mechanisms every 2 weeks.
Otherwise, dismantle and clean mechanism according to local policy.
|SSD||N.B. disinfect internal parts in autoclave after, for example: pulmonary tuberculosis, resistant Gram-negative organisms in sputum or respiratory tracts, MRSA in the respiratory tract including nose swab, definitite fungal infection, Pneumocystis carinii, lobar and community-acquired pneumonia.
Removable parts can be autoclaved.
|Ventilator Tubing||SU||Change between patients.
For long-term patients, tubing dated and changed weekly.
|"Rebreathe" bags||Changed weekly in long-term patients.
Store clean and dry