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VHF - 10 Disinfect "Spills" of infectious Body Fluids

Once inside the Hot Zone/Patient Isolation Treatment Area, patient treatment begins and soon falls into a systematic routine as we began to see last month. As some patients conditions may worsen, additional procedures will need to be taken by the patient treatment staff. These techniques will require some additional supplies inside the Hot Zone.

Unless you have specialized equipment, the best tool for large bodily spills of infected waste is the common towel. It can be moistened, it can pick up large pieces of body fluid waste, and it can be safely laundered for future use. A good supply of fresh towels should be stocked in the treatment area before patients arrive. You will also need a large volume of the 1:10 Bleach solution. Also, a supply of biohazard waste bags or other container demonstrating these types of markings for transport to the laundry facility. All containers removed from the Hot Zone must undergo the disinfection protocol outlined in the waste packaging section for handling waste off-site.

Soak a few towels in the 1:10 bleach solution. When a bodily fluid spill occurs from vomiting or patient drainage, partially wring out a soaked towel leaving it very damp. Cover the fluids preferably on the floor or flat surface and let stand covered with the damp bleach towel for 15 minutes. This means to continue treatment, this obstacle will remain and personnel will have to negotiate this hazard for 15 minutes. If multiple covered areas exist, the site could temporarily be a bit of a mine field. These areas need to be pointed out to all employees so that they may avoid stepping in them.

After 15 minutes have elapsed, pick-up the bodily fluid waste liquids and towels and place them into your designated container. Ideally, the flat surface where the spill was soaked should be washed with soap and water. Realistically, an additional towel with 1:10 bleach solution can be used to wipe up this area. If you decide not to launder appreciate that there will be an increase in disposable waste that will need to be handled to keep the Hot Zone open to work in for patient treatment. Either way, this will involve your waste handling and laundry team members. This element must be calculated into the flow of the patient treatment personnel.

In all situations, the Emergency Manager must be aware of the work flow of the personnel. This background work must be ahead of the patient treatment personnel to remain assured that the work flows without additional problems.

After these heavy spills have been picked up and the treatment area has slowed, the waste handling team can enter and clean these areas with soap and clean water. This technique is planned in to the work flow as the buildup of bleach solutions odor usually has a cumulative negative affect on patients. Usually HVAC units can be overcome with increased vapors from large spills. This will reduce the stress on patients that must remain in this area.

Haz Mat Mike

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