Infection Control: New York State Mandatory Training

Chapter Five - Element V


Chapter 1: Element I

Chapter 2: Element II

Chapter 3: Element III

Chapter 4: Element IV

Definitions
Cleaning Spills of Blood
and Body Substances

Cleaning and
Disinfecting Strategies
for Environmental
Surfaces in Patient-Care
Areas

Regulated Medical
Waste

Chapter 6: Element VI

Chapter 7: Conclusion

Resources

References

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Cleaning Spills of Blood and Body Substances

  • Promptly clean and decontaminate spills of blood or other potentially infectious materials.

  • Follow proper procedures for site decontamination of spills of blood or blood-containing body fluids:

    • Use protective gloves and other PPE appropriate for this task;
    • If the spill contains large amounts of blood or body fluids, clean the visible matter with disposable absorbent material, and discard the used cleaning materials in appropriate, labeled containers.

  • Swab the area with a cloth or paper towels moderately wetted with disinfectant, and allow the surface to dry.

  • Use germicides registered by the Environmental Protection Agency (EPA) for use as hospital disinfectants and labeled tuberculocidal or registered germicides on the EPA Lists D and E (i.e., products with specific label claims for HIV or HBV) in accordance with label instructions to decontaminate spills of blood and other body fluids.

  • An EPA-registered sodium hypochlorite product is preferred, but if such products are not available, generic sodium hypochlorite solutions (e.g., household chlorine bleach) may be used:

    • Use a 1:100 dilution (500--615 ppm available chlorine) to decontaminate nonporous surfaces after cleaning a spill of either blood or body fluids in patient-care settings;
    • If a spill involves large amounts of blood or body fluids, or if a blood or culture spill occurs in the laboratory, use a 1:10 dilution (5,000--6,150 ppm available chlorine) for the first application of germicide before cleaning.

Continue on to Cleaning and Disinfecting Strategies for Environmental Surfaces in Patient-Care Areas