Routine disinfection of dialysis station

Environmental cleaning is very crucial part and need to be done by a competent staff knowing the differences between cleaning in health care facilities and cleaning elsewhere as hospitals is a place for patient already carrying pathogens and preventive measures are applied by health care professionals to avoid spreading of such pathogen to other patients

Routine disinfection of dialysis Unit

Routine disinfection of dialysis Unit

especially if we realize that some pathogens can survive in environmental surfaces for longer period more that what we imagine  

Microorganism Survival Time
Candida Albicans 4 Months
HBV At least 7 Days
HCV 4 Days
Norovirus 7 Days
C. Difficile 5 Months
VRE 4 months

 

Those pathogen can easily transmitted to innocent patient especially if we are speaking about the chronic renal failure patients that need hemodialysis service so cleaning the dialysis station and the surrounding surfaces immediately after the end of the patient session has to become a norm, take care cleaning process Terminal cleaning  has to start AFTER the end of the session and patient discharged from the area , Remember cross contamination may happen if staff is caring for the patient and other patient along with starting cleaning process (multitask). visit Disinfection in the Hemodialysis Unit

A check list was published by CDC for routine disinfection of dialysis stations (if no visible soil present):

 

Routine Disinfection of the Dialysis Station Before start

  • Disconnect connected blood tubing and dialyzer from the dialysis machine.
  • Discard all used tubing and dialyzers used and remaining in a leak-proof container.
  • Check if visible soil or blood on surfaces to be cleaned .
  • Empty the priming bucket .
  • make sure that patient already left the station.
    • Discard all SU supplies. collect  reusable supplies to be cleaned and disinfected / sterilized before being stored or returned to a dialysis station.
    • Remove gloves and perform hand hygiene.

 

Routine Disinfection of the Dialysis Station – AFTER patient has left station

  • Wear clean gloves.
  • Disinfect  all surfaces in the dialysis station using a wiping motion (with friction).
  • Ensure surfaces are visibly wet with disinfectant. Allow surfaces to air-dry (to allow sufficient contact time with the disinfectant).
  • Disinfect all surfaces of the emptied bucket. Allow the bucket to dry before re-connection again.
  • Keep all  potentially contaminated issues away from the disinfected surfaces.
  • Remove gloves and perform hand hygiene.

Remember not to bring patient or clean supplies to station until these steps have been completed carefully this process will take more time that can be considered a positive delay leading to :

  • work to minimize the possibility of cross contamination
  • Staff can have more time for complete the documentation and have mental rest before moving to other patient not running to do multitask together

 Remember: Select proper disinfectant(s) and determine correct dilution(s) for routine use.

Follow the manufacturer instruction for the chemical disinfectant usage and dilution (low level disinfectant and intermediate level disinfectant) training staff about how to use and how to protect themselves by using the proper PPE , differentiate between the general cleaning procedure without presence of visible soil and in presence of visible soil

Continuo the surveillance for dialysis events as a routine surveillance activity in order to be know the current situation in the unit

 

Reference

 

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