Cleaning Blood Spill

8. If using commercially available spill kit follow instructions.

Powdered material will solidify the spill and plastic scoop should be used to pick up the solidified spill. Instructions will provide direction related to contents of kit.

10. Place sharp objects in sharps or other container and place the container in the biohazard bag.

Prevents possibility that sharp objects will tear red biohazard bag.

19.Wash hands.

Prevents spread of microorganisms.

3. Wash hands.

Prevents spread of microorganisms.

1. The following equipment is needed for this skill: a. Personal protective equipment (depending on size of the spill): (For small spills:) 1. Disposable gloves (latex or rubber). (For larger spills:) 1. Double disposable gloves 2. Protective eyewear 3. Face mask 4. Disposable gown b. Spill cleaning materials: 1. Disposable absorbent material such as paper towels. 2. Red medical waste or biohazard bag 3. Appropriate disinfectant (10% bleach solution is recommended - 1:10 parts bleach to water). Also effective against blood borne pathogens is an EPA registered tuberculocidal disinfectant. The solution should be allowed to remain on the surface for 10 minutes. 4. Forceps or other mechanical means for picking up sharp objects. Or C . Commercially prepared spill kit which contains needed equipment.

1. For small spills, disposable gloves are all that are needed. 2. Mask, eyewear and gown should be used if clean up is expected to generate infectious aerosols or splashing. 1. Absorbent material is needed to contain the spill and to remove organic material. 3. HBV and HIV are readily inactivated with a variety of germicides. Sodium hypochlorite solutions are inexpensive broad-spectrum germicidal solutions. Solutions of 1:10 to 1:100 are effective depending on the amount of organic material (blood, mucus and urine) but 1:10 is most widely used and recommended. 4. Forceps or tongs are needed to pick up sharp or other hazardous materials safely. c. Commercially prepared kits usually have powder to solidify spill, scoop to pick it up, PPE and other materials needed for disinfection.

15. Dry area with new paper towels.

Contaminated material will be fully removed.

11. Gently pour bleach or other EPA recommended disinfectant solution onto all contaminated areas. Make sure to use a fresh bleach solution or a commercially prepared solution.

Bleach and water lose strength quickly so it must be mixed fresh before each clean up. Gently pouring decreases chance of splashing.

6. Contain the spill by using paper towels or other absorbent material. Remove visible organic material with absorbent material.

CDC studies demonstrated that even strong chorine solutions (1:10) might fail to totally inactive high titers of viruses in large quantities of blood, supporting the need to remove most organic material before final disinfection of the surface.

17. Remove personal protective equipment. a. For small spills: 1) Remove gloves and place in biohazard bag. b. For larger spills remove PPE in this order: 1) Remove gown 2) Remove outer pair of disposable gloves 3) Remove face mask and protective eyewear. 4) Remove inner pair of gloves.

Do not remove PPE from face with soiled gloves. Remove outer gloves then mask and eyewear with inner gloves. This prevents the introduction of blood or other potentially infectious material to the mucous membranes of the face via contaminated glove.

16. Place all contaminated material in biohazard bag.

Follows protocol for handling medical waste.

7. Place paper towels in a red biohazard trash bag.

Follows protocol for handling medical waste.

4. Put on disposable latex gloves and other personal protective equipment as needed.

For small spills, only disposable gloves are needed. If aerosol or splashing is likely, other PPE would be required.

12. Allow bleach solution to soak into contaminated material. Pour from outside edge inward.

Pouring from outside toward inside prevents production of contaminated aerosols.

5. Control access to the area by blocking off the area of spill from others until clean up and disinfection is complete.

Prevents tracking of blood or other infected material to other areas.

14. Wipe affected area with new paper towels.

Provides final disinfection. Disinfection with bleach solution will be more effective when organic material has already been removed.

2. Assess extent of blood and body fluid contamination.

Strategies for decontamination will differ based on the setting and the volume of spill.

13. Leave bleach solution in contact with contaminated surfaces for at least a minute

preferably more. , Allows enough time for the germicidal solution to inactive the germs.

18. When all PPE spill control equipment and other contaminated items are in the biohazard bag

seal bag securely, and dispose of according to policy. , Assures that medical waste is contained and disposed of properly.

9. Use forceps

tongs, plastic scoop or other mechanical means to remove any broken glass or other sharp objects from area. , Prevents injury from contaminated glass or needles.