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b Disinfect the chairs, beds, tables and all environmental surfaces between patients.
c Use external pressure transducers for each patient and do not re-use. d Haemodialyser port caps, interior pathways of dialysis machine
shall be disinfected at the end of the day or after dialysing a patient with unknown viral status.
e Scissors, clamps, stethoscopes shall be disinfected. f Use dedicated blood pressure cufs for hepatitis positive area.
4. Cleaning Housekeeping
a Bins, loors and bench tops shall be cleaned with an appropriate disinfectant.
b All spilled blood MUST be removed immediately.
5. Handling of clinical wastes
a Waste shall be segregated and contained at source. b Waste bags shall be appropriately colour-coded.
c Gloves must be worn when handling waste bags.
6. General rules
a Ensure general cleanliness of the unit. b Avoid over-crowding, provide adequate space between each dialysis
patient. c Provide routine staf training and education on infection control
practices. d Provide routine training and education for patients and their families
on infection control.
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APPENDIX 10
REFERRALS
Patients may be referred to the nephrology service either electively or on an urgent basis from either within or outside of the hospital. The referrals shall be
from specialist to specialist as far as possible. Nevertheless in many hospitals this may not always be possible. Referrals will be handled as outlined below:
1. Inpatient Referrals
1.1 During oice hours
a Non-urgent • Referrals shall be reviewed on the same day by the designated
oicerspecialist. b Urgent
• Urgent referrals shall be reviewed as soon as possible by the designated oicer.
• Evaluation by the specialist or consultant shall be made as soon as possible.
1.2 After oice hours a After oice hours all referrals shall be seen by the designated on
call oicer. b Ill patients shall be reviewed by the on-call specialist or
consultant as soon as possible. c The on-call team shall pass over the case to the designated team
the following day.
2. Outpatient Referrals
a Patients referred to the outpatient nephrology clinic will be given appointments as per hospital policy.
b Urgent referrals will be screened by the designated doctor and will be seen on the same day if needed or admitted for further
assessment.
