Movement of instruments Safety

Policies and Procedures on Infection Control Ministry of Health Malaysia 119 2. Make sure that any open wounds, particularly on the hands, are covered with waterproof dressing. 3. Gloves and apron must be worn due to possibility of either hands or clothing being contaminated with blood or body fluids. 4. When there is serious risk of infection, bodies will normally be enclosed in a leak- proof body bag which under no circumstances should be opened before reaching the mortuary and instruction given by the pathologistmedical officer performing the autopsy. 5. Do not touch any spillage of body fluid outside the body bag until proper decontamination done in the mortuary setting. 6. Any special clothing put on work in the mortuary must be removed before leaving and hands must be thoroughly washed with proper hand washing technique after handling the body.

6.7.3 Receiving body from outside BID cases

1. The precaution measures taken in collecting and handling body from wards must be exercised in receiving BID cases.

6.7.4 Body storage

1. All bodies must be identified and correctly labeled. Any that cannot be properly identified, and particularly those for which there is no satisfactory medical record, must be labeled and treated as ‘danger of infection’ cases unless additional information becomes available. 2. All bodies labeled as ‘danger of infection’ should be totally enclosed in a leak-proof bag. 3. Bodies are stored temporarily before post mortem examination or when examination not required in cases where cause of death has been given by clinician and therefore not medico-legal cases in a body freezer with temperature maintained at 4 o C.

6.7.5 Post mortem procedure

The post mortem procedures are divided into: • routine case autopsy • high risk case autopsy All tools must be kept sharp, clean and ready to use.

1. Routine case autopsy

• Protective Personal Equipment PPE such as , sleeved surgical shirt and trousers, surgical gown, disposable waterproof apron, double gloves, cap, mask and water proof boot must be worn. • Examination techniques must ensure that liquid dispersion and splashing is minimized and that all instruments likely to cause puncture wounds and cuts are handled properly.