Haemodialysis unit water supply and air conditioning

Policies and Procedures on Infection Control Ministry of Health Malaysia 104 2. It should be noted that the antibody response rate in these patients is lower than in the general population and hence the vaccination dose and schedule should follow those recommended for haemodialysis patients refer vaccine.

6.4.7 Connection to dialysis machine in HIV patients

1. It is necessary to have a dedicated machine for HIV-positive patients but all venous pressure transducers must be changed between patients. 2. Disposable dialysers should be used and dialysers should not be reprocessed. 3. Staff should wear eye glasses or visors to protect against the spray of blood that may occur when inserting needles into the patient.

6.4.8 Disinfection and disposal at the end of haemodialysis

1. Staff must take care to avoid accidents with re-useable sharp instruments. 2. Gloves and an apron must be worn. 3. On completion of the haemodialysis treatment, all used dialysers and blood lines should be placed in a leak proof containersbags when transporting them from the dialysis station to the reprocessing or disposal area. 4. All machines should be cleaned with a 0.1 hypochlorite solution. 5. Normal cleaning is adequate for the beds, mattresses, lockers and other furniture, unless contaminated by blood or other body fluids in which case the spillage procedure is followed. 6. Blood-stained linen must be placed in a special bag which is labeled “Biohazard’. 7. Heavily blood-soaked linen should be placed in yellow bag for incineration.

6.4.9 Infection Control Precautions for all Patients

1. Disposable gloves MUST be worn whenever caring for the patient or when touching the patient’s equipment including the haemodialysis machine at the haemodialysis station. The disposable gloves MUST be removed and hands MUST be washed between patients or dialysis stations. 2. Items taken into a dialysis station should be disposed of, dedicated for a single patient or cleaned and disinfected before using on other patients. 3. Dialysis chairs, table, haemodialysis machines etc MUST be cleaned and disinfected between patients. 4. Clean area should be clearly designated for handling and storage of medications, unused disposables, equipments and machines. 5. Venous and arterial pressure transducers filterprotector should be used and these should be changed between each patient and should not be reused. 6. Common cart should not be used to deliver medications or food to patients. If common cart has to be used, the cart must not be moved from one dialysis station to another and should remain in a designated area of sufficient distance from dialysis stations.