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CROSS-CONTAMINATION PREVENTION
M Establish clean/dry area for supplies/home care bag/equipment.
N Establish separate clean and dirty areas for use during procedure.
O Perform hand hygiene prior to assembling wound care supplies: tape, gauze, ointments, instrument packages,
etc.
P Set up and open supplies immediately prior to procedure.
Q Tear tape during procedure set-up to avoid contamination of clean supplies during actual procedure or care.
R Avoid ointment and cream contamination:
1 During procedure set up, dispense needed amount into a small plastic or paper cup by
lifting ointment, cream or gel, from tube/jar with sterile cotton applicator or tongue blade with clean
gloved hands.
2 Do not wipe bottle tips on skin. (i.e., ABI gel, creams, ointments).
3 Do not handle tubes or jars with contaminated gloved hands.
S Plan your work so that you are not repeatedly entering and leaving "the patient zone”. Do not rummage in
drawers or cupboards, or dressing cart with gloved hands. Prevent contamination by removing gloves, apply
alcohol hand sanitizer, access needed supplies, then re-glove and return to “the patient zone.”
T Store each individual patient's supplies in separate, clean, labeled baggie or container. Keep the supplies for
those with MRSA or VRE apart from supplies of non-infected patients and separate from clean supplies.
U Discard any disposable cross-contaminated supplies even if unopened.
V Discard normal saline or sterile water within 24 hours of opening. Consider using individual 30 cc NS plastic
fish.
W Nu-gauze and other dressings are single use only (one patient use only).
X Discard expired supplies and dressings.
Y Disinfect Doppler between patients with approved environmental disinfectant.
Z Wash contaminated BP cuffs or wipe down with approved environmental disinfectant between patients.
Prevent contamination by using saran wrap on non-intact skin, then placing BP cuff when doing ABI or blood
pressure.
AA In ambulatory or hospital setting remove, move, or cover unnecessary furniture and equipment in room to
prevent contamination and make clean up easier. Cover clean items in close proximity (within 3-5 feet) to
wound with sheet or barrier during irrigation and Dremel procedures.
BB Supplies should be kept in original packages, or stored in small amounts in clean, covered containers. Clean
and sterilize containers prior to refilling. Do not “top off” containers.
ENVIRONMENTAL BARRIERS
CC Use blue incontinent pad (chux) or plastic bag as protective barrier to prevent environmental contamination
from wound site and to make clean up easier.
DD Saran wrap or plastic bag may also be used to protect equipment (BP cuff, Doppler) from wound site.
EE Use exam light sheath covers when available. Change sheaths between patients or disinfect exam light.
FF Discard soiled dressings in plastic bag.
GG Disposable wound drainage canisters
1 Home Care discard in home trash after sealing
2 In ambulatory or inpatient settings, discard in biohazardous waste.
ENVIRONMENTAL DISINFECTION
HH To disinfect environmental surfaces, clean the item, then spray/wipe the item with an environmental
disinfectant and allow to air-dry. Disinfect all items touched by employees and patient during procedure.
1 Wipe all areas in "patient zone" that were touched during the procedure
2 Wipe exam table, chair armrests, and lamp
3 Don't forget phones, keypads, doorknobs, light switches, pagers, if cross contamination occurred
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