COMPLIANCE INFO_1983-2005 - Laserfiche WebLink

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0 0 INCTION CONTROL PRACTICES: MORGUE I. Cadavers A. When cadavers are suspected of having been actively infected, this infor- mation should be transmitted to the pathologist prior to autopsy approval. Bodies should be tagged with the appropriate isolation sign, transported immediately to the morgue and placed in one of the body refrigerators. B. All cadavers bearing contagious or easily communicable infections should be delivered to the undertaker in a sealed plastic shroud appropriately labeled Witt' the suspected infection. II. Personnel A. Should adhere strictly to all personnel health policies. B. Should be adequately briefed in the techniques of infection prevention before working in or entering autopsy suite. C. Should not eat, drink, or smoke in the autopsy suite. III. Dress code and practices for specific -disease autopsies A. Creutzfeldt-Jakob disease: the autopsy should be conducted in a small separate room. All individuals should wear gowns, caps, masks, shoe covers, goggles, and gloves. All tissues should be handled as infectious. Tissue samples should be placed in formalin. Reusable instruments should be washed thoroughly in tap water, then autoclaved for a minimum of 30 minutes at 121 degrees C. Floors and any spills should be gashed thoroughly with 5% hypo- chlorite solution, and disposable items should be incinerated. Participants should crash hands thoroughly with a 5% hypochlorite solution at the termi- nation of the procedure. B. Possible pulmonary tuberculosis: autopsy should be carried out in a separate room with a 100% fresh -air separate air conditioning system. All participants should wear masks throughout the proved°ire. Individuals with cuts or scratches on their hands should wear gloves whenever entering a room where this kind of autopsy is being performed. C. Hepatitis B: all individuals participating in the procedure should wear goggles, masks, gowns, and gloves. All tissues should be handled as infectious. Collected body fluid should be removed by suction, never by splashing. Only necessary tissues should be examined, preferably by biopsy rather than by total - tissue removal. any tissues taken for exar,'ination should be fixed in formalin for at least seven days before sectioning. All spills, floors, and autopsy tables should be washed down with 5% hypochlorite solution or 2% glutaral- dehyde following termination of the autopsy. The body cavities of the cadaver should be packed with gauze soaked in 5% hype;chlorite. Special precautions should be tacen while sewing up the incisions. All personnel participating in the autopsy should be thoroughly briefed before, during, and after the procedure. D. Meningococcemia: all participants should be thoroughly briefed before the autopsy begins, and should wear masks and gloves. The cadaver should be sealed in a plastic shroud before being delivered to the mortician. E. Marburg or Lassa fever virus: under usual circumstances, autopsies should not be performed on these individuals. continued on next page------------------