COMPLIANCE INFO_1983-2005 - Laserfiche WebLink

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• • INFECTION CONTROL PRACTICES: MORGUE continued F. Plague or anthrax: all participants should be thoroughly briefed 'in the highly infectious nature of these diseases prior to the autopsy and should wear gowns, boots, gloves, masks, caps, and goggles. The autopsy should be conducted in a separate room. All instruments used i.n the autopsy should be autoclaved at121 de rees C. for at least 0 minutes after use. The room should be thoroughly scrubbed h wit -dilute ormat n solution (1%) atm tie con- clusion of t e autopsy. a ca aver s ou a enc ose-- in a_ -s ed plastic shroud. All tissues should be fixed in formalin except those set aside for culture. Cultures should be carefully labeled to alert the bacteriology lab. G. Coccidioidomycosis: no special precautions needed other than wearing gloves and masks. However, all cultures should be labeled and taped closed before being delivered to the bacteriology lab. H. Acquired immunodeficiency syndrane (AIDS): caution should be exercised in handling secretions or excretions, particularly blood and body fluids, from the following: 1. Patients who meet the existing surveillance definition of AIDS; 2. Patients with chronic, generalized lymphadenopathy, unexplained weight loss, and/or prolonged unexplained fever from the patient's history suggesting an epidemiologic risk for AIDS; 3. All hospitalized patients with possible AIDS. PERSONS PERFCRMING AUTOPSIES OR PROVIDING MORTICIANS' SERVICES: 1. As part of immediate postmortem care, deceased person should be identified as belonging to one of the above three groups and that identification should remain with the body. 2. The procedures f oll afed before, during, and after the postmortem exami- nation are similar to those for hepatitis B. All personnel involved in performing an autopsy should wear double gloves, masks, protective eyewear, gowns, waterproof aprons, and waterproof shoe coverings. Instruments and surfaces contaminated during the postmortem examination should be handled as potentially infective items. 3. Morticians should evaluate specific procedures used in providing mortuary care and take appropriate precautions to prevent the parenteral or mucous - membrane exposure of personnel to body fluids. I. All others: autopsy personnel should wear approved autopsy uniforms, which should be removed before leaving the suite. IV. Materials and Equipment A. Instruments used in routine autopsies should be soaked in.2% glutaraldehyde solution or autoclaved between cases. Instruments used on patients with hepatitis B should be soaked in 5% hypochlorite solution and then autoclaved for a minimum of 30 minutes. B. The autopsy table and room should be routinely cleaned with a phenolic solution after each autopsy. However, under special circumstances (see above) other cleaning solutions may be mandated. C. Disposable items should be double -bagged and incinerated at the conclusicn of all autopsies. Rev. 9/83