GUIELINE TITLE Infection Prevention & Control (IPC) Guidelines For Correctional Centre Code Bags: Contents, Use, Cleaning And Restocking RELATE OCUMENTS June 17, 2013 SOURCE: Infection Prevention & Control (IPC) APPROVING AUTHORITY Infection Prevention & Control Operations PRACTICE SUPPORT OCUMENT SPONSOR Infection Prevention & Control If you have any questions or comments regarding the information in this guideline, please contact Infection Prevention & Control at infectionpreventioncontrol@albertahealthservices.ca. PURPOSE/OBJECTIVE To adhere to Infection Prevention and Control standards within Alberta Provincial Correctional Centres when cleaning and maintaining code bags. APPLICABILITY This guideline applies to AHS staff and other persons acting on behalf of AHS within Alberta Provincial Correctional Services. GUIELINE 1. amage to Code Bags 1.1. The Alberta Provincial Correctional Centre manager or designate shall be notified of loss or damage to a code bag or loss of major contents. 2. Contents of Code Bags 2.1. Single-use medical devices are preferred for use, rather than items that require reprocessing. 2.2. Store only clean or sterile supplies in the designated clean compartment of the code bag 2.3. Supplies should be grouped and packed inside plastic boxes or bags to: maintain cleanliness, prevent damage to packaging and prevent leaking from solutions. 2.4. The sharps container should be keep in a secured upright position 3. Use of Code Bags 3.1. hen possible, code bags should be placed on a clean, dry surface, off of the floor. 3.2. hen possible, medical devices used in a code should be single patient-use. 3.3. Reusable contaminated items should be placed in an impervious plastic bag or container for appropriate decontamination immediately after the code. These items can then be removed from the code and transported to a location where further cleaning and disinfection can be performed.
GUIELINE June 17, 2013 PAGE 2 of 6 4. Cleaning and Restocking 4.1. Routine Cleaning of Code Bags and Equipment: 4.1.1. Always use clean hands when handling clean equipment and supplies 4.1.2. Code bags and contents shall be cleaned monthly on a routine basis, and when visibly soiled. 4.1.3. Code bags and contents shall be inspected weekly. 4.1.3.1. uring weekly review of code bags, all supplies should be checked to ensure they have not become contaminated or expired. Unused soiled or contaminated supplies shall be discarded. 4.1.4. All code bag pockets, seams, straps inside and out are cleaned with an Alberta Health Services approved disinfectant. ( e.g. Percept, Virox or Cavicide ) 4.1.5. As part of routine, monthly cleaning, all bag contents and parts are to be cleaned using Alberta Health Services approved products. Plastic storage bags are to be replaced. 4.1.6. hen the code bag is clean and re-stocked, place a label on the bag indicating that it is CLEAN. 4.2. Cleaning and Restocking After Each Use: 4.2.1. Always use clean hands when handling clean equipment and supplies. Personal protective equipment (PPE) must be worn for decontamination including gloves and eye protection. Consider use of a gown to protect the uniform. 4.2.2. Interior or exterior compartments, part of the code bag or non-critical reusable medical devices which are visibly soiled, contaminated with blood and/or body fluids shall be cleaned using a 2 step process: Remove visible soil from the item using friction and a cloth moistened with approved disinfectant. Repeat this step once code bag is dry to provide disinfection. Allow to air dry. iscard any used single use items iscard any sharps into sharps container. Replace sharps container when fill line is reached or when ¾ filled. Ensure excess garbage, paper or equipment is discarded after use. 4.2.3. isposable, single use medical devices shall be discarded after use or if sterility is compromised (e.g. package is torn, soiled or wet).
GUIELINE June 17, 2013 PAGE 3 of 6 4.2.4. Solutions used in the code bag shall not be refilled or topped up. Any opened solution shall be labeled with the expiry date and discarded before or on that date. 4.2.5. Replace portable suction if used. Used suction equipment is to be sent for cleaning and reprocessing or discarded if single use. Replace filter and canister. 4.2.6. Reusable non-critical medical devices shall be cleaned, then disinfected using an approved Alberta Health Services product such as, but not limited to, Percept, Virox or Cavicide wipes, and allowed to air dry prior to returning to the code bag or use on another patient. Examples of these devices include but are not limited to the automatic external defibrillator (AE), clip board, stethoscope etc. 4.2.7. Reusable medical devices that cannot be thoroughly cleaned and disinfected as per manufacturer s instructions shall not be used for another patient until appropriate cleaning and disinfection can be achieved in accordance with Alberta Health Infection Prevention and Control Standards. NOTE: Proper PPE shall be worn for decontamination including gloves and eye protection; consider use of a gown to protect the uniform. 4.2.8. hen the code bag is clean and re-stocked, place a label on the bag indicating that it is CLEAN. References 4.2.9. See Appendix A for a summary of Code Bag Cleaning and isinfection. Alberta Health Services (2010). Allied Health Infection Prevention and Control Manual. Alberta Health Service (2013). Clinical Bags, Use and Cleaning Protocol. Accessed from http://insite.albertahealthservices.ca/files/clp-clinician-bags-use-and-cleaning-protocol.pdf Alberta Health Services (2011). Critical Care Unit Manual Code Blue. Alberta Health Services (2012) Emergency Medical Services Cleaning and isinfecting Medical Equipment and Vehicles (draft). Alberta Health Services (2012). Emergency Response Protocol Corrections Health. Accessed from http://insite.albertahealthservices.ca/files/clp-emergency-response-protocol-for-corrections.pdf Alberta Health. (2011). Standards for single-use medical devices. http://www.health.alberta.ca/documents/ipc-medical-evice-single-use-2011.pdf Original: June 5, 2013 Revision:
GUIELINE June 17, 2013 PAGE 4 of 6 Appendix A: Code Bag Cleaning and isinfection Legend: = iscard if used or visibly contaminated = ipe using 2 step method with approved AHS product HCP = Health Care Provider R = Send to designated medical device reprocessing site n/a = Not applicable Component Items How to clean (AFTER EVERY USE) ho s responsible Exterior of code bag Top, sides, front, handle and all contact points esignated HCP Basic Supplies Adult blood pressure cuff Stethoscope Glucometer iabetic test strips Thermometer Thermometer covers Universal precaution compliance kit Sharps container Medium Aspen collar or Large pressure dressing 5 X 9 Abdominal pads Triangular bandage 4 X 4 gauze Bottle Normal Saline 1 Transpore tape ater soluble bags AE with 2 sets AE pads PPE Face shields/goggles ater resistant gowns Masks S, M, L gloves
GUIELINE June 17, 2013 PAGE 5 of 6 Appendix A: Code Bag Cleaning and isinfection (cont.) Component Items How to clean (AFTER EVERY USE) ho s responsible Respiratory Laerdal Pocket masks or R Supplies Adult NRB mask Ambibag or R O2 tank O2 tank connector Nebulizer mask O2 mask Portable suction Yankauer suction Suction tubing ocumentation Pen supplies Clip board ER record n/a Neuro assessment record n/a Envelope Scrap paper IV supplies 1L NS infusion bags 50mL 5 mini-bags Basic infusion sets 18 cathlons 20 cathlons NS locks Transparent IV dressings Tourniquet Alcohol swabs Medication supplies 22G 1 ½ needles Blunt catheters Prefilled NS syringes 3mL syringes Copy of ER Med Protocol Aerochamber Single patient use Medications iscard medications known or suspected of contamination (If in doubt, throw it out!) Unopened and unused vials esignated HCP
GUIELINE June 17, 2013 PAGE 6 of 6 Appendix A: Code Bag Cleaning and isinfection (cont.) Component Items How to clean (AFTER EVERY USE) ho s responsible LRP Bundle Towel Suction bulb Cord clamps esignated HCP Sterile scissors or R Large re-sealable food grade zip lock bag * Interior of code bag Interior of compartments esignated HCP *Bags should be discarded when contaminated or after 30 days of use.