Appendix I1: Recommendations for Application of Standard Precautions for the Care of All Patients in All Healthcare Settings
Supplement I: Infection Control in Healthcare, Home, and Community Settings
Public Health Guidance for Community-Level Preparedness and Response to Severe Acute Respiratory Syndrome (SARS) Version 2/3
Component |
Recommendations |
|---|---|
| Hand hygiene | After touching blood, body fluids, secretions, excretions, contaminated items; immediately after removing gloves; between patient contacts |
| Personal protective equipment (PPE) | |
| Gloves | For touching blood, body fluids, secretions, excretions, contaminated items; for touching mucous membranes and nonintact skin |
| Mask, eye protection, face shield | During procedures and patient-care activities likely to generate splashes or sprays of blood, body fluids, secretions |
| Gown | During procedures and patient-care activities when contact of clothing/exposed skin with blood/body fluids, secretions, and excretions is anticipated |
| Soiled patient-care equipment | Handle in a manner that prevents transfer of microorganisms to others and to the environment; wear gloves if visibly contaminated; perform hand hygiene |
| Environmental control | Develop procedures for routine care, cleaning, and disinfection of environmental surfaces, especially frequently touched surfaces in patient-care areas |
| Textiles (linen and laundry) | Handle in a manner that prevents transfer of microorganisms to others and to the environment |
| Needles and other sharps | Do not recap, bend, break, or hand-manipulate used needles; use safety features when available; place used sharps in puncture-resistant container |
| Patient resuscitation | Use mouthpiece, resuscitation bag, other ventilation devices to prevent mouth contact |
| Patient placement | Prioritize for single patient room if patient is at increased risk of transmission, is likely to contaminate the environment or does not maintain appropriate hygiene, or is at increased risk of acquiring infection or developing adverse outcome following infection |
| Respiratory hygiene/cough etiquette
(source containment of infectious respiratory secretions in symptomatic patients, beginning at initial point of encounter) |
Instruct symptomatic persons to cover mouth/nose when sneezing/coughing; use tissues and dispose in no-touch receptacle; observe hand hygiene after soiling of hands with respiratory secretions; wear surgical mask if tolerated or maintain spatial separation, > 3 feet if possible |
Related Pages
- Summary
- I. Rationale and Goals
- II. Lessons Learned
- III. Infection Control in Healthcare Facilities
- IV. Infection Control for Prehospital Emergency Medical Services (EMS)
- V. Infection Control for Care of SARS Patients at Home
- VI. Infection Control for Care of SARS Patients in Community Isolation Facilities
- VII. Infection Control for Public Health and Outreach Workers
- VIII. Infection Control for Laboratory and Pathology Procedures
- IX. Occupational Health Issues
- Appendix I1: Recommendations for Application of Standard Precautions for the Care of All Patients in All Healthcare Settings
- Appendix I2: Summary of Recommendations for Expanded Precautions