uj · · processed · 10 chunks
5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9457-31A-B6-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM اداره الخدمات الطبيه Medical Services Administration رؤيه جامعه جده جامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION 2014 جامعه جده University of Jeddah (059) 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9457-31A-6-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM <table><tr><td colspan="3">Policy Title: Infection Control Training In Laboratory</td></tr><tr><td>Department/Unite: Infection Control Unit.</td><td>Policy Number: UOJ-MSA-IC-P/26</td><td>Replaces No.:</td></tr><tr><td>Creation Date: 10/12/2022</td><td>Effective Date:</td><td>Review Date:</td></tr></table> Revision History <table><tr><td>Subject</td><td>Changes made</td><td>Done by</td><td>Revision date</td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr><tr><td colspan="3">5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ---6/20/2023 9:52:14 AM</td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr></table> 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ---6/20/2023 9497-3H3A06-f9JK7CcTVQjMFAnEb8ZQQQ---6/20/2023 9:52:14 AM Page 1 of 6 Enc: الرقمقه: Date: اللغه: Ref.: [UOJ-MSA-IC-P/26:الرقم: المملكه العربيه السعوديه - الجزء العليا Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 حده 80327 @Uofjeddah www.uj.edu.sa +966 12 2334444 identity@uj.edu.sa 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9497-34 A-6-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM اداره الخدوات الطبيه Medical Services Administration رؤيه جامعه جده الجامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION 2014 جامعه بدره University of Jeddah (059) 1. CONDITIONS: 1.1 Laboratory department 2. PURPOSE: 2.1 Updated infection control policy and procedures in the department. 2.2 Staff aware about the policy and procedures and it is accessible for them. 2.3 Improve the knowledge to present high quality serves 3. DEFINITIONS: 3.1 specific job training for Healthcare Personnel (HCP) on infection control policies and procedures. 3.2 Employee training for infection prevention and control strategies such as; Hand Hygiene, Environmental disinfection, Waste Management, to reduce spread of microorganisms. 3.3 Adherence to aseptic techniques and appropriate use of Personnel Protective Equipment (PPE). 4. Related Documents: 4.1 Hand Hygiene (UOJ-MSA-IC-P/09) 4.2 Medical Waste Management (UOJ-MSA-IC-P/12) 4.3 Personal Protective Equipment (UOJ-MSA-IC-P/30) 5. POLICY: 5.1 It is the University of Jeddah Medical Administration to decrease risk of infection each time they are exposed to blood/body substance and non-intact skin. Since it is possible to become infected from a single exposure, exposures must be prevented whenever possible. 6. PROCEDURES: 6.1 Hand Hygiene. 6.1.1 Hand hygiene supply is available. 6.1.2 HCP demonstrate appropriate techniques for hand washing and hand rubbing. 6.1.3 Visual alerts are available: 6.1.3.1 WHO 5 moments 6.1.3.2 How to Hand Rub (beside alcohol dispensers) 6.2 Personal Protective Equipment: 6.2.1 Sufficient and appropriate PPE are available and readily accessible to HCP. Page 2 of 6 Enc: الرققه: Date: الرابع: Ref: [JOJ-MSA-IC-P/26] المملكه العربيه السعوديه - اسل العباد Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 ه.د 80327 ي.ب @uofjeddah www.uj.edu.sa +966 12 2334444 identity@uj.edu.sa 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9497-341A-06-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM اداره الخدمات الطبيه Medical Services Administration رويه جامعه جده الجامعه السعوديه الحديثه الجامعه السعوديه الحديثه الجامعه السعوديه الحديثه الجامعه السعوديه الحديثه الجامعه السعوديه الحديثه الجامعه السعوديه الحديثه الجامعه السعوديه الحديثه الجامع السعوديه الحديثه الجامعه السعوديه الحديثه الجامعه السعوديه الحديثه الجامعه- السعوديه الحديثه الجامعه- السعوديه الحديثه الجامعه- السعوديه الحديثه الجاسمه- السعوديه الحديثه الجاسمه- السعوديه الحديثه الجاسمه- السعوديه الحديثه الجاسمه- السعوديه الحديثه [Non-Text] الجاسمه- السعوديه الحديثه الجاسمه- السعوديه الحديثه الجاسمه- السعوديه الحديثه الجاسمه- السعوديه الحديثه الجاسمه- السعوديه حديثه الجاسمه- السعوديه حديثه الجاسمه- السعوديه حديثه الجاسمه- السعوديه الحديثه الجاسمه- السعوديه حديثه الجاسمه- السعوديه حديثه الجاسمه- السعوديه حديثه الجاسمه- السعوديه الحديثه الجاسمه- السعوديه حديثه الجاسمه- السعوديه حديثه الجاسمه- السعوديه حديثه الجاسمه - 6/20/2023 الجاسمه - 6/20/2023 6-6/20/2023 6-6/20/2023 6-6/20/2023 6-6/20/2023 6.2.2 Staff use personal protective equipment appropriately. 6.3 Environmental disinfection 6.3.1 There is a cleaning schedule and is applied 6.3.2 Environmental surfaces are clean and is free from soil. 6.3.3 Housekeeping surfaces (e.g., floors, walls, and sinks) cleaned with MOH approved detergent/disinfectant using double/ or triple bucket technique or scrubbing machines. 6.3.4 Housekeeping equipment is kept clean and dry after use. 6.3.5 There is one spill kit, at a minimum in the department. 6.3.6 Health care personnel demonstrate appropriate technique for management of blood and/or body fluids. 6.3.7 Appropriate PPE, e.g. gloves, masks, gowns and protective eyewear, worn by housekeepers during their routine activities. 6.3.8 ER staff are responsible for cleaning of all environmental surfaces in ER areas except floors, walls, and bathrooms 6.4 Waste Management 6.4.1 All types of waste containers are available in sufficient number and placed in easy access sites and away from traffic. 6.4.2 Sharp items (e.g., needles, scalpel blades, broken metal instruments, and burs) are placed in an appropriate sharps container (puncture resistant, color- coded, and leak-proof). 6.4.3 Used needles are not manipulated or recapped and are promptly disposed into sharp containers. 6.4.4 Staff sticks to the approved policies of proper medical waste segregation (no dangerous medical waste or sharps are observed outside specified containers) 6.4.5 No overfilling of medical waste bags and sharp boxes 6.4.6 Medical waste bags and sharp containers are closed tightly after being filled by3/4 its maximum capacity and labeled with department and date. 6.5 ER safety Page 3 of 6 Enc: الرقمقه: Date: اللغه Ref.: UOJ-MSA-IC-P/26: القام المملكه العربيه السعوديه - اداره التعليم © @uofjeddah www.uj.edu.sa +966 12 2334444 identity@uj.edu.sa Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 د.ب 80327 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9497-374 A-16-9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM اداره الخدمات الطبيه Medical Services Administration رؤيه جامعه جده الجامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION 2014 جامعه جده University of Jeddah (059) 6.5.1 Eating, drinking, smoking, handling contact lenses, and storing food for human consumption must not be permitted in ER areas. 6.5.3 All manipulation of infectious materials that may generate aerosols conducted in a biological safety cabinet. 6.5 Laboratory safety 6.5.1 Restrict access to the laboratory with a sign incorporating the universal biohazard symbol must be posted at the entrance to the laboratory. 6.5.2 Eating, drinking, smoking, handling contact lenses, and storing food for human consumption must not be permitted in laboratory areas. 6.5.3. All manipulation of infectious materials that may generate aerosols conducted in a biological safety cabinet. 6.5.4 Biological safety cabinets (class BII) is tested and certified at least annually. 6.5.5 Plastic tubes replaced the glass ones to avoid sharp injuries. 6.5.6 Eye wash station and a shower must be available for immediate action after exposure. 6.6 Working area 6.6.1 Read cultures (plates) is destroyed in a special autoclave before disposal as regular waste. 6.6.2. Separation of the work areas with no overlapping of items. 6.6.3 Any remaining open vials are thrown after the end of the work. 6.6.4 Refrigerators and freezers used to store potentially infectious materials labeled with the universal biohazard symbol. 6.6.5 Temperature logs for refrigeration are complete and action is taken when temperature is out of parameters. 6.6.6 Laboratory specimens are transported in clean, closed containers. 6.7 Specimen taking area 6.7.1 Dedicated room for specimen taken away from the work area. 6.7.2 Hand washing supply is available inside the room. 6.7.3 All required PPEs available inside the room. 6.7.4 PPEs is appropriately used during sample taken. Page 4 of 6 Enc: الرقمقه: Date: اللغه: Ref: [UOJ- -MSA-IC-P/26:السلام المملكه العربيه السعوديه - الجزاير Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 وب 80327 © @uofjeddah [Non-Text] www.uj.edu.sa [Non-Text] +966 12 2334444 # identity@uj.edu.sa المملكه العربيه السعوديه - الجزاير الج李明 Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 وب 80327 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9497-341A-06-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM اداره الخدوات الطبيه Medical Services Administration رؤيه جامعه جده الجامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION 2014 جامعه جده University of Jeddah (059) 7. RESPONSIBILITIES: 7.1 Accountable to the Infection Prevention Control Practitioner/Committee. 8. Appendix: VQjMFAnEb N/A QQ=-6/20/2023 94597-31 3-06-f9JK7CcTVQjMFAnEb8ZQQQ=-6/20/2023 9:52:14 AM 9. REFERENCES: 9.1 Ministry of Health Manual for Infection Control 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ=-6/20/2023 9:52:14 AM 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ=-6/20/2023 9:52-3:06-f9JK7CcTVQjMFAnEb8ZQQQ=-6/20/2023 9:52:14 AM Page 5 of 6 Enc: الرققه Date: اللات بع Ref.: [UOJ-MSA-IC-P/26:الرقم] المملكه العربيه السعوديه - الجزاير الجعل Kingdom of Saudi Arabia - Ministry of Education @uofjeddah www.uj.edu.sa +966 12 2334444 identity@uj.edu.sa P.O. Box 80327 Jeddah 21589 21589 د.ب 80327 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9497-341A-06-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9457-34A6f-9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM اداره الخدمات الطبيه Medical Services Administration رويه جامعه جده الجامعه السعوديه الحديثه NEW SAUDI UNIVERSITY VISION 2014 جامعه بدره University of Jeddah (059) 5497-3 Prepared By: TVQjMFAnEb8ZQQQ==-6/20/2023 94597-3H 3-6-f9J K7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM Name: Mr. Nawaf A. Alzahrani Position: Supervisor, Infection Control Unit Date: 10/12/2022 Signature: Reviewed By: Name: Dr. Eman Balbaid Position: Supervisor, General Clinics Date: Signature: 5497-313-36-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM Recommended By: Name: Mrs. Ahlam Alrefai Position: Supervisor, Quality&Patient Safety Unit Date: Signature: 20/2023 9497-3H A-B6-f9JK7CcTVQjMFAnEb8ZQQQ==-6/20/2023 9:52:14 AM Approved By: Name: Dr. Mansour Tobaigy Position: Supervisor, Medical Services Administration Date: Signature: Page 6 of 6 Enc: المرققاته: Date: اللارجه: Ref.: [JOJ- JSA-IC-P/26: المرق: المطابقه العربيه السعوديه العربيه السعوديه - الجزاير المطابقه Kingdom of Saudi Arabia - Ministry of Education P.O. Box 80327 Jeddah 21589 21589 د.م. 80327 © © © @uofjeddah www.uj.edu.sa +966 12 23344444 identity@uj.edu.sa