Chapter I
PROFESSIONAL TECHNIQUES IN INFECTION CONTROL
Article 1. Hand hygiene
1. Health care workers, staff, teachers, students and student trainees in all health facilities should wash hands with proper techniques and standards in adherence with current guidelines issued from the Ministry of Health.
2. Patients, family members and all visitors should wash hands and comply with regulations and guidelines of health care facilities.
Article 2. Execution of regulations on sterilisation
1. When conducting surgical procedures including minor surgery and other invasive techniques, sterile conditions must be maintained. All equipment/devices should be guaranteed as sterile and all sterile techniques conducetd should conform to the current technical procedures of the Ministry of Health.
2. All used medical devices that are able to be reused should be disinfected and sterilised in centrally sterilisation departments and must be sterility must be maintained until patient use.
3. Gloves must always be changed between patients and must be changed between providing care at a contaminated or unclean body area to other body areas of the same patient. Sterile gloves must be worn when conducting sterile procedures.
4. All health care workers must observe regulations on sterilisation, standard precautions, and regulations on isolation when entering and working in designated sterile areas.
Article 3. Cleaning, disinfection and sterilisation of devices and equipments for medical care and treatment
1. Medical devices, equipment and materials used in surgical procedures, minor surgery and other invasive techniques should be disinfected and sterilized.The sterilisation quality should be inspected and guaranteed before use in accordance with guidelines of the Ministry of Health.
2. Medical equipment used for providing care and treatment should be handled in compliance with proper disinfection and sterilisation procedures between patients if reused.
3. Used medical devices/equipment should be initially decontaminated at hospital wards before being transferred to central disinfection and sterilization department.
4. At the central disinfection and sterilisation departments all devices should be cleaned, disinfected, packed, sterilised and stored in compliance with procedures and guidelines issued by the Ministry of Health.
5. Central disinfection and sterilisation departments should have necessary adequate cleaning, disinfecting and sterilizing equipment and use separate designated trolleys/carts and containers for receiving unclean devices and for transporting sterilised devices to departments and wards in health care facilities.
6. Hospital departments and wards should have separate rooms, and necessary equipment, detergents and disinfecting chemicals to ensure the initial treatment of used devices. All hospital departments and wards should have adequate cabinets for safely storing sterilised devices.
7. Medical equipment must be re-sterilised before use if packages/ packets are not-intact; boxes have exceeded expiry dates; or remaining devices in opened sterilised packets and boxes and not used.
Article 4. Implementation of Standard precautions and preventive isolation
1. Health care facilities should provide training and actively promote adherence to standard precautions and additional isolation precautions to all health workers, patients, patients’ family members and visitors
2. Health workers should apply appropriate standard precautions apply to all patients receiving care in health organizations, regardless of their diagnosis or presumed infection status and apply additional precautions based on disease transmission routes.
3. Health facilities should establish a system of management, surveillance, detection, response and reporting of workplace occupational accidents/incidents; Health facilities should coordinate with the relevant preventive health system to ensure the timely reporting and response to epidemics.
4. Patients suspected or confirmed with a communicable disease should be immediately handled with proper additional precautions in compliance with regulations of the Communicable Disease Prevention and Control Law.
5. All medical doctors, health care workers and staff working in all health facilities should be vaccinated against communicable diseases including Hepatitis B, seasonal influenza, and other fatal communicable diseases.
6. Patients suffering infections caused by multi-drug resistant bacteria should be handled with appropriate additional precautions as determined by the transmission routes of the organism/s.
Article 5. Surveillance and Detection of Health Care Acquired Infections and Communicable Diseases in Health Care Facilities
1. Health facilities shall be responsible for the organization, surveillance, detection and notification of all patients with notifiable infectious and communicable diseases in compliance with regulations of the Communicable Disease Prevention and Control Law.
2. Health facilities shall be responsible conducting surveillance, case detection, reporting and maintaining records of cases of all health care acquired infections.
Article 6. Environmental Cleaning and Health Care Waste Management
1. Health care facilities shall:
a) Be equipped with adequate appropriate and specialised environmental cleaning equipment such as buckets, cleaning towels, floor mops, detergents and cleaning chemicals and trolleys/carts for mobilising cleaning equipment.
b) Establish environmental cleaning schedules and procedures appropriate to each specific area in compliance with regulations and guidelines of the Ministry of Health.
c) Conduct micro-biological surveillance at least in every six months to assess the air quality within areas high risk clinical departments and assess water supply sources to ensure compliance with national technical standards.
d) Execute medical waste management in compliance with Ministry of Health regulations.
e) Develop and execute facility regulations for cleaning and disinfection of patient wards and related care equipment immediately after patients with a communicable diseases of epidemic potential are transferred to another department, referred to another hospital, leave the hospital or die.
f) Ensure appropriate cleaning is conducted in all hospital departments/ wards, outside environment, and conduct appropriate periodic insect and rodent erradication in compliance with Ministry of Health regulations to ensure a safe, green, clean environment.
2. All nurse assistants and cleaning staff in all health facilities should be provided with training on health facility hygiene and cleaning in accordance with training programs regulated by the Ministry of Health.
Article 7. Hygiene Practices for Patients and their family members
1. Patients their family members and all visitors should wear hospital uniforms in compliance with the medical dress code including using one uniform for each individual.
2. Prior to surgery, patients should be prepared and draped in compliance with technical guidelines and procedures issued by the Ministry of Health.
Article 8. Food Safety and Hygiene
1. Infection control units are responsible for conducting surveillance and implementing the legal documents concerning food safety and hygiene for all food and beverage processing sections within health facilities.
2. Units directly processing and distributing food and drink in health facilities should have Food Safety and Hygiene Certificates, and staff directly working in those units should be provided with periodic health checks and are responsible for implementing legal regulations on food safety and hygiene.
Article 9. Laundry Management
1. Health facilities should properly follow the medical dress code for patients, their family members/ visitors and health workers. Linen change schedules should be on a daily basis and if also as necessary.
2. Linen in health facilities should be washed daily. Used linen, especially linen soiled with blood and body secretions from patients with communicable diseases should be gathered, transferred and treated on a separate basis. Standard Precautions must be followed.
3. Clean linen should be adequately stored in clean cabinets. Linen to be used for aseptic procedures should meet quality and sterilisation requirements.
4. Health facilities should be equipped with separate collection trolleys and containers for transporting contaminated linen clean linen to the relevant departments/wards.
Article 10. Hygiene practices for holding, burying/cremating and transporting corpses for coronial investigation
Holding, burying/cremating and transportation of corpse should be implemented in compliance with regulations in Circular No 02/2009/TT-BYT dated 26/05/2009 on guidelines for hygiene practices for burial and cremation issued by the Ministry of Health.
Tìm kiếm
Thông tư 18/2009/TT-BYT (Bản Word)