Chapter II
CONDITIONS FOR INFECTION CONTROL
Article 11. Physical facilities and equipments Health facilities shall:
1. Have architectural designs and physical facilities/equipments to meet requirements on infection control. Designing for newly-built or renovated health facilities should be based on counsel by infection control units and staff.
2. Have central disinfection and sterilization sections (units) with required standards: design on a one-way basis, separation between 3 areas (infected, clean, and sterile areas); provision of appropriate device treatment machines, based on respective medical treatment categories and levels, including disinfecting washers, wet autoclaves, low-temperature sterilizers, dryers, and device packing machines; availability of cleaning devices, chemicals, sterilization quality tests; rooms, cabinets and pallets for storing sterile devices.
3. Have own laundry houses in one-way design with adequate equipment and devices including washing machines and dryers, equipment for ironing linen, cart/trolleys for transporting clean and unclean linen, tanks or containers of disinfectant liquid for soaking contaminated linen, cabinets for storing linen; and detergents and disinfecting chemicals. Health facilities can enter outsource contracts with companies specializing in washing and disinfecting hospital linen, ensuring adequate washing and supplying of linen to meet professional and patient requirements.
4. Have appropriate infrastructure to ensure safe treatment of medical liquid waste, solid waste and gas waste in compliance with regulations on medical waste management.
5. Departments should have adequate bathrooms, toilets, clean water supply, hand washing devices and supplies for use by patients, patients’ family members and health workers.
6. Each department should have at least one room for storing unclean objects and handling medical devices.
7. Surgery rooms and special care rooms should be equipped with appropriate air ventilating and filtering systems to ensure the required sterile condition.
8. Clinical departments should have at least one isolation room equipped with isolating equipment and devices in accordance with guidelines of the Ministry of Health for isolation of patients with potential of spreading etiologic agents of fatal communicable diseases.
9. Clinical departments should have at least one minor surgery room with adequate equipments/devices and be designed to meet infection control requirements: with washing basins, water taps, clean water supply, soap or hand wash detergents, hand towels, or handrub brushes, specialised beds/tables for minor surgery, cabinets for storing sterile devices, and waste containers.
10. Laboratories should ensure biological safety conditions relevant to each degree and are allowed to conduct tests in their professional scopes in compliance with the Communicable Disease Prevention and Control Law.
11. Departments for communicable diseases should have adequate conditions for prevention of disease transmission and be in safe environmental distance from other departments, wards and populated areas in compliance with the Communicable Disease Prevention and Control Law.
12. Food processing and distributing facilities in hospitals should be designed and constructed in compliance with legal regulations on food safety and hygiene.
Article 12. Equipment and devices
Health facilities should have adequate equipments and conditions to ensure infection control requirements as follows:
1. Ensuring adequate and appropriate environmental sanitary conditions and equipement:
a) Hand washing equipments and supplies: hand washing basins, hand disinfecting materials, disposable clean hand towels and hand washing chemicals.
b) Adequate specialized sanitary equipment to ensure efficient sanitization in health facilities.
c) In the event health facilities enter outsource contracts with industrial cleaning service companies, provisions should be clearly stipulated in the contracts on requirements for equipments and devices, chemicals, sanitary standards, sanitization procedures, organization of training, and on how to coordinate in periodic sanitary quality inspections and appraisals.
d) Adequate equipment for gathering, transporting and storing waste, and containers and bags for storing waste in adequate quantity and quality with proper colour code in compliance with regulations.
2. Infection control units should be equipped with office equipments for surveillance and training including computers, printers, and other equipments for environmental quality inspection and appraisals and infection control.
3. Food processing and distributing facilities in hospitals should be equipped adequate equipment and devices to be used in food processing in compliance with legal regulations on food safety and hygiene.
Article 13. Specialised infection control human resource
Health facilities should ensure human resource for the operation of infection control units (teams): personnel for sections including disinfecting, sterilising and laundry sections. Infection surveillance sections should have at least 1 staff with specialised infection control expertise per 150 patient beds.
Article 14. Training for enhancing infection control expertise and skills of health workers
1. Medical doctors and staff of infection control units (teams) should be provided with specialised training, and regularly updated expertise and practical skills on infection control.
2. Medical doctors and health workers of health facilities should be given training on professional technical procedures on infection control and proper use of personal protection equipments.
Tìm kiếm
Thông tư 18/2009/TT-BYT (Bản Word)