Applicable OSHA bloodborne pathogen guidelines (OSHA, 2012) ● General: Employers shall ensure that the worksite is maintained in a clean and sanitary condition. All equipment and environmental and working surfaces shall be cleaned and decontaminated after contact with blood or other potentially infectious materials. ● Contaminated work surfaces shall be decontaminated
on a regularly scheduled basis and cleaned and decontaminated immediately or as soon as feasible upon visible contamination. ● The surfaces of doors, walls, floors, and ceilings in the work area shall be water resistant so that they can be easily cleaned. Penetrations in these surfaces shall be sealed or capable of being sealed to facilitate decontamination. ● Each work area shall contain a sink for washing hands and a readily available eye wash facility. The sink shall be foot, elbow, or automatically operated and shall be located near the exit door of the work area. ● A ducted exhaust-air ventilation system shall be provided. This shall create directional airflow that draws air into the work area through the entry area. The exhaust air shall not be recirculated to any other area of the building, shall be discharged to the outside, and shall be dispersed away from occupied areas and air intakes.
with an appropriate disinfectant after completion of procedures, immediately or as soon as feasible, and at the end of the work shift if the surface may have become contaminated since the last cleaning. ● Protective coverings— such as plastic wrap, aluminum foil, or imperviously backed absorbent paper used to cover equipment and environmental surfaces—shall be removed and replaced as soon as feasible, when they become overtly contaminated, or at the end of the work shift if they may have become contaminated during the shift. ● All bins, pails, cans, and similar receptacles intended for reuse, which have a likelihood for becoming contaminated, shall be inspected and decontaminated
CDC GUIDELINES: CREUTZFELDT-JAKOB DISEASE
Practitioners at funeral homes, cemeteries, and crematories have encountered many potentially fatal and infectious diseases yet have found ways to both serve families and Transporting Funeral service workers can safely remove the body of a CJD patient from the place of death and transport it to the funeral home preparation room for mortuary procedures using appropriate standard infection control measures, which includes wearing personal protective gear. The World Health Organization (WHO) recommends placing the body Preparation and dressing An autopsied or traumatized body of a suspected or confirmed CJD patient can be embalmed using the precautions outlined in the WHO/ CJD infection control guidelines (CDC, 2015). CJD patients who have not been autopsied or whose bodies have not been traumatized can be embalmed using Standard Precautions. Family members Embalming bodies not autopsied Embalming bodies of CJD patients who have not been autopsied can be performed using Standard Precautions. However, it may be prudent to place the body on a waterproof sheet to collect bodily fluids and use disposable instruments. The bodily fluids should be collected in a Embalming autopsied bodies Embalming bodies of CJD patients who have been autopsied can also be safely performed. Adherence to standard infection control measures is paramount when embalming an autopsied body of a suspected or clinically diagnosed CJD patient. Autopsies on these individuals are often restricted to removal of the brain; therefore, special precautions should Bodies of autopsied CJD patients Bodies of autopsied CJD patients should be placed on a waterproof sheet to collect all fluids. It is strongly recommended that disposable instruments, masks, gowns, and puncture-resistant gloves be used whenever possible. The entire body should be washed with bleach, rinsed, and
protect the health of the public. Creutzfeldt-Jakob disease (CJD) is no exception. (CDC, 2015). The following sections on CJD are from the CDC website. (CDC, 2015). in a leakproof pouch prior to moving (CDC, 2015). The bag should be lined with absorbent material to prevent leakage of body fluids. In instances where there is excess fluid, a double bag can be utilized. After transporting, all surfaces, stretchers, and cots should be disinfected with bleach (CDC, 2015). of CJD patients should be advised to avoid superficial contact, such as touching or kissing the patient’s face, with the body of a CJD patient who has been autopsied. However, if the patient has not been autopsied, such contact need not be discouraged (CDC, 2015).
suitable container. Incision sites should be closed with super glue and wiped down with bleach, and the body washed prior to dressing. Cosmetic restorative work may also be undertaken (CDC, 2015).
be taken, including placing a plastic sheet with absorbent wadding and raised edges underneath the head to ensure containment of fluids and prevent any spillage. In instances where sutures do not completely control leaking, the cranial cavity should be packed with absorbent material that has been soaked with bleach and tightly sutured (CDC, 2015). sanitized before dressing. Special care should be taken to limit fluid leakage when performing restorative work on a CJD patient. All fluids should be collected in a suitable container (CDC, 2015).
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