Decontamination of Reusable Medical Devices Policy

Responsible Directorate:

Public Health

Date Approved: August 2010

Committee: Governance Committee

Version: 2

Revision Date: August 2013

Accountable Director: Judith Hooper

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Contents

Section Page 1 Introduction 3 2 Associated Policies and Procedures 3 3 Aims and Objectives 4 4 Scope of the Policy 4 5 Accountabilities and Responsibilities 4 6 Classification of Infection Risk Associated with the

Decontamination of Medical Devices 5

7 Written Procedures 7 8 Decontamination of Life Cycle 7 9 Single Use Items 8 10 Record Keeping 9 11 Transportation of Contaminated Reusable Medical Devices 9 12 Decontamination of Healthcare Equipment Prior to Inspection,

Service or Repair 9

13 Equality Impact Assessment 10 14 Training Needs Analysis 10 15 Monitoring Compliance with this Policy 11 16 References 12 17 Appendices 13

A Definitions 13 B Key Stakeholders consulted/involved in the development of the

policy/procedure 14

C Equality Impact Assessment Tool 15 D Sign Odd Sheet regarding Dissemination of Procedural Documents 16 E Examples of Equipment and the Decontamination Method 17 F Declaration of Contamination Status 20 G Single use Medical Devices 22

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Policy Statement

NHS Kirklees will ensure the safe management of all patient equipment including where necessary the effective decontamination of reusable medical devices to

minimise the risk of transmission of healthcare associated infection

1.

Introduction

Improving and sustaining reusable medical device decontamination services forms an important part of the Chief Medical Officer’s strategy to combat healthcare associated infection and is included in the reports “Winning Ways” and “Getting Ahead of the Curve” (2003; 2002). It was also identified as a key priority for the Department of Health National Decontamination Strategy launched in 2003. As of March 2007, all healthcare organisations undertaking reprocessing of any surgical instruments are judged by the same standards regardless of whether they are managed by the NHS; Independent Sector or Private Sector. Primary, secondary and tertiary providers must have in place services which ensure that decontamination of equipment is achieved in compliance with current advice. They must be able to confirm the quality and safety of reprocessed or single use products is equal across any sector and that all reprocessing is carried it in facilities that are fit for purpose.

Healthcare Providers are required by the Health Act 2006, to provide a safe decontamination service that is embedded within the service culture of the organisation in support of successful clinical outcomes and the associated wellbeing of patients and staff.

Reusing medical devices can transmit infection between patients and staff. The correct decontamination of medical equipment is therefore vital to the safe and effective delivery of patient care. The decontamination process includes a full chain of events starting with the initial purchasing and acquisition of instruments, through to the cleaning, sterilisation, transportation, storage and final disposal. This policy sets out principles for the safe decontamination of medical equipment in order to protect staff and patients from the risk of infection.

2. Associated Policies, Procedures and Guidance This policy should be read in accordance with the following NHS Kirklees policies,

procedures and guidance:

● Infection Prevention and Control Policies

● Hand Decontamination Policy ● Universal Standards Precautions Policy ● Health and Safety Policies ● Incident Reporting Policy ● Waste Management Guideline

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● The use of Disinfectants and Antiseptics Policy ● Records Management Policy ● Medical Devices Policy 3. Aims and Objectives The key aims are: ● To ensure high standards of decontamination of reusable medical devices

are in place and maintained, and that these are decontaminated according to their function, so as to protect as far as reasonably practical the health, safety and welfare of staff, patients and those recipients who are involved in inspection, service, repair or transportation of medical devices or equipment.

● To reduce the associated risks to patients and healthcare workers from the transmission of healthcare associated infections.

● To ensure compliance with the Health and Social Care Act 2008, Code of Practice for Health and Adult Social Care on the Prevention and Control of Infections and Related Guidance.

4. Scope of the Policy/Procedure

This policy must be followed by all NHS Kirklees employees who are developing policy and procedural documents or developing guidance for colleagues. It must be followed by all staff who work for NHS Kirklees, including those on temporary or honorary contracts, bank staff and students. Breaches of this policy may lead to disciplinary action being taken against the individual. Independent Contractors are responsible for the development and management of their own procedural documents and for ensuring compliance with relevant legislation and best practice guidelines. Independent Contractors are encouraged to seek advice and support as required.

5. Accountabilities & Responsibilities

The Chief Executive (CE) is accountable for ensuring that effective arrangements for decontamination of reusable medical devices are in place within NHS Kirklees.

The Director of Infection Prevention and Control (DIPC) has responsibility to give

assurance to the Board and to have direct accountability for the decontamination of reusable medical devices in NHS Kirklees.

The Infection Prevention and Control team will: ● Ensure this policy is reviewed as required and work with appropriate

individuals and services to implement necessary changes in practice. ● Act as a specialist resource for the purchase and monitoring of equipment.

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● Act as a link between NHS Kirklees and specialist agencies and networks. ● Take a role in investigating incidents related to decontamination and

managing associated hazards. Heads of Service are responsible for ensuring that healthcare professionals

involved in the decontamination of reusable medical devices adhere to policy. Employees will: ● Will co-operate and assist with the implementation of the Policy, and its

associated procedures. ● Bring to the notice of management, any problems of failings associated with

the decontamination process. ● Attend training as required. ● Make themselves aware of, and follow safe systems of work and control

methods (including the use of personal protective equipment) provided for their safety and the safety of others.

● Promptly report all incidents concerning the decontamination process in

accordance with the Trust’s Policy on reporting incidents. ● Report any adverse ill health effects arising from the decontamination

process to NHS Kirklees Corporate Services and Risk Management Team and MYHT Occupational Health Department.

● Seek specialist advice as necessary.

6. Classification of Infection Risk Associated with the Decontamination of

Medical Devices Risk Application Recommendation High Items in close contact with a break in

the skin or mucous membrane or introduced into a sterile body area.

Sterilisation eg, instruments used in surgery. (including podiatric surgery)

Intermediate Items in contact with intact skin, mucous membranes or body fluids, particularly after use on infected patients or prior to use on immuno-compromised patients.

Sterilisation or disinfection required, eg, auriscope.

Low Items in contact with healthy skin or mucous membranes or not in contact with patient.

Cleaning eg, baby scales, beds.

Three processes of decontamination are commonly used:

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● Cleaning is an essential pre-requisite to both disinfection and sterilisation. Cleaning is a process that uses water and detergent to remove visible contamination. Adequate cleaning will remove the vast number of micro-organisms and protein matter.

The product chosen for the manual cleaning of equipment must be fit for purpose and not an ordinary washing-up liquid. Hospec (neutral detergent) or an enzymatic cleaner must be used. Hospec is a neutral detergent at the correct PH for washing instruments/equipment and it does not foam. The detergent must be thoroughly rinsed off before disinfection or sterilisation takes place.

Thorough cleaning of equipment is extremely important in reducing the possible transmission of all micro-organisms. Of particular interest at the present time, is the abnormal protein that is known to cause variant Creutzfeld-Jakob Disease (vCJD). These prions are resistant to all common methods of decontamination.

Mechanical cleaning in automated machines such as a washer disinfector or ultrasonic bath is the preferred option as the processes can be validated; is more consistent than manual cleaning; and reduces the risks of cross-contamination to the operator (NHS Estates HSC 2000/032). These machines will require a documented maintenance programme. Manual cleaning of instruments should only be undertaken in exceptional circumstances. Manual cleaning of equipment must be undertaken outside of the clinical environment. If manual cleaning is unavoidable, personal protective equipment (PPE) must be available for staff to wear when cleaning equipment. This will include; gloves, aprons, eye and mouth protection. (Risk assessment to be undertaken.)

● Disinfection is a process that uses chemical agents or heat to reduce the

number of viable organisms. It does not necessarily inactivate all viruses and bacterial spores. Disinfection should never be used as a substitute for sterilisation. Methods of disinfection include using a washer-disinfector machine or using a chemical disinfectant. The use of all disinfectants is governed by ‘The Control of Substances Hazardous to Health’ (COSHH) Regulations. These regulations require:

Safety Staff to wear appropriate PPE (gloves, apron, visor or spectacles).

Training Staff must know what precautions should be taken when handling

disinfectants. Dilution Where possible pre-prepared dilutions of disinfectants should be

used, otherwise ensure that the correct strength is used. Preparation Many disinfectants deteriorate after dilution. Solutions should

always be freshly prepared. Contact time It is essential that the correct contact time is observed. Further information is available within the Use of Antiseptics and Disinfectants

Policy

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Sterilisation is a process to render an object free from viable micro-organisms,

including bacterial spores. When choosing a method of sterilisation there are two options;

● Services of a Sterilising Services Dept (CSSD)

● Using Pre-sterilised, single use disposable items 7. Written Procedures Individual services will prepare written procedures and standards on the

decontamination of equipment used in that particular service. This procedure should contain the following:

- Identify a member of staff who will be responsible for overseeing decontamination procedures

- Agreement to involve appropriate specialists prior to the purchase of equipment to ensure satisfactory decontamination can be undertaken prior to its purchase

- Identify the types of equipment used within the service and details of the cleaning required

- Identify the types of equipment used and details of the decontamination required

Appendix E illustrates examples of equipment and the decontamination method.

8. Decontamination of Life Cycle Effective decontamination requires the attainment of acceptable standards at all

stages of the life cycle. Failure to address issues in any of these stages will result in inadequate decontamination.

At all stages of reprocessing, the following issues need to be taken into account

to ensure that it is fit for purpose. ● The location and activities where decontamination takes place. ● Facilities and equipment ensure the decontamination agents used are

compatible.

● Ensuring equipment used for decontamination is fit for purpose, is validated, maintained and tested in accordance with manuafacturer’s guidelines and legislation.

● Decontamination processes are undertaken in a controlled manner to protect

the health and safety of patients and staff. ● Prior to procurement of re-usable medical devices the need to ensure the

decontamination processes are available within NHS Kirklees.

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● Documented training scheme must be in operation with individual training records retained for all healthcare workers involved in decontamination activites. Healthcare workers undertaking decontamination must be competent, properly trained and supervised. Line managers are responsible for detailing an individual’s core competencies, and any training received which must be maintained and updated regularly.

Manufacturers of reusable medical devices are required to supply information on

the appropriate decontamination process to allow reuse, including cleaning, disinfection and where appropriate the method of sterilisation.

If a healthcare worker is unfamiliar with loan equipment or newly purchased

devices, line managers must arrange training from the supplier / manufacturer to ensure equipment is decontaminated correctly and to minimise the potential for damage.

It is important to be able to trace reusable medical devices through the

decontamination processes and also to the patient on whom they have been used.

9. Single Use Items

A device designated for “single use” must not be reused. It should only be used once on an individual patient and then discarded.

Manufacturers of single use devices consider the device is not suitable for use on more than one occasion and has evidence to confirm that re-use would be unsafe.

Safety Issues

Reprocessing single-use devices may compromise its intended function. Single-use devices may not be designed to allow through decontamination and (if applicable) resterilisation processes.

Reprocessing a single-use device may alter its characteristics so that it no longer complies with the original manufacturer’s specifications and therefore the performance may be compromised.

Single-use devices have not undergone extensive testing, validation and

documentation to ensure the device is safe to reuse. The symbol below is used on medical device packaging indicating ‘do not re-use’

and may replace the written wording on packaging.

Some single use devices are marketed as non sterile which require processing to make them sterile and ready for use. The manufacturer of the device will include appropriate processing instructions to make it ready for use.

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Single Patient Use Equipment Devices that are ‘single patient use’ means the medical device may be used for more than one episode of use on ONE PATIENT ONLY and may undergo some form of reprocessing between uses only as advised by the manufacturer. (See Appendix G, single use leaflet.)

10. Record Keeping The Consumer Protection Act (1987)(60 in particular Product Liability has

implications for the processing of devices used for patient care. In particular, it is essential to maintain adequate records that demonstrate how a particular device was processed; a description of the method/s employed and details of available trained personnel with copies of training records. The organisation should have the ability to demonstrate how instruments/equipment have been processed through the decontamination cycle.

For surgical instruments records must be maintained and retained, to enable instruments to be traced to individual patients. Records relating to decontamination should be maintained by the organisation for a minimum of eleven years.

11. Transportation of Contaminated Reusable Medical devices

Transport containers must be:

● Leakproof, capable of being closed securely. ● Easy to clean. ● Rigid to contain instruments and robust to prevent instruments being

damaged in transit. Healthcare workers handling contaminated medical devices must wear personal

protective equipment and be vaccinated against hepatitis B. After each use, transport containers must be cleaned, disinfected and dried. 12. Decontamination of Healthcare Equipment Prior to Inspection, Service or

Repair All re-useable medical devices and equipment to be inspected, serviced,

repaired, returned to the lending organisation or disposed of should undergo decontamination. This is necessary to ensure that they are in a condition that makes them safe to be handled by all personnel who may come into contact with them during transit and subsequent handling. The device and equipment should not expose the recipient to a biological, chemical or radioactive hazard.

This policy focuses on the aspects of reducing microbiological risks. Other

methods of decontamination may be necessary to remove chemical and radioactive material. Advice should be sought from the device manufacturer in these cases.

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Manufacturers have a responsibility to provide information on the compatibility of their particular medical devices or equipment with methods and agents for decontamination. It is essential this information is available and followed as inappropriate methods or agents can damage equipment. If the manufacturer is unable to provide this information or it is inadequate the MHRA should be notified via the NHS Kirklees Corporate and Risk Management Team.

Devices designed for single use must not be reprocessed for reuse and should

be disposed of after use into the appropriate waste stream. Once the decontamination process has been completed the items should be

labelled with a declaration to identify their status. A copy of the declaration certificate is attached to this policy as Appendix F.

The declaration of contamination status should be readily accessible to the

recipient of the equipment. Instrumentation or equipment loaned, rented or leased to a patient for use in the

community environment must be treated with the same level of caution and preparation. This also applies to items that have been used for demonstration purposes. Loaned equipment must be accompanied by manufacturer’s decontamination instructions. Decontaminate loaned equipment before and after use.

If the equipment is complex, and the user is unable to decontaminate the device, the equipment should have attached a biohazard label informing staff of the risk. A decontamination form must still be completed illustrating that it has not been decontaminated, and why.

Incident Reporting Staff must report any incident or ‘near miss’ where they suspect the decontamination process has failed, or where the patient or themselves have been put at risk. An incident reporting form should be completed within 24 hours and forwarded to NHS Kirklees Risk Management Team.

13. Equality Impact Assessment This Policy was found to be compliant with this philosophy (see Appendix C) 14. Training Needs Analysis NHS Kirklees is committed to the training and continuing development of all staff

including independent contractors on all relevant issues surrounding the decontamination of reusable medical devices.

All induction programmes and infection prevention and control mandatory training

will include decontamination of reusable medical devices. Heads of Service when procuring equipment must ensure that specific training

needs are identified and implemented following an agreed action plan. 15. Monitoring Compliance with this policy/procedure

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NHS Kirklees will have key indicators for the monitoring of decontamination of reusable medical devices and these indicators will be included in all performance processes including the Assurance Framework.

● Essential Steps audits to ensure key infection prevention and control policies

are being implemented. ● Percentage of incident reports attributed to a failure in decontamination. ● Percentage of clinical and non-clinical staff undertaking mandatory annual

infection prevention and control training. ● Healthcare associated infections due to inadequate decontamination

identified after completion of Root Cause Analysis investigations. ● Quality indicators will be a part of normal performance monitoring against a

set of local, regional and national indicators.

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16. References ● Winning Ways: Working Together to Reduce Healthcare Associated

Infection in England, Chief Medical Officer, 2003 ● Getting ahead of the Curve: A Strategy for Combating Infectious

Diseases, Department of Health, 2002 ● The Health and Social Act 2008. Code of Practice for health and adult

social care on the prevention and control of infections and related guidance (December 2009).

● Professional Letter (PL) Decontamination of Surgical Instruments (CMO,

Department of Health Feb 2007) ● HSC 2000/032: Decontamination of Medical Devices, Department of

Health 2000 ● The Decontamination of Surgical Instruments in the NHS in England –

Update Report – “A Step Change.” Department of Health (June 2005) ● Medical Devices Directive 93/42 EC, (Annex 1 Essential Requirements)

EU Council 1995 ● Care Quality Commission 2010 CQCs inspection programme on

cleanliness and infection control in NHS Trusts from 1 April 2010. ● Department of Health 2007 – Decontamination Health Technical

Memorandum 01-01 Decontamination of Reusable Medical Devices ● MHRS Device Bulletin Single Use Medical Devices: Implications and

consequences of re-use DB2006 (04) October 2006. ● Health and Safety at Work Act 1974, London MHSO 1974.

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17. APPENDICES Appendix A – Definitions Decontamination A process which removes or destroys contamination and thereby prevents micro-

organisms or other contaminants reaching a susceptible site in sufficient quantities to initiate infection or any other harmful response. Three processes of decontamination are commonly used: cleaning, disinfection and sterilisation.

Medical Device This strategy recognises the Medical Devices Directive definition of Medical Devices. The

definition of a medical device is defined as: “Medical Device means any instrument, apparatus, appliance, material or other article,

whether used alone or in combination, including the software necessary for its proper application intended by the manufacturer to be used for human beings for the purpose of:

● Diagnosis, prevention, monitoring, treatment, treatment or alleviation of disease

● Diagnosis, monitoring, treatment, alleviation of or compensation for an injury or

handicap

● Investigation, replacement or modification of the anatomy of physiological process

● Control of conception and which does not achieve its principle intended action in or on the human body by

pharmacogical; immunological or metabolic means, but which may be assisted in its function by such means”.

Infection Control Infection control is the use of evidence based practice, training and education, policies

and procedures to prevent or minimise the risk of cross infection, through a managed environment, which minimises the risk of infection to patients, staff and visitors.

Cleaning A process which physically removes contamination but does not necessarily destry micro

organisms. Cleaning removes micro organisms and the organism material on which they thrive.

Disinfection A process used to reduce the number of viable micro organisms but which may not

necessarily inactivate all microbial agents such as certain viruses and bacterial spores.

Sterilisation

A process used to render an object free from micro orgaisms including viruses and bacterial spores. Prions causing CJD type ilnesses may not be destroyed by sterilisation

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Appendix B

Key Stakeholders consulted/involved in the development of the document

Stakeholders name and designation

Detail of feedback received

Detail of feedback received

Date feedback received

Action taken

Kirklees Infection Control Committee Yes Yes 1 July

2010 Amended

Community Dental Services No

KCHS Podiatry Services No

HVMH – Day Surgery Unit

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Appendix C: Equality Impact Assessment Tool

To be completed and attached to any procedural document when submitted to the appropriate committee for consideration and approval.

Insert Name of Policy / Procedure Yes/No Comments

1. Does the policy/guidance affect one group less or more favourably than another on the basis of:

• Race No

• • Ethnic origins (including gypsies and travellers)

No

• Nationality No

• Gender No

• Culture No

• Religion or belief No

• Sexual orientation including lesbian, gay and bisexual people

No

• Age No

• Disability - learning disabilities, physical disability, sensory impairment and mental health problems

No

2. Is there any evidence that some groups are affected differently?

No

3. If you have identified potential discrimination, are any exceptions valid, legal and/or justifiable?

-

4. Is the impact of the policy/guidance likely to be negative?

No

5. If so can the impact be avoided? - 6. What alternatives are there to achieving the

policy/guidance without the impact? -

7. Can we reduce the impact by taking different action?

-

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Appendix D Sign Off Sheet regarding Dissemination of Procedural Documents

Title of Document: Decontamination of reusable Medical Devices

Lead Director: Dr Judith Hooper

Date Approved:

Where approved:

Dissemination Lead:

Placed on Website:

Review Date:

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Appendix E

Examples of Equipment and the Decontamination Method

Equipment Cleaning Method Airways Single use. Auroscope ear pieces Single use. Babies changing mat Change tissue after each baby, clean with detergent wipe and

wipe disposable with paper towel. Baby Scales After each use wipe with detergent wipes, dry with disposable

paper towel. Renew paper sheet. Bedpan washers / macerators

These should be sued, cleaned and serviced according to manufacturer’s guidance.

Beds, backrests, bed cradles and mattresses

To be cleaned between users with hot water (35°C) and general purpose detergent between users. If soiling is evident then immediately clean as above and then wipe over with a Sodium Hypochlorite 1,000 ppm Chlorine.

Blood pressure equipment

Clean with either hot water and detergent or detergent wipes. Wipe with 70% alcohol wipe between each patient use (refer to manufacturer’s instructions). Use a cuff dedicated for known infectious patients which can be washed at the end of care episode or use disposables.

Bowls – patient washing

Clean between each use with hot water and neutral detergent, using disposal paper towels. Rinse and store dry.

Buckets a) Surgical – sterilise. b) Dressings – clean with hot water and detergent. Rinse and dry. Store inverted.

Catheter drainage bags

Single use (disposable).

Changing mats. Change paper after each child. If soiling occurs wipe over with soap impregnated wipes. Dry thoroughly.

Cleaning cloths Use disposables. Couches Surface must be in good repair, clean hard surface detergent

wipes at start and finish of each session or if it becomes soiled. Cover with disposable paper roll and change between each client use. Couch can be wiped with hard surface wipes between clients / patients. If visibly soiled treat as spillage. Refer to manufacturer’s guidelines.

Commodes Clean seat and frame with detergent and hot water or detergent. Wipes between each use. If contaminated clean and wipe with disinfectant, chlorine releasing agent.

Curtains Launder every 6 months. Defibrillators Wipe external surfaces with detergent wipes At the beginning and end of each session and / or when visibly

soiled clean warm water 35°C and general purpose detergent or detergent wipes.

Doppler and bladder scan probes

Clean off gel with detergent and water or detergent wipe. Disinfect with a 70% alcohol wipe.

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Domestic equipment: Buckets Cloths Mops (Wet) Mops (Dry) Toilet brushes Floors

Empty into domestic slop hopper or toilet. Wash in hot water and detergent, rinse and store dry. Use colour coded. Dispose of single use cloths, otherwise wash in hot water and detergent, rinse and leave to dry opened out. Wash in hot water and detergent, rinse and store inverted to dry. Never soak in disinfectant or water. Alternatively, machine wash at least weekly. Rinse in flushing water. Store dry. Never soak in disinfectant. Dust control – dry mop Wet cleaning – wet mop

Enteral feeding pumps Wipe external surfaces with detergent wipes Fans Disconnect, damp dust with detergent and dry Humidifier case Damp dust with detergent. Store dry Humidifier, tubing & mask

Disposable systems. Single patient use only.

Jugs (urine, measuring)

Use either disposable or use washer disinfector. Store dry and inverted.

Instruments Use disposables, single use items as much as possible.

Mattresses Wash with hot water and detergent/detergent wipes and dry. All should have waterproof covers.

Moving and Handling Equipment: Banana/transfer board Bathing support Handling belt Handling sling (blue) Hoist frame Hoist sling Long seat sling Multiglide cushion Multiglide sheet Turn tables

Wipe over with detergent and water Wipe over with detergent and water Machine wash up to 40° Wipe over with detergent and water Wipe over with detergent and water Machine wash up to 76° Machine wash up to 71° Machine wash up to 60° Cover may be washed up to 90° Machine wash up to 95° Wipe with detergent & water

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Yellow mobicare and red easislide

Machine wash at 60-90°c

Medicine glass

Wash with hot water and washing up liquid. Use dishwasher and dry thoroughly

Nebulizer tubing Single patient use only. Wash with hot water – store dry for maximum of one week in a home environment.

Nebulizer case Damp dust with detergent & dry. Nail brushes Avoid use unless essential, then single use/disposable Needle guard holders Wash in warm water and detergent, wipe with 70% alcohol or

autoclave. Oxygen masks & tubing

Single use only.

Pillows Should have a wipeable cover and be treated as mattresses. Shaving and toothbrushes

Single patient use

Stethoscope Wipe head with 70%isopropyl alcohol and leave to dry Suction equipment Only disposable suction units (liner and tubing) should be

used. After each use the disposable components should be disposed of as per NHS Kirklees waste Management Guideline Tubing must be single use disposable Filters should be replaced between each patient use and at appropriate intervals in keeping with the Manufacturers instructions.

Telephones Wipe with detergent wipes between uses only if contaminated. Thermometers (oral/tympanic)

Electric – use with disposable sheath. Clean handle with a detergent wipe. Clean with warm water and detergent, rinse and dry. Disinfect with 70% alcohol wipe.

Toilet seats and raised toilet seats

Wash with detergent, rinse and dry with paper towel.

Tourniquets Wipe with detergent wipes, discard if contaminated. Use single use only for patients known to have an infection

Toys – plastic - soft

Wash in hot water and detergent. Dry thoroughly. If washable launder in washing machine

Urinals As for bedpans Wheelchairs Wipe with detergent and hot water, rinse and dry Zimmer frames Damp dust with detergent and hot water, rinse and dry or use

detergent wipe. Damp dust with detergent and hot water, rinse and dry or use

detergent wipe.

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Appendix F - Declaration of contamination status

From (consignor)

Address

Reference

Emergency Tel:

To (consignee)

Address

Reference

Type of equipment: Manufacturer:

Description of equipment:

Other identifying marks:

Model No: Serial No:

Fault:

Is the item contaminated? Yes* No Don’t know * State type of contamination: blood, body fluids, respired gases, pathological samples, chemicals (including cytotoxic drugs), radioactive material or any other hazard:

Has the item been decontaminated? Yes† No‡ Don’t know

† What method of decontamination has been used? Please provide details: Cleaning

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Disinfection

Sterilisation

‡ Please explain why the item has not been decontaminated:

Contaminated items should not be returned without prior agreement of the recipient This item has been prepared to ensure safe handling and transportation:

Name: Position: Signature: Date: Tel:

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