infection control in the mortuary
Upload: philippine-hospital-infection-contol-nurses-associaton-phicna-inc
Post on 14-Jan-2017
436 views
TRANSCRIPT
![Page 1: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/1.jpg)
Nelson C. Javier
![Page 2: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/2.jpg)
Infection control in Mortuary
![Page 3: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/3.jpg)
Funeral Industry Infection Control
Guidelines
“Each and every human remains that a
funeral service employee comes into
contact with must be considered
potentially infectious”.
![Page 4: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/4.jpg)
Administrative Order no. 2003-003
Revised Implementing Rule and Regulation of PD
856 Code on Sanitation of the Philippines Chapter
XXl “ Disposal of Dead Persons”
![Page 5: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/5.jpg)
Dangerous Communicable Diseases
Hepatitis B and C
Rabies
Invasive group A streptococcal infections
Transmissible spongiform encephalopathies
(e.g. Creutzfeldt-jacob disease or CJD and madcow disease)
HIV/ AIDS
Meningiococcemia
Viral hemorrhagic fever (e.g. African Ebola, Lassa or Marburg
Yellow fever
Plaque
SARS
Other communicable diseases that shall be declared by the department of health
![Page 6: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/6.jpg)
The body shall be placed in a plastic or other durable,
airtight container at the point of death and labeled with a
biohazard tag.
![Page 7: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/7.jpg)
The outside of durable, airtight container shall be
immediately and thoroughly disinfected.
![Page 8: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/8.jpg)
Remains must be buried within
12 hours after death.
But may be transported to a
place of burial by land or sea
for up to 150 km or 4hrs.
![Page 9: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/9.jpg)
The remain shall not be taken to any place of public
assembly and only adult family members may attend any
funeral service.
![Page 10: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/10.jpg)
Funeral industry infection control
guidelines
Frequent hand washing
![Page 11: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/11.jpg)
Funeral industry infection control
guidelines
a. Any skin disease or injury should be adequately protected
with gloves or impermeable dressing to avoid
contamination with a patient's body fluids.
![Page 12: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/12.jpg)
Use of PPE ( Personal Protective Equipment )
Gloves
Mask
Eye protection
Scrub or Gown and apron
Rubber boots or foot cover
Funeral industry infection control
guidelines
![Page 13: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/13.jpg)
Personal Protective Equipment (PPE)
Funeral industry infection control
guidelines
![Page 14: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/14.jpg)
Routine cleaning and disinfecting
surfaces and instrument
Funeral industry infection control
guidelines
![Page 15: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/15.jpg)
Immunization
Funeral industry infection control
guidelines
![Page 16: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/16.jpg)
Infection Prevention and Control
To minimize any post-
mortem growth of
microorganisms, all human
remains should be placed in
a mortuary refrigerator or
freezer as soon as possible
after death
![Page 17: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/17.jpg)
All human remains
should be well
sealed to prevent
leakage of blood
and body
fluids/substances
![Page 18: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/18.jpg)
Transport of Human Remains
This involves the recovery of the dead body from the
place of death such as hospital, crime or accident
scene, or house and transport to embalming room.
![Page 19: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/19.jpg)
Transport of Human Remains
A. Recommendation for Transport Vehicles
A transport vehicle should be roadworthy, clean and
compartmentalized.
![Page 20: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/20.jpg)
Wear prescribed and decent/ Acceptable attire.
Wear Personal Protective Equipment
Transport of Human Remains
![Page 21: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/21.jpg)
Transport of Human Remains
Confidential Information of
the Deceased person
![Page 22: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/22.jpg)
REPUBLIC ACT NO. 8504
The Philippine AIDS Prevention and Control Act of 1998”
![Page 23: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/23.jpg)
REPUBLIC ACT NO. 8504
ARTICLE VI CONFIDENTIALITY
Sec. 30. Medical confidentiality. — All health professionals, medical instructors, workers, employers, recruitment agencies, insurance companies, data encoders, and other custodians of any medical record, file, data, or test results are directed to strictly observe confidentiality in the handling of all medical information, particularly the identity and status of persons with HIV.
![Page 24: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/24.jpg)
REPUBLIC ACT NO. 8504
ARTICLE VII
Discriminatory Acts and Policies
Denial of Burial Services – A deceased person who
had AIDS or who was known, suspected or
perceived to be HIV positive shall not be denied
any kind of decent burial services.
![Page 25: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/25.jpg)
Human Remains Preparation
![Page 26: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/26.jpg)
Waste disposal
Infectious wastes include:
Sharps (syringes, needles, lancets and scalpel blades)
Human tissue
Human blood and body fluids other than urine or feces
Materials or equipment containing or contaminated with
blood and body fluids
Urine or feces, or materials containing urine or feces
Mortuary Cleaning, Waste Disposal
and Laundering
![Page 27: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/27.jpg)
Mortuary Cleaning, Waste Disposal
and Laundering
The preparation areas including the preparation
table, floor and drains should be washed thoroughly
with detergent and water, rinsed and dried.
![Page 28: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/28.jpg)
Mortuary Cleaning, Waste Disposal
and Laundering
Blood stained fluids and disinfectant
solutions should be well diluted before
discharge into the sewer.
![Page 29: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/29.jpg)
Mortuary Cleaning, Waste Disposal
and Laundering
Human tissue and disposable sharps must
be disposed of appropriately.
![Page 30: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/30.jpg)
Single used PPE must be disposed of as infectious waste.
Mortuary Cleaning, Waste Disposal
and Laundering
![Page 31: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/31.jpg)
Contaminated re-usable linen should be placed in a laundry bag for routine laundering.
![Page 32: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/32.jpg)
On completion of all cleaning and disinfection procedures and the disposal of waste and laundry, employees should remove all PPE, avoiding contamination of clothing and dispose of it into either a clinical waste or laundry bag before removing gloves.
![Page 33: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/33.jpg)
Cleaning and Disinfection of Equipment
Employees must thoroughly wash and dry hands.
Washing with anti bacterial soap and disinfection with 70% alcohol
![Page 34: Infection Control in the Mortuary](https://reader031.vdocuments.site/reader031/viewer/2022012402/58792bcd1a28ab7c448b581f/html5/thumbnails/34.jpg)
Thank you!!!!