Current through Register Vol. 48, No. 9, September 27, 2024
(1) General: The governing authority shall
provide adequate space, equipment, and personnel to assure safe and aseptic
treatment and protection of all patients and personnel against cross-infection.
(II)
(2) Sterilization Procedures:
(a) Policies and procedures shall be
established in writing for storage, maintenance and distribution of sterile
supplies and equipment. (II)
(b)
Sterile supplies and equipment shall not be mixed with unsterile supplies, and
shall be stored in dust-proof and moisture-free units. They shall be properly
labeled. (I)
(c) Sterilizing
equipment of appropriate type shall be available and of adequate capacity to
properly sterilize instruments and materials. The sterilizing equipment shall
have approved control and safety features. The accuracy of instrumentation and
equipment shall be checked at least quarterly by an approved method; periodic
calibration and/or preventive maintenance shall be provided as necessary, and a
log maintained. (II)
(d) The date
of expiration shall be marked on all supplies sterilized in the facility.
(I)
(3) Linen and
Laundry:
(a) An adequate supply of clean
linen or disposable materials shall be maintained. (II)
(b) Provisions for proper laundering of linen
and washable goods shall be made. Soiled and clean linen shall be handled and
stored separately. Storage shall be in covered containers. (II)
(c) A sufficient supply of cloth or
disposable towels shall be available so that a fresh towel can be used after
each handwashing. Towels shall not be shared.
(4) Sanitation:
(a) All garbage and waste shall be collected,
stored and disposed of in a manner designed to prevent the transmission of
disease. Containers shall be washed and sanitized before being returned to work
areas. Disposable type containers shall not be reused. (II)
(b) All contaminated dressings, pathological
and/or similar waste shall be properly disposed of by incineration or other
approved means. (I)
(5)
Housekeeping: (II)
(a) General: A facility
shall be kept neat, clean and free from odors. Accumulated waste material must
be removed daily or more often if necessary. There must be frequent cleaning of
floors, walls, ceilings, woodwork, and windows. The premises must be kept free
from rodent and insect infestation. Bath and toilet facilities must be
maintained in a clean and sanitary condition at all times.
(b) Cleaning materials and supplies shall be
stored in a safe manner. All harmful agents shall be locked in a closet or
cabinet used for this purpose only.
(c) Dry sweeping and dusting of walls and
floors are prohibited.
(6) Refuse and Waste Disposal: (II)
(a) Containers for garbage and refuse shall
be covered and stored outside and placed on an approved platform to prevent
overturning by animals, the entrance of flies or the creation of a nuisance.
All solid waste shall be disposed of at sufficient frequencies in a manner so
as not to create a rodent, insect or other vermin problem.
(b) Immediately after emptying, containers
for garbage shall be cleaned.
(7) Outside Areas: All outside areas, grounds
and/or adjacent buildings shall be kept free of rubbish, grass, and weeds that
may serve as a fire hazard or as a haven for roaches, rodents and other pests.
Outside stairs, walkways, ramps and porches shall be maintained free from
accumulations of water, ice, snow and other impediments.