Guideline for Applied Hygiene in Dialysis Units (eBook)

Working Group for Applied Hygiene in Dialysis Units (Ed.) (Herausgeber)

eBook Download: PDF

2009 | 1. Auflage
193 Seiten
Pabst Science Publishers (Verlag)
978-3-89967-577-1 (ISBN)

Infos

The new guideline, completely revised and expanded a standard work for every dialysis centre: Hygiene and quality are closely connected. For this reason, structure and content of the guideline have been adjusted correspondingly. In terms of a QM system, the information provided in this book can be applied for continuous quality improvement. Up-to-date and extended information can be found on: Legal bases, General hygiene, Monitoring and control of permeate and dialysis solutions, Preparation of medical devices, Vascular access management, Home dialysis treatment procedures, Special epidemiological aspects like virus infections and resistant germs. The basic outline of an exemplary hygiene plan is included. Check lists and forms which are important aids in the daily routine have been added.

Inhalt

Table of Content 6
Preface to the 2nd Edition 12
Additional preface to the translated 2nd Edition 2008 in English 14
1 Introduction 16
16 17
1.1 Goals, Structure and Working Method of the Working Group 17
17 18
18 19
1.2 Purpose 19
1.3 Usage and Assessment 19
19 20
20 21
21 22
1.4 Quality and Hygiene 22
22 23
23 24
24 25
25 26
26 27
2 Legal Basis 27
2.1 Definition of Responsibilities 27
2.2 Responsible Organisation 28
2.3 Equality of Occupational Health and Patient Safety 28
2.4 Biological Agents Ordinance ( BioStoffV) 29
2.5 The Hygiene Plan 32
3 Structural Requirements 37
3.1 Goal and Rationale 37
3.2 Space Required 37
3.3 Room Set-up and Installations 41
3.4 Sanitary Facilities 41
3.5 Requirements on the Indoor Air 42
3.6 Sewage System 42
4 Medical and Technological Requirements in Haemodialysis 44
4.1 Goal and Rationale 44
4.2 Water Purification 44
4.3 Dialysis Machines 47
5 Staff requirements 52
5.1 Goal and Rationale 52
5.2 Staffing Structure 52
5.3 Initial and Annual Instruction 53
6 Requirements for the Organisation 56
6.1 Goal and Rationale 56
6.2 General Hygiene 56
6.3 Water and Solutions for Haemodialysis Procedures 79
6.4 Monitoring and Evaluation of Permeate and Dialysis Fluids 81
6.5 Disinfection Measures for the Fluid Pathway and the Dialysis Machines 86
7 Particular Aspects of Hygiene in Dialysis Treatment 92
7.1 Vascular access 92
7.2 Home Dialysis Treatment 103
7.3 Special Epidemiological Aspects 109
8 Catering 145
8.1 Goal and Rationale 145
8.2 Hygienic Requirements for the Supply of Food to Patients 145
8.3 Requirements on Staff 146
8.4 Requirements on Staff Hygiene 148
8.5 Hygienic Requirements regarding Structural and Organisational Conditions 149
8.6 Hygienic Requirements for Handling Foodstuffs 151
9 Waste Management 154
9.1 Goal and Rationale 154
9.2 Legal Basis and Recommendations for Waste Management 154
9.3 Type and Origin of Wastes 154
9.4 Classification of Waste Types 156
10 Examination of the Effectiveness of Disinfection Procedures for Dialysis Machines 160
11 Check Lists and Forms 161
11.1 Home Haemodialysis 161
11.2 Peritoneal Dialysis – Preconditions and Operation 163
11.3 Quality Requirements for Drinking Water and Permeate 165
11.4 Letter to Communal Water Suppliers 167
11.5 Return of Dialysis Machines from Patients with Blood- Transmissible Viral Infections 168
11.6 HBV Diagnostics 169
11.7 HCV Diagnostics 171
11.8 Post Exposure Prophylaxis ( PEP) for Staff 172
11.9 Indication for the Initiation of Pharma-cotherapy as Post Exposure Prophylaxis ( PEP) in Case of Exposure to HIV 173
11.10 HBV Post Exposure Prophylaxis ( PEP) for Staff after Presumable Contact with HBV- Containing Material 173
11.11 HCV Post Exposure Prophylaxis ( PEP) for Staff 174
11.12 Hygiene Measures during Infectious Illnesses 175
11.13 Information Sheet for MRSA Patients 178
11.14 MRSA Infection – Plan for procedure – EXAMPLE142 181
11.15 Template for Catering 183
12 Abbreviations 186

Produkt-Details

• Erscheint lt. Verlag: 1.9.2009
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Urologie
• ISBN-10: 3-89967-577-0 / 3899675770
• ISBN-13: 978-3-89967-577-1 / 9783899675771