Infection Prevention and Control Best Practices for Personal Services Settings

Infection Prevention and Control Unit Public Health Division Ministry of Health and Long-Term Care January 2009

Table of Contents 1.

Introduction............................................................................................................ 3 Purpose ................................................................................................................. 3 Applicability ........................................................................................................... 3 Statutory Basis ...................................................................................................... 3 Inspection Of Personal Services Settings By Board Of Health Staff..................... 4 Background ........................................................................................................... 4

2.

Glossary ................................................................................................................ 5 2.1

3.

General Guidelines For Equipment, Instruments And Supplies .......................... 13 3.1

4.

Physical Setting Requirements................................................................ 13

Operational Requirements For Personal Services Settings ................................ 15 4.1

5.

Routine Practices For Personal Service Settings.................................... 10

Sharps And Approved Sharps Containers............................................... 17

Cleaning, Disinfection And Sterilization............................................................... 18 5.1

Classification Of Equipment/Instruments................................................. 18

Table A: Classification For Methods Of Disinfection/Sterilization...................... 18 5.2

Cleaning .................................................................................................. 19

5.2.1 General Cleaning Requirements ............................................................. 19 5.2.2 Cleaning Of Equipment/Instruments........................................................ 19 5.3

General Cleaning Frequencies................................................................ 21

5.3.1 Cleaning Work Surfaces Contaminated With Blood/Body Fluids ............ 21 5.4

Disinfection .............................................................................................. 22

5.4.1 General Disinfection Principles................................................................ 22 5.5

Sterilization .............................................................................................. 23

5.5.1 General Sterilization Requirements......................................................... 24 A. Physical (Mechanical) Monitoring ...................................................... 26 B. Chemical Monitoring (Process Monitoring) ........................................ 26 C. Biological Monitoring.......................................................................... 27

6.

5.6

Disposal Of Equipment And Waste ......................................................... 29

5.7

Record Keeping....................................................................................... 29

Health And Personal Hygiene ............................................................................. 30 6.1

Occupational Health And Safety.............................................................. 30

6.1.1 General Hand Hygiene Principles ........................................................... 30 6.2 7.

8.

Health Of The Client ................................................................