Policies on Disinfection, Cleanliness, Maintenance

1. DIALYSIS MACHINE AND ARTIFICIAL KIDNEY SET
   1. After the Ist and 2nd session of hemodialysis , all machine should be properly rinsed and disinfected according to the machine's operating manual
   2. In cases of ( +) Hepatitis B and C patient , the machine should be disinfected with chlorox and formalin
   3. Parts of dialysis machine are cleansed with any detergent soap and water except for the sensor for air detection.
   4. Artificial kidney should be labelled with patient's name and date. The set that is intended for re-use must be preserved with formalin 6% in one liter of Plain NSS.
   5. Refrigerate the artificial kidney set, which is highly recommended to control growth of bacteria inside the artificial kidney. After reprocessing the artificial kidney set , it should be refrigerated for storage
2. UNIT
   1. Cleanliness of the unit must be observed
      • Changing of linens and disinfecting the mattress every after the session
      • Lavatory and dining table must be cleaned at all times
      • Spills and blood leakage should be wiped immediately with chlorox
      • Daily maintenance is to be observed with close supervision to all janitorial personnel assigned in the area.
      • Airconditioner filter must be cleaned twice a week
      • Proper implementation of waste disposal scheme as being formulated by the hospital waste management committee
      • General cleaning of the unit should be done monthly every second Wednesday of the month