Safety

INFECTION CONTROL

1. Hand Hygiene – using soap and water or alcohol hand gel must be performed in each of these situations: • After reporting to work (at the beginning of your shift); • At the beginning and end of each MEG scan; • Before and after subject/patient contact; • Before donning gloves • After removing gloves and other personal protective equipment; • After touching objects that are likely to be contaminated with microorganisms (e.g., equipment or other items, keyboards, telephones / cell phones, doorknobs, stair banister, etc.

• Whenever hand are visibly soiled • After sneezing, coughing or blowing your nose; • After contact with blood, or other potentially infectious material and equipment or articles;

2. Use of protective barriers / personal protective equipment (PPE), which will include: • Gloves - (latex or latex-free non-sterile gloves) o During EEG/ EMG / Evoked Fields set up and clean up; o When abrading the skin; o When applying, handling and processing electrodes; o When hands are likely to be contaminated with blood, body fluids, secretions or excretions; o When handling any equipment that comes in contact with subjects with a known infection.

Policy:  During an MEG scan that involves drawing blood MEG infection control procedures must be followed. All nurses participating in drug studies / protocols must follow all MEG Lab Infection Prevention / Infection Control Policies and Procedures (9.00, 9.20, 9.30, 9.40) which are posted in the Policy & Procedures Manual located in the MEG lab and also on the MEG lab website (http://kurage.nimh.nih.gov/meglab).

In addition, they must comply with all Clinical Center Infection Control Policies and Procedures.

Procedures: 1. All nurses participating in drug studies in the MEG Lab must attend MEG Lab specific Infection Control training.

2. Gloves will be used when drawing blood or whenever touching the blood draw syringe or any potentially contaminated items.

3. “Contaminated” gloves will be discarded before touching any other items in the MEG lab.

4. After gloves are removed, hands must be washed / sanitized before touching any other “clean” items including MEG equipment, telephone and any computer keyboards.

5. All surfaces (prep table, cabinets) will be wiped with Dispatch after use.

6. All MEG Lab staff will monitor participants for compliance.

• Anyone who has not received MEG lab Infection Control training should contact the MEG Lab Manager as soon as possible. Please refer to MEG P&P on Infection Control posted on the MEG Lab website: http://kurage.nimh.nih.gov/meglab/ under “User Information”.

Policy: All non-disposable electrodes, EEG caps and other equipment that comes in contact with skin that has been abraded will be considered “contaminated” and sent to Central Hospital Supply (CHS) for disinfection / sterilization.

Responsibility: • Central Hospital Supply (CHS) / Materials Management Department will provide disinfection and sterilization services in compliance with standard operating procedures. • Each User/Research Assistant will be responsible for preparing the “used / contaminated” item(s) for disinfection/sterilization by CHS after each use. • MEG Core Staff will provide each user instructions regarding preparing “used”/contaminated MEG equipment for disinfection/sterilization. • MEG Core Staff will be responsible for transporting the equipment to CHS for disinfection/sterilization

Procedure: I. NON-DISPOSABLE ELECTRODE(S) – i.e., Silver/Silver Chloride Disc Electrodes, Gereonics Silver /Silver Chloride Electrodes, Grass Gold Electrodes Procedure: 1. Latex rubber gloves must be use whenever handling and/or processing electrodes used on abraded skin. For individuals sensitive to latex, nitrile rubber gloves may be used.

2. Place the disk end of the electrode in the zippered section of the 2 pocket zip lock plastic bag.

3. Place the wire end in the un-zippered pocket of the zip lock plastic bag.

4. Place the plastic bag containing the “contaminated” electrode(s) in the top tray of the three (3) piece amber OSHA approved Biohazard Container.

5. Place the lid on the Biohazard Container.

6. Place the Biohazard Container on the top shelf of the CHS Processing Cart.

7. Fill out a “Central Hospital Supply Steam/Gas Sterilization Request Form” for each container and place the form on the top of the appropriate closed Biohazard Container.

8. MEG staff will transport the Biohazard Container to CHS for disinfection/sterilization.

9. Biohazard Containers with “contaminated” equipment will be logged in and out according to CHS procedures.

-1-

  MEG Core Facility Infection Control- CHS Processing Procedure Policy and Procedures Manual Policy No. 9.40 -2-

II. NON-DISPOSABLE EEG CAP – i.e., Easy Cap Procedure: 1. Latex rubber gloves must be used whenever handling and/or processing an EEG Cap that has been used on abraded skin. For individuals sensitive to latex, nitrile rubber gloves may be used.

2. All electrodes will be removed from the cap and processed separately from the electrodes.

3. The cap will be placed in the top tray of the three (3) piece amber OSHA approved Biohazard Container.

4. The Biohazard Container will then be placed on the top shelf of the CHS processing cart.

5. Place the lid on the Biohazard Container.

6. The Central Hospital Supply Steam/Gas Sterilization Request form will be filled out for each container and placed on top of the appropriate closed container.

7. MEG staff will transport the Biohazard Container to CHS for disinfection / sterilization.