Policy Manual sample

MDT Home Health Care Agency, Inc. Do not use bleach or caustic disinfectants on respiratory therapy equipment. Consult with the respiratory therapist or home medical equipment (HME) vendor regarding specific guidelines. Soap and water are effective for cleaning equipment such as nasal cannulas, masks, tubing, the cap and mouthpiece of cartridge inhalers, humidifiers, and surfaces of most respiratory therapy equipment. Home respiratory equipment may also be soaked in a white vinegar/water (1 cup: 3 cups) solution for 20 minutes, thoroughly rinsed with warm running water, and allowed to air dry. Cleaning should be done daily or at least 2 to 3 times per week. Cleaning of respiratory equipment is also recommended after each intermittent positive pressure breathing (IPPB) or aerosol treatment. After being cleaned, humidifiers should be refilled with fresh distilled water to prevent bacterial growth. Other Soiled bedpans and commodes should be cleaned with soap and water and then disinfected. Instruments may be boiled on the stove for 15 minutes in a clean pan or metal tray and then stored in the nursing bag. PROFESSIONAL STAFF CONSIDERATIONS Always read the label on the disinfectant and follow directions. Remember, disinfectants are designed for inanimate objects and may damage the skin; use with caution and instruct the family to store out of reach of children. Use disinfectants in a well-ventilated room. If possible, totally submerge contaminated articles in the disinfecting solution for the required time period. If disinfection of contaminated equipment is not possible in the patient’s home, seal in an impermeable plastic trash bag and transport to the home health agency for disinfection. Never place soiled or contaminated equipment in the nursing bag. Whenever possible, use disposable equipment/supplies for home care patients. DOCUMENTATION GUIDELINES Document Standard Precautions on the visit report. L-29 Home Health Agency Client Assessments