CLEANING BODY SUBSTANCE SPILLS *

Effective Date: 
Thu, 01/01/2004
Reviewed: 
Thu, 04/19/2018
Revised: 
Thu, 04/19/2018
Policy: 

OBJECTIVE

To provide a guideline for the safe and effective clean-up of body substance spills.

POLICY

1)      The Spill Kits are located throughout the medical clinic, pharmacy and laboratory.  The kits include:

a)      A commercial absorbent material effective in absorbing liquids such as blood and urine. 

b)      Whisk broom and dust pan

c)      Disposal bag with tie

d)     Gloves, Goggles

e)      Instruction sheet

2)      Clean-up of small spills of blood or OPIM is performed by laboratory, pharmacy or nursing staff wearing the appropriate personal protective equipment (PPE).  In the event of a large spill or an emergency, personnel will evacuate the area and call 911.

3)      If the surface on which the spill is located is susceptible to corrosion with the use of bleach then another approved product is used.  Approved products are located under the sinks in the patient care area, nursing stations, and laboratory.

4)      If any glass is present, a broom and dustpan are used from the commercial product “Spill Kit” located in the laboratory, pharmacy and on the nursing units.

Procedure: 
  1. The staff person identifying the spill immediately restricts access to the area as much as possible.
  2. The Charge Nurse is notified and the Spill Kit is obtained.  The Charge Nurse is responsible for notifying the Supervisor.
  3. The staff person designated to handle the spill obtains the appropriate PPE and prepares for clean-up.
  4. Absorbent materials are used as needed and placed in the yellow disposal bag included in the kit and/or a red “Hazardous Waste” bag and are taken to the appropriate area for proper disposal.
  5. The affected area is sprayed with the appropriate solution, i.e. a commercial product or sodium hypochlorite solution (10% bleach solution = 1 part bleach and 9 parts water) as described above. This is required for disinfection of non-enveloped viruses such as adenovirus, norovirus and poliovirus.  A waiting period of 1-5 minutes is allowed (according to manufacturers recommendation) prior to beginning the ‘mop up’ phase.
  6. Use of disposable products for absorbing contaminated sprays is preferable.  Used, contaminated products (e.g. paper towels) are place in red bags labeled as ‘Hazardous Waste.”
  7. Once all visible contaminating substance is removed, the area is again sprayed with an approved disinfectant and allowed to air dry.
  8. If assistance is needed in the clean-up and 911 has NOT been activated, contact EH&S (ext 9-2553) for additional information/assistance.
Key Points: 

Prompt removal and surface disinfection of an area contaminated by either blood or body substances are sound infection control practices and meet OSHA requirements.

OSHA has revised its regulation for disinfecting spills of blood or other potentially infectious materials (OPIM) to include proprietary products whose label includes inactivation claims for HBV and HIV, provided that such surfaces have not become contaminated with agent(s) or volumes of/or concentrations of agent(s) for which a higher level of disinfection is recommended.

Bleach is available in the Utility Room located in the Same Day Clinic.  Sodium hypochlorite solution (common household bleach at 10% diluted to 1:10 - 1 part bleach and 9 parts water) and/or other approved agent is effective in disinfecting body substance spills such as blood, urine, etc., and is required for disinfection of non-enveloped viruses such as adenovirus, norovirus and poliovirus or Ebola.