TITLE 410 INDIANA STATE DEPARTMENT OF HEALTH
Final Rule
LSA Document #06-426(F)
DIGEST
Amends
410 IAC 1-4-8 to update the sterilization requirements for equipment and environmental surfaces. Effective 30 days after filing with the Publisher.
Authority:
IC 16-41-11-9
Sec. 8. (a) All covered individuals and health care workers under this rule shall comply with the requirements imposed under the Indiana occupational safety and health administration's bloodborne pathogens standards (as found in 29 CFR 1910.1030).
(b) The operator and all covered individuals whose professional, employment, training, or volunteer activities or duties are performed at or on behalf of a facility providing services to patients or other members of the public in which there is a reasonably anticipated risk of skin, eye, mucous membrane, or parenteral contact with human blood or other potentially infectious materials shall also comply with the following requirements:
(1) All equipment and environmental and working surfaces shall be cleaned and decontaminated after contact with blood or other potentially infectious materials.
(2) Heating procedures capable of sterilization must be used when heat stable, nondisposable equipment is sterilized. Monitoring of heat sterilization procedures shall include documentation of the following:
(A) Each sterilization cycle.
(B) Use of chemical indicators when sterilizing packaged nondisposable equipment.
(C) That biological indicators were used within thirty (30) seven (7) days prior to the current sterilization procedure.
(D) Routine equipment maintenance according to manufacturer recommendations.
Documents required under this subdivision must be made available to the department upon request.
(3) Reusable equipment requiring sterilization that is destroyed or altered by heat must be sterilized by chemical means.
(4) Environmental surfaces and equipment not requiring sterilization
which that have been contaminated by blood or other potentially infectious materials shall be cleaned with an absorbent material prior to disinfection. Disinfectant solutions shall
be a:
(A) be a germicide registered with the Environmental Protection Agency (EPA) for use as a hospital disinfectant and labeled tuberculocidal or registered germicide with specific inactivation claims against HIV and HBV; or
(B)
be a sodium hypochlorite solution dated and not used after twenty-four (24) hours old as follows:
(i) A minimum of 1:100 dilution (one-quarter (¼) cup of five and twenty-five hundredths percent (5.25%) common household bleach in one (1) gallon of water).
(ii) A 1:10 dilution (one (1) part five and twenty-five hundredths percent (5.25%) common household bleach in nine (9) parts water) shall be used when a blood, culture, or OPIM spill occurs in the laboratory setting.
(5) If a patient's diagnosis, laboratory analysis, or medical condition requires additional infection control measures or isolation, those specific measures apply in addition to the requirements of this rule and other requirements found at
IC 16-19.
Hearing Held: May 22, 2007
Approved by Attorney General: November 19, 2007
Approved by Governor: November 30, 2007
Filed with Publisher: November 30, 2007, 1:00 p.m.
Documents Incorporated by Reference: None Received by Publisher
Small Business Regulatory Coordinator: Robert Teclaw, Indiana State Department of Health, 2 North Meridian Street, 5K, Indianapolis, Indiana 46204, (317) 233-7807, rteclaw@isdh.in.gov
Posted: 12/26/2007 by Legislative Services Agency
DIN: 20071226-IR-410060426FRA
Composed: Apr 26,2024 4:23:53AM EDT
A
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