To maintain equipment and surfaces in a manner that eliminates or minimises colonisation of microorganisms, thereby reducing the risk of infection and promoting a safe environment for patients and clinical staff.
Categories of items for patient care
|Level of Risk||Application||Process||Storage||SJA WA|
|Critical||Entry or penetration into sterile tissue, cavity or bloodstream||Sterilization by steam under pressure (autoclaving), or a minimum of an automated low-temperature chemical sterilant system, other liquid chemical sterilant or ethylene oxide sterilization.|
Sterility must be maintained.
Integrity of the package must be maintained.
Store to protect from environmental contamination.
All critical devices used are single use and are sterilized by the manufacturer, and must be disposed of appropriately after use.
Non-disposable critical items, including ultrasound transducers and laryngoscope blades, have specific chemical cleaning products and guidelines provided.
|Semi-critical||Contact with intact mucous membranes or non-intact skin||Sterilization by steam or at least minimum of high level thermal disinfection.||Store to protect from environmental contamination.|
Most semi-critical devices used are single use and are sterilized by the manufacturer, and must be disposed of appropriately after use.
Non-disposable semi-critical items, including ultrasound transducers and laryngoscope blades, have specific chemical cleaning products and guidelines provided.
|Non-critical||Contact with intact skin but not mucous membranes||Cleaning with approved disposable impregnated neutral detergent/low or mid level disinfectant wipes.||Store in clean, dry place.|
All non-critical reusable devices are cleaned and disinfected after each individual patient use:
Daily Clinical Cleaning and Disinfection of the Ambulance
At End of Each Call (including Last Call)
At End of a Shift
Following a Blood or Body Substance Spill
Laundering of Uniforms
National Health & Medical Research Council and the Australian Commission on Safety and Quality in Healthcare. (2010). Australian guidelines for the prevention and control of infection on healthcare. Canberra, Australia: Commonwealth of
National Occupational Health and Safety Commission. (2011). National Code of Practice for the preparation of material safety data sheet (2nd ed.). [NOHSC: 2011(2003)]. Canberra, Australia: Australian Government Publishing Services.
Royal College of Nursing. (2011). The selection and use of disinfectant wipes. RCN guidance. London, United Kingdom: Royal College of Nursing.
Standards Australia/Standards New Zealand. AS/NZS 4815:2006. Office-based health care facilities. Reprocessing of reusable medical and surgical instruments and equipment, and maintenance of the associated environment. Sydney, Australia:
Standards Australia International Ltd and Standards New Zealand.
Standards Australia/Standards New Zealand. AS/NZS 4146:2000. Laundry practice. Strathfield, Australia: Standards Australia International Ltd.