(a) A limited services rural hospital (LSRH) shall
follow universal precautions for all patient care activities in accordance
with Code of Federal Regulations Title 29 §1910.1030(d)(1)-(3)
(relating to Bloodborne Pathogens) and Texas Health and Safety Code
Chapter 85, Subchapter I (relating to Prevention of Transmission of
HIV and Hepatitis B Virus by Infected Health Care Workers).
(b) An LSRH shall develop, implement, and enforce policies
and procedures to provide and actively monitor a safe, functional,
comfortable, and sanitary environment that minimizes or prevents transmission
of infectious diseases for all patients, visitors, and the public.
(1) The LSRH shall clean blood spills immediately or
as soon as is practical with a disposable cloth and an appropriate
chemical disinfectant.
(2) The surface shall be subjected to intermediate-level
disinfection in accordance with the manufacturer's directions for
use, if a commercial liquid chemical disinfectant is used.
(3) When a solution of chlorine bleach (sodium hypochlorite)
is used, the solution shall be at least 1:100 sodium hypochlorite
and mixed in accordance with the manufacturer's directions for use.
The surface to be treated shall be compatible with this type of chemical
treatment.
(4) The LSRH shall use dedicated cleaning supplies
(i.e., mop, bucket) for the cleaning of blood spills.
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