Disinfection of disposable infusion IV set

Authors: Rednenko VV, Rednenko LI, Poplavets E.V.

Editor: Rednenko V.V.

Equipment for the practical skill:

• disinfection table
• containers with disinfectant:
  • "Disinfection of dressings and PPE"
  • "Disinfection of sharp medical devices" (with a puncture-resistant lid and a needle cutter)
  • "Disinfection of syringes and other medical devices"
  • "Rinsing of syringes and other medical devices"
• IV set
• anatomical tweezers in a container with a disinfectant solution
• bag for medical waste
• gloves, mask, glasses

Clinical situation::      

• You are a nurse of a therapeutic department of a district hospital
• You gave an infusion with IV set to the patient
• Disinfect the IV set after manipulation, collect and pack these medical waste

Order of the skill performance:

Preparatory stage:

• wash your hands (см. Hygienic hand washing)
  
• put on mask, glasses, gloves

Main stage:

• remove the needle from the IV set connector:
  • take the container "Disinfection of sharp medical items" with your non-dominant hand (fix with your hand on the table)
  • locate (select) the needle cutter hole;
  • with your dominant hand, take the IV set connector and place the needle inside the container "Disinfection of sharp medical devices" so that the needle cutter plate is located above the hilt needle
  • firmly press the IV set connector in the toothed hole to the needle cutter plate and pull the syringe toward you, disconnecting the IV set and hilt needle; the needle will fall into the container “Disinfection of sharp medical items”

• place IV set in the contaner for disinfection
  • open roller clamp of IV set;
  • find the container “Disinfection of syringes and other medical items” on the disinfection table, open it (if it has not been opened before), and place it in the container completely sinked in the disinfectant solution (the layer height of the working solution must be at least 1 cm)
  • expect exposure time indicated in the manufacture recommendation

Final stage:

• remove gloves and place them in the container “Disinfection of dressings, PPE” (see practical skill«Removal contaminated gloves»);
  
• take off a mask and place it in the container “Disinfection of dressings, PPE”;
• take off glasses;
• wash your hands (см. Hygienic hand washing)