Decree No. 306 / 2012 Coll.
Decree on conditions for the prevention and spread of infectious diseases and health requirements for the operation of health care facilities and selected social services
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Effective from 01.10.2012
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306
DECLARATION
of 12 September 2012
on the conditions for preventing and spreading infectious diseases and the health requirements for the operation of health care facilities and selected social services facilities
According to Article 108 (1) of the Act No. 258 / 2000 Coll., on the Protection of Public Health and on the Amendment of Certain Related Acts, as amended by Act No. 274 / 2001 Coll., Act No. 320 / 2002 Coll., Act No. 274 / 2003 Coll., Act No. 392 / 2005 Coll., Act No. 222 / 2006 Coll., Act No. 110 / 2007 Coll. and Act No. 151 / 2011 Coll., ("the Act ') for the implementation of § 16 (2) (b), § 17 (1) and § 5, § 18 (1) (a), § 45 (3), § 62 (1), § 62 (4) (a) and (b), § 70 (1) and § 72 (a):
Method and extent of reporting of infectious diseases except health care related infections
(Paragraph 62 (1) of the Law)
(1) Cases of infectious diseases are classified for reporting to
(a) a possible case of infectious diseases with clinical symptomatic evidence of disease; This is not a confirmed or probable case,
(b) a probable case of infectious disease with clear clinical symptomatic or a clinical case in the epidemiological context of a confirmed case of infectious disease, or laboratory criteria defined for the probable case,
(c) a confirmed case of infectious disease meeting the clinical and laboratory criteria, or diagnostic criteria, as appropriate, or an infectious disease with no sign of progression meeting only the laboratory criteria.
(2) Reporting
(a) the diseases identified, including suspected or recurrent tuberculosis or other mycobacteriosis, of deaths of tuberculosis or other mycobacteriosis in persons not registered in the active tuberculosis or other mycobacteriosis group (hereinafter referred to as "tuberculosis or other mycobacteriosis subject to reporting") and the detection of tuberculosis or other mycobacteriosis in persons not registered in the active tuberculosis group who have died for other causes, shall be administered electronically or on a form "Compulsory reporting of tuberculosis and other mycobacteriosis" to the extent of the data listed in Annex 6 to this Regulation,
(b) persons who have been disregistered in an active tuberculosis group shall be administered electronically once a year or on a form "Control report on tuberculosis and other mycobacteriosis," to the extent that the information listed in Annex 6 to this Decree is provided; Similarly, the detection of the death of a person dispensed in an active tuberculosis group, the finding that a natural person dispensed in that group does not have active tuberculosis or mycobacteriosis, or the reassignment of such person into an inactive tuberculosis group, shall be reported,
(c) for persons included in the group of active tuberculosis and other mycobacteriosis subject to a change of surname, birth number and dispenserisation device, an electronic or on a form "Data change report for persons in the tuberculosis registry" shall be submitted to the extent of the information listed in Annex 6 to this Regulation;
(d) the positive result of the mycobacteriological examination shall be submitted electronically, to the extent that the information set out in Annex 6 to this Decree,
(e) about the STD, including the suspicion of such a disease [reception (syphilis), gonorrhoea (gonorrhoea), soft ulcer (ulcus molle), the fourth STD (lymphogranuloma venereum), granuloma venereum (Donovanosis)] and of death and death suspected thereof shall be administered electronically or on a form "Report of VD," to the extent of the information set out in Annex 6 to this Regulation,
(f) the suspicion, occurrence or death of other infectious diseases, with the exception of the infectious diseases listed in Annex 1 to this Regulation, shall be submitted directly electronically to the register of the current health status of natural persons who have been infected with the infectious disease and of natural persons suspected of being infected, or on a form marked "Infectious disease reporting," to the extent that the information set out in Annex 6 to this Regulation,
(g) acute respiratory infections (ARI) and influenza-like diseases (ILI) shall be administered each week in an anonymised form, summarized by the territorial units and age groups concerned, or transmitted electronically to the registry of the current health status of individuals who have become infected with the disease and individuals suspected of being infected,
(h) on severe acute respiratory diseases (SARI), the provider of acute bed care shall provide intensive or acute bed care to the standard electronically to the extent necessary directly to the register of the current health status of individuals who have been infected with infectious diseases and individuals suspected of being infected.
(3) The report on infectious diseases is submitted without delay by the health service provider to the public health authority responsible for the location of the infectious disease. The report shall be submitted by type electronically in the secure format or on the forms referred to in paragraph 2.
(4) Infectious diseases, which are only reported in bulk, are listed in Annex 1 to this Decree. The reports shall be submitted immediately by telephone and shall be confirmed without undue delay by e-mail in a secure format.
(5) Reporting of a life-threatening or rapidly spreading infectious disease or suspicion of such an infectious disease, or an epidemiological occurrence, shall immediately be given by the person providing the care of the public health authority responsible for the location of the infectious disease in person, by telephone or by e-mail.
(6) Reporting of infectious diseases must comply with the standard definitions of selected infectious diseases according to the European Union Regulation (1).
Method of reporting health-related infections
(Paragraph 16 (2) of the Law)
Infections associated with health care are reported by telephone or e-mail in a secure format. In the event of a danger of delay, the report shall always be made by telephone.
List of infectious diseases where isolation is ordered in health care facilities and diseases whose treatment is compulsory
(Articles 45 (3) and 70 (1) of the Law)
The list of infectious diseases provided for in Section 70 (1) of the Act is set out in Annex 2 to this Decree. In the event of the occurrence of the infectious diseases referred to in points 1 to 15 of Annex 2 to this Regulation, isolation and treatment in the infectious ward or, where appropriate, the separation of tuberculosis from the nursing care facility shall always be ordered.
Medical examinations for natural persons performing epidemiological activities
[K § 20 (a) of the Act]
A natural person carrying out epidemiological activities shall be subjected to medical examinations and examinations,
(a) if it is affected by a diarrhoea, feverish or feverish disease or other infectious disease or if it is suspected of being infected; or
(b) if it has been in epidemiological contact with patients with diarrhoea, viral hepatitis A or E or other serious infectious diseases.
Principles for the collection and examination of biological material and the necessity of the request
[Paragraph 62 (4) (a) and (b) of the Act]
(1) The collection and examination of biological material shall be carried out according to the following hygiene requirements:
(a) the collection of biological material from the health service provider may be carried out in rooms or premises intended for handling biological material meeting the basic hygiene requirements for the collection of biological material;
(b) sterile medical devices and diagnostic medical devices in vitro8 (hereinafter referred to as "medical devices") and disposable gloves shall be used for the collection of biological material, and only for one natural person under investigation; the permeability and resistance of gloves shall be consistent with their use and the risk of biological agents;
(c) biological material is generally collected prior to the initiation of chemotherapy or antimicrobial therapy;
(d) the biological material for infectious diseases is collected with regard to pathogenesis of infectious diseases; for diagnosis, the material is usually taken at an acute stage of infectious disease; in the case of serological tests, a second sample shall be taken 2 to 3 weeks after the first sample is taken, otherwise as appropriate,
(e) the biological material must be stored in standardised containers and in decontaminated containers declared for the transport of samples falling within category UN3373, excluding the risk of contamination of requests;
(f) the biological material shall be transported in such a way that it is not degraded by physical effects and risks to individuals.
(2) An application for examination of a biological material must include the name or, where applicable, the name, surname, birth number, or, where applicable, the number of the insured person or the date of birth, the telephone number of the insured person, the telephone number, the natural person or his legal representative, the nationality, the sex, the department identifier of the patient, where assigned, and the address of the person being examined in the Czech Republic, the identification number of the health service provider and his address, the name, signature or, in the case of electronic form, the request for verification under Section 54a health services law and the telephone number of the doctor requesting examination of the biological material, the code of the health insurance company, the type of material, the date and the hour of collection, the date of the first symptoms of the infectious disease, the type of antibiotic therapy and the beginning, the code of diagnosis according to the current version of the international classification (MKN) and the requested type of the examination.
(3) The report of the laboratory findings shall be submitted immediately to the health service provider who sent the biological material for examination. A laboratory finding confirming the aetiology of the infectious disease shall be reported by the laboratory to the competent public health authority at the place where the patient is located at the time of collection of the biological material by electronic means to the register of the current health status of individuals who have been infected with the infectious disease and individuals suspected of being infected, in the event of a danger of delay and by telephone.
(4) In the event of a reactive result of a human immunodeficiency virus test, a syphilis test, except for patients with previously treated syphilis or without suspicion of relapse or reinfection, the biological material shall be sent to the National Reference Laboratory for HIV or for syphilis set up by the Ministry of Health to provide a confirmatory examination.
Receipt and treatment of natural persons in healthcare establishments and selected social services facilities
(Paragraph 17 (1) of the Law)
(1) The health requirements for the reception and treatment of natural persons in the care of the health care provider, day care and outpatient care are laid down in the operating rules of each health service provider, taking into account the nature and extent of the activity and the form of healthcare provided.
(2) The beneficiary doctor of a health care provider providing bed care, overnight care or a person who assesses the health status of natural persons admitted to weekly statuaries, homes for disabled persons, homes for elderly persons and homes with a special regime (hereinafter referred to as "selected social services facilities') shall record anamnistic data relevant to the possible emergence of health-related infection, including the identification of a travel and epidemiological history, where appropriate carrying out appropriate examinations with regard to the overall health status of the natural person and the data found in the epidemiological history. It shall also ascertain whether they have undergone the scheduled and other vaccination or have evidence that they are immune to the disease or that they cannot undergo the vaccination for permanent contraindication.
(3) The doctor will perform a clinical and serological examination for syphilis using one non-specific and one specific reaction
(a) all pregnant women in the third and seventh months of pregnancy,
(b) any newborn child of cord blood,
(c) each woman before performing the abortion;
(d) all persons who have completed the 15th year of age and are admitted to the Dermatoenerological Department for diagnosis or suspicion of an STD,
(e) persons who have reached the age of 15 who are admitted to a non-dermatoenerological ward, if the physician considers it justified.
(4) When a person with a history of active and previous intravenous drug use is admitted to the care of the provider of bed care services or long-term outpatient care, an examination of the basic markers of viral hepatitis C will be carried out in persons who have not been proven to have been vaccinated, including markers of viral hepatitis A and B. This person is actively offered an examination for HIV infection. If reactivity is detected when testing antibodies against viral hepatitis C, the laboratory will perform or ensure the completion of an HCV RNA amplification test from the same blood sample.
(5) If, in view of the natural person's medical condition, acceptance is necessary even if an infectious disease is suspected, adequate isolation and barrier measures shall be taken, and where appropriate, the receiving doctor shall arrange for transfer to the appropriate department. A similar obligation applies to a general practitioner, specialist doctor and doctor in an outpatient clinic.
(6) Natural persons are placed in the care of the health care provider mainly according to the health status and manner or extent of health care, considering and implementing epidemiological aspects, in particular when there is a risk of transmission of infection, colonisation by multi-resistant micro-organisms, carrier of pathogenic micro-organisms or stay in an outbreak of infection. If a natural person is found to be colonised by highly resistant bacteria, the provider of health or social services shall ensure a barrier treatment.
(7) The health requirements set out in Annex 3 to this Regulation shall be complied with when natural persons are admitted to and treated by health care establishments and selected social services facilities, including the collection and testing of biological material, if necessary as part of the treatment; in selected social services facilities, the nature and nature of the services provided, such as reception and treatment, including the collection and examination of biological material, if necessary as part of the treatment, shall be treated by natural persons mutatis mutandis.
Sterilisation, higher degree of disinfection, disinfection
(Paragraph 17 (1) and (5) of the Law)
Sterilisation, higher degree of disinfection, methods of disinfection, methods and procedures for carrying them out, including their control, are set out in Annex 4 to this Decree.
Laundry handling
(Paragraph 18 (1) of the Act)
(1) The exchange of personal clothes and bedding of the patient in the health care establishment shall be carried out as necessary, but at least once a week, after contamination and after operational performance, and, where appropriate, after the transfer of the patient.
(2) In selected social services facilities, the exchange of bedding is carried out as necessary but always after contamination with biological material; the frequency of replacement shall be specified in the operating order of the installation.
(3) Upon release or death of a patient or client of a selected social services facility (hereinafter referred to as "the client '), the bed and mattress shall be disinfected when the bedding is changed. Unwashed, roughly polluted and damaged mattresses and bedding are excluded from use.
(4) Used linens shall be immediately put into dedicated packaging and classified, if necessary, only in a room designated for this purpose with natural or forced ventilation. Personal protective equipment is used when sorting laundry.
(5) The bed shall be covered with a clean sheet or disposable packaging until the next patient or client arrives after disinfecting and completing the bedding.
(6) The washing of personal protective equipment shall be ensured taking into account the nature of the operation of medical facilities and taking into account the risk of transmission of infectious diseases.
(7) One-off material that is changed after each patient or client is used in health care facilities and selected social services facilities to cover examination tables and couches where the exposed part of the patient's body or client is exposed.
(8) In the case of laundry, a body different from the health or social service provider, the health or social service provider shall act under the contract for the provision of laundry services and the operating rules of the health or social service provider.
(9) The procedure for the storage of laundry from the operation of health care facilities, selected social services facilities or facilities for the reception, transport, washing and handling of laundry facilities, as well as the equipment of the laundry room is laid down in Annex 5 to this Decree.
Sanitary requirements for cleaning of medical and selected social services
(Paragraph 17 (1) of the Law)
(1) Cleaning of all premises of health care facilities and selected social services facilities is carried out daily on a wet basis, if necessary more frequently. This cleaning method shall be consistent with the nature of the operation of the floor covering. In the operating and intervention halls where procedures are performed that violate the integrity of the skin or mucous membranes, cleaning is performed before and after the start of the operation programme. In acute bed care intensive workplaces, cleaning is performed three times a day, in rooms where the biological material is collected, at least once a day according to the operating time. The frequency of cleaning at other workplaces is adapted to the nature of the operation and is determined in the operating order. In the event of a cleaning operation carried out by an entity different from the health service provider or the selected social services facility, the authorised official shall proceed according to the contract and the disinfectant or cleaning order.
(2) In the workplaces of bed, overnight and outpatient care, in the operating and intervention rooms, in the laboratories and where biological material is collected and performed to interfere with the integrity of the skin or mucous membranes, in toilets and in bathrooms, normal cleaning products and disinfectants with a virucidal effect are used according to the risk of transmission of infectious agents and the risk of developing and spreading health-related infections; disinfectants with a wider spectrum of efficacy are used in workplaces with an infection agent requiring a given efficacy. Normal cleaning products may be used when cleaning other areas.
(3) Each workplace has its own cleaning equipment or cleaning machines, except for standard outpatient and berth departments of the same type and the nature of the composition of individuals.
(4) For contamination of the surfaces with biological material, immediate decontamination of the stained site shall be carried out in particular by covering the cellulose wadding or by a disposable towel moistened with a disinfectant solution with a virusic effect or by filling with absorption granules with disinfectant effect. The contaminated site shall be cleaned as usual after the exposure period of the disinfectant. Used beds and mattresses shall be disinfected in the room or central area of the beds with a disinfectant having a virusic effect after each release of the patient or client.
(5) The waste shall be sorted at the place of origin, the hazardous waste shall be stored in labelled, separated, covered, closed, impermeable and mechanically resistant packaging, as far as possible, without the need for further handling of waste. Sharp waste shall be stored in labelled packaging which shall comply with the requirements of other legislation2). Hazardous waste shall not be stored in paper packaging. Hazardous waste arising from patients' or clients' beds is removed from the room immediately, and from the workplace continuously, at least every 24 hours. The concentration of this waste shall be carried out according to the operating rules of the installation in containers intended to comply with the requirements of another legislation2). The concentration of hazardous infectious and anatomical waste before its final treatment shall be possible for a maximum of 3 days in a restricted enclosure, or for a period of 1 month in a freezer or refrigerated compartment at a temperature of not more than 8 ° C. Highly infectious waste, which is highly likely to contain group 3 or 4 biological agents within the meaning of other legislation3), 12), must be adapted immediately following its formation in a facility with validated decontamination technology with a proven verifiable effective2). In the case of modifications to decontamination, the procedure shall be followed in accordance with another legislation2). The handling of parts of the body and organs shall be carried out in accordance with another legislation4). Recording, transport and transfer of waste to waste facilities shall be carried out in accordance with other legislations5). In the handling of hazardous waste in means of transport by the medical emergency service provider, the medical transport service provider and the patient transport provider of emergency care and the health care provider that provides medical care during the visiting service and the provision of medical services outside the medical facility shall apply the procedure set out in this paragraph mutatis mutandis.
(6) The painting of rooms of health care establishments and selected social services facilities is carried out according to the nature of the activity; step-by-step and operating halls, intensive emergency bed care facilities, sampling rooms, laboratories, infectious ward, infant and neonatal wards shall be painted once a year, other premises with the exception of areas of medical facilities not used to provide health services once every 2 years. The painting of rooms of health care facilities and selected social services facilities is always done if the walls or ceilings are contaminated with biological material. In case of application of antibacterial coatings, the manufacturer's instructions shall be followed.
(7) In the means of transport of the health rescue service provider, the health transport service and the patient transport of emergency care patients, cleaning and disinfection shall be carried out before inclusion, once a day in the driver's cab and in the patient's area. In the event of contamination of the means of transport by biological material, disinfectant shall always be carried out with a virus-resistant product and mechanical cleansing before further transport. In the case of transport by natural persons suspected of having an infectious disease or an infectious disease, the patient's compartment shall be disinfected after each transport by a disinfectant with a wide range of disinfectants, at least by a virucidal, bactericidal, tuberculoidal and fungicidal action. In view of the potential spread of infectious diseases, health service providers shall carry out routine protective disinsectisation and exertification, the frequency of which is determined in the operating rules.
Repeal
Decree No. 195 / 2005 Coll., adjusting the conditions for the prevention and spread of infectious diseases and the hygiene requirements for the operation of health care establishments and social care institutions, is hereby repealed.
Transitional provision
According to Annex 4, Part III, point 2 (a), the duration of the gastro-enterology care centre equipment referred to in Annex 2, Part II, point (a) shall be followed. B point 1.10 (i) of Decree No 92 / 2012 Coll., on the requirements for minimum technical and material equipment for health care facilities and home care contact centres, within the time limits laid down in § 2 (1) of Decree No 92 / 2012 Coll.
Efficacy
This Decree shall take effect on 1 October 2012.
Minister:
Doc. MUDr. Heger, CSc., v. r.
Příloha č. 1
Annex No 1 to Decree No. 306 / 2012 Coll.
List of infectious diseases reported to the public health authority only in case of mass occurrence
1. Acute respiratory diseases including influenza and influenza similar (for example, dg. J00, J03, J04-J06, J10-J18, J20-J22), if there is a mass occurrence in a health care facility or selected social services facility,
2. Conjunctivitis (for example, dg. H10, B30)
3. Mastitis (for example, dg. O91)
4. Skin inflammatory infectious and fungal diseases (e.g. dg. L00 - L08, B00, B07, B08, B09, B35 - B37),
according to the International Statistical Classification of Diseases and Associated Health Problems, as amended by the 10th Decent Revision.
Příloha č. 2
Annex No 2 to Decree No. 306 / 2012 Coll.
List of infectious diseases where isolation is ordered in the hospital or medical institution's bed departments and diseases which are compulsory
1. anthrax
2. Haematological Fever
3. Cholera
4. CNS infection interpersonal
5. MERS, SARS, infections caused by highly pathogenic avian influenza viruses and febrile conditions of undetected aetiology with a positive travel history
6. Plague
7. Parathyphus
8. Portable polio
9. Ricketsiosis
10. Trains
11. Pulmonary form of tuberculosis, bacteriologically proven in a situation where controlled treatment and isolation are not possible outside the health care facility. The regulation of isolation is decided by the lung doctor of the hospital.
12. Typhoid
13. Viral hepatitis A
14. Diphtheria
15. Other emerging and emerging infectious diseases according to European Union / European Centre for Disease Prevention and Control and the World Health Organisation
16. Granuloma inguinale (Donovan)
17. Gonorrhea
18. Lymphogranuloma venereum
19. Monkey pox
20. Pertussis in acute stage
21.
22. Syphilis in stage I and stage II
23. Syphilis latens reviews
24. Pulmonary form of tuberculosis, bacteriologically proven in a situation where controlled treatment and isolation are possible outside the health care facility of the bed care. Pulmonary form of tuberculosis, bacteriologically unverified. An extrapulmonary form of tuberculosis.
25. Disease caused by Shiga toxin-producing E. coli
26. Ulcus molle
27. Amebic dysentery
28. Bacillary dysentery
29. Viral hepatitis B, C, D and E
Příloha č. 3
Annex No. 3 to Decree No. 306 / 2012 Coll.
Hygienic requirements for reception and treatment of patients in a healthcare establishment and clients of a selected social services facility
(a) the clothing and footwear of natural persons placed in the care of the provider of bed care services and selected social services facilities, with the exception of acute intensive bed care, shall be stored in the central dressing room, in the closets in the rooms or in the closets in the premises for which they are intended;
(b) health professionals of health care providers of overnight or bedside care, including laboratory staff, must carry clean personal protective equipment earmarked only for their own departments. The assigned work shoes can also be used for other workplaces of a similar nature. When working in another workplace, they only use personal protective equipment for the workplace. A health worker shall not leave the premises of the health service provider in personal protective equipment. Health professionals at outpatient health care providers shall use appropriate personal protective equipment, taking into account the nature of their activities;
(c) at the workplaces where hand disinfection is carried out by surgical or hygienic agents, no jewelry shall be worn by health workers. Medical personnel in operations shall not wear watches on their hands. Nail treatment must not jeopardise the patient's or client's health status, in particular with regard to the possible spread of health-related infections and must not prevent the provision of healthcare in full. Natural nails must be prepared, short, clean;
(d) for operational performance, health professionals must use sterile protective clothing and sterile gloves, mask, hat (protective mouthpiece and cap must be used to cover the hair, beard, chin, nose and mouth), footwear reserved only for the workplace; jewelry, watches and other personal objects shall not be used and stored freely in operating rooms; mobile phones may only be used in dedicated operating rooms;
(e) for other performances in which the integrity of the skin and mucous membranes is violated or where communication with the body cavity or, where appropriate, non-physiological access to the body is already impaired, protective equipment shall be selected in relation to the performance, load and risk to the patient or client; the protective equipment must be individualised for each person and must be postponed immediately after execution;
(f) for providers of outpatient care services, the scope of the measure set out in points (b) to (d) shall be adapted to the nature of the performance performed;
(g) health care professionals may not access the investigation and treatment until they have washed their hands; hygienic hand disinfection must always be carried out after contact with infectious material, after each individual medical performance in individual natural persons, before the patient or client has been treated, after handling biological material and articles and equipment contaminated with biological material including used laundry and hazardous waste, and before each parenteral performance and whenever a barrier care regime is applied to prevent and prevent infections associated with health care; one-off material which is stored in covered containers shall be used to wipe hands;
(h) when treating a patient or client, employees of the health service provider or operator of the selected social services facility must use barrier care techniques at all workplaces, only decontaminated aids must be used; work areas at all workplaces of health facilities must be set aside according to the nature of the activity carried out. Barrier treatment equipment must also be used in the translation and transfer of a patient or client and in the performance of joint investigation and treatment centres;
(i) where infection or colonisation is detected by multi-resistant micro-organisms, this finding shall be indicated in the patient's medical file and in the discharge report. Colonisation of a patient or client with multi-resistant micro-organisms is not a reason to refuse hospitalisation of a patient or admission of a client to a selected social services facility;
(j) parenteral procedures, including wound drainage and cavities, the introduction of urinary catheters, must be used by health care professionals only by sterile medical devices and follow the principles of asepsis in each parenteral procedure; when replacing collection bags, they must use a closed system of drainage and collection of fluids with a possible flow back;
(k) in the case of endoscopes and other optical instruments introduced into sterile body cavities, ensure a minimum degree of disinfection; for digestible flexible and rigid endoscopes (except surgical) and laryngoscopes, they shall ensure two-stage disinfection;
(l) a separate sterile needle and a sterile syringe must always be used for each patient or client; for insulin pens, follow the manufacturer's instructions;
(m) the treatment of dental equipment and other instrumentation shall be carried out according to the manufacturer's instructions;
(n) sterile fluids must be used when investigating sterile body cavities if their use is indicated;
(o) supplies for the handling of sterile material shall be stored in a preservative or disinfectant for that purpose and exchanged within a maximum of 24 hours;
(p) reused medical devices shall be disinfected, cleaned and sterilised according to the manufacturer's instructions. Disposable devices shall not be re-used even after sterilisation;
(q) used tools and equipment contaminated with biological material shall not be manually cleaned by health care professionals without prior decontamination by disinfectant products having a virucidal effect;
(r) disposable syringes and needles are discarded without manual separation; Only a special device or device may be used to separate the needle from the syringe. The return of guards to used needles is inadmissible except for insulin pens.
(s) persons in the care of providers of bed care services and selected social services facilities must be supervised to respect the principles of personal hygiene; proper hygiene cleaning must be ensured before and after operations;
(t) the residence and movement of persons in health care establishments and in selected social services facilities must also be ensured from an anti-epidemic point of view, by the separate location of natural persons according to the risk of the emergence or transmission of infectious diseases;
(u) visits in patients must be conducted with regard to operation, workplace orientation and patient status at a time to be determined by the physician. Visits use protective clothing when entering an acute bed care workplace intensive;
(v) no flowers and other plants are placed in the workplace of intensive and operational care;
(w) the handling and preparation of the diet are carried out in accordance with another legislation (6).
Příloha č. 4
Annex No. 4 to Decree No. 306 / 2012 Coll.
Sterilisation, higher degree of disinfection, methods of disinfection, methods and procedures for their execution, including their control
I. MECHANICAL OCCATES
1. Mechanical cleaning is one of the decontamination procedures that remove impurities and reduce the number of micro-organisms. If biological material has been contaminated, a disinfectant process should be included before mechanical cleansing.
2. Cleaning products with disinfectant effect shall be applied either manually or by means of washing and cleaning machines, pressure pistols, ultrasonic appliances, etc. All equipment and equipment shall be kept clean.
3. Cleaning machines and other equipment shall be used according to the manufacturer's instructions including inspection of the cleaning process.
II. DEZINFECTIONS
The choice of disinfection procedure is based on knowledge of the ways and mechanisms of transmission of infection and on the possibility of influencing the effectiveness of disinfection by external environmental factors and the resistance of micro-organisms.
II.I. Methods of disinfection
1. Physical disinfection
(a) a boil at atmospheric pressure for at least 30 minutes.
(b) Var in pressurised containers for at least 20 minutes.
c) Disinfectant disinfectant in devices at a temperature that is determined by parameter A0. The apparatus shall guarantee, at a given temperature, a reduction of the number of viable micro-organisms on a disinfected article to a pre-determined level suitable for its continued use. These requirements shall be deemed to be met if it is carried out at least according to the specified norem7).
(d) Low temperature disinfection in disinfectants shall be carried out according to the manufacturer's instructions.
e) Ultraviolet radiation is used according to the manufacturer's instructions.
f) Filtration, annealing, combustion.
(g) Pasteurisation (heating to 62,5 ° C for 30 minutes).
2. Chemical disinfection
The dilution and use of the chemical products shall be carried out according to the manufacturer's instructions. For chemical disinfection, notified biocidal products or disinfectants declared as medical devices (8) or authorised as medicinal products for medical use are used.
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Regulation Information
| Citation | Decree No. 306 / 2012 Coll., on conditions for the prevention and spread of infectious diseases and on health requirements for the operation of health care facilities and selected social services |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 24.09.2012 |
|---|---|
| Effective from | 01.10.2012 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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