Policy Manual sample

MDT Home Health Care Agency, Inc. SOLUTIONS FOR IRRIGATION: MANAGEMENT AND STORAGE GUIDELINES PURPOSE · To prevent contamination of irrigation solutions · To prevent infection · To promote self-care in the home RELATED PROCEDURE · Solutions for Irrigation: Sterile Normal Saline, Dakins’, and Acetic Acid EQUIPMENT 1. Irrigation solutions, as prescribed by the physician (follow up Infection Control procedures). PROCEDURE 1. Discard irrigation solutions within 1 week after they are opened. 2. Single use containers of normal saline or sterile water should be discarded after each use. 3. Discard any irrigation solution that is discolored, has particulate matter in it, or has a foul odor. 4. Store solutions in a cool place away from direct sunlight, thereby retarding the growth of many infectious germs. DOCUMENTATION GUIDELINES Document Standard Precautions on the visit report. Solutions for Irrigation: Sterile Normal Saline, Dakins’, and Acetic Acid PURPOSE · To make sterile normal saline, Dakins’, and acetic acid solutions in the patient’s home · To provide a cost-effective and convenient method to supply the patient/caregiver with normal saline, Dakins’, and acetic acid solutions for health-care needs · To promote self-care in the home EQUIPMENT 1. Glass jars with screw-on lids (canning or mayonnaise jars) 2. Tap water 3. Saucepan with lid 4. Measuring spoons and cup 5. Salt for preparation of .9% normal saline 6. White vinegar for preparation of 25% acetic acid 7. White bleach and baking soda for preparation of 25% Dakins’ solution 8. Liquid soap 9.% Normal Saline PROCEDURE 1. Explain the procedure to the patient/caregiver. 2. Assemble the equipment in the kitchen. 3. Wash jars, pan, and all utensils in hot, soapy water. Rinse with warm water and dry. 4. Add 1 teaspoon of table salt to 2 cups of tap water in a clean glass jar with a screw-on lid. 5. Loosely place the lid on the jar. 6. Place the jar in a saucepan of water (the water level in the saucepan should be three-fourths of the height of the jar). Home Health Agency Nursing Care & Procedures K-227