Cleaning for Additional Precautions Table symptom based

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1 for Additional Precautions Table symptom based The need to wear personal protective equipment () for Routine Practices is dependent on the risk of contact or contamination with blood or body fluids. should always be worn for cleaning and disinfection. Additional may be required, such as Tyvek suit, dependent on contamination. cleaning (or modified deep cleaning) requires a thorough cleaning of the patient compartment, similar to a deep clean of that area, without removing everything from each cupboard and storage compartment, unless obviously contaminated. Presentation Abscess Minor Abscess Major Drainage is limited or contained within dressing. Drainage is not contained by a dressing. Cellulitis Reddening of the skin. Conjunctivitis Soreness, swelling and redness, often with discharge. Diarrhea Draining wound Diarrhea. Wound discharge. * * * * *may need enhanced clean if wound drainage is not contained, particularly if diagnosed with CPO.

2 The need to wear personal protective equipment () for Routine Practices is dependent on the risk of contact or contamination with blood or body fluids. should always be worn for cleaning and disinfection. Additional may be required, such as Tyvek suit, dependent on contamination. cleaning (or modified deep cleaning) requires a thorough cleaning of the patient compartment, similar to a deep clean of that area, without removing everything from each cupboard and storage compartment, unless obviously contaminated. Presentation Rash with fever y illness Cold, influenza, viral respiratory disease etc Vomit Vesicular 1 or maculopapular 2 rash fluid or respiratory secretions, dependent on organism. y secretions. Vomit. * Leave patient compartment to vent for 20 minutes after patient has left the ambulance. vomit. 1 A rash of fluid filled eruptions i.e. Chicken pox 2 A flat, red area on the skin that is covered with small bumps that merge together

3 for Additional Precautions Table specific diseases The need to wear personal protective equipment () for Routine Practices is dependent on the risk of contact or contamination with blood or body fluids. should always be worn for cleaning and disinfection. Additional may be required, such as Tyvek suit, dependent on contamination. Adenovirus Conjunctivitis Gastroenteritis Urinary tract infection Adenovirus y tract infection Presentation is dependent on the source of the infection. Cough, fever, runny nose, sore throat. Bed Bugs Cimex lectularius Campylobacter Bed bugs are flattened oval shaped insects approximately 4 5 mm long and primarily feed on blood while their host is sleeping. ** * * **Tyvek suit See fact sheet 3. 3 Fact sheet available on the IPAC page of the BCAS intranet site -

4 The need to wear personal protective equipment () for Routine Practices is dependent on the risk of contact or contamination with blood or body fluids. should always be worn for cleaning and disinfection. Additional may be required, such as Tyvek suit, dependent on contamination. Chicken Pox Varicella Zoster Virus Clostridium Difficile CPO Carbapenemase- Producing Vesicles blister like rash. * * Presentation depends on the type of infection. * Leave patient compartment to vent for 20 minutes after patient has left the ambulance. * cleaning for confirmed diagnosis of CPO Croup y secretions. Cryptosporidium Cytomegalovirus (CMV) * * Mild illness, sore throat, fatigue and swollen glands. E. coli 0157:H Escherichia coli 0157:H * *

5 The need to wear personal protective equipment () for Routine Practices is dependent on the risk of contact or contamination with blood or body fluids. should always be worn for cleaning and disinfection. Additional may be required, such as Tyvek suit, dependent on contamination. Epstein Barr Virus Infectious mononucleosis ESBL Extended Spectrum Beta- Lactamase producing organisms Giardia Group A Streptococcus Haemophilus Influenza Hand Foot and Mouth (Enteroviruses) Fever and sore throat. Transmission is usually by very close mouth to mouth contact. Presentation is dependent on the site of infection. Wound, skin infection, impetigo, cellulitis, new or worsening cough, fever, sore throat. * * New or worsening cough, fever, sore throat. Fever, mouth sores, skin rash Contact with respiratory secretions and faeces.

6 The need to wear personal protective equipment () for Routine Practices is dependent on the risk of contact or contamination with blood or body fluids. should always be worn for cleaning and disinfection. Additional may be required, such as Tyvek suit, dependent on contamination. Hepatitis A Hepatitis B Hepatitis C Herpes Simplex Can cause diarrhea illness. Often asymptomatic blood borne virus. * * * * Often asymptomatic blood borne virus. Contact with blood and body fluids. * * Skin or mucosal lesions. blood or body fluids. 4 blood or body fluids. 4 HIV Human Immunodeficiency Virus Impetigo May be asymptomatic, but can present with clinical symptoms dependent on illness. Skin lesions. * * blood or body fluids. 4 Influenza Seasonal New or worsening cough, fever, sore throat, myalgia. 4 Body fluids include saliva, semen, cerebral spinal fluid, vaginal, synovial, pleural, peritoneal and amniotic fluids

7 The need to wear personal protective equipment () for Routine Practices is dependent on the risk of contact or contamination with blood or body fluids. should always be worn for cleaning and disinfection. Additional may be required, such as Tyvek suit, dependent on contamination. Lice Head or body Infestation. Measles Meningitis MRSA Methicillin Resistant Staphylococcus aureus Mumps Maculopapular rash, fever, runny nose, rhinitis. Meningitis. Symptoms can include fever, headache, stiff neck, nausea and vomiting, and increased sensitivity to light. Asymptomatic to symptoms associated with current illness. Swelling of the salivary glands, orchitis. Leave patient compartment to vent for 20 minutes after patient has left the ambulance. Norovirus Illness can cause nausea, vomiting, diarrhea and abdominal cramps. * * vomit or diarrhea

8 The need to wear personal protective equipment () for Routine Practices is dependent on the risk of contact or contamination with blood or body fluids. should always be worn for cleaning and disinfection. Additional may be required, such as Tyvek suit, dependent on contamination. Parvovirus B19 (Fifth Disease, slapped cheek syndrome) Rotavirus RSV y Syncytial Virus Mild rash illness that usually affects children, although adults can get infected but don t generally develop a rash Fever and y tract infection. * * Rubella German Measles Maculopapular rash, fever. Salmonella Scabies Fever and Itchy skin lesions caused the invading mite. Transmitted by direct skin to skin contact with the patient * * Shigella species * *

9 The need to wear personal protective equipment () for Routine Practices is dependent on the risk of contact or contamination with blood or body fluids. should always be worn for cleaning and disinfection. Additional may be required, such as Tyvek suit, dependent on contamination. Shingles (Varicella Zoster Virus) Vesicles. TB non-pulmonary TB, pulmonary (Tuberculosis) VRE Vancomycin Resistant Enterococcus Whooping Cough (Pertussis) Presentation is dependent on the source of the disease. New or worsening cough, fever, night sweats, weight loss, shortness of breath. Presentation is dependent on the source of the disease. Irritating, violent coughing. High pitched whoop cough. Leave patient compartment to vent for 20 minutes after patient has left the ambulance.

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