[BLOOD SPILL CLEAN-UP IN THE RESEARCH FACILITY]{.underline}

1.  When a blood spill occurs, regardless of size, an employee must
    remain at the site of the spill until clean-up is accomplished to
    ensure that patients, visitors, or other employees do not walk
    through or touch the spilled blood.

2.  If a blood spill is small, generally less than 6 inches in diameter,
    it is cleaned by the employee involved in the spill. If a blood
    spill is large then Facilities Maintenance will be called
    immediately for clean-up, using the following pagers:

> a\. Pager 755 7:00 a.m.-3:30 p.m.
>
> b\. Pager 207 3:30 p.m.-12:00 a.m.
>
> c\. Pager 058 12:00 a.m.-7:00 a.m.
>
> d\. Pager 734-670-1728 Toledo CBOC

3.  A Biohazard Clean-up Kit is located in the hallways near the
    chemical spill kits. The kit contains absorbent beads, a small
    shovel, a disinfectant towlette, and spray disinfectant, items
    commonly used in cleaning blood spills. In addition gloves and red
    trash bags are located in the PPE cart. These latter items are also
    readily available in clinical areas throughout the facility. When
    items from a kit are used, the employee is responsible for calling
    SPD Service (extension 5978) and requesting the items be
    replenished.

4.  Instructions for cleaning a spill are:

    a.  Put on a pair of disposable gloves.

    b.  There are options for cleaning, depending on the size and
        location of the spill:

        1.  When the spill is small, on a horizontal surface, and forms
            a pool of blood, then open the pouch of absorbent beads and
            apply evenly over the site. Wait 1-2 minutes until the blood
            is absorbed and jelled. Using the shovel and a dry towel,
            pick up the jelled blood and place all of this material in a
            red plastic trash bag. After the surface is thoroughly
            cleaned, spray disinfectant on the area covered by the blood
            spill. The nozzle should be 6 to 8 inches from the surface.
            Spray for 3 to 5 seconds, or until the surface is wet. Do
            not wipe. Allow the disinfectant to air dry. Follow the
            instructions on the product label for contact time (usually
            10-20 minutes). Make certain the surface remains wet for the
            recommended contact time.

        2.  When the spill is on a vertical surface, remove the blood
            with a disposable cloth or towel. After the surface is
            thoroughly cleaned, wipe the area covered by the blood with
            the germicidal disposable towelette, located in the
            Biohazard Clean-up Kit. Allow the surface to remain wet for
            the time period noted on the towlette label, and allow the
            surface to air dry without wiping.

        3.  When the spill involves a large volume of blood or if the
            spill extends over a large area, then members of Facilities
            Maintenance will remove blood from the site. After the spill
            site is thoroughly cleaned, the disinfectant will be used to
            wet the site. Allow the surface to remain wet for the noted
            contact time and air dry without wiping.

    c.  When the spill involves a breakage of glass then particular care
        must be used during clean-up. No hand wiping of horizontal
        surfaces will occur. A mop and/or shovel and dustpan will be
        used for clean up.

    d.  All contaminated cleaning items will be disposed of in a red
        plastic trash bag.

5.  Questions concerning clean-up may be addressed to either the
    Infection Control Coordinator\
    (extension 5976, pager 651-1553) or the Industrial Hygienist
    (extension 5417, pager 292).