+--------------------------------+----------------------+-------------+
| **BROOKHAVEN NATIONAL          | GCRC POLICY:IC-01    | PAGE 1 OF 2 |
| LABORATORY GENERAL CLINICAL    |                      |             |
| RESEARCH CENTER POLICY**       |                      |             |
+--------------------------------+----------------------+-------------+
|                                | PREPARED BY: B.      |             |
|                                | Pyatt Infection      |             |
|                                | Control              |             |
+--------------------------------+----------------------+-------------+
| SUBJECT: GCRC and Satellite    | REVIEWED BY: W       |             |
| Facilities                     | Gunther GCRC Manager |             |
|                                |                      |             |
| General Infection Control      |                      |             |
+--------------------------------+----------------------+-------------+
|                                | APPROVED BY: G. J.   |             |
|                                | Wang Medical Dept.   |             |
|                                | Chair                |             |
+--------------------------------+----------------------+-------------+
|                                | EFFECTIVE DATE:      |             |
|                                | 11-28-07             |             |
+--------------------------------+----------------------+-------------+
|                                | REVISION HISTORY: 5  |             |
+--------------------------------+----------------------+-------------+

**1.0 [PURPOSE AND SCOPE ]{.underline}**

This document defines general infection control policies and procedures
at Brookhaven National Laboratory GCRC and its Satellite Facilities.
Infection control must be an integral responsibility of all personnel.
All healthcare providers, in partnership with the medical staff, are
responsible for the safety, health and well being of all subjects,
visitors and GCRC staff. This

responsibility may be met by working together continuously to promote
safe infection control practices, observing all rules, regulations,
procedural guidelines and continually striving to improve quality of
subject care. This Infection Control Program requires the participation,
support and cooperation of all personnel.

## 2.0 [INFECTION CONTROL PRACTITIONER]{.underline}

The Infection Control Practitioner plans, directs and coordinates the
General Clinical Research Center (GCRC) function of the facility-wide
infection control program in order to reduce the risks associated with
the transmission of infectious agents and improve health outcomes for
subjects, employees and the community. This is covered under GCRC policy
1.4.5. This is done by:

1\. Performing surveillance, prevention and control throughout the
organization

2\. Developing alternative techniques to address the real and potential
exposures

3\. Selecting and implementing the best techniques to minimize adverse
outcomes

4\. Evaluating and monitoring the results and revising techniques as
needed

5\. All new staff members will be oriented to the Infection Control
Program

6\. All subject care staff members will be inserviced on infection
control practices at least annually

**3.0 [GENERAL]{.underline}**

3.1 [SUBJECT PRECAUTIONS]{.underline}

Pre- and post-subject procedures shall be conducted. Standard
precautions are to be used at all times Dept. Guideline IC- 6.l,
"Bloodborne Pathogens Exposure Control Plan".

3.2 [DRESS]{.underline}

General Clinical Research Center (GCRC) personnel entering any of the
facilities shall dress with the appropriate attire.

1\. Clean lab coats are required during studies and must be removed
before leaving the building.

2\. Gloves must be worn

> a\. When performing phlebotomy (blood drawing), cannulations, and PET
> studies.
>
> b\. Collecting and handling blood or body fluids (e.g. When measuring
> or aliquoting urine samples or when transferring blood from a syringe
> to a Vacutainer tube).
>
> c\. During decontamination procedures (e.g. cleaning blood spills,
> contaminated equipment, or the outside surfaces of collection
> containers and tubes).
>
> d\. Gloves must be changed and hands washed as soon as possible, if
> gloves become contaminated with blood or body fluids.
>
> e\. Handling medical waste.

3.  Masks and protective eyewear are required if splashing or
    aerosolization is likely to occur.

4.  Booties or a step-off pad when working with primates (Dept.
    Guideline IC-13, "Animal Studies at Clinical Facilities").

3.3 [HANDWASHING]{.underline}

*[HANDWASHING IS THE SINGLE MOST EFFECTIVE DETERRENT TO THE SPREAD OF
INFECTION]{.underline}*

A. Wash hands:

> 1\. When coming on duty

2\. Before applying and after removing gloves

3\. When the hands are obviously soiled

4\. Between handling of individual subjects

5\. Before contact about the face and mouth of subjects

6\. Before and after personal use of the restroom

7\. After sneezing, coughing, blowing or wiping the nose or mouth

8\. On leaving isolation area or after handling articles from an
isolation area

9\. After handling used sputum containers, soiled urinals or urine
containers, catheters, bedpans, blood or body fluid

10\. Before eating

11\. After handling any specimens

12\. On completion of work

B. Procedure for handwashing:

1\. Turn on water to comfortable temperature

2\. Wet hands up to the wrists

3\. Apply one squeeze of disinfectant soap. Work into a lather, wash all
surfaces of the hands and fingers for 20 seconds

4\. Rinse well, keeping hands pointing down. Complete removal of soap
helps to prevent excoriation of the hands

5\. Dry hands well with paper towels, then use the paper towel to turn
off faucet.

6\. Dispose of paper towels in the regular trash

C. The following can be used to wash your hands:

1\. Alcohol-Based Hand Rub: An alcohol-containing preparation designed
for application to the hands for reducing

the number of microorganisms on the hands.

2\. Antimicrobial Soap: Soap containing an antiseptic agent

3\. Antiseptic Agent: Antimicrobial substances that are applied to the
skin to reduce the number of microbial flora.

Examples include alcohols, chlorhexidine, quaternary ammonium compounds

4\. Plain Soap: Detergents that do not contain antimicrobial agents

5\. Waterless Antiseptic Agent: An antiseptic agent that does not
require water. After applying such an agent, the

hands are rubbed together until the agent has dried

3.4 [ENVIRONMENT]{.underline}

1\. Traffic in and out of the lab shall be kept at a minimum to curtail
dust turbulence created by activity.

> 2\. Once the subject/animal has entered the suite, no supplies or
> equipment shall leave it until the procedure has been concluded (Dept.
> Guideline IC-13.0, \"Animal Studies at Clinical Facilities\").
>
> 3\. Eating and drinking shall be restricted to the lobby areas or
> designated areas.

3.5 [TERMINATION OF CASE]{.underline}

> 1\. Linens: The laundry shall be placed in a hamper or bag and
> laundered after each use as per Dept. Guidelines IC-12, \"Housekeeping
> Services\".
>
> 2\. Equipment: Materials and equipment involved in any of the
> procedures must be first cleaned, then wiped or soaked with Clorox
> 1:10. This is made fresh weekly and dated. Clean equipment as per
> Housekeeping Guidelines IC-12, "Housekeeping Services".
>
> 3\. Walls: Sponge wash with a germicide if needed.
>
> 4\. Floors, sinks, lounges, offices, and janitorial closets shall be
> cleaned according to Custodial Services IC-11 and
>
> Dept. Guideline IC-12, "Housekeeping Guidelines".

3.6 [SPECIMENS AND OTHER INFECTIOUS WASTE]{.underline}

See Dept. Guideline IC-6.2, \"Regulated Medical Waste\".

3.7 [SPILLS OR DECONTAMINATION]{.underline}

Spills or Decontamination of blood and body fluids shall be cleaned up
following Bloodborne Pathogens Exposure Control Plan, Dept. Guideline
IC-6.1.

3.8 [SUPPLIES]{.underline}

1\. Safety needles and disposables are to be used as much as possible

2\. Supplies are kept in separate closed cabinets designated for
human/animal studies. For sterile supplies, See Dept. Guideline IC-3, "
Sterile Supplies Procedures".

3\. Linens are washed after each use

3.9 [ANIMAL PRECAUTIONS]{.underline}

See Dept. Guideline 13, \"Animal Studies at Clinical Facilities\".

Pets are not permitted in any part of the GCRC or its Satellite
Facilities (guide dogs are exempt).

The only official copy of this file is the one online at the Medical
Department website under "Clinical Research Center Policy Manual."
Before using a printed copy, verify that it is the most current version
by checking the document effective date on the website.