Contaminated RMD Transportation
• Safe transportation protects RMD, staff, patients and visitors as
RMD may be hazardous (risk of pathogen).
• All items used on a patient are infectious (Contaminated).
Requirements
1. Pre-cleaning
2. Transport containers
3. Spill kit
4. Transport carts
5. Handling
1. Pre-cleaning
The Association of perioperative Registered Nurses (AORN), advises
staff to begin the decontamination process immediately after use
on a patient, during the procedure and before transportation.
During the Procedure
• Simple effective way of reducing risk (for the OR nurse & end user)
• By wipe the surgical instruments with a (moist, lint-free) swab
during the procedure and after use.
• The swab can be moistened using sterile water.
• Never use saline, (mixture of sodium chloride and water) as it can
damage stainless steel due to its corrosive effect.
Before Transportation
• Using of Enzymatic foam sprays or Pre-moistened plastic bags
to minimize the drying of contamination onto items & ensuring
the decontamination process starts immediately
• The surgical instruments kept moist to be easier to clean and
disinfect.
• Safety step remove all disposable items prior (before) to sending
RMDs to CSSD, As needles, blades, wires, sponges or gauze
A nurse in the OR (Operating Room) wearing full PPE during the
procedure such as:
Hair cover & Gloves & Gown with sleeves & Facemask with visor
& Scrub shoes or shoe covers
2. Transport Containers
• Bins with Lids and Closed Sterilization are the preferred types.
• Containers must be located in a soiled utility room that:
has access control & negative (–) air pressure to ensure that No risk
to other staff or patients outside of the room.
• Protect the surgical instruments from damage during transit
• All sharps and disposable items should be removed prior to
placing RMD in transport containers for collection.
If these items have been accidentally left in the transport container,
then you must report it immediately as it poses a risk to staff safety.
All transport containers should be:
1. Leak-Proof to prevent fluids from spilling out
2. Rigid, robust to contain RMD
3. Closed Securely
4. Clearly Identified with biohazard labels
5. Clearly Labeled,
6. Easily Cleaned, disinfected and dried
3. Spill Kit
• Additional hazard may occur especially if containers are not used
• A risk of containers being knocked or dropped when transported
• Only trained staff should handle the cleaning of spills, using the
following as a guide:
1. Get help and put warning signs in place
2. Collect the spill kit
3. Follow protocol precisely
4. Check the material safety data sheet if indicated
5. Put on PPE
6. Assemble cleaning equipment
7. Clean the spill
8. Dispose of waste appropriately
9. Replenish supplies
10. Complete an incident or adverse occurrence report
Adverse Event Procedure
• Include: potential or actual sharp injury, significant/dangerous
spills personal injury or accident or negligence on another’s part
• When an adverse event occurs:
1. Follow local protocol
2. Seek assistance if unsure
3. Report to senior person, team leader/manager promptly
document the adverse event through your organizations report
form
