16 Del. Admin. Code § 3340-10.0

Current through Register Vol. 28, No. 3, September 1, 2024
Section 3340-10.0 - Environment
10.1 The FSED must have a safe and sanitary environment, properly constructed, equipped and maintained to protect the health and safety of patients and staff.
10.2 Linen and laundry services
10.2.1 An adequate supply of clean linen or disposable materials shall be maintained.
10.2.2 Clean linen shall be stored, handled and transported to prevent contamination.
10.2.3 Linens shall be maintained in good repair.
10.2.4 There shall be separate and distinct areas for the storage and handling of clean and soiled linens.
10.2.5 Soiled linen shall be handled, transported, stored and processed in a manner to prevent leakage and the spread of infection.
10.2.6 Soiled linen not processed on a daily basis must be stored in a separate properly ventilated storage area.
10.2.7 Carts used to transport soiled linen must be constructed of impervious materials and must be cleaned and disinfected after each use.
10.2.8 Linen shall be processed according to nationally recommended standards for healthcare laundry.
10.2.9 For laundry reprocessed off-site:
10.2.9.1 The FSED must have a contract with a commercial or hospital laundry.
10.2.9.2 Clean linens returned to the FSED must be completely wrapped or covered to protect against contamination.
10.3 Sanitation and housekeeping
10.3.1 The FSED shall provide housekeeping services to maintain a clean, sanitary, safe environment which is free from odors.
10.3.2 Treatment areas/rooms shall be thoroughly cleaned after each use.
10.3.3 All cleaning materials, solutions, cleaning compounds and hazardous substances shall be:
10.3.3.1 Properly identified;
10.3.3.2 Stored in a safe place; and
10.3.3.3 Stored separate from patient care items and food.
10.3.4 Cleaning shall be performed in a manner which minimizes the spread of pathogenic organisms in the environment.
10.3.5 The FSED shall be kept free of insects and rodents. A contract with a pest control agency shall be executed and available for review.
10.3.6 Blood spills shall be cleaned immediately or as soon as is practical with a disposable cloth and an appropriate chemical disinfectant.
10.3.6.1 The surface shall be subjected to intermediate level disinfection in accordance with the manufacturer's directions for use, if a commercial liquid chemical disinfectant is used.
10.3.6.2 If a solution of chlorine bleach (sodium hypochlorite) is used, the solution shall be at least 1:100 sodium hypochlorite and mixed in accordance with the manufacturer's directions for use. The surface to be treated shall be compatible with this type of chemical treatment.
10.3.6.3 The facility shall use dedicated cleaning supplies for the cleaning of blood spills.
10.4 Waste and waste disposal
10.4.1 All waste receptacles shall be impervious, lined and clean.
10.4.2 Waste receptacles shall be conveniently available in all toilet rooms, patient areas, staff work areas, and waiting rooms.
10.4.3 All rubbish and refuse shall be collected, stored and disposed of in a manner designed to prevent transmission of disease.
10.4.4 The provisions of the State of Delaware, Department of Natural Resources and Environmental Control, Regulations Governing Solid Waste, 7 DE Admin. Code 1301, are hereby adopted as the regulatory requirements for FSEDs in Delaware and are hereby referred to, and made part of this Regulation, as if fully set out herein.
10.4.5 Regulated waste must be placed in an approved "red" bag which is marked with the International Biohazard Symbol. It must then be disposed of by a waste hauler approved by the Delaware Department of Natural Resources and Environmental Control. Sharps ready for disposal shall be disposed of in approved sharps containers. Contaminated waste which does not release liquid blood or body fluids when compressed or does not release dried blood or body fluids when handled may be placed in a receptacle and disposed of through normal, approved disposal methods.

16 Del. Admin. Code § 3340-10.0

24 DE Reg. 692( 1/1/2021) (final)