Visible blood/body fluid contamination must be completely

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Skin Contact: Skin is directly contaminated with large amounts of visible body fluids, blood, secretions, or feces from the patient.
Mucosal Contact: Mucous membranes such as the eyes and respiratory tract are directly contaminated with visible body fluids, blood, secretions or faeces from the patient.
Sharp injury: Puncture of the body by sharp objects that have been in direct contact with the patient's body fluids, blood, secretions, or feces.
Direct respiratory exposure: Mask failure resulting in mouth or nose contact with a confirmed infected patient (within 1 m) who is not wearing a mask.
8 Surgical procedures in patients with suspected or confirmed infection

8.1 Requirements for operating rooms and personnel PPE

Place the patient in a negative pressure operating room. Check the operating room temperature, humidity, and pressure;
Prepare all necessary instruments for the operation and, if possible, use disposable surgical instruments;
All surgical staff (including surgeons, anesthesiologists, handwashing nurses, and operating room nurses) should put on their PPE in the buffer room before entering the operating room: Put on double caps, medical protective mask (N95), medical goggles, medical protective clothing, shoe covers, latex gloves, and a powered air-purifying respirator;
Surgeons and nurses responsible for hand washing should wear disposable sterile surgical clothing and sterile gloves, in addition to the above PPE;
Patients should wear disposable caps and disposable surgical masks according to the situation;
The nurses on duty in the buffer room are responsible for delivering instruments from the buffer area to the negative pressure operating room;
During the operation, the buffer room and the operating room should be tightly closed, and the operation should be performed only if negative pressure is maintained in the operating room;
No unauthorized personnel should enter the operating room.
8.2 Technological regulations for final disinfection

Medical waste should be disposed of as COVID-19 related medical waste;
Reusable medical devices should be disinfected in accordance with the technological regulations for disinfection of reusable medical devices associated with SARS-CoV-2;
Medical woven materials should be disinfected and disposed of in accordance with the technological regulations for disinfection of infected woven materials associated with SARS-CoV-2;
Surfaces of objects (instruments and devices, including instrument table, operating table, operating bed, etc.);
- Visible contamination with blood/biological fluids must be completely removed before disinfection (rooms treated in accordance with the procedures for removing blood and biological fluids).
- All surfaces should be wiped with a disinfectant containing active chlorine at a concentration of 1000 mg / l and left for 30 minutes with the disinfectant.
Floors and walls:
– removed before disinfection (rooms treated in accordance israel number data with blood and body fluid removal procedures).
– All surfaces must be wiped with a disinfectant containing 1000 mg/l active chlorine and left for 30 minutes with the disinfectant.
Indoor air: Turn off the filter ventilation module (FVM). Disinfect the air by irradiating it with an ultraviolet lamp for at least 1 hour. Turn on the FVM to automatically clean the air for at least 2 hours.
9 Technological regulations for handling the bodies of deceased patients with suspected or confirmed infection

PPE for personnel: Personnel should be fully protected with work clothes, disposable surgical caps, disposable gloves and thick rubber gloves with long sleeves, medical disposable protective clothing, medical protective masks (N95) or powered air-purifying respirators (PAPR), protective face shields, work shoes or rubber boots, waterproof shoe covers, waterproof aprons or waterproof isolating gowns, etc.
Processing of corpses: Fill all patient openings or wounds such as mouth, nose, ears, anus and tracheotomy openings with cotton balls or gauze soaked in a disinfectant containing chlorine at a concentration of 3000-5000 mg/L or 0.5% acetyl hydroperoxide.
Wrapping: Wrap the body in a double layer of woven material soaked in disinfectant and place it in a double layer of sealed body wrap sheet soaked in chlorine-containing disinfectant.
The staff must move the body as quickly as possible to the hospital isolation ward through the contaminated area to a special elevator, and then transport it by special vehicle directly to the designated cremation site.
Final Disinfection: Perform final disinfection of the isolation room and elevator.