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Infection Prevention and Control: Routine Practices
Health Issue Category
Infection Prevention and Control: Routine Practices
Date of Issue
Revision Date
January 2011
Related Policies, Administrative Procedures and Forms:
 


Diapering Procedures

1.  Assemble supplies.  This should include personal protective equipment (PPE).  Hand hygiene or sanitizing should be done prior to putting on gloves.

2.  If changing child while child is standing; have child stand over clean changing surface (i.e. disposable pad).  Remove soiled diaper, fold soiled surface inward and place on disposable pad.

OR

3.  If changing child while child is lying down; place child on clean changing surface (i.e. disposable pad).  Remove soiled diaper, and fold surface inward.  Place on disposable pad or directly in garbage.

4.  Cleanse skin with disposable cloth, moving front to back.  Remove all soil, including soil in skin creases.  Petroleum jelly, zinc oxide, and other skin-care products should be used only if parents specifically request them.  These products may interfere with proper skin cleaning.

5.  Remove gloves and clean hands.

6.  Fasten fresh diaper in place.

7.  If change area visibly soiled, surface must be cleaned first then disinfected with hospital grade disinfectant.  Follow manufacturer’s instructions for use of disinfectant.  Otherwise the change surface should be wiped clean after each use.  Let the areas dry before changing the next child to prevent irritation.  A thorough cleaning and disinfection of the changing surface should be done at the end of each day.

8.  REMEMBER!  Anything touched before cleaning your hands should be considered         contaminated until cleansed.  Proper hand hygiene must be done after toileting or diapering.

9.  EVERYONE:  Proper Hand Hygiene is the most effective way to stop the spread of infection!

N.B.  If using a cloth diaper, remove soiled matter from cloth diapers into the toilet.  Place soiled disposable diaper and change pad in waster container.  Soiled cloth diapers should go into a plastic bag.  Put bag into a second plastic bag and label.  Give soiled cloth diapers to parents at the end of the day.

        




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