PROTOCOL FOR DECONTAMINATION AND DISINFECTION OF SANITARY VEHICLE
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What is the disinfection of a sanitary vehicle? Disinfection is an essential operation that every paramedic must be able to perform on a daily basis. This must be implemented at specific steps. Disinfection is a voluntary and momentary removal of certain germs in order to stop or prevent the risk of infection by pathogenic or unwanted microorganisms or viruses. Disinfection involves eliminating these microorganisms or inactivating pathogenic viruses from contaminated environments by altering their structure or inhibiting their metabolism or some of their vital functions. Description of a simple disinfection It must be carried out between each patient transport. It consists of changing the bedding: cloths or paper. This bedding will be removed and confined to a sealed bag to limit the spread of germs and/or microorganisms. The stretcher will be manually disinfected with a disinfectant detergent and a singleuse wipe, using single-use gloves and following the product's instructions. These guidelines are specific to each manufacturer (application time, dilution, etc.). Wiping will be done in the shape of the letter 'S' to avoid contamination from one cleaned area to another. Each element that may have come into contact with the patient will be rubbed with a wipe containing an approved disinfectant (handle, barrier, ambulance walls, etc.). This same procedure should be applied for any equipment used during the procedure: cervical collar, measuring device, etc. The wipe and gloves used will be thrown into a closed bag to be evacuated as soon as the ambulance returns to its premises or to the care facility. Description of a daily disinfection This operation must be carried out every day, from the end of transport, when tidying up the ambulance or between each day-night crew change. The same simplified disinfection method should be applied to all materials: stretcher, walls, cabin. Every item that may have come into contact with the ambulance or patient must be cleaned. This will be complemented by a soil clean-up operation. The technique of the two buckets, red and blue, well known to the paramedics will be applied. The red bucket will be filled with water added to the disinfectant detergent. We always pour in this order: the water and then the product. The dilution rate of the product, recommended by the manufacturer, will have to be respected. This rate should not be increased under any circumstances. Failure to comply with these recommendations, both up and down, would result in a decrease or even inefficiency of the product. When using a wipe, it is dipped in the product bucket (red bucket) and then applied the product from clean to dirty as seen previously (S-scheme). We do not return to a cleaned area to avoid recontamitingit. The wipe is then rinsed into the blue bucket to remove germs and dirt before dipping it in the disinfectant bucket. Once the walls and materials are disinfected, a wet sweep of the soil is done. You have to start by sucking up dirt with the vacuum cleaner. The engine will be kept out of the ambulance to avoid contamination by dust from the engine and filters.

Ambulances have washable interior coatings that are resistant to the usual disinfection methods. For VSLs (light sanitary vehicles),the interior pads are also washable and resistant to conventional disinfection processes. Weekly terminal disinfection with aerial misting. It follows the same principle as previous operations, with the difference that a group of two people will be mobilized for at least one hour. First of all, we will empty the health cell entirely. All mobile hardware must be taken out. The stretcher will be removed for complete disinfection. Otherwise the use of a...

During aeration, we spend our time cleaning the items that have come out of the cell before storing them in their dedicated drawers or closets. We take the opportunity to verify the proper functioning of the equipment, and theexpiry dates. Using a MINIBIO S1 The"MINIBIO S1"is the name of the mister. In particular, it is used by paramedics to perform decontamination or terminal disinfection by air of the "care area". The machine sprays milliers of microdroplets on all surfaces. Once the Brumisation operation is complete, the product should be allowed to work for 15 minutes. The cabin should...

Cleaning up emergency equipment The material should be immersed in the disinfectant liquid, for example (APABIO)for 5 minutes. During this time,we wash and brush all the accessories, not forgetting the inaccessible areas even if we disassemble some parts. For washing inaccessible areas, we recommend the use of a Dry Steam Generator(STEAMBIO 2000). In the tubes, a swab should be used to clean properly. Then rinse, then dry the parts and finally store the material away from dust. At the end the liquid is discarded, the tray is cleaned and then dried. For fragile parts that do not support...

Once at the patient's home, the paramedic takes care of the patient and places him in the ambulance. In order to limit the risk of contagion, it should be done if possible without the intervention of the driver and without physical contact. Upon arrival at the hospital, the paramedic must dispose of his suit. The driver mustcontaminate the vehicle in the hospital emergency room. On return to the emergency station, the ambulance underwent a second disinfection operation. It remains unavailable until the end of this new disinfection. Our organic disinfection product, such as peroxide-based...