Page 27 - Vessel Sanitation Program 2018 Operations Manual

VSP 2018 Operations Manual

13.4.3.7 Interviews .................................................................................................................... 178
13.4.4 Report .................................................................................................................................... 178
13.4.4.1 Preliminary Report ...................................................................................................... 178
13.4.4.2 Final Report ................................................................................................................ 178
13.4.5 AGE Specimens..................................................................................................................... 178
13.4.5.1 AGE Specimen Supplies ............................................................................................. 178
13.4.5.2 Specimen Collection ................................................................................................... 179
13.4.5.2.1 Request Procedures ............................................................................................ 179
13.4.5.2.2 Medical Staff Instructions .................................................................................. 180
13.4.5.3 Guidelines for Collecting Fecal Specimens for Viral Diagnosis ................................ 180
13.4.5.3.1 Stool for Viral Diagnosis ................................................................................... 180
13.4.5.3.2 Paired Serum Specimens for Viral Diagnosis .................................................... 181
13.4.5.3.3 Other Specimens for Viral Diagnosis ................................................................ 181
13.4.5.4 Guidelines for Collecting Fecal Specimens for Bacteriologic Diagnosis .................. 182
13.4.5.5 Guidelines for Collecting Fecal Specimens for Parasite Diagnosis ........................... 182
13.4.5.5.1 Parasite Specimens ............................................................................................ 182
13.4.6 Food and Water Samples ....................................................................................................... 183
13.4.6.1 Food and Water Sample Collection Kit ...................................................................... 183
13.4.6.2 Food and Water Sampling Procedures ........................................................................ 183
13.4.6.2.1 Sample Plan ....................................................................................................... 183
13.4.6.2.2 Aseptic Techniques ............................................................................................ 183
13.4.6.2.3 Sample Amount ................................................................................................. 183
13.4.6.2.4 Sample Identification ......................................................................................... 183
13.4.6.2.5 Sample Temperatures ........................................................................................ 184

13.5 Disinfection Calculations for Water and Equipment .......................................................... 185
13.5.1 Introduction ........................................................................................................................... 185
13.5.2 Water Chlorination ................................................................................................................ 185
13.5.3 Equipment Disinfection ......................................................................................................... 186
13.5.4 Tables .................................................................................................................................... 187
13.6 Potable Water Pipe and System Disinfection Method Examples (Nonemergency) .......... 188

13.7 Sample Cross-Connection Control Program Guideline ...................................................... 189
13.7.1 Background ........................................................................................................................... 189
13.7.2 Introduction ........................................................................................................................... 189
13.7.3 Cross-Connection Survey ...................................................................................................... 189
13.7.4 Backflow Protection Methods ............................................................................................... 190
13.7.4.1 Nonmechanical Backflow Protection .......................................................................... 190
13.7.4.2 Mechanical Backflow Protection ................................................................................ 190
13.7.5 Cross-Connections on Vessels .............................................................................................. 193
13.7.5.1 List of Connections Requiring Backflow Prevention on Vessels ............................... 193
13.7.5.2 Specific Backflow Protection Choices on Vessels: Air Gaps and Backflow Prevention
Devices 193

13.8 Baby-Only Water Facility .................................................................................................. 195
13.8.1 Introduction ........................................................................................................................... 195
13.8.2 Design and Construction ....................................................................................................... 195
13.8.3 Water Source ......................................................................................................................... 195
13.8.3.1 Recirculation ............................................................................................................... 195
13.8.3.2 Flow-Through ............................................................................................................. 195
13.8.3.3 Operation .................................................................................................................... 195
13.8.3.3.1 Flow-Through .................................................................................................... 195

Contents; xxvi