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NHS Scotland: Sterile Services Provision Review Group: First Report - The Glennie Framework

APPENDIX D.1

TECHNICAL REQUIREMENTS FOR DECONTAMINATION PROCESSES

Clinical procedures* Categorisation by risk for all types of CJD

High risk procedures All procedures that involve piercing the dura, or contact with the trigeminal and dorsal root ganglia, or the pineal and pituitary glands. Procedures involving the optic nerve and retina. Medium risk procedures Other procedures involving the eye, including the conjunctiva, cornea, sclera and iris. Procedures involving contact with lymphoreticular system (LRS). Anaesthetic procedures that involve contact with LRS during tonsil surgery (for example laryngeal masks). Procedures in which biopsy forceps come into contact with LRS tissue. Low risk procedures All other invasive procedures including other anaesthetic procedures and procedures involving contact with the cerebrospinal fluid.

* Further risk assessment to be undertaken on categorisation of dental tissues that are currently considered as low risk.

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