(a) A limited services rural hospital (LSRH) shall follow universal precautions for all patient care activities in accordance with Code of Federal Regulations Title 29 §1910.1030(d)(1)-(3) (relating to Bloodborne Pathogens) and Texas Health and Safety Code Chapter 85, Subchapter I (relating to Prevention of Transmission of HIV and Hepatitis B Virus by Infected Health Care Workers).
(b) An LSRH shall develop, implement, and enforce policies and procedures to provide and actively monitor a safe, functional, comfortable, and sanitary environment that minimizes or prevents transmission of infectious diseases for all patients, visitors, and the public.
  (1) The LSRH shall clean blood spills immediately or as soon as is practical with a disposable cloth and an appropriate chemical disinfectant.
  (2) The surface shall be subjected to intermediate-level disinfection in accordance with the manufacturer's directions for use, if a commercial liquid chemical disinfectant is used.
  (3) When a solution of chlorine bleach (sodium hypochlorite) is used, the solution shall be at least 1:100 sodium hypochlorite and mixed in accordance with the manufacturer's directions for use. The surface to be treated shall be compatible with this type of chemical treatment.
  (4) The LSRH shall use dedicated cleaning supplies (i.e., mop, bucket) for the cleaning of blood spills.

Source Note: The provisions of this §511.74 adopted to be effective October 5, 2023, 48 TexReg 5668