COMDTINST 6220.4 governs infection prevention and control in Coast Guard health care facilities and among health care workers.
View COMDTINST 6220.4 on armypubs.army.mil
It addresses health care-associated infections, infectious diseases, bloodborne pathogens, dental water quality, dental radiology, and special dental procedures. It requires standard precautions, hand hygiene, personal protective equipment, training, exposure management, and specified dental equipment and record practices.
Applies to: This Instruction describes policies for preventing and controlling health careassociated infections (HAIs) in patients, visitors, volunteers, and health care workers (HCW) within any health care setting in the Coast Guard.
All blood and body fluids are treated as if potentially infectious. (paragraph 8)
All HCWs will wear PPE appropriate for the task to form a personal barrier of protection for associated exposure risk in accordance with SP. (paragraph 8)
HCWs who manage reusable medical equipment (RME) will be provided initial training and follow established procedures based on manufacturer’s instructions. Competency will be verified annually. (paragraph 8)
Maintain waterline monitoring records for a minimum of two years. (paragraph 8)
Dispose of single use items after each use, autoclave and sterilize heat tolerant devices between patients.