Standard Infection Control Precautions (SICPs)

SICPs are the baseline for all patients, in all settings, at all times. They prevent cross-infection without waiting for a diagnosis. Optical teams benefit from clear, simple routines that survive busy days. ^[1]

Hand hygiene at the point of care

Use alcohol hand rub before and after contact when hands are not visibly soiled. ^{[3] [1]}

Use soap and water after visible contamination or when certain pathogens are suspected. Placing dispensers where decisions happen - not just by sinks - helps consistency. ^[1]

World Health Organisation (WHO) "5 moments" adapted to optics

Perform hand hygiene:^{[3] [2]}

• before touching a patient
• before clean procedures
• after body fluid exposure risk
• after touching a patient
• after touching patient surroundings

In optics, this includes before and after contact lens teaching and instilling drops.

Hand care and skin health

Frequent cleaning dries skin and increases dermatitis risk. Providing emollients, avoiding hot water, and drying hands well can help. Rings, bracelets, and long nails hinder effective cleaning and are best avoided during clinical tasks. ^{[5] [1]}

• PPE choices for optics: gloves for drops, CL handling, and chemical cleaning; masks during respiratory peaks or if preferred after risk assessment; aprons for domiciliary or messy tasks. Fit, compatibility, and correct doffing help prevent self-contamination. ^{[2] [1]}

Respiratory and cough etiquette

Provide tissues and bins, encourage covering coughs and sneezes, and clean shared pens and counters frequently. Respect reasonable patient choices about masks and explain local policies clearly. ^[1]

Aseptic technique for small tasks

Use clean, non-touch technique for drop instillation and minor procedures. Prepare items in advance, avoid touching key parts, and discard single-use items immediately. Keep clean and dirty zones distinct on the desk. ^{[4] [2]}

Waste and linen basics

Dispose of tissues and contaminated items promptly. Segregate clinical waste where used and keep bins foot-operated. Wash re-usable cloths and pillow covers at appropriate temperatures or use disposable options. ^[1]

Training and spot checks

Teach SICPs at induction and through refreshers. Brief observed practice helps keep quality high. Record attendance, assessor, date, and any remedial coaching. ^{[1] [2]}

Short, useful records

Keep SICP audits to one page with a pass/fail grid and actions. Log product changes with reasons, such as improved material compatibility or shorter contact time. ^[1]

References (numbered in text) Why we include references

1. Chapter 1: Standard infection control precautions (SICPs). National infection prevention and control manual (NIPCM) for England. NHS England. Find (opens in a new tab)
2. Infection control. College of Optometrists. Find (opens in a new tab)
3. WHO Guidelines on Hand Hygiene in Health Care (2009). World Health Organization. Find (opens in a new tab)
4. ANTT Clinical Practice Framework. Association for Safe Aseptic Practice (ANTT). Find (opens in a new tab)
5. Skin at work: Work-related skin diseases - Prevention. Health and Safety Executive (HSE). Find (opens in a new tab)