guidelines for entry and exit from high risk areas - infection control
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7/30/2019 Guidelines for entry and exit from high risk areas - infection control
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Symposium22.8.2013
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General Guidelines
Prevention of overcrowding
Allowance of entry only after hand washing andgowning
Separate footwear
Medical professionals separate uniform code
No ornaments/nail polish/wristwatches to be usedinside
No hospital personnel should enter without validreason
Buffer zone maintenance between patients and
relatives
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Guidelines for Entry
Operation theatre
Labor room
Neonatal Intensive Care Unit
High Dependency Unit
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Operation Theatre
All cannot enter the operating area without priorpermission.
Only authorized personnel with identification
should be allowed. All who enter should be strictly supervised for
breach of sterile precautions.
Any breach in sterile technique even committedby mistake should not be tolerated.
Proper orientation is required for any one whoenters the OT about the protocols and infection
standards.
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Guidelines for Entry
Operation theatre
Labor room
Neonatal Intensive Care Unit
High Dependency Unit
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Birthing Area
All doctors and nurses should enter and exit thebirthing suite after washing hands.
Make sure personal items are left away from the
patient premises. Do not allow relatives with infections or without hand
washing (on entry and exit).
Maintain separate exits for maintenance staff and
medical personnel.
Maintain buffer zone where the consent can be taken,
the explanations are given by the midwife or
obstetrician, showing the baby to the significant others
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Guidelines for Entry
Operation theatre
Labor room
Neonatal Intensive Care Unit
High Dependency Unit
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Neonatal Care Unit
No overcrowding STRICTLY. No medical or support personnel or parent with
active infections should be allowed to enter.
Instruct all personnel to wash hands with abactericidal soap solution before entry and exitfrom unit.
Special gowns for parents and separate areas forfeeding mothers and KMC .
Infected babies should be handled in anadequately isolated unit with suitable barrier
facilities
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Operation theatre
Labor room
Neonatal Intensive CareUnit
High Dependency Unit
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High Dependency Unit
Strict control of visitors
Separate entry and exit for relatives and
medical personnel.
Strict hand washing before and after visiting
STRICT supervised hours for visit by significant
others.
The patient visitors should not be allowed to
touch the tubing/bed linens/patient items.
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Special Precautions to Infection
Prevention in Neonates
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MedicalPersonnel
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Handling of the infant to be REDUCED.
Reduce unnecessary admissions into
NURSERY.
Exclusive breast feeding to be provided.
Involve the mother in care of baby.
Clean daily with warm sterile water with
special attention to groin, axilla and neck.
Bathe infant after body weight reaches 2.5 kg.
Regular position changing prevent skin
abrasions.
Keep umbilicus clean and dry.
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FOLLOW the skin preparation policy Prepare
smallest area of skin as follows:
Swab with alcohol first and allow it to dry Swab iodine on site and allow it to dry
Swab again with alcohol to wipe off iodine and allow
it to dry.
Change peripheral IV fluid set and tubing every
24 - 48 hours.
Never share fluid in same bottle between babies.
No repeated puncturing of bottles. If opened
clean with spirit swab and then keep it covered
with Betadine soaked sterile cotton.
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All fluids except lipids and blood SHOULD be
given through the filter.
STRICT ASEPTIC TECHNIQUE to be followedduring preparation and administration of fluid
therapy.
Use non invasive methods of monitoring
Universal precautions during all procedures
Use of sterile gloves for ALL invasive
procedures including endotracheal suctioning. All invasive procedures surgical asepsis
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Routine surveillance
Environmental cultures once every 4
months Representative
surfaces Equipments
Fomites Taps
Laminar flow
devices
AC vents
Refrigerators
Sinks
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