infection prevention & control
DESCRIPTION
Infection Prevention & Control. An introduction for new clinical employees. Contact the CDHB IP&C Service. The aim of infection prevention & control is to prevent patients, staff and visitors from acquiring an infection while receiving healthcare. Achieving the Aim. - PowerPoint PPT PresentationTRANSCRIPT
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Infection Prevention & Control
An introduction for new clinical employees
Contact the CDHB IP&C Service
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The aim of infection prevention & control is to prevent patients, staff and visitors from acquiring an infection while receiving healthcare.
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Achieving the Aim
• Always use Standard Precautions
• Use Transmission-based Precautions appropriately
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Hand Hygiene
All health care workers are required to undertake the self e-learning package which describes the 5
Moments for Hand Hygiene
Hand Hygiene is the single most important activity for preventing
the spread of infection
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Personal Protective Equipment (PPE)
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PPE Quiz – True or False
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Transmission-based Precautions
(Isolation Precautions)
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Contact Precautions
Used when in direct contact with patient or their environment
e.g. MRSA, infectious diarrhoea, scabies
Next Slide
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Contact Precautions question
Which of the following diseases are NOT spread through contact?
MRSA
Scabies
Pulmonary TB
Clostridium difficile
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Droplet Precautions
Used for diseases which generate large droplets which travel approx. 1 - 2m then fall to the floor
e.g. Influenza, Pertussis
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Look how well a mask works
Click for Next Slide
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Droplet Precautions scenario and question
• Mrs Jones has influenza and is being nursed in a single room.
• What personal protective equipment is required when inside her room?
You wear a surgical/procedural mask
Mrs Jones wears a surgical/procedural mask
You wear gloves and a gown/apron
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Airborne Precautions
Used for diseases which are carried on small droplet nuclei suspended in the air e.g. Pulmonary TB, Chickenpox,Measles.
Learn how to fit test your N95 mask
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Contact and Droplet
• This sign is used when a patient presents with signs and symptoms that are spread via Droplet and Contact.
• Use a combination of Contact and Droplet Precautions
E.g. Influenza with diarrhoea, Norovirus
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Multi-drug resistant organisms (MDRO)
• ESBL-producing enterobacteriaceae
• MRSA• Methicillin-resistant
Staphylococcus aureus
• VRE • Vancomycin-resistant E.
faecium & E. faecalis
• Other MDRO • Multi-drug resistant
Acinetobacter species
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2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
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Year
CDHB ESBL Isolates 2003-2012
MDRO policy
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MDRO screening
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Placement of ESBL patients
• Assessment tool for placement of patient with Extended Spectrum Beta Lactamase or ESBL
• Based on risk factors for spread
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Cleaning & Disinfection
Cleaning & Disinfection Policies
Cleaning requires detergent wipes or a detergent solution
Disinfection requires use of a suitable disinfectant e.g. bleach solution or alcohol wipe
Cleaning must always come before disinfection
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DynaMap
IV pump and stand
ECG machine and leads
Blood pressure cuff
Patient call bell
Stethoscope
Bed frame and mattress
Do you know how to clean patient equipment
when discharged?
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Blood and Body Fluid Exposures
• Report all Blood Body Fluid Exposures (BBFE)
• BBFE packs are in all clinical areas
• Ensure your Hepatitis B immunisation is up-to-date
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Achieving Infection Prevention….
• Always use Standard Precautions– Hand hygiene– Cough and sneeze etiquette– Personal protective equipment– Safe sharps practice
• Use Transmission-based Precautions appropriately