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Infection Preventionin Health Care

Basic PracticesDr.T.V.Rao MD

Dr.T.V.Rao MD 1

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Teaching and Learning Module

ONE

The Programme Created for

Schedule of training module at

Travancore Medical College, Kollam

Kerala as a part of Infection Control

Programme organised by InfectionControl Committee

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Nurses Role

in Infection ControlFollow correct

sanitization, disinfection

and sterilizationprocedures

Help patient understand

basic disease preventionAdminister

immunizations and

educate patients aboutimmunizationsDr.T.V.Rao MD

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Three Levels of Infection

ControlSanitization cleaning

and scrubbing

instruments and

equipment to remove

contaminated materials

and microorganisms

Disinfection second

level used on

instruments and

equipments that come

in contact with intact

mucous membrane

Sterilizationcomplete destruction of all microorganisms-

pathogenic, beneficial, and harmless- surface of instrument

and equipment

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Sanitization Methods

Collecting instruments place in

container with water and neutral pH

detergent until you can get to them.

Use utility gloves always and mask,

eye protection and protective clothingif blood, body fluids or tissue are

presentDr.T.V.Rao MD

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Sanitization Methods (cont.)

Drain disinfectant or

detergent solution

Rinse each piece under hotrunning water

Scrub each item using hot,

soapy water and small

plastic brush

Pay careful attention to

hinges, ratchets and nooks

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Standard Precautions

Apply standard precautions to allpatients regardless of their

diagnosis, and to allcontaminated equipments and

materials.

Use judgment in determining

which protective barriers are

necessary. Dr.T.V.Rao MD 7

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Sanitization Methods (cont.)

Rinse instruments individually and

place each one on a clean towel.

Roll all instruments in the towel to

remove moisture

Place instruments either in trays orbins for storage or wrap for

sterilizationDr.T.V.Rao MD

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Disinfection

Wear gloves when handling instruments.

Disinfection solution must cover every

surface.Used if instrument does not penetrate a

patients skin or mucous membranesEnamelware

Endotracheal tubes

Glassware

Laryngoscopes and nasal specula

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Standard Precautions1. Hands Hygiene

2. Use Personal protectiveequipment's(PPE)

Gloves

Gowns

Masks Eye protection

Face Shields

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Discard needles and other sharps in

.Discard needles and other sharps inthesharp containerswhich are located asclose as possible to the area of use.Don't

recap needles, If any ,use the Scoop

method (one hand method).

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Never Recap Needle

You are Likely to Injure

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CLEANING SPILLS (e.g. Blood & body fluids)

Wear gloves and other PPE

Absorb: Wipe up the spill with an

absorbent towel.Clean with detergent.

Apply disinfectant to the contaminated

area using sodium hypochlorite( Clorox

1: 10= 1 volume+9 water volumes)

contact time 5-10min.

Absorb Clorox and wash with water.

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HAND WASHING

When to wash your hands :

If hands are visibly dirty .

Soiled hands with blood or bodyfluids.

After contact with: blood ,bodyfluids, secretions or mucus

membranes.Dr.T.V.Rao MD 17

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When to wash your hands?

After contact with intact or non-intact skin.

After handling items potentially

contaminated (equipments)

In-between patients .

After removing gloves.

After using bathroom.Dr.T.V.Rao MD 18

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When to wash hands

Before direct contact withpatient.

Before donning (sterile) gloves.

Before preparing or handling

medications.

Before handling clean dressing.Dr.T.V.Rao MD 19

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When to use alcohol-based hand

rub

If hands are NOT visibly soiledalcohol rub could be used

instead of hand washing. If hand are visibly soiled

(contaminated) ,they should bewashed first.

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Dr.T.V.Rao MD 25

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Never Forget Simple Washing

Saves Many Lives

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Programme

Created by Dr.T.V.Rao MD forBenefit of Nursing Staff in Health

Care Email

doctortvrao@gmail.com

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