logging in or signing up standard infection control precautions 130680 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 7943 Category: Education License: All Rights Reserved Like it (10) Dislike it (0) Added: July 01, 2009 This Presentation is Public Favorites: 6 Presentation Description infection control inducation Comments Posting comment... By: noda4 (7 month(s) ago) goooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooood Saving..... Post Reply Close Saving..... 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See all Premium member Presentation Transcript Infection Prevention & Control Induction : Infection Prevention & Control Induction May 2009 : Designed to reduce the risk of transmission of micro-organisms from known and unknown sources of infection. Apply to care of all patients regardless of their diagnosis or presumed infection status. Standard Precautions Slide 3: People who carry bacteria without evidence of infection (fever, increased white blood cell count) are colonized If an infection develops, it is usually from bacteria that colonize patients Bacteria that colonize patients can be transmitted from one patient to another by the hands of healthcare workers Bacteria can be transmitted even if the patient is not infected. Slide 4: The iceberg effect Infected Colonized Standard Precautions : Standard Precautions Cover all cuts and abrasions Hand hygiene Personal protective equipment Proper disposal of sharps Sharps injury/ splash of blood Management of blood spills Care of medical devices/ patient care equipment Environmental cleaning/ decontamination Proper disposal of waste & used linen Cough etiquette. Cover all cuts and abrasions : Cover all cuts and abrasions Apply a waterproof dressing. Get immunised against hep B infection : if you might be in contact with blood, body fluids or human tissue. Hep B is the hardiest of the major blood-borne pathogens as it can survive on surfaces for several days. Its is 100 times more likely to cause infection following exposure than HIV. Hand hygiene : Hand hygiene Culture plate showing growth of germs 24 hours after a nurse placed her hand on the plate! Slide 9: The chart shows the percent of patients with methicillin-resistant S. aureus (MRSA) who carry the germ on the skin under their arms, on their hands or wrists, or in the groin area. 13-25% 40% 30-39% Before washing hands : It is important to note that nails should be kept short and nail varnish, false nails and hand or wrist jewellery should never be worn. Most microbes on hands come from beneath finger nails. The wedding band is allowed providing that it is a plain band with no stones, but always remember to move it when performing hand hygiene to clean the skin underneath. Before washing hands Jewellery : Jewellery Hand jewellery hinders effective hand hygiene. Increased number of organisms found on & around jewellery. Jewellery can contribute to skin irritation from residual hand hygiene products. Jewellery can tear gloves. Nails : Nails False nails have been found to host many potential pathogens including yeasts. Washing artificial nails is not as effective as natural nails Can a Fashion Statement Harm the Patient? : Can a Fashion Statement Harm the Patient? Social hand hygiene : Social hand hygiene with soap & water is used to remove dirt and organic material, dead skin and most transient micro-organisms from hands. Alcohol gel can be used when hands are visibly clean. A minimum of 15 seconds is required with additional time needed for drying with paper towels. Social hand hygiene Aseptic hand hygiene : Used to achieve a higher level of cleanliness. Removes most transient and some resident micro-organisms. For visibly clean hands alcohol hand gels are the agent of choice for antiseptic hand hygiene (SARI).(hands must first be washed with soap and water) The technique for application of alcohol is the same as in situations where social hand hygiene is required, duration is 15 seconds Aseptic hand hygiene Slide 16: Repeat each step 5 fives. Hand hygiene should take a minimum of 15 seconds to complete. Following handwashing dry hands thoroughly using paper hand towel. Slide 18: Following contact with patients and/or contaminated environment, germs can survive on hands for differing lengths of time (2–60 minutes) In the absence of hand hygiene action, the longer the duration of care, the higher the degree of hand contamination Common Problems : SKIN IRRITATION WET HANDS BEFORE WASHING. RINSE WELL. DRY PROPERLY DON’T OVERUSE GLOVES MOISTURISE WELL USE ALCOHOL GEL AS PREFERANCE TO SOAP & WATER WHER APPROPRIATE. Common Problems Advantages of alcohol gel: : Advantages of alcohol gel: take less time to use. can be made more accessible than sinks. cause less skin irritation and dryness. are more effective in reducing the number of bacteria on hands. has led to improved hand hygiene practices. What is the Story on Moisturizers and Lotions? : What is the Story on Moisturizers and Lotions? ONLY USE facility-approved and supplied lotions Some lotions may make medicated soaps less effective. Some lotions cause breakdown of latex gloves. Lotions can become contaminated with bacteria if dispensers are refilled. Hand Hygiene Facilities : Hand washing facilities i.e. sinks, taps and. splash backs must be clean and intact. Hand hygiene sinks are for hand hygiene only- they are not a sluice!! Liquid soap is available at all hand washing sinks. Liquid soap dispensers should be kept clean. Hand Hygiene Facilities Personal Protective EquipmentGloves : Personal Protective EquipmentGloves Don gloves when in contact with blood, body fluids, secretions, excretions & contaminated items. When touching mucous membranes and non-intact skin. Gloves are single use only. Perform hand hygiene after removal of gloves. Facial Protection : Facial Protection Mask/ eye protection/ face shields. For protecting the mucous membranes of the eyes, nose and mouth during procedures. For patient care activities likely to generate splashes or sprays of blood, body fluids, secretions, excretions. Gowns/ aprons : Gowns/ aprons For protecting the skin and preventing soiling of clothing during procedures For patient activities likely to generate splashes or sprays of blood, body fluids, secretions, excretions Sharps : Sharps Assemble sharps box correctly, do not overfill Dispose of sharps at point of use Position sharps box in a safe place, off the floor & away from public access Do not recap, bend, disassemble or break needles Ensure temporary closure of sharps box The user is responsible for disposing of sharps Risk assessments : Risk assessments When caring for patients with butterfly needles...risk assess prior to insertion.. silhouette/ butterfly? Needles may be hidden in bandages! Needles can become dislodged Patients may be agitated Management of blood spills using the blood spill kit : Put on apron & gloves Pour granules on spill for 2 mins Prepare chlorine solution of 10,000ppm Scoop up moistened granules and place in biohazard bag or container Use disposable wipe and chlorine solution to decontaminate area Place cloth/wipe in biohazard bag when completed Remove gloves & apron and wash hands Management of blood spills using the blood spill kit Decontamination of patient-care equipment. : Decontamination of patient-care equipment. Clean re-useable equipment before use in the care of another patient Do not reuse single-use or disposable equipment on other patients Know single use symbol Never use alcohol wipes for general cleaning. Environmental Cleaning : Environmental Cleaning Routine daily: Standard cleaning Emphasis on touched surfaces in room (bed rails, door knobs) Terminal: Thorough cleaning and decontamination of all items in room. The Inanimate Environment Can Facilitate Transmission of infection. : The Inanimate Environment Can Facilitate Transmission of infection. Healthcare Waste : Healthcare Waste Safe disposal of linen : Safe disposal of linen Handle soiled linen carefully. Potential skin and mucous membrane exposure. Contamination of clothing (never wear uniform to or from work). Transfer of micro-organisms to other patients and the environment. Refer to hospital policy. Slide 35: Foul or Infected Linen All items in this category will be placed in water soluble/ alginate bags. Items will be separated prior to placing in alginate bag e.g. wool from cotton Alginate bags are not re-opened, and are placed directly into the washing machine The bag is then placed in a red laundry bag which should be securely closed and sent to the laundry White Soiled Linen White linen which has been used but has not been contaminated with body fluids e.g. sheets & pillow cases. All items in this category will be placed in plain white laundry bags which should be securely closed and sent to laundry Other Personal clothes, towels, face cloths, feeders, duvets, blankets, bed spreads, hoist slings etc. All items in this category will be placed in blue laundry bags which should be securely closed and sent to laundry for sorting. Patients “holiday bags” to be placed in blue laundry bag 1 2 3 Slide 36: Catch it Bin it Kill it Cough & sneeze etiquette Transmission-Based Precautions : For patients known or suspected to be infected or colonised with pathogens that can be transmitted by : Airborne Droplet Contact Direct & indirect Transmission-Based Precautions Conclusion : Adherence to Standard & ,when necessary, transmission based precautions will minimise the risk of transmitting pathogens from patient to staff/ staff to patient/ staff to staff and to and from the environment! Conclusion You do not have the permission to view this presentation. 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standard infection control precautions 130680 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 7943 Category: Education License: All Rights Reserved Like it (10) Dislike it (0) Added: July 01, 2009 This Presentation is Public Favorites: 6 Presentation Description infection control inducation Comments Posting comment... By: noda4 (7 month(s) ago) goooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooood Saving..... Post Reply Close Saving..... Edit Comment Close By: bdown (13 month(s) ago) would you please give me permission to use (and send) this as part of an induction for new starters in a nursing home? many thanks bry873@btinternet.com Saving..... Post Reply Close Saving..... Edit Comment Close By: nikki08s (20 month(s) ago) gud job its an excellant tool to teach my students Saving..... Post Reply Close Saving..... Edit Comment Close By: maryjet (26 month(s) ago) i WILL LIKE TO HAVE A COPY OF THE PRESENTATION FOR USE IN YOUR OWN TEAM. Saving..... Post Reply Close Saving..... Edit Comment Close By: CuteDentist (31 month(s) ago) i would like to have copy from this presentation Thanks Saving..... Post Reply Close By: 130680 (31 month(s) ago) No Problem, Could you send me your email address khanly@stpatricksmarymount.ie regards, Kathryn Saving..... Edit Comment Close loading.... See all Premium member Presentation Transcript Infection Prevention & Control Induction : Infection Prevention & Control Induction May 2009 : Designed to reduce the risk of transmission of micro-organisms from known and unknown sources of infection. Apply to care of all patients regardless of their diagnosis or presumed infection status. Standard Precautions Slide 3: People who carry bacteria without evidence of infection (fever, increased white blood cell count) are colonized If an infection develops, it is usually from bacteria that colonize patients Bacteria that colonize patients can be transmitted from one patient to another by the hands of healthcare workers Bacteria can be transmitted even if the patient is not infected. Slide 4: The iceberg effect Infected Colonized Standard Precautions : Standard Precautions Cover all cuts and abrasions Hand hygiene Personal protective equipment Proper disposal of sharps Sharps injury/ splash of blood Management of blood spills Care of medical devices/ patient care equipment Environmental cleaning/ decontamination Proper disposal of waste & used linen Cough etiquette. Cover all cuts and abrasions : Cover all cuts and abrasions Apply a waterproof dressing. Get immunised against hep B infection : if you might be in contact with blood, body fluids or human tissue. Hep B is the hardiest of the major blood-borne pathogens as it can survive on surfaces for several days. Its is 100 times more likely to cause infection following exposure than HIV. Hand hygiene : Hand hygiene Culture plate showing growth of germs 24 hours after a nurse placed her hand on the plate! Slide 9: The chart shows the percent of patients with methicillin-resistant S. aureus (MRSA) who carry the germ on the skin under their arms, on their hands or wrists, or in the groin area. 13-25% 40% 30-39% Before washing hands : It is important to note that nails should be kept short and nail varnish, false nails and hand or wrist jewellery should never be worn. Most microbes on hands come from beneath finger nails. The wedding band is allowed providing that it is a plain band with no stones, but always remember to move it when performing hand hygiene to clean the skin underneath. Before washing hands Jewellery : Jewellery Hand jewellery hinders effective hand hygiene. Increased number of organisms found on & around jewellery. Jewellery can contribute to skin irritation from residual hand hygiene products. Jewellery can tear gloves. Nails : Nails False nails have been found to host many potential pathogens including yeasts. Washing artificial nails is not as effective as natural nails Can a Fashion Statement Harm the Patient? : Can a Fashion Statement Harm the Patient? Social hand hygiene : Social hand hygiene with soap & water is used to remove dirt and organic material, dead skin and most transient micro-organisms from hands. Alcohol gel can be used when hands are visibly clean. A minimum of 15 seconds is required with additional time needed for drying with paper towels. Social hand hygiene Aseptic hand hygiene : Used to achieve a higher level of cleanliness. Removes most transient and some resident micro-organisms. For visibly clean hands alcohol hand gels are the agent of choice for antiseptic hand hygiene (SARI).(hands must first be washed with soap and water) The technique for application of alcohol is the same as in situations where social hand hygiene is required, duration is 15 seconds Aseptic hand hygiene Slide 16: Repeat each step 5 fives. Hand hygiene should take a minimum of 15 seconds to complete. Following handwashing dry hands thoroughly using paper hand towel. Slide 18: Following contact with patients and/or contaminated environment, germs can survive on hands for differing lengths of time (2–60 minutes) In the absence of hand hygiene action, the longer the duration of care, the higher the degree of hand contamination Common Problems : SKIN IRRITATION WET HANDS BEFORE WASHING. RINSE WELL. DRY PROPERLY DON’T OVERUSE GLOVES MOISTURISE WELL USE ALCOHOL GEL AS PREFERANCE TO SOAP & WATER WHER APPROPRIATE. Common Problems Advantages of alcohol gel: : Advantages of alcohol gel: take less time to use. can be made more accessible than sinks. cause less skin irritation and dryness. are more effective in reducing the number of bacteria on hands. has led to improved hand hygiene practices. What is the Story on Moisturizers and Lotions? : What is the Story on Moisturizers and Lotions? ONLY USE facility-approved and supplied lotions Some lotions may make medicated soaps less effective. Some lotions cause breakdown of latex gloves. Lotions can become contaminated with bacteria if dispensers are refilled. Hand Hygiene Facilities : Hand washing facilities i.e. sinks, taps and. splash backs must be clean and intact. Hand hygiene sinks are for hand hygiene only- they are not a sluice!! Liquid soap is available at all hand washing sinks. Liquid soap dispensers should be kept clean. Hand Hygiene Facilities Personal Protective EquipmentGloves : Personal Protective EquipmentGloves Don gloves when in contact with blood, body fluids, secretions, excretions & contaminated items. When touching mucous membranes and non-intact skin. Gloves are single use only. Perform hand hygiene after removal of gloves. Facial Protection : Facial Protection Mask/ eye protection/ face shields. For protecting the mucous membranes of the eyes, nose and mouth during procedures. For patient care activities likely to generate splashes or sprays of blood, body fluids, secretions, excretions. Gowns/ aprons : Gowns/ aprons For protecting the skin and preventing soiling of clothing during procedures For patient activities likely to generate splashes or sprays of blood, body fluids, secretions, excretions Sharps : Sharps Assemble sharps box correctly, do not overfill Dispose of sharps at point of use Position sharps box in a safe place, off the floor & away from public access Do not recap, bend, disassemble or break needles Ensure temporary closure of sharps box The user is responsible for disposing of sharps Risk assessments : Risk assessments When caring for patients with butterfly needles...risk assess prior to insertion.. silhouette/ butterfly? Needles may be hidden in bandages! Needles can become dislodged Patients may be agitated Management of blood spills using the blood spill kit : Put on apron & gloves Pour granules on spill for 2 mins Prepare chlorine solution of 10,000ppm Scoop up moistened granules and place in biohazard bag or container Use disposable wipe and chlorine solution to decontaminate area Place cloth/wipe in biohazard bag when completed Remove gloves & apron and wash hands Management of blood spills using the blood spill kit Decontamination of patient-care equipment. : Decontamination of patient-care equipment. Clean re-useable equipment before use in the care of another patient Do not reuse single-use or disposable equipment on other patients Know single use symbol Never use alcohol wipes for general cleaning. Environmental Cleaning : Environmental Cleaning Routine daily: Standard cleaning Emphasis on touched surfaces in room (bed rails, door knobs) Terminal: Thorough cleaning and decontamination of all items in room. The Inanimate Environment Can Facilitate Transmission of infection. : The Inanimate Environment Can Facilitate Transmission of infection. Healthcare Waste : Healthcare Waste Safe disposal of linen : Safe disposal of linen Handle soiled linen carefully. Potential skin and mucous membrane exposure. Contamination of clothing (never wear uniform to or from work). Transfer of micro-organisms to other patients and the environment. Refer to hospital policy. Slide 35: Foul or Infected Linen All items in this category will be placed in water soluble/ alginate bags. Items will be separated prior to placing in alginate bag e.g. wool from cotton Alginate bags are not re-opened, and are placed directly into the washing machine The bag is then placed in a red laundry bag which should be securely closed and sent to the laundry White Soiled Linen White linen which has been used but has not been contaminated with body fluids e.g. sheets & pillow cases. All items in this category will be placed in plain white laundry bags which should be securely closed and sent to laundry Other Personal clothes, towels, face cloths, feeders, duvets, blankets, bed spreads, hoist slings etc. All items in this category will be placed in blue laundry bags which should be securely closed and sent to laundry for sorting. Patients “holiday bags” to be placed in blue laundry bag 1 2 3 Slide 36: Catch it Bin it Kill it Cough & sneeze etiquette Transmission-Based Precautions : For patients known or suspected to be infected or colonised with pathogens that can be transmitted by : Airborne Droplet Contact Direct & indirect Transmission-Based Precautions Conclusion : Adherence to Standard & ,when necessary, transmission based precautions will minimise the risk of transmitting pathogens from patient to staff/ staff to patient/ staff to staff and to and from the environment! Conclusion