Infection Control Guidelines at Home health care services

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Infection Control Guidelines at Home Health Care Services : 

Infection Control Guidelines at Home Health Care Services Infection Control Guidelines at HHC services 1

Slide 2: 

Prepared by: Dr. Ahmed Tawfeek Infection control physician at Maternity &Children Hospital (MCH)at Madinaa Monawaraa Infection Control Guidelines at HHC services 2

Objectives : 

Objectives I hope we may discuss: Infection Control (I.C.) differences between Hospital & Home healthcare services Main concepts at IC guidelines at home healthcare services. Types of patients problems. Hand hygiene: types & procedure Stranded precautions &aseptic techniques . Preventing SSI &CR-UTI . Signs &symptoms of new Infections . Infection Control Guidelines at HHC services 3

Continue ……… : 

Continue ……… Environmental cleaning &medical waste segregation Relatives counseling . check list &IC support. Post exposure management. Infection Control Guidelines at HHC services 4

Infection Control (I.C.) differences between Hospital & Home healthcare services : 

Infection Control (I.C.) differences between Hospital & Home healthcare services Infection Control Guidelines at HHC services 5

Main concepts of IC guidelines at HHC : 

Main concepts of IC guidelines at HHC First do no harm &protect yourself . Use the best available resources Consider the least accepted level of care. Early detection of new infections or complications Consider different strains of microorganisms &community acquired infections . Simply :apply all basic principals of IC at your hospital . Believing in importance of IC As there is no ICP at our Home !!!!!!!!!! Infection Control Guidelines at HHC services 6

Types of patients problems : 

Types of patients problems Chronic diseases , e.g. CP ,DM ,HTN Elderly patients . Bed ridden patients . Device dependant patients e.g. CPAP , Oxygen dependant ,artificial limbs ,chairs ……… Patients with palliative interventions e.g. trachiostomy , nasogastric tube ,gastostomy ,urinary catheter ………… Patients with chronic ulcers e.g. ischemic , diabetic ,bed sore Infection Control Guidelines at HHC services 7

Hand hygiene types &procedure: : 

Hand hygiene types &procedure: Types : routine hand washing Antisepsis (aseptic ) hand rub. Surgical hand antisepsis. Infection Control Guidelines at HHC services 8

So Why All the Fuss About Hand Hygiene? : 

Most common mode of transmission of pathogens is via hands! Infections acquired in healthcare Spread of antimicrobial resistance So Why All the Fuss About Hand Hygiene?

(5 moments for Hand Hygiene ) : 

(5 moments for Hand Hygiene ) Infection Control Guidelines at HHC services 10

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Infection Control Guidelines at HHC services 11

Definitions : 

Definitions Hand hygiene Performing handwashing, antiseptic handwash, alcohol-based handrub, surgical hand hygiene/antisepsis Handwashing Washing hands with plain soap and water Antiseptic handwash Washing hands with water and soap or other detergents containing an antiseptic agent Alcohol-based handrub Rubbing hands with an alcohol-containing preparation Surgical hand hygiene/antisepsis Handwashing or using an alcohol-based handrub before operations by surgical personnel Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.

Specific Indications for Hand Hygiene : 

Specific Indications for Hand Hygiene Before: Patient contact Donning gloves when inserting a CVC Inserting urinary catheters, peripheral vascular catheters, or other invasive devices that don’t require surgery After: Contact with a patient’s skin Contact with body fluids or excretions, non-intact skin, wound dressings Removing gloves Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.

Q: what type he is doing???????? : 

Q: what type he is doing???????? Infection Control Guidelines at HHC services 14

Technique : 

Technique Infection Control Guidelines at HHC services 15

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Infection Control Guidelines at HHC services 16

Use available resources !!!!!!!! : 

Use available resources !!!!!!!! Infection Control Guidelines at HHC services 17

Be care : : 

Be care : Hand hygiene is the main measure at controlling & preventing infections Effective HH &Good compliance is a challenge. Wearing gloves is not a substitute for HH . Be malleable : soap & water Alcohol hand rub Betadine & so on Ensure adequate supplies No jewelry or artificial nails . Infection Control Guidelines at HHC services 18

Standard precautions & aseptic techniques : 

Standard precautions & aseptic techniques DEF: technique to minimize transmission of microorganisms during patient care. Personal Protective Equipments PPE ( Protective Barriers )is a main item. Indications when to use slandered precautions: ………………. …………………. …………. ……………………. Example : Gloves Mask Gowns Infection Control Guidelines at HHC services 19

Personal Protective Equipment continued : 

Personal Protective Equipment continued 20 Infection Control Guidelines at HHC services Gloves Utility gloves Exam gloves Surgical gloves Double gloving

Gloves : 

Gloves Types : Surgical sterile ;for invasive procedures Clean non – sterile ;for blood, BF , secreations.MM. Utility heavy duty gloves & NO for food handlers gloves Infection Control Guidelines at HHC services 21

Gloving : 

Gloving Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.

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Wear gloves when contact with blood or other potentially infectious materials is possible Remove gloves after caring for a patient Do not wear the same pair of gloves for the care of more than one patient Do not wash gloves Infection Control Guidelines at HHC services 23

Personal Protective Equipment : 

Personal Protective Equipment Gloves Mask / goggles / face shields Gown / apron Closed shoes Infection Control Guidelines at HHC services 24

Other PPE : 

Other PPE Mask ; N -95 mask Eye goggles Face shield Clean gowns head cap Infection Control Guidelines at HHC services 25

Personal Protective Equipment continued : 

Personal Protective Equipment continued 26 Infection Control Guidelines at HHC services Closed shoes

&How to wear PPE : 

&How to wear PPE Infection Control Guidelines at HHC services 27

Instrument Processing : 

High-Level Disinfect Boil Steam Chemical Instrument Processing Sterilize Chemical High pressure steam Dry heat Infection Control Guidelines at HHC services 28 Dry/Cool and Store Decontaminate Clean

Preventing SSI &CR-UTI . : 

Preventing SSI &CR-UTI . It is a crucial goal to prevent SSI & CR-UTI at suspected patients specially at home care HOW?????????????? By Appling stranded precautions &CDC bundles & stick to hand washing 5 moments Ensuring adequate supplies before caring Infection Control Guidelines at HHC services 29

Signs &symptoms of new Infections . : 

Signs &symptoms of new Infections . a) Bacterial General : fever ,malaise Local :erythema ,tenderness, hotness, etc……… b)Viral Variable onset of presentation e.g. HBV ,HCV , HIV , Measles , H1N1, etc …… Infection Control Guidelines at HHC services 30

Environmental cleaning &medical waste segregation : 

Environmental cleaning &medical waste segregation Environmental cleaning &disinfection : relatives should learn about that !!!! suitable detergent , then suitable disinfectant e.g. water &soap then Clorox Medical waste segregation : should have sharp box &medical waste containers BE CARE :about needle stick injury Infection Control Guidelines at HHC services 31

HHC providers safety : 

HHC providers safety The main items we are caring for : Needle stick injury Infectious diseases(TB , measles , chicken pox , H1N1 ) Infection Control Guidelines at HHC services 32

Needle stick injury : 

Needle stick injury Infection Control Guidelines at HHC services 33

Sharp box !!!!!!!!danger : 

Sharp box !!!!!!!!danger Infection Control Guidelines at HHC services 34

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Infection Control Guidelines at HHC services 35

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BE CARE : Don't recap ; use one hand technique REMMBER : If spillage occurs : Evacuate the area Use Clorox OR Precept Then clean up !!!! Infection Control Guidelines at HHC services 36

Summary : 

Summary Minimize and prevent exposure to infection by: Using standard precautions with every patient Disposing of medical waste properly Using post-exposure care when necessary Work together to make the workplace safer. Provide counseling and teach patients and their families how to reduce risk of exposure in the home. Post exposure management. Infection Control Guidelines at HHC services 37

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Many thanks Infection Control Guidelines at HHC services 38

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Keeeeeeeep contact My E-mail: drtawfeek @yahoo.com Infection Control Guidelines at HHC services 39