Infection Control Orientation Program 2015
- 2. INFECTION CONTROL Program to identify, control, and prevent infection which are potential hazards to all persons having contact with the hospital.
- 3. OUR MISSION IS YOUR W.I.S.H WELLNESS, INFECTION PREVENTION SAFETY AND HEALTH
- 4. OUR SERVICES & EDUCATIONAL PROGRAM ARE DIRECTED TO HEALTH CARE PROVIDERS , PATIENTS, & VISITORS OF NJCH
- 5. INFECTION CONTROL TEAM Dr. Amro Kamal Infection Control Unit Director Ext. 1032 Rhea Kaminski Infection Control Practitioner Ext.1102 NJCH EMPLOYEE Infection Control Office is located in First Floor In Front of First Floor Nurses Station
- 6. ICC Members INDEPENDENT MEDICAL COMMITTEE Administration Laboratory Urology Dept. Surgery Dept. Pediatric Dept. Pharmacy Dept. Nursing Dept. FMD BIOMED Ancillary Services Infection Control Practitioner
- 7. Isolation Precaution (ICM-005) Types 1. Standard Precaution 2. Isolation/Transmission based precaution Obj. To facilitate safe care of all patients presenting themselves to NJCH with known or suspected communicable diseases
- 8. Rationale for Standard Precaution & Transmission-based Precaution in Health-care settings Transmission of infectious agents within a healthcare setting requires three elements: A source (or reservoir) of infectious agents A susceptible host with a portal of entry receptive to the agent A mode of transmission for the agent. Source Portal of entry Mode of transmission
- 9. STANDARD PRECAUTIONS Apply standard precautions to all patients regardless of their diagnosis, and to all contaminated equipment and materials. - Use judgment in determining which protective barriers are necessary.
- 10. Standard Precaution Hand washing Water-repellent gown/(clean, non-sterile) apron Mask Protective eye wear and/or face shields Gloves (clean, non-sterile) Patient placement Environmental hygiene
- 11. Isolation/Transmission based precaution a. Airborne precaution b. Droplet precaution c. Contact precaution
- 12. Airborne Precautions In addition to Standard precautions, use airborne precautions for patients known or suspected to be infected with microorganism transmitted by airborne droplet containing microorganisms (small microorganisms) which remain suspended in the air and can be dispersed by air currents within a room or over a long distance. Example: Tuberculosis Measles Chicken pox
- 13. cont. A. P. Patient placement single room/cohort - Negative air pressure - Keep the door closed - Respiratory mask/N-95 Patients transport
- 14. Droplet transmission For microorganisms transmitted on large particles droplet ( > 5mm in diameter) Usually infections happens within 3 feet from source E.g., pertussis, meningococcus Precaution details: Private room Mask if within 3 feet of patient
- 15. Contact Precautions For microorganisms transmitted through skin-to-skin contact or through oro-fecal transmission where physical transfer of microorganisms to a host from a source takes place. E.g., MRSA, Typhoid, Clostridium difficile, Scabies Precaution Details: Private room (otherwise cohorting) Gloves upon contact with patient Gloves removal before leaving pt. room Handwashing before wearing and after removal of gloves
- 16. Surgical Face Mask N95 Mask Surgical Face Mask and N95 Mask
- 17. Sharps Management (ICM-025) Who is at risk of an occupational exposure?Who is at risk of an occupational exposure? All healthcare workers who have the potential for exposure to infectious materials (e.g. blood, tissue, and specific body fluids, as well as medical supplies, equipment or environmental surfaces contaminated with these substances) e.g: Nurses Laboratory staff Doctors Technicians TherapistsSupport personnel e.g. housekeeping, maintenance Dental staff Contractual staff Students
- 18. Protect yourself Dispose with care Never recap needles, bent or broken by hand! (If necessary use one handed technique) Dispose of used needles in sharp disposal containers Avoid overfilling sharp disposal containers Care for yourself Get a hepatitis B vaccination; this is provided at no cost Report all needle-stick and other injuries
- 19. General Principles Hepatitis B Vaccination A primary course of hepatitis B vaccinations over six months Mandatory for all staff in contact with patients and patient-contaminated material Titre level (HBsAb) four to six weeks after last dose Booster doses not required if titre level >10 mIU/mL
- 21. Reporting injuries is crucial
- 22. Waste management (ICM-012) Non-infectious (solid waste) refers to all waste, biological or non-biological, that is discarded and not intended for use. e.g. papers, flowers “Infectious Waste” refers to that portion of medical waste that could transmit an infectious disease or waste that is capable of producing an infectious diseases. e.g. gauze soaked with blood/body fluids
- 23. Waste management (ICM-012) Infectious Waste Yellow B. Bag Non-Infectious Waste Regular bag √Cultures and stocks of infectious agents √Blood, blood products, anything caked, soaked or dripping of blood √Waste from patients isolated with highly communicable disease √Fluids visibly with blood, Urine soaked waste, feces, vomit √ Blood bags and IV tubing with blood backed up the tubing, Urinary bag √Containers with free flowing blood √Peritoneal bags and bottles √Specimen cultures √ Discarded live and attenuated vaccines √Culture dishes used to transfer, inoculate and mix cultures √Pathological waste √Non bloody gloves √IV bags and their tubing √Non bloody wastes such as gloves, oxygen tubing √Packaging √ Medication vials √ Foods √Papers √ Blood tainted waste Note: Blood soaked and blood tainted are not one and the same. A bit of blood on a gauze is not infectious
- 24. Color coded bags Regular Waste Regular waste Contaminated linen Infected linen Body parts Contaminated waste Amputated body parts and placenta
- 25. Blood spillage Spillage -refers to all body fluids that are hazardous to ones health
- 26. CONTENTS OF SPILLAGE KIT Disposable gloves Plastic apron Yellow biohazard bag Wipes/paper towel Goggles Shoe cover Sharp container Small broom and dust pan 5.25% Sodium Hypochlorite solution diluted 1:10 with water is available to all Units
- 27. How to deal with Blood Spillage Control Put the wet floor sign to secure the area Wear PPE Contain Put on paper towel to absorb the blood/body fluid spill Pour clorox on the paper towel and let it stand for 5-10 minutes to disinfect Wipe it off and dispose of paper towel in yellow biohazard bag Remove PPE and wash hands Contact Call Housekeeping personnel to clean the area thoroughly
- 28. Handwashing (ICM-011) Is a vigorous rubbing of both lathered hands together for the removal of soil and microorganisms for at least 40- 60 seconds. It is the single most infection control measures. Performing hand washing is a simple, mundane task. It is very low tech action but has been shown to dramatically reduce health-care associated infections (HAI’s). Still, there are a multitude of reasons why it isn’t always practiced as recommended: Forgetfulness, too busy, lack of supplies, etc.
- 30. The 5 Moments apply to any setting where health care involving direct contact with patients takes place
- 31. Identification of Infectious Medical Record File (ICM-026) To ensure proper identification of medical record files with infectious disease Hepatitis B red sticker Hepatitis C blue sticker HIV yellow sticker MRSA orange sticker to minimize the possibilities of transferring infection and protecting health staff providers from hazardous exposure to infection.
- 32. PREVENTION IS PRIMARY! •Protect patients…protect healthcare personnel… •promote quality healthcare!
- 34. THANK YOU VERY MUCH ! YOUR SMILE IS MY PRIDE