Post on 18-Aug-2015
Infection Control Unit
2015
ORIENTATION PROGRAM
INFECTION CONTROLProgram to identify, control, and prevent infection which are potential hazards to all persons having contact with the hospital.
OUR MISSION IS YOUR W.I.S.H
WELLNESS,
INFECTION PREVENTION
SAFETY
AND HEALTH
OUR SERVICES & EDUCATIONAL PROGRAM ARE DIRECTED
TO HEALTH CARE PROVIDERS , PATIENTS, &
VISITORS OF NJCH
INFECTION CONTROL TEAM
Dr. Amro Kamal Infection Control Unit Director
Ext. 1032
Rhea Kaminski Infection Control Practitioner
Ext.1102
NJCH EMPLOYEEInfection Control Office is located in First
Floor In Front of First Floor Nurses Station
ICC MembersINDEPENDENT MEDICAL COMMITTEE
AdministrationLaboratory
Urology Dept.Surgery Dept.Pediatric Dept.Pharmacy Dept.Nursing Dept.
FMDBIOMED
Ancillary ServicesInfection Control Practitioner
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
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 agentsA susceptible host with a portal of entry receptive to the agentA mode of transmission for the agent.
Source
Portal of entry
Mode of transmission
STANDARD PRECAUTIONSApply 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.
Standard Precaution
Hand washingWater-repellent gown/(clean, non-sterile)
apronMaskProtective eye wear and/or face shieldsGloves (clean, non-sterile)Patient placementEnvironmental hygiene
Isolation/Transmission based precaution
a. Airborne precautionb. Droplet precautionc. Contact precaution
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:TuberculosisMeaslesChicken pox
cont. A. P.Patient placementsingle room/cohort- Negative air pressure - Keep the door closed- Respiratory mask/N-95
Patients transport
Droplet transmission
For microorganisms transmitted on large particles droplet ( > 5mm in diameter)
Usually infections happens within 3 feet from sourceE.g., pertussis, meningococcus
Precaution details:Private roomMask if within 3 feet of
patient
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
Surgical Face Mask N95 Mask
Surgical Face Mask and N95 Mask
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 staffDoctors TechniciansTherapists Support personnel e.g. housekeeping,
maintenanceDental staff Contractual staffStudents
Protect yourself
Dispose with careNever 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 containersCare for yourself
Get a hepatitis B vaccination; this is provided at no cost
Report all needle-stick and other injuries
General Principles
Hepatitis B VaccinationA primary course of hepatitis B vaccinations
over six monthsMandatory 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
Reporting injuries is crucial
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
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
Color coded bags
Regular Waste
Regular waste
Contaminated linen
Infected linen
Body parts
Contaminated waste
Amputated body parts and placenta
Blood spillageSpillage -refers
to all body fluids that are hazardous to ones health
CONTENTS OF SPILLAGE KITDisposable glovesPlastic apronYellow biohazard bagWipes/paper towelGogglesShoe coverSharp containerSmall broom and dust pan5.25% Sodium Hypochlorite solution diluted 1:10
with water is available to all Units
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 spillPour clorox on the paper towel and let it stand for 5-10 minutes to
disinfectWipe it off and dispose of paper
towel in yellow biohazard bagRemove PPE and wash hands
Contact Call Housekeeping personnel to
clean the area thoroughly
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.
Handwashing (ICM-011)
The 5 Moments apply to any setting where health care involving direct contact with patients takes place
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.
PREVENTIONIS PRIMARY!
•Protect patients…protect healthcare personnel…
•promote quality healthcare!
THANK YOU VERY MUCH !
YOUR SMILEIS MY PRIDE