Seasonal Influenza and Swine-Origin Influenza A (H1N1) Virus
1 Seasonal Influenza 2009-2010 and Hand Hygiene Modules.
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Transcript of 1 Seasonal Influenza 2009-2010 and Hand Hygiene Modules.
1
Seasonal Influenza
2009-2010
and
Hand Hygiene Modules
2
Why should I be concerned about influenza?
I work with cancer patients. I care about people. My patients, my family, my co-workers can get the flu
from me if I am not vaccinated. Working with people with illness puts me at higher
risk for infection. Preventing influenza can save lives.
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What is Influenza?
Influenza, also known as the flu, is a contagious viral illness that targets the respiratory tract (nose, throat, airways & lungs).
Influenza can cause serious complications, including pneumonia and death.
The flu is the most frequent cause of vaccine-preventable death in the US. Causes 36,000 deaths per year and 200,000
hospitalizations per year
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How do I know it is the Influenza?
Infection usually has a sudden onset, lasting about a week, and may cause some of the following symptoms: fever headache aching muscles & physical discomfort dry cough sore throat runny nose
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“I think I just have a cold”
Symptoms Common Cold Influenza
Fever Not typical Common; may be high
Body Aches Mild Common; may be severe
Headache Not typical Common
Fatigue/weakness Mild Common
Stuffy nose/ sneezing Common Sometimes
Sore Throat Common Sometimes
Cough Mild to moderate Common; may be severe
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How is influenza spread?
The virus is easily spread from one person to another through droplets formed when coughing or sneezing.
It can also be spread from hand to hand contact or by
touching a surface that might be contaminated with infected droplets.
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When is someone contagious?
Persons with the flu should be considered contagious for up to seven days after symptoms start.
In some cases, it may be possible for flu to be transmitted even the day before symptoms are noticed.
No Symptoms/
Contagious
Sick/
Contagious
Sick/
Contagious
Sick/
Contagious
Sick/
Contagious
Sick/
Contagious
Sick/
Contagious
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
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Flu Prevention at Work & Home
Get vaccinated (flu shot) Clean your hands frequently Avoid touching your eyes, nose & mouth Keep surfaces disinfected
Wipe down keyboards, telephones, doorknobs & other shared surfaces with antiseptic wipes
Respiratory Etiquette: Cover your mouth & nose when you cough or sneeze Cough or sneeze into a tissue No tissue??? Cough or sneeze into your sleeve Now clean your hands
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What is the “Flu Shot” and “Who should get it?”
Inactivated (not live) virus is injected, usually in the upper arm.
ALL PERSONS WORKING IN HEALTH CARE SETTINGS Children between 6 mos. and 19 yrs of age People over 50 yrs of age People with certain chronic health conditions Family members caring for someone at risk of complications from the flu Pregnant women
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Is the Flu Shot Effective?
Yes!! the effectiveness of the annual flu shot has been scientifically established.
Effectiveness depends on the match between the vaccine and which strain of virus circulates during the flu season.
Even when the match is not optimal, the flu shot is still effective in preventing illness.
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How does the influenza vaccine work?
Within 2 weeks, your body’s defenses produce antibodies against the influenza virus.
If you get the flu, you are far less likely to become infected, and if infected, would experience milder symptoms.
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
FLU SHOT IMMUNITY DEVELOPING
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
IMMUNITY DEVELOPING
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When should I get vaccinated?
The best time to get vaccinated is October or November.
But even later in the season, the vaccine still provides protection.
October
Mon Tue Wed Thur Fri Sat Sun
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21 22 23 24 25 26 27
28 29 30 31
November
Mon Tue Wed Thur Fri Sat Sun
1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30
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Reminding our Visitors
Keeping our patients safe also means reminding our visitors about signs and symptoms of the flu.
There is signage posted at the entrance of all inpatient units and in Ambulatory waiting rooms.
The reminder tells visitors to postpone their visit if they have flu-like symptoms
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Hand Hygiene Stands…New At Karmanos
•Are located at main entrance, Ambulatory waiting rooms, Infusion Center and Farmington Hills location
•The new stands promote Flu Prevention
15
Flu Myth #1
The flu is no worse than a bad cold
FALSE
Influenza is more severe and dangerous than the common cold. The flu can lead to pneumonia and death.
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Flu Myth #2
The flu shot can give you the fluFALSE The vaccine contains inactivated influenza, and cannot
cause the flu.
It is possible to experience certain uncomfortable side effects such as soreness at the site of injection, mild fever, body aches or headache.
If these side effects do occur, they are mild and short-lived in comparison with the actual flu, and are NOT contagious.
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Flu Myth #3
Only old people & those who are sick need a flu shot
FALSE Anyone who cannot afford to get sick from the flu, and
anyone who is in contact with people that might be harmed by the flu should get vaccinated.
This includes healthy adults, children and all persons working in health care.
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• It is a Joint Commission National Patient Safety Goal
• Staff compliance to hand hygiene is measured monthly and reported monthly to the units• Patients and families are encouraged to ask us to clean our hands
• Every Karmanos health care worker should remind each other to clean hands appropriately
HAND HYGIENEis so IMPORTANT that……
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In this study, each X shows where bacteriawere cultured in a room that had beenoccupied by a patient with an infection.
Healthcare workers’
hands can also
become contaminated
by contact with the
patient care
environment…
not just the patient!!!
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Every year 5 to 10 percent of inpatients develop infections resulting in 98,000 deaths nationally.
98,000 deaths equals:
• More deaths than those caused by breast cancer, colon cancer and stroke combined
• Equivalent to a 747 plane crash killing all passengers/crew every other day
• One death every 6 minutes
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Healthcare workers should perform hand hygiene:Healthcare workers should perform hand hygiene:
• before and after direct contact with patients
• before and after removing gloves
• before handling an invasive device for patient care
• after contact with blood, body fluids or excretions, mucous membranes, or wound dressings
• after contact with contaminated items, such as medical equipment, medical waste, soiled linen
• after contact with objects in the immediate vicinity of the patient, such as bedside trays, bedrails, phone, etc.
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• after sneezing or coughing, or disposing of tissues
• before and after handling medication
• before and after preparing food
• before and after using the restroom
Health care workers should perform hand hygiene:Health care workers should perform hand hygiene:
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Alcohol Hand Rubs
Alcohol hand rubshave been shown to:
• Be more effective in reducing bacteria on hands than soap and
water
• Require less time to use
• Reduce hand irritation and dryness with repeated use
Rub a sufficient amount of alcoholfoam over entire surface of hands
until completely dry
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Soap and Water Wash
Handwashing with soap
and water is required
when hands are visibly dirty
or visibly soiled with
blood or other body fluids.
Wash with soap and warmwater for at least 15 seconds. Rinse with warmwater and turn off faucet with paper towel.
26
How often do healthcare workers
REALLY clean their handsbetween patients?
Many observation studies show that HCW use
proper hand hygiene only
of the time!
Hand Hygiene Score Card
THIS ISN’T GOOD ENOUGH! WE MUST BE 100%!!THIS ISN’T GOOD ENOUGH! WE MUST BE 100%!!
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Use ONLY Karmanos-approved hand soaps, alcohol rubs, and lotions:
• Lotions from home are not approved for use in hospitals because:
1. They can damage the gloves you wear and cause leaks
2. They easily become contaminated and actually put more bacteria on your skin
3. They interfere with the antiseptic soaps
Karmanos-approved hand lotion
28
Artificial nails hide dangerous germs and increase the risk of spreading bacteria between healthcare workers and patients!
Karmanos policy regarding fingernails:
• Artificial nails (including gels and wraps) are not allowed.
• All nails should be nicely trimmed and should not be more than ¼ inch long
• Nail polish should not be chipped
• Jewels or ornaments should not be attached to the nails
This fashion statement can harm patients!
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Summary
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