Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for...
-
Upload
ayana-yelvington -
Category
Documents
-
view
217 -
download
1
Transcript of Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for...
![Page 1: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/1.jpg)
Dr. Michael O. OjiChair, Infection Control, Lagoon
HospitalsInfection Control Ambassador for
Society for Healthcare Epidemiology of America (SHEA)
![Page 2: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/2.jpg)
Learning Objectives
Introduction Definitions Infection Control
Precautions Indications and
Types
Appropriate Use Challenges Conclusion Recommendations References
![Page 3: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/3.jpg)
Understand what are PPEs.
Understand basic principles of Infection Control Precautions.
Understand Appropriate Use.
Understand the Risks and how to manage them.
![Page 4: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/4.jpg)
“We must never accept that injury, illness or death is the cost of doing business." President Obama; April 2014
"No one should have to sacrifice their life for their livelihood, because a nation built on the dignity of work must provide safe working conditions for its people." Secretary of Labor Thomas E. Perez.
![Page 5: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/5.jpg)
• specialized clothing or equipment worn by an employee for protection against hazardous/ infectious materials.
• Specialized
• Personal
• Protective
• Equipment
![Page 6: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/6.jpg)
• Infection control precautions are a set of standard recommendations designed to reduce the risk of transmission of infectious agents from body fluids or environmental surfaces that contain infectious agents.
Standard
Contact
Droplet
Airborne
Full Barrier
![Page 7: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/7.jpg)
• Previously called Universal Precautions• Assumes blood and body fluid of ANY
patient could be infectious• Recommends PPE and other infection
control practices to prevent transmission in any healthcare setting
• Decisions about PPE use determined by type of clinical interaction with patient
![Page 8: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/8.jpg)
• Gloves – Use when touching blood, body fluids, secretions, excretions, contaminated items; for touching mucus membranes and non intact skin.
• Gowns – Use during procedures and patient care activities when contact of clothing/ exposed skin with blood/body fluids, secretions, or excretions is anticipated
![Page 9: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/9.jpg)
Mask and goggles or a face shield – Use during patient care activities likely to generate splashes or sprays of blood, body fluids, secretions, or excretions
![Page 10: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/10.jpg)
• Giving a bed bath?• Suctioning oral
secretions?• Transporting a
patient in a wheel chair?
• Responding to an emergency where blood is spurting?
• Drawing blood from a vein?
• Cleaning an incontinent patient with diarrhea?
• Irrigating a wound?• Taking vital signs
![Page 11: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/11.jpg)
• Giving a bed bath?• Generally none
• Suctioning oral secretions?• Gloves and
mask/goggles or a face shield – sometimes gown
• Transporting a patient in a wheel chair?
• Depends on the pt-gloves,face-mask?
• Responding to an emergency where blood is spurting?
• Gloves, fluid-resistant gown, mask/goggles or a face shield
• Drawing blood from a vein?
• Gloves
• Cleaning an incontinent patient with diarrhea?
• Gloves w/wo gown
• Irrigating a wound?• Gloves, gown,
mask/goggles or a face shield
• Taking vital signs?– Generally none
![Page 12: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/12.jpg)
• Contact Precautions – Gown and gloves for contact with patient or environment of care (e.g., medical equipment, environmental surfaces)
• In some instances these are required for entering patient’s environment
• Droplet Precautions – Surgical masks within 3 feet of patient
• Airborne Infection Isolation – Particulate r• eNegative pressure isolation room also
required
• spirator
![Page 13: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/13.jpg)
• Contact Precautions – Gown and gloves for contact with patient or environment of care (e.g., medical equipment, environmental surfaces)
• In some instances these are required for entering patient’s environment
MRSA VRE EVD
![Page 14: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/14.jpg)
Droplet Precautions – Surgical masks within 3 feet of patient
Common cold Influenza EVD
![Page 15: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/15.jpg)
Airborne Infection Isolation – Particulate respirator
>3feet TB ?EVD
![Page 16: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/16.jpg)
Gloves and Gowns Head and Shoe
covers Eye and face
protection Apron
Face Shield
Respirator
Strapping
Hazmat Suit
Boot
Glove
Goggle
Head Cover
![Page 17: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/17.jpg)
• Required for Standard and Expanded Precautions
• Perform…– Immediately after removing PPE
– Between patient contacts
• Wash hands thoroughly with soap and water or use alcohol-based hand rub
![Page 18: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/18.jpg)
Gloves Gowns Shoes and Head
Covers Masks and
Respirators Face and Eye
Protection
![Page 19: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/19.jpg)
Directly handling potentially infectious or contaminated surfaces.
Change when visibly soiled, torn or punctured.
Part of Standard or Contact Precaution
Hand Hygiene on Removing gloves.
![Page 20: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/20.jpg)
• Don gloves last• Select correct type and size• Insert hands into gloves
• Extend gloves over isolation gown cuffs
![Page 21: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/21.jpg)
Protect from potentially infectious material
Cover torso, close body fitting, arms to wrists.
Appropriate: Disposable, Re-Useable, Fluid-Resistant, Non-Fluid resistant, Sterile ,Clean
Standard and Contact P.
![Page 22: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/22.jpg)
Barrier for Environmental Protection.
Use for Haemorrahgic diseases
When sprays or airborne exposure
Must be worn as part of FBP
![Page 23: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/23.jpg)
M. protects nose and mouth from splattered body fluids.
R. filters air before inhalation
Disposable R N95 Powered Air
Purifying R. (PAPR) Self Contained
Breathing Apparatus R. (SCBA)
![Page 24: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/24.jpg)
• Gown first• Mask or respirator• Goggles or face shield• GlovesCombination of PPE will affect
sequence – be practical
![Page 25: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/25.jpg)
• Select appropriate type and size• Opening is in the back• Secure at neck and waist• If gown is too small, use two gowns
– Gown #1 ties in front
– Gown #2 ties in back
![Page 26: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/26.jpg)
• Place over nose, mouth and chin
• Fit flexible nose piece over nose bridge
• Secure on head with ties or elastic
• Adjust to fit
![Page 27: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/27.jpg)
• Select a fit tested respirator• Place over nose, mouth and chin• Fit flexible nose piece over nose bridge• Secure on head with elastic• Adjust to fit• Perform a fit check –
– Inhale – respirator should collapse– Exhale – check for leakage around face
![Page 28: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/28.jpg)
Protect mucous membranes of eyes, nose, mouth and facial skin.
Part of Standard & Resp. Precaution.
![Page 29: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/29.jpg)
• Position goggles over eyes and secure to the head using the ear pieces or headband
• Position face shield over face and secure on brow with headband
• Adjust to fit comfortably
![Page 30: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/30.jpg)
• Keep gloved hands away from face
• Avoid touching or adjusting other PPE
• Remove gloves if they become torn; perform hand hygiene before donning new gloves
• Limit surfaces and items touched
Head Cover
GoggleShield
Respirator
strapping Apron
Hazmat Suit
Gloves
Boots
![Page 31: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/31.jpg)
Who or What?
What is the Risk?
What Precaution type?
What Components?
Manufacturers Specifications?
Donning and Doffing?
Unidirectional?
Appropriate Disposal
Documentation
![Page 32: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/32.jpg)
![Page 33: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/33.jpg)
MRSA
TB
HiNI
EVD/ Haemorrahgic Fevers
![Page 34: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/34.jpg)
![Page 35: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/35.jpg)
![Page 36: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/36.jpg)
An Assistant?
Pre-planned & Sequential .
Remove apron Shoe covers and
Outer gloves and shoe cover.
Step into Hazard Bag
![Page 37: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/37.jpg)
• Contaminated – outside front• Areas of PPE that have or are likely to have been
in contact with body sites, materials, or environmental surfaces where the infectious organism may reside
• Clean – inside, outside back, ties on head and back
• Areas of PPE that are not likely to have been in contact with the infectious organism
![Page 38: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/38.jpg)
• Gloves• Face shield or goggles• Gown• Mask or respirator
![Page 39: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/39.jpg)
• At doorway, before leaving patient room or in anteroom*
• Remove respirator outside room, after door has been closed*
* Ensure that hand hygiene facilities are available at the point needed, e.g., sink or alcohol-based hand rub
![Page 40: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/40.jpg)
![Page 41: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/41.jpg)
• Grasp outside edge near wrist• Peel away from hand, turning glove inside-
out• Hold in opposite gloved hand
![Page 42: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/42.jpg)
• Slide ungloved finger under the wrist of the remaining glove
• Peel off from inside, creating a bag for both gloves
• Discard
![Page 43: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/43.jpg)
• Grasp ear or head pieces with ungloved hands
• Lift away from face• Place in designated receptacle for
reprocessing or disposal
![Page 44: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/44.jpg)
• Unfasten ties• Peel gown away from neck and shoulder• Turn contaminated outside toward the
inside• Fold or roll into a bundle• Discard
![Page 45: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/45.jpg)
• Untie the bottom, then top, tie• Remove from face• Discard
![Page 46: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/46.jpg)
Lift the bottom elastic over your head first Then lift off the top elastic Discard
![Page 47: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/47.jpg)
Cost Availability Training Appropriate Use Appropriate Disposal
![Page 48: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/48.jpg)
Cost Availability Training Appropriate Use Appropriate
Disposal
![Page 49: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/49.jpg)
Correct PPE Use
Protect yourself and others
![Page 50: Dr. Michael O. Oji Chair, Infection Control, Lagoon Hospitals Infection Control Ambassador for Society for Healthcare Epidemiology of America (SHEA)](https://reader036.fdocuments.us/reader036/viewer/2022062519/56649cb55503460f9497929b/html5/thumbnails/50.jpg)
2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings . CDC.
WHO. Standard Precautions in HealthCare. Oct 2007. Infection Control