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Infection Prevention & Control. An introduction for new clinical employees. Contact the CDHB IP&C Service. The aim of infection prevention & control is to prevent patients, staff and visitors from acquiring an infection while receiving healthcare. Achieving the Aim.
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Infection Prevention & Control An introduction for new clinical employees Contact the CDHB IP&C Service
The aim of infection prevention & control is to prevent patients, staff and visitors from acquiring an infection while receiving healthcare.
Achieving the Aim • Always use Standard Precautions • Use Transmission-based Precautions appropriately
Hand Hygiene Hand Hygiene is the single most important activity for preventing the spread of infection All health care workers are required to undertake the self e-learning package which describes the 5 Moments for Hand Hygiene
PPE Quiz – True or False • A surgical/procedural mask is required when taking a throat swab from a patient/client who has a respiratory illness? True or False? (Click for correct answer) TRUE
Contact Precautions Used when in direct contact with patient or their environment e.g. MRSA, infectious diarrhoea, scabies Next Slide
Contact Precautions question Which of the following diseases are NOT spread through contact? • MRSA • Scabies • Pulmonary TB • Clostridium difficile
Droplet Precautions Used for diseases which generate large droplets which travel approx. 1 - 2m then fall to the floor e.g. Influenza, Pertussis
Look how well a mask works Click for Next Slide
Droplet Precautions scenario and question • Mrs Jones has influenza and is being nursed in a single room. • What personal protective equipment is required when inside her room? • You wear a surgical/procedural mask • Mrs Jones wears a surgical/procedural mask • You wear gloves and a gown/apron
Airborne Precautions Used for diseases which are carried on small droplet nuclei suspended in the air e.g. Pulmonary TB, Chickenpox, Measles. Learn how to fit test your N95 mask
Contact and Droplet • This sign is used when a patient presents with signs and symptoms that are spread via Droplet and Contact. • Use a combination of Contact and Droplet Precautions E.g. Influenza with diarrhoea, Norovirus
Multi-drug resistant organisms (MDRO) • ESBL-producing enterobacteriaceae • MRSA • Methicillin-resistant Staphylococcus aureus • VRE • Vancomycin-resistant E. faecium & E. faecalis • Other MDRO • Multi-drug resistant Acinetobacter species MDRO policy
Placement of ESBL patients • Assessment tool for placement of patient with Extended Spectrum Beta Lactamase or ESBL • Based on risk factors for spread
Cleaning & Disinfection Cleaning requires detergent wipes or a detergent solution Disinfection requires use of a suitable disinfectant e.g. bleach solution or alcohol wipe Cleaning must always come before disinfection Cleaning & Disinfection Policies
Do you know how to clean patient equipment when discharged? Patient call bell DynaMap IV pump and stand Stethoscope Blood pressure cuff Bed frame and mattress ECG machine and leads
Blood and Body Fluid Exposures • Report all Blood Body Fluid Exposures (BBFE) • BBFE packs are in all clinical areas • Ensure your Hepatitis B immunisation is up-to-date
Achieving Infection Prevention…. • Always use Standard Precautions • Hand hygiene • Cough and sneeze etiquette • Personal protective equipment • Safe sharps practice • Use Transmission-based Precautions appropriately