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1. ccccc INFECTION PREVENTION AWARENESS Part 2

2. ENVIRONMENT OF CARE ENVIRONMENT OF CARE

3. High Touch Surfaces Frequently touched surfaces accumulate large amounts of bacteria. Daily cleaning of work stations will keep this to a minimum. • Keyboards • Cell phones • Door Knobs • Bedrails Keyboard Telephone Equipment

4. Use of Patient Care Equipment Disposable:use once and discard Single Patient Use:used for the entire hospital stay and discarded when visibly soiled Reusable: items are cleaned and disinfected between each patient or returned to Central Supply for reprocessing (depending on item)

5. Cleaning and Disinfection Cleaning: Removal of all visible soil, blood, body fluid from inanimate objects. Disinfection: Elimination of many or all pathogenic microorganisms, on inanimate objects (except spores).

6. Cleaning Reusable Patient Equipment ITEMS WITH NO VISIBLE BLOOD OR SOIL Disinfect with manufacturer recommended disinfectant (1 Step). ITEMS WITH VISIBLE BLOOD OR SOIL 1. Clean by removing visible soil or blood 2. Disinfect after removing visible soil (2 steps).

7. Disinfectant Use “Contact Time” or “Wet Time” The length of time a disinfectant must remain on a surface to effectively eliminate pathogens. Rewet surfaces that dry before the contact time is up 5 minutes

8. Proper Segregation of Medical Waste “A Safety Must” • Why does this matter? • It minimizes the potential for the spread of disease from a medical setting to the general public; and • It reduces the overall amount of infectious medical waste produced • helps to protect the environment, and reduces medical facilities’ treatment expenditures

9. Improper Waste Segregation • Sharps waste mixed with • Blood / Body Fluids (Biohazard Waste), container not lined and missing lid • Blood (Biohazard Waste) • mixed with regular trash • Regular trash and Pharmaceutical • Waste in biohazard waste, bag is torn

10. Proper Waste Segregation • WHY? • No medication left in the IV bag • No sharps are attached • No visiblePatient Health Information (PHI) • all PHI must be covered with an • “Identi-hide” label if discarding bag • in the regular trash • WHY? Bag is properly tied and not overfilled.

11. Proper Waste Segregation • WHY? • No medication left in the IV bag • No sharps are attached • No visible Patient Health Information (PHI) • Staff has covered all PHI with an “Identi-hide” label.

12. Visitors AN IMPORTANT PART OF OUR SAFETY TEAM Engage visitors by sharing (and modeling) infection prevention practices such as: • Hand Hygiene • Cough Etiquette • Isolation precautions • Appropriate use of PPE • Delaying a visit when sick

13. Take a Proactive Approach to Respiratory Etiquette • Cough in your sleeve. • Offer a coughing patients / visitors a mask. • Offer patients /visitors tissue. • Offer a patient / visitor hand gel upon arrival on your unit • Encourage hygiene practice in your unit

14. If You are Sick…Stay Home Working while sick is a risk that affects everyone. • Patients-are at risk of acquisition of a healthcare associated infection • Staff-are at risk of an unnecessary exposure • The Sick Employee- delays his/her recovery

15. The CDC recommends that ALL healthcare workers receive the flu vaccine. Seasonal flu accounts for approximately 225,000 hospitalizations and up to 50,000 deaths in the United States each year. Impossible to predict when next influenza pandemic may arise or the severity.

16. HCW Vaccination and Patient Safety Up to 45% of unvaccinated healthcare workers may acquire influenza infection. HCW may have flu virus in their bodies and never develop flu symptoms, but can infect others. Flu vaccination will protects patient, co-workers, family, and friends against the flu infection or other complications. Improves patient outcomes Decreased absenteeism and cases of flu among staff. Takes only minutes – saves lives

17. References Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, 2007. Jane D. Siegel, MD; Emily Rhinehart, RN MPH CIC; Marguerite Jackson, PhD; Linda Chiarello, RN MS; the Healthcare Infection Control Practices Advisory Committee. http://www.cdc.gov/hicpac/pdf/isolation/Isolation2007.pdf Chiarello L, Jackson M, Rhinehart E, Siegel JD, and the Healthcare Infection Control Practices Advisory Committee (HICPAC) (2006). Management of Multidrug-Resistant Organisms In Healthcare Settings. http://www.cdc.gov/hicpac/pdf/MDRO/MDROGuideline2006.pdf William A. Rutala, Ph.D., M.P.H., David J. Weber, M.D., M.P.H., and the Healthcare Infection Control Practices Advisory Committee (HICPAC) (2008) Guideline for Disinfection and Sterilization in Healthcare Facilities, Centers for Disease Control and Prevention. http://www.cdc.gov/hicpac/pdf/guidelines/Disinfection_Nov_2008.pdf Lynne Sehulster, Ph.D., Raymond Y.W. Chinn, M.D., Center for Disease Control and Prevention / Healthcare Infection Control Practices Advisory Committee (HICPAC) (2003), Guidelines for Environmental Infection Control in Health-Care Facilities http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5210a1.htm

18. Centers for Disease Control and Prevention Influenza website • http://www.cdc.gov/flu/about/disease/index.htm • CDC Advisory Committee on Immunization Practices (ACIP) – United States 2013 • 2014 http://www.cdc.gov/flu/professionals/acip/index.htm • Prevention and Control of Influenza Vaccines: Recommendations of the Advisory • Committee on Immunization Practices (ACIP) – United States 2012-2013 Influenza • Season, MMWR 61 (August 17, 2012). References: