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Asepsis and Infection Control. NUR 302 Professor Susan Blakey, RN, MS. Infection Cycle. Breaking the Chain of Infection. Organisms Seen in Hospital. Staphylococcus aureus. Organisms. Hepatitis B Mycobacterium tuberculosis Escherichia coli Human Immunodeficiency virus.
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Asepsis and Infection Control NUR 302 Professor Susan Blakey, RN, MS
Organisms Seen in Hospital • Staphylococcus aureus
Organisms • Hepatitis B • Mycobacterium tuberculosis • Escherichia coli • Human Immunodeficiency virus
Stages of Infection • Incubation
Stages of Infection • Prodromal
Stages of Infection • Full Stage Signs and symptoms • Convalescent Recovery
Response to Infection • Normal Flora • Inflammatory Response
Response to Infection • Immune Response
At Risk for Infection • Integrity of skin and mucous membranes • Integrity of WBCs • Vulnerable populations • General Health Status • Stress Level • Indwelling devices
Common Infections • Urinary Tract Infections (UTIs)
Common Infections • Pulmonary Infections
Common Infections • Skin Infections
PREVENTION • Careful assessment • Early detection AND action • Immunizations • Assess for infections
Laboratory Data Normal values are listed. With infection, all are elevated • WBCs (5,000-10,000 mm3) • Neutrophils (60-70%)- acute infection • Lymphocytes (20-40%)- chronic infection • Eosinophils (1-4%)- allergic reaction • Pathogen present in culture
Patient Outcomes • Handwashing • Hygiene • Nutrition • Immunizations • Signs of infection • Symptoms of allergies
Asepsis • Activities to prevent spread of infection • Medical asepsis- clean technique • Surgical asepsis- sterile technique
Medical Asepsis • Hand hygiene • Carry linens away from your body • No linens on floor • Cover mouth when sneezing • Do not raise dust • Do not shake linens • Clean to dirty • Transmission precautioins
CDC Guidelines • Soiled hands- Wash with soap and water • Not visibly soiled- alcohol based rub
Personal Protective Equipment • Gloves • Gown • Mask • Protective Eyewear
OSHA Precautions • Standard Precautions
OSHA Precautions • Airborne Precautions
OSHA Precautions • Droplet Precautions
OSHA Precautions • Contact Precautions
Surgical Asepsis • Sterile can touch only sterile • Do not spill on a sterile field • Hold objects above waist • Do not reach over field • Do not turn back on field • Outer 1 inch is considered sterile • If in doubt, treat as contaminated
Surgical Asepsis • Donning Sterile Gloves
Surgical Asepsis • Opening Sterile Packages
Surgical Asepsis • Sterile Procedures
Nosocomial Infections • Hospital Acquired • Handwashing- best way to prevent nosocomial infections
Antibiotic-Resistant Organisms • MRSA Methicillin Resistant Staphylococcus aureus VRE Vancomycin Resistant Enterococcus VISA- Vancomycin Intermediate Resistant Staphylococcus aureus