Infection Control Update

Transcription

1 Infection Control Update This presentation provides essential information that regulatory agencies e.g., JC, NJDOH, CMS expect you to know about Infection Control. MBA/January 2016

2 Infection Control Elements HAND HYGIENE Infection Control practices when consistently followed, will benefit everyone at Trinitas! This includes: - Patients - Visitors - You and your co-workers - Your family members ENVIRONMENTAL CLEANLINESS STANDARDIZED DISINFECTANT WIPES RESPIRATORY HYGIENE & STANDARD PRECAUTIONS 2

3 Hand Hygiene Washing your hands frequently and properly is the single most important action you can take to prevent the spread of infection 3

4 Hand Hygiene 101 SOAP & WATER When hands are visibly dirty or contaminated with blood or other body fluids Before/after eating After using the restroom HAND SANITIZER When hands are not visibly soiled. Before direct contact with patients. Before aseptic procedures. Before donning gloves. After direct contact with patient s skin 4

5 Hand Hygiene 101 Clean IN Clean your hands upon entering a patient-care area. Clean Out Clean your hands upon exiting a patient care area.. The following procedure will remove up to 99.9 percent of the germs that get on your hands during the course of daily activities: 1. Wet your hands with clean water 2. Apply soap 3. Rub your hands together vigorously 4. Scrub all surfaces of hands 5. Scrub for at least 15 seconds (sing Happy Birthday twice) 6. Rinse with clean water 7. Dry hands briskly 5

6 Clean your workstation wipe down phones. Remove clutter from patients bedside. Return unused equipment after procedures. Remove gloves and other PPE. Put all equipment back to its original place. Clean work area will: decrease the spread of germs minimize employee injury and illness.

7 Disinfectant Wipes and Sprays What is meant by contact time? The amount of time the surface must remain visibly wet for the product to disinfect.

8 SUPER SANI CLOTH Use for: surface cleaning of patient care equipment between patients. 2 minute Contact Time Wipe and allow to air dry for 2 minutes

9 SANI CLOTH BLEACH Use for: surface cleaning of patient care equipment for patients with C.diff. 4 min 4 minute Contact Time Wipe and allow to air dry for 4 minutes

10 Virex Tb Disinfectant Spray Used for cleaning in: Special Procedure areas. 3 minute Contact Time Wipe and allow to air dry for 3 minutes

11 Cleaning of Reusable Patient Care Equipment IV pumps and poles Glucometer Machines Cardiac monitor leads Digital Thermometer Venodyne Machines Wipe shared patient care equipment with disinfectant wipes Cleaned equipment must be put into clear plastic bags!

12 Standard Precautions Primary strategy for successful hospital infection control. Designed to protect both healthcare worker and patient. Blood, body fluids, mucous membrane lined areas and non intact skin are assumed to be potentially infected with bloodborne or other pathogens. Barriers (mask, gown, gloves, goggles) must be used when potential exposures are anticipated. Remove all barriers at the area when procedure/task is completed. Applies to all patients at all times.

13 Protect Yourself from Bloodborne Pathogens Standard Precautions Treat all blood and other body fluids as if they are infected Personal Protective Equipment Gown, gloves, masks when performing any procedure that is likely to cause splashes, spray or splatters of blood or body fluids Medical Waste All medical waste is to be disposed in the red plastic garbage bags. Sharps Never bend, break or recap contaminated needles Dispose of all needles in the Sharps containers located in all patient care areas Laundry Soiled laundry is never separated Place all laundry in soiled laundry hampers Use Standard Precautions when handling all soiled laundry.

14 What to do in the event of a needle stick or other body fluid exposure Step 1: Decontaminate skin Wash with soap and water. Eyes, nose and mouth Step 2 Rinse with water or saline Report to supervisor and complete an employee injury report Employee Health Services Administrative Services Building Step 3 Call Employee Health Monday Friday 7AM 3PM. If Employee Health is closed go directly to the Emergency Room Step 4 Follow up with Employee Health Services

15 Isolation Precautions Apply to Everyone! Airborne Precautions (Diseases transmitted through the air) Isolation required. Wear approved respiratory protection (respirators); negative pressure rooms. E.g. TB and Chickenpox Droplet Precautions (Diseases transmitted short distances by large droplets) Isolation required. Wear surgical mask. E.g. Flu and Meningitis Contact Precautions (Diseases transmitted through physical contact) Isolation required. Wear gloves and gowns for every room entry AND masks if appropriate E.g. MRSA, VRE, C.Difficile and other MDROs.

16 Tuberculosis Transmission: Airborne Screening PPD Mantoux Skin Test Chest x-ray Lab Tests: AFB Smear and Culture Signs & Symptoms Cough, weakness Decreased appetite Weight loss Fever and night sweats High Risk Procedures Sputum collection Sputum induction Bronchoscopy High Risk Groups Persons with HIV Persons having recent exposure Immigrants from Asia, Africa, and Latin America Low income, medically underserved persons IV drug abusers and alcoholics