Emergency Preparedness: Pandemics and Bioterrorism. Amber Wood, RN, BSN, CPN Infection Preventionist

Transcription

1 Emergency Preparedness: Pandemics and Bioterrorism Amber Wood, RN, BSN, CPN Infection Preventionist November 11, 2011

2 Objectives

3 What is your role/perspective? 33% 33% 33% 1. Clinical 2. Non-Clinical 3. Leadership

4 Why are you here? 25% 1. Interested in topic 25% 25% 25% 2. Like to hear Amber speak 3. Need an activity to put on my evaluation 4. Fear the end of the world is near and want to be prepared

5 Which topic do you most want to learn about for Pandemics? 25% 25% 25% 25% 1. Measles 2. Pandemic Flu (H1N1 and Avian) 3. Pertussis 4. Tuberculosis

6 Which topic do you most want to learn about for Bioterrorism? 25% 25% 25% 25% 1. Anthrax 2. Botulism 3. Plague 4. Smallpox

7 Do you want to finish early? 50% 50% 1. Yes, I have a hot date after this 2. No, I love learning.

8 Basics

9 Infection Prevention Basics Colonization (normal flora) vs. Infection (pathogen) Chain of Infection medicstx.com

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12 Glove Use If it is wet and it is not yours, wear gloves! Change contaminated gloves Hands can become contaminated due to tiny punctures in the glove material or during glove removal WEARING GLOVES DOES NOT REPLACE HAND HYGIENE!

13 Standard Precautions Most essential precaution Applies to ALL patients Proper hand hygiene Wear Personal Protective Equipment (PPE) Gloves, gown, mask, protective eyewear, and face shield to prevent direct contact with patients blood or body fluids Bloodborne pathogens: Hepatitis B & C and HIV

14 Transmission-Based Isolation Contact, Droplet, and Airborne Private rooms or cohort patients with same infectious agent Patient should only leave room when necessary Notify receiving unit if patient is going for a procedure SBAR report inform isolation status, infectious organism, infected site Terminal cleaning upon discharge, post-procedural

15 Contact Isolation Precautions Transmitted through direct or indirect contact Strict hand hygiene Wear gloves, gown when entering the room During patient transport, contain environment Designate equipment use or disinfect thoroughly Examples: C difficile, Lice (Pediculosis), Impetigo, Major decubitus ulcers, MDROs (MRSA, VRE, Acinetobacter baumannii, etc), RSV, Scabies, etc

16 Droplet Isolation Precautions Transmitted through direct contact with respiratory droplets or indirect contact with recently contaminated surfaces/objects Wear a surgical mask when entering the room and gown/eye protection when working within 3 feet of patient During transport, patient wears a surgical mask Examples: Epiglottitis, German measles (rubella), Influenza, Mycoplasma pneumonia, Mumps, Neisseria meningitidis, Pertussis, etc

17 Airborne Isolation Precautions Transmitted by airborne droplet nuclei Place patient in negative pressure room. The double doors must remain closed at ALL TIMES except when entering and exiting the room Wear N95 respirator when entering the room During transport, patient wears a surgical mask Examples: Tuberculosis, Chickenpox (varicella), Measles, Disseminated Herpes zoster (varicella-zoster), SARS, etc

18 Pandemic Discussion

19 Bioterrorism Discussion

20 Quiz Yourself!

21 What is the most important thing I can do to protect myself? 20% 20% 20% 20% 20% 1. Buy a fallout shelter 2. Wash my hands 3. Pray 4. Follow isolation precautions 5. All of the above

22 Which diseases are transmitted by airborne route? 17% 17% 17% 17% 17% 17% 1. Measles 2. Pandemic Flu (H1N1 and Avian) 3. Pertussis 4. Tuberculosis 5. 1 & 4 only 6. All of the above

23 Which diseases are transmitted by droplet route? 17% 17% 17% 17% 17% 17% 1. Measles 2. Pandemic Flu (H1N1 and Avian) 3. Pertussis 4. Tuberculosis 5. 2 & 3 only 6. All of the above

24 Did you learn what you came here to learn? 33% 1. Yes 33% 2. Yes, but I have questions 33% 3. No (please explain in comments on evaluation)

25 Are you ready to leave? 50% 50% 1. Yes, again, I have a hot date after this 2. No, I love learning

26 Please complete the evaluation. Your feedback is greatly appreciated!

27 Thank you! Contact information: Amber Wood, RN Phone # Pager #