Read slide

Standard Precautions Previously known by various names including “universal precautions” Read slide plus: Standard precautions are a set of infection control practices used to prevent transmission of diseases that can be acquired by contact with blood, body fluids, non-intact skin (including rashes), and mucous membranes.

What is a Blood and Body Fluid (BBF) Exposure? An event where blood or other potentially infectious body fluid or tissue comes into contact with skin, mucous membranes or subcutaneous tissue. Intact skin could also result in a BBF exposure This is why it is very important for you to wear the appropriate personal protective equipment when doing your job. Don’t rush and sacrifice your safety. Always wear your PPE

Why Do We Care? The pathogens of primary concern are the human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV). Read the slide. There is no vaccine or treatment to prevent Hepatitis C

How Can You be Exposed to BBFs? Through Contaminated Blades Needle stick Sharp object Splash Treat all bodily fluids as if contaminated. You can be exposed to BBF through a splash of bodily fluids, getting a cut from a blade or instrument or getting a needle stick injury.

Injuries Occur Because of the Following: Passing or transferring equipment Recapping contaminated needles Colliding with co-workers Decontaminating/processing used equipment Injuries can also occur from sharps left in unusual places: Laundry Mattresses Tables, trays, or other surfaces Read slide then add, always be aware of your surroundings

A face shield to protect eyes, nose and mouth Mask, gloves and scrubs Gloves and goggles A face shield to protect eyes, nose and mouth Here are some of the ways you can keep yourself safe When cleaning up spills of blood or bodily fluid, wearing the right PPE- gloves and googles Using a biohazardous spill kit which contains everything needed to safety clean a biohazardous spill Using a face shield to protect eyes , nose and mouth. (located outside every patient room) A biohazardous spill kit

Safe Use of Sharps Container Do not use a full sharps container If the flap is up, the container is full. Do not tap or shake the container to dislodge stuck items Instead, change out the sharps container to a new one de

Safe Needle Disposal Designed so that sharp item is dropped in from above the tray and gravity does the rest. Tray will flip up and sharp item drops into the container. Or you can flip tray up manually (from underneath only). Do not place fingers or hands into the opening of the container for ANY reason.

Safe Needle Disposal For syringes you will drop the syringe horizontally onto tray and the tray will empty itself. For light sharps such as butterfly needles, drop horizontally onto the tray and manually lift tray from underneath to empty. Container is full when tray remains vertical.

Actions to Follow in Case of an Exposure: The exposed person will stop what they are doing immediately and rinse/disinfect the exposed area. Percutaneous injuries should be allowed to bleed and be rinsed thoroughly in running water for 5 minutes. Mucous membranes including the eyes should be rinsed with saline or with water for minimum 5 minutes. Alert the most responsible person, (Primary Care Nurse, Resource or Charge person) Read slide plus add the following: Most Responsible person will notify physician or Nurse Practitioner of the exposure and coordinate consent for patient testing You must report to the triage in the emergency department and bring your health card. You must remain in the emergency department until testing has been completed. Complete an incident report in RL6 prior to the end of your shift Notify employee health and wellness x 6490 Further details can be found in “Management of Staff Exposure to Blood/Bodily Fluids”

Security & Violence Prevention

St. Mary’s Security is Provided by Tone-Gar Security Services

Security Contact Supervisor of Security Services– ext. 4665 Lead Hand – ext. 4668 Security main assistance line – ext. 5555 Parking and Security Coordinator Kailagh Lever – ext. 6402 Security Office is located in the Emergency Entrance

Security Roles Escort – Security is available 24/7 to escort Staff or Volunteers anywhere on Hospital Property. Example - to cars after dark. (Security is static at 1077 Queens from 1830-2015 from October - May) Form 1 Patient Watch – Guards trained in the Mental Health Act are available 24/7 Parking Enforcement – Security issues fines on SMGH property, under the Provincial Offences Act. Parking Inquiries – Security is responsible for the frontline management of SMGH Parking Systems. Emergency Code Response – Guards trained in all types of Emergency Codes respond as needed.

Security Roles Response to all Calls for Assistance – Security will respond to all calls for assistance. This may include assisting staff locked out of their office, or investigating suspicious persons. Law Enforcement – Guards enforce all Provincial and Federal Statutes through verbal warnings, leading to arrest as applicable. Patient Restraint – Guards trained in the Pinel Restraint System are available 24/7. Protect all Staff, Patients and Visitors while on St. Mary’s General Hospital Property