1. Kaiser Permanente Panorama City- Specific Infection Prevention
STUDENT MODULE

2. At the end of this presentation, the student will be able to:
Objectives
At the end of this presentation, the student will be able to:
Discuss the importance of Hand Hygiene in the prevention of disease transmission
Identify Standard Precautions
Identify the transmission and prevention of Tuberculosis
Identify clean versus dirty equipment and the process for disinfecting equipment
Discuss the prevention of Blood borne Pathogens
October 11, 2017
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

3. Infection Prevention Department
Panorama City
Ann Hazard RN IC Manager (350)
Carola Vivian IC Analyst (350)
October 11, 2017
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

4. Infection Prevention (IP) Resources
IP Policy and Procedure Manual on the KP Policy Library (KPPL) webpage
Contact Infection Prevention
Immediate Supervisor
Know Your Infection Prevention Team
October 11, 2017
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

5. Question: How Do I Find Kaiser Permanente Panorama City Infection Prevention Policies?
October 11, 2017
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

6. Answer: Kaiser Permanente Panorama City Infection Prevention Policies are located on KPPL Panorama City intranet homepage.
October 11, 2017
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

7. Kaiser Permanente Policy Library
October 11, 2017
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

8. Importance of Infection Prevention
Prevention of Healthcare-Acquired Infections
Patient Safety and Satisfaction
Staff Safety
Regulatory Agency Requirements
October 11, 2017
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

9. Prevention of Healthcare Acquired Infections (HAIs)
Strategies to prevent HAIs:
Hand Hygiene compliance
Patient notification, education and documentation
Environmental cleaning/disinfection
Healthcare workers (HCW) and Member vaccination programs
October 11, 2017
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

10. What is your role in Infection Prevention?
Perform hand hygiene
Stay healthy
TB screening and current vaccinations
Follow Medical Center Wide Policy and Procedures
October 11, 2017
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

11. Large Single Point Slide
October 11, 2017
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

12. Hand Hygiene Principles
Alcohol foam or
15 seconds to germ-free
October 11, 2017
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

13. 5 Moments of Hand Hygiene
Jana, Please include title, 5 Moments for Hand Hygiene and source as World Health Organization (WHO)

14. Hand Hygiene Considerations
Natural nails should be short.
Artificial nails, nail tips, gel, and silk wraps are prohibited for all HCW who provide direct patient care or touch the patient environment.
Light or clear polish without chips is acceptable at the discretion of your instructor.

15. Efficacy of Hand Hygiene Preparations in Killing Bacteria
Good
Better
Best
Plain Soap
Antimicrobial soap
Alcohol-based handrub

16. Respiratory Hygiene/Cough Etiquette Safe Injection Practices
Standard Precautions
Hand Hygiene
Respiratory Hygiene/Cough Etiquette
Safe Injection Practices
Wash hands for at least 15 seconds
Soap and water or Alcohol Foam
5 Moments of Hand Hygiene
Cover your cough
Offer mask, tissues and hand sanitizer
Hand Hygiene
Wear Personal Protective Equipment (PPE)
Activate safety device
Dispose in proper sharps container
Do Not recap needles
Always handle sharps cautiously and safely
October 11, 2017
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

17. Standard Precautions Infection prevention practices that are used for ALL patients
Gloves: Whenever touching blood, body fluids, mucous membranes.
Mask: When splashes to mouth or nose is anticipated and/or performing aseptic procedures such as Lumbar Puncture, central line insertion
Goggles or Eye Shield: When splashes to eyes are anticipated.
Gown: When soiling of clothing or skin is anticipated.

18. Sequence for Donning Personal Protective Equipment (PPE)
Perform Hand Hygiene
Gown
Mask or Respirator
Goggles or Face Shield
Gloves
Keep hands away from face
Change gloves when torn or heavily contaminated

19. Sequence for Removing PPEs
Gloves
Goggles or Face Shield
Gown
Mask or Respirator
Perform Hand Hygiene
All PPEs are removed at doorway.
Exception: Respirator is removed in anteroom after closing patient door

20. Standard Precautions - SIMPLIFIED
FOR EVERY PATIENT CONTACT, EVERY TIME
IF IT’S WET AND NOT YOURS…DO NOT TOUCH IT
And DO NOT LET IT TOUCH YOU WITHOUT PPE

21. Respiratory Hygiene/Cough Etiquette
Recommended for all individuals with symptoms of respiratory infection
Cover the nose/mouth when coughing or sneezing with a tissue or mask
Dispose of tissue in a receptacle
Perform Hand Hygiene
Encourage coughing persons to sit or stand at least 3 feet away from others in common waiting areas

22. Tuberculosis (TB) Risk factors: Recent immigrant
Immunosuppressed or HIV
Resident of prison, shelter, Long Term Care (LTC) facility
Known exposure or previous positive skin test
History of TB, did not complete therapy

23. Tuberculosis (TB) Latent TB (non-pulmonary) VS. Active TB (pulmonary)
Positive skin test
Normal Chest X-Ray (CXR)
No Clinical Signs or Symptoms
CANNOT spread disease to others
Treated with INH for prophylaxis
Must be reported to Infection Control
No isolation
Active TB (pulmonary)
Positive skin test
Abnormal Chest X-Ray (CXR)
Clinical Signs and Symptoms
CAN spread disease to others
Must be reported to Infection Control
Must be in isolation

24. Equipment Cleaning and Disinfection
Patient Care Equipment
Clean and disinfect multi-patient use equipment between patients.
Discard single use items (i.e. PPE, masks).
Clean and disinfect the high touch areas (door knobs, keyboards, countertops, etc)
Clean and disinfect with hospital approved disinfectant wipes:
allow wet surface to air dry according to manufacturer’s guidelines (see product label)
Breast Pump
Need to develop system to identify if equipment has been cleaned
Bio-Med developing tag which you mark if cleaned or not
Contact (wet) time important

25. For use: Surfaces High touch areas Equipment Soiled areas
October 11, 2017
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

26. Bloodborne Pathogens Exposure Plan
A guideline designed to assist in protecting our health care workers against occupational transmission of viral Hepatitis B , HIV, Hepatitis C and other blood borne diseases
Blood borne pathogens are organisms that are transmitted by direct contact with blood and /or body substances. Needle sticks and other sharp related injuries may expose workers to blood borne pathogen.
What to do if I have an exposure!
Cleanse the exposure area immediately
Report it to your supervisor
Seek medical evaluation from ER or Urgent Care
Prevention : -Activating safety device on needle -Proper needle disposal -Contacting Environmental Services (EVS) when sharps containers are ¾ full

27. No Food or Drinks in Patient Care Areas
The OSHA Bloodborne Pathogen Standard prohibits food and drink in areas where contamination is likely.
This regulation prohibits the consumption of food and drink in areas in which work involving exposure or potential exposure to blood or other potentially infectious material exists, or where the potential for contamination of work surfaces exists.
The prohibition against eating and drinking in such work area is consistent with other OSHA standards and is good industrial hygiene practice.

28. It’s everyone’s business
Infection Prevention
It’s everyone’s business