1. INFECTION CONTROL ORIENTATION TRAINING 2004

2. INFECTION CONTROL OSHA BLOODBORNE PATHOGEN STANDARD
STANDARD PRECAUTIONS
RISK OF EXPOSURE TO CONTAMINATED MATERIALS
USE OF PROTECTIVE EQUIPMENT
FOLLOW-UP OF CONTAMINATED EXPOSURES
HEPATITIS VACCINE

3. INFECTION CONTROL SPECIFIC ISSUES GLOVES: LATEX ALLERGIES
AVAILABILITY/USE OF PROTECTIVE EQUIPMENT
USE OF SAFETY DEVICES
SYRINGES
NEEDLELESS IV TUBING
SAFETY PERIPHERAL IV CATHETERS

4. INFECTION CONTROL TUBERCULOSIS
CURRENT INFECTION CONTROL GUIDELINES FROM CDC
OSHA STANDARD WITHDRAWN (5/2003)
USE OF SPECIAL AIRFLOW ISOLATION ROOMS
HEALTHCARE WORKERS MUST USE N95 RESPIRATORS (annual fit test required)

6. INFECTION CONTROL: COST
$4.5 BILLION PER YEAR (1996)
88,000 DEATHS PER YEAR

7. What are the 10 most common causes of infection?

8. What are the 10 most common causes of infection?

10. STUDY DESIGN OBSERVATIONAL EVALUATE “OPPORTUNITIES FOR HAND HYGIENE”
BEFORE/DURING/AFTER PATIENT CARE
EVALUATE ADEQUACY OF HAND HYGIENE
ADEQUATE: >15 SECOND WASH OR USE OF ALCOHOL HANDRINSE
INADEQUATE: <15 SECOND WASH
NON-COMPLIANT: NO HAND HYGIENE OBSERVED

11. STUDY FRAMEWORK CENTERS FOR DISEASE CONTROL
GUIDELINE FOR HAND HYGIENE IN HEALTHCARE SETTINGS (OCTOBER 2002)
HANDWASHING WHEN HANDS VISIBLY SOILED
ALCOHOL HANDRINSE IF NOT VISIBLY SOILED
DECONTAMINATE HANDS BEFORE PATIENT CONTACT
DECONTAMINATE HANDS BEFORE DONNING STERILE GLOVES
DECONTAMINATE HANDS BEFORE PATIENT CARE PROCEDURES
DECONTAMINATE HANDS AFTER PATIENT CONTACT
DECONTAMINATE HANDS IF MOVING FROM CONTAMINATED SITE TO CLEAN SITE DURING PATIENT CARE
DECONTAMINATE HANDS AFTER CONTACT WITH EQUIPMENT
DECONTAMINATE HANDS AFTER REMOVING GLOVES
DECONTAMINATE HANDS BEFORE EATING AND AFTER USING RESTROOM

12. LITERATURE REVIEW OBSERVATIONAL STUDIES (1981-2000)
OVERALL POOR COMPLIANCE BY HEALTHCARE WORKERS
MEAN BASELINE RATES 5%-81%
OVERALL AVERAGE: 40%
INTERVENTIONAL ACTIONS
INSERVICE
FEEDBACK
DISTRIBUTION OF INFORMATION
IMPLEMENTATION OF ALCOHOL HANDRINSES
COMPLIANCE AFTER INTERVENTIONS
INCREASED BY 15-20%

13. RESULTS FROM CURRENT EVALUATION
TOTAL OF 480 OBSERVATIONS OF “OPPORTUNITIES FOR HAND HYGIENE”
ADEQUATE HAND HYGIENE: 28% (136)
INADEQUATE HAND HYGIENE: 18% (85)
NON-COMPLIANT: 54% (259)

14. RESULTS FROM CURRENT EVALUATION
COMPLIANCE BY DISCIPLINE
RN STAFF
ADEQUATE HAND HYGIENE: 28%
INADEQUATE HAND HYGIENE: 24%
NON-COMPLIANT: 48%
LVN STAFF
ADEQUATE HAND HYGIENE: 24%
INADEQUATE HAND HYGIENE: 6%
NON-COMPLIANT: 70%
TECH STAFF
ADEQUATE HAND HYGIENE: 9%
INADEQUATE HAND HYGIENE: 9%
NON-COMPLIANT: 82%

15. RESULTS FROM CURRENT EVALUATION
COMPLIANCE BY DISCIPLINE
PHYSICIAN STAFF
ADEQUATE HAND HYGIENE: 33%
INADEQUATE HAND HYGIENE: 8%
NON-COMPLIANT: 59%

16. IT’S ALL IN YOUR HANDS
WASH THEM

17. And do not wear artificial nails
"No artificial nails or nail polish for direct patient care providers“ which includes the residents and medical students.

18. INFECTION CONTROL EQUIPMENT AS A SOURCE OF NOSOCOMIAL INFECTION
THE STETHOSCOPE ???
11 GENERA & SPECIES OF BACTERIA WERE ISOLATED
STAPH EPI- 100%
STAPH AUREUS- 38%
ISOPROPYL ALCOHOL IS AN EFFECTIVE CLEANING AGENT WHEN APPLIED TO THE STETHOSCOPE DIAPHRAGM
ARCH. INTERN MED ;157:

22. INFECTION CONTROL ISOLATION CATEGORIES CONTACT ISOLATION
DIRECT CONTACT TRANSMISSION ISSUES
WOUND/DRESSING ISOLATION
ENTERIC PATHOGENS
RESISTANT ORGANISM ISOLATION
VRE ISOLATION PROTOCOLS: PATIENT MUST REMAIN ON ISOLATION FOR ALL ADMISSIONS
CHICKENPOX (ALONG WITH AIRBORNE )

24. INFECTION CONTROL ISOLATION CATEGORIES CONTACT ISOLATION
GLOVES FOR CONTAMINATED CONTACT
GOWN IF RISK OF CLOTHING CONTAMINATION
MASK/EYEWEAR IF RISK OF FACIAL CONTAMINATION
GOOD HANDWASHING !!!

25. INFECTION CONTROL ISOLATION CATEGORIES DROPLET ISOLATION MENINGITIS
MENINGOCOCCAL
H. FLU
INFLUENZA
PERTUSSIS
RUBELLA

27. INFECTION CONTROL ISOLATION CATEGORIES DROPLET ISOLATION PRIVATE ROOM
REGULAR AIRFLOW
WEAR REGULAR MASK FOR PATIENT CARE
USUALLY 24 HOUR DURATION

28. INFECTION CONTROL ISOLATION CATEGORIES AIRBORNE ISOLATION TUBERCULOSIS
CHICKENPOX (WITH CONTACT ISOLATION)

30. INFECTION CONTROL ISOLATION CATEGORIES AIRBORNE ISOLATION
PRIVATE ROOM WITH NEGATIVE AIRFLOW OR HEPA FILTERED AIR
FOR TUBERCULOSIS:
MUST WEAR SPECIAL N-95 RESPIRATOR
FOR CHICKENPOX
MASK IF NON-IMMUNE..... CDC RECOMMENDS THAT ONLY IMMUNE PERSONNEL CARE FOR PATIENTS WITH VARICELLA INFECTION.....

31. INFECTION CONTROL INFECTION CONTROL PLAN CDC ISOLATION RECOMMENDATIONS
ISOLATION QUICK REFERENCE
TB CONTROL PLAN
OSHA EXPOSURE CONTROL PLAN
CLINIC PLAN/AMBULATORY PLAN
**AVAILABLE ON INTRANET

32. INFECTION CONTROL WASTE MANAGEMENT
PROPER DISPOSAL OF CONTAMINATED MATERIALS
ALL MEDICAL WASTE- AUTOCLAVE BAGS
SHARPS WASTE- NEEDLEBOXES
LINEN- ALL CONSIDERED CONTAMINATED
USE BLUE PLASTIC BAGS at S&W
USE pink bags with white liners at VAMC

33. INFECTION CONTROL EMPLOYEE HEALTH ISSUES TB SKIN TESTING
N-95 RESPIRATOR FIT TESTING
HEPATITIS B VACCINE
OTHER IMMUNIZATION INFORMATION
HEPATITIS A
VARICELLA
FOLLOW-UP CONTAMINATED EXPOSURES

34. INFECTION CONTROL INFECTION CONTROL S&W OFFICE
X X44917
INFECTION CONTROL S&W PAGERS
# #1220
INFECTION CONTROL VAMC
x or cell phone

35. Isolation Signs VAMC
Acute care

36. STOP CONTACT ISOLATION
Wash Hands on Entering and
Leaving Room
Gloves
To Enter the Room
Gown
For Contact with
Patient, Environmental Surfaces or Items in Room
Visitors: Report to Nurses’ Station Before Entering Room
Visitantes: Favor de Presentarse a La Sala De Enfermeras antes de Entrar
al Cuarto
Nutrition & Food Service Employees: May Enter

37. Nutrition & Food Service Employees: May NOT enter
AIRBORNE ISOLATION
STOP
Wash Hands on
Entering and
Leaving Room
N95 or HEPA Respirator
to Enter
Negative Air Pressure
Keep Door Closed
Visitors: Report to Nurses’ Station Before Entering Room
Visitantes: Favor de Presentarse a La Sala De Enfermeras antes de Entrar
al Cuarto
Nutrition & Food Service Employees: May NOT enter

38. Nutrition & Food Service Employees: May NOT enter
DROPLET ISOLATION
STOP
Wash Hands on
Entering and
Leaving Room
Mask to Enter Room
Visitors: Report to Nurses’ Station Before Entering Room
Visitantes: Favor de Presentarse a La Sala De Enfermeras antes de Entrar
al Cuarto
Nutrition & Food Service Employees: May NOT enter

39. Isolation Signs VAMC Long Term Care And Nursing Home Care Units

40. DROPLET ISOLATION Use in Long Term Care Nursing Home Care Units
Mask is required to enter
The Red Dot is to alert Nutrition and Food Service staff not to enter the
patient’s room…. Nursing will take the food tray
to the patient
DROPLET ISOLATION Use in LTC/NHCUs
Back of Sign with Red Dot

41. STOP Before Entering Room
Staff & Visitors: Report to Nurses’ Station for Instructions
ALTO! Antes de Entrar al Cuarto
Visitantes: Favor de Presentarse a La Sala de Enfermeras
Nutrition & Food Service Employees: May Not enter

42. CONTACT ISOLATION For Use in LTC/NHCUs
The Green Dot is to inform Nutrition and Food Service employee it is
OK to deliver the food tray to the patient’s room
CONTACT ISOLATION Use in LTC/NHCUs
Back of sign with green dot

43. ALTO! Antes de Entrar al Cuarto
STOP
Before Entering Room
All Staff & Visitors: Report to Nurses’ Station for Instructions
ALTO! Antes de Entrar al Cuarto
Visitantes: Favor de Presentarse a La Sala de Enfermeras
Nutrition & Food Service Employees: May Enter

44. The End Proceed to the Post Test Down load the Post Test
Complete the Post Test
Return the post test to Dr. Sandra Oliver at 407i TAMUII

45. Post test Question 1
What is the single most important thing that you can do to prevent the spread of infection?
__________________________

46. Post Test Question 2
The CDC recommends that a non-immune healthcare worker may take care of an isolated patient with Chicken Pox as long as a surgical mask is worn by the healthcare worker.
True ____
False ____

47. Post Test Question 3
What is a common organism that requires contact isolation TB
VRE
Bacterial Meningitis
Measles