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INFECTION CONTROL ORIENTATION TRAINING 2004

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Presentation on theme: "INFECTION CONTROL ORIENTATION TRAINING 2004"— Presentation transcript:

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CURRENT INFECTION CONTROL GUIDELINES FROM CDC OSHA STANDARD WITHDRAWN (5/2003) USE OF SPECIAL AIRFLOW ISOLATION ROOMS HEALTHCARE WORKERS MUST USE N95 RESPIRATORS (annual fit test required)

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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?

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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:

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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 )

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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

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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)

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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


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