1. Healthcare Epidemiology Department
Susan V. Donelan, M.D., Medical Director 
Francina Singh, RN, BScN, MPH, CICP, Director
Department Telephone Number:
Department Fax Number:
Infection Control Practitioners:
Hospital (with phone extension and beeper)
Emily Locher, RN,BSN, MBA, ICP /
Bob Garcia, BS, MT(ASCP), CICP, /
Barbara Kranz, LPN, CICP /
Allison Ward, RN, CMSRN, ICP /
Infection Control is in your Hands.

2. Healthcare Epidemiology Department
Phone # / Location
The HED Phone extension is
An ICP or Hospital Epidemiologist can be reached in an emergent or urgent situation when not in the office by calling the hospital operator.
The HED Office is located on Level 1, room 716 in the hospital (near green elevators)
Additional information can be obtained at our website: sbuh/epidemiology
Infection Control is in your Hands.

3. OSHA Bloodborne Pathogen Standard
Healthcare Epidemiology Department
OSHA Bloodborne Pathogen Standard
The Occupational Safety and Health Administration (OSHA) issued a standard designed to protect you from the transmission of Bloodborne Pathogen . It was finalized on December 6, 1991.
It details ways employees and employers can work together to reduce your risk of contracting a bloodborne pathogen on the job. All employees are covered by the standard if it is reasonably anticipated they could be exposed to bloodborne pathogen as a result of job duties.
Infection Control is in your Hands.

4. What to do if Exposed Clean affected area immediately.
Healthcare Epidemiology Department
What to do if Exposed
Clean affected area immediately.
Notify your supervisor immediately.
Complete an Incident/Accident form
Immediately report to Employee Health Service, Monday – Friday, 8 a.m. – 4 p.m. (4-7767)
All other times report to the Emergency Room (4-2465)
Infection Control is in your Hands.

5. Universal Precautions
Healthcare Epidemiology Department
Universal Precautions
Universal Precautions to be Used in the Care of All Patients
1. GLOVES
For touching any patient’s blood or body fluid
For handling any soiled items
For performing venipuncture.
Change after contact.
2. GOWNS
Worn during any procedure likely to generate droplets of blood or body fluids.
Infection Control is in your Hands.

6. Universal Precautions (continued)
Healthcare Epidemiology Department
Universal Precautions (continued)
Universal Precautions to be Used in the Care of All Patients
3. MASKS and PROTECTIVE EYEWEAR
Worn during any procedure likely to generate droplets of blood or body fluids.
4. HANDS
Wash immediately if contaminated with blood or body fluids.
Wash immediately after gloves are removed.
Infection Control is in your Hands.

7. Facts on Nosocomial Infections
Healthcare Epidemiology Department
Facts on Nosocomial Infections
2 million nosocomial infections / year in USA
90,000 deaths associated with nosocomial infections
70 % of the bacterial infections are caused by bacteria resistant to 1 drug commonly used to treat
Some bacteria are resistant to all approved drugs
Some require treatment with experimental & toxic drugs
$ 122 million - cost associated with treating antimicrobial resistance among single pathogen
Infection Control is in your Hands.

8. Healthcare-Associated Infections: Facts
Healthcare Epidemiology Department
Healthcare-Associated Infections: Facts
Hands of HCWs are the # 1 mechanism of transmitting organisms (sensitive and resistant) from one patient to another
Infection Control is in your Hands

9. Infection Control is your Hands
Healthcare Epidemiology Department
Infection Control is your Hands

10. Reduce the risk of healthcare - acquired infections (HAI)
Healthcare Epidemiology Department
Patient Safety Goal #7
Reduce the risk of healthcare - acquired infections (HAI)
Requirements:
Comply with current CDC hand- hygiene guidelines
Manage as sentinel events all identified cases of unanticipated death or major permanent loss of function associated with a health care -acquired infections.
Infection Control is in your Hands.

11. Hand Hygiene Hands of HCWs spread organisms
Healthcare Epidemiology Department
Hand Hygiene
Hands of HCWs spread organisms
Organisms can also be carried on inanimate objects
Contamination can occur after only a brief contact
Infection Control is in your Hands.

12. Principles of Handwashing
Healthcare Epidemiology Department
Principles of Handwashing
Running water
Adequate amount of soap to create lather
Friction and thoroughness
Time spent = 15 – 20 seconds
When ?
- Before and after every patient contact
Infection Control is in your Hands.

13. Hand washing Process Using Alcohol-based Hand Gel / Foam
Healthcare Epidemiology Department
Hand washing Process Using Alcohol-based Hand Gel / Foam
Apply 1.5 – 3.0 ml of gel / foam to the palm of one hand and rub hands together
Cover all surfaces of hands and fingers, including areas in between fingers, around and under fingernails
Continue rubbing hands together until alcohol dries
Infection Control is in your Hands.

14. SBUMC Hand Hygiene Policy
Healthcare Epidemiology Department
SBUMC Hand Hygiene Policy
Hand hygiene must be performed before entering and exiting a patient’s room
Soap and water or alcohol – based product both acceptable unless
Hands are visibly soiled
Patient has Clostridium difficile diarrhea
Infection Control is in your Hands.

15. System of Isolation at SBUMC
Healthcare Epidemiology Department
System of Isolation at SBUMC
Combination of:
Universal Precautions / Standard precautions
Disease Specific Precautions
Universal / Standard Precautions:
To be used in the care of all patients
Infection Control is in your Hands.

16. Disease Specific Precautions
Healthcare Epidemiology Department
Disease Specific Precautions
Infection Control is in your Hands.

17. Infection Control Codes Screen Definitions
Healthcare Epidemiology Department
Infection Control Codes Screen Definitions
A = Measles, Varicella (Chicken Pox)
B = MRSA / VRE
C = Combination of multiply resistant organisms not coded elsewhere
D = Meningitis, Mumps, Influenza, Rubella, Pertussis
E = Clostridium difficile, Salmonella, Shigella, Campylobacter, E.coli, Rotavirus
H = Other Blood Born Pathogens
I = VISA/VRSA--Vancomycin-intermediate/-resistant Staphylococcus aureus
L = Long Island State Veterans Home
M = MRSA - Methicillin-resistant Staphylococcus aureus
N = Resistant Gram Negative
O = Other
P = PRSP - Penicillin-resistant Streptococcus pneumoniae
R = RSV - Respiratory Syncytial Virus
T = TB - Mycobacterium tuberculosis
V = VRE - Vancomycin-resistant Enterococci
Z = Herpes zoster (Shingles)
Infection Control is in your Hands.

18. Quick Guide to Isolation Procedures
Healthcare Epidemiology Department
Quick Guide to Isolation Procedures
A = Negative Pressure Room, Immune Healthcare Worker (HCW)
B = Single Room, Gown/Gloves To Enter Room
C = Single Room, Gown/Gloves To Enter Room, Surgical Mask Within 3 Feet
D = Single Room, Surgical Mask Within 3 Feet, Immune HCW If Applicable
E*= Single or Double Room, Shared Bathroom (toilet seat cover as barrier)*
H = Standard Precautions
I = NOTIFY HEALTHCARE EPIDEMIOLOGY (HED) IMMEDIATELY
L = Surveillance C/S on Admission to R/O MRSA, Standard Room Placement Pending C/S
M, N, V = Single Room, Gown/Gloves To Enter Room
O = Double Room, Standard Precautions Contact HED
P = Single Room, Surgical Mask Within 3 Feet
R = Single Room, Gloves To Enter Room, Gown/Gloves/Face Shield For All
Patient Contact
T = Negative Pressure Room, Fit-Tested Respirator To Enter Room
Z = Negative Pressure Room If Disseminated Zoster, Immune HCW
(*See HELP [PF3] or the Infection Control Manual for further Information)
Infection Control is in your Hands.

19. Breaking the Chain of Infection
Healthcare Epidemiology Department
Breaking the Chain of Infection
Infection Control is in your Hands.

20. Wash Hands Prevent Transmission
Healthcare Epidemiology Department
Infectious Agents
Wash Hands Prevent Transmission

21. Wash Hands Prevent Transmission
Healthcare Epidemiology Department
Reservoirs
Wash Hands Prevent Transmission

22. Wash Hands Prevent Transmission
Healthcare Epidemiology Department
Susceptible Hosts
Wash Hands Prevent Transmission

23. Wash Hands Prevent Transmission
Healthcare Epidemiology Department
Portals of Exit
Wash Hands Prevent Transmission

24. Wash Hands Prevent Transmission
Healthcare Epidemiology Department
Means of Transmission
Wash Hands Prevent Transmission

25. Healthcare Epidemiology Department
Infection Control is in your Hands.