1. Infection Prevention & Control An introduction for new employees Clinical Nurse Specialist CDHB Infection Prevention & Control Service

2. Aim of Infection Prevention & Control The primary aim of infection prevention & control is to prevent patients, staff and visitors from acquiring an infection while in our healthcare facilities.

3. Achieving the Aim If you always use Standard and Transmission-based Precautions appropriately and correctly, you will keep yourself and your patients safe from acquiring infection while in the healthcare setting.

4. Infection Prevention Standard Precautions Personal Protective Equipment (PPE) Transmission-based Precautions –Contact Precautions –Droplet Precautions –Airborne Precautions Multi Drug Resistant Organisms (MDRO) A safe environment –Cleaning and disinfection –Blood and body fluid exposures (BBFE)

8. Personal Protective Equipment (PPE) PPE is defined as... “Specialised clothing or equipment worn by an employee for protection against infectious materials” (OSHA) Centres for Disease Control and prevention web site.

9. Types of PPE used in healthcare settings Gloves - protect hands Gown/aprons - protect skin and or clothing Masks - protect mouth/nose Goggles - protect eyes Visors/visor masks - protect face, mouth, nose and eyes

10. N95 Masks

11. Transmission-based Precautions (Isolation Precautions) When Standard Precautions are not quite enough  Contact  Droplet  Airborne Used IN ADDITION TO Standard Precautions

12. Contact Precautions Used when in direct contact with patient or their environment e.g. Scabies, MRSA, diarrhoea

13. Droplet Precautions Used for diseases which generate large droplets which travel approx. 1 - 2m then fall to the floor e.g. Influenza

14. Airborne Precautions Used for diseases which are carried on small droplet nuclei suspended in the air e.g. Pulmonary TB, Chickenpox, Measles

15. New Posters and Other updates available

16. Multi drug resistant organisms (MDRO ) ESBL- producing enterobacteriaceae  E. Coli and Klebsiella pneumoniae most common VRE  Vancomycin-resistant E. faecium & E. faecalis MRSA  Methicillin-resistant Staphylococcus aureus MDR-GNB  MDR Acinetobacter baumanii

17. Cleaning & Disinfection

18. Know what you are using!

19. Sharps Safety

20. Blood and Body Fluid Exposures (BBFE) Report all BBFE BBFE packs in clinical areas Pink reporting form!!! Hepatitis B immunisation

21. Achieving Infection Prevention…. If you always use Standard and Transmission-based Precautions appropriately and correctly, you will keep yourself and your patients safe from acquiring infection while in the healthcare setting.

22. And finally…