Infection
Control
| ORIENTATION
Standard
PrecautionsGeneral Infection
Control. .
How Infection
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Sources
Infection
Control
ORIENTATION
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Infection Control Metho
Standard Precautions.
Sacacphanetetonaseatpocnesad coped Protective Work Practices
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Tang tcc Ca noha PAL Exposure Reporting
Infection Control Methods:
Transmission-Based
Precautions
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“Thesisk of acquiring an infection in healthcare facilities has increased in
recent yea for both pallens and staf. As aealthare worker, you must,
recognize tat these threats underscore the fandamenal uth hat us,
‘rope infection contol practices is one of your most important job
Fesponsbiies
Infection conta practices are easy to ignore because they can be so
lementary Researchers at one hoeptal found that only 48 percent of
‘tain th intensive cae writs washed thelr hands before eamining
pallets even thaugh they knew they were being watched sb pur
esearch project
Pred ee en tse [
For infection to spread thre elements are required:
WA sours of ifectous microorganiss
A susceptible host
IA inca of tranamission for the microorganism.
SOURCES
‘Unfortunately, healthcare facilities have several sources of infections
microorganisms, including
People
Wi Contaminated
objects
Take time and make the effort require to content folow infection
contol procedures ~ because these procedures are crucial for protecting,
your patients and yours from infection
People, ncuding
patents staff
frembers and
Visto, ean harbor
variety of
infectious
microorganisms
Sch a Boctera,
Viruses, pastes
and fon
Although invisible,
these microrganisins
‘maybe present in Blood
fd other body fluid and secretions such as saliva, sputum, rasal and
‘oginal dchatge, and wound drainage. They arealso preset in
‘acrement and ere ofen on the skin's surface, espelly the hands
‘E'person doco’ thave to look or fee ik tobe a source of infection
aliens can even infect themslves
‘when microorganism within hel
body maltipiy out of entra.
‘Contaminated bjets can sso
De sources of infection Some
‘objects espectally prone to
‘contamination include floors,
‘Bedpans trash cans, medical
‘equipment invasive medical
‘Gdvices and dity laundryHosts
“Tobecomea host a person must be susceptible tothe nfcticus organism
‘A person espsed tan necous onantin wil not reasearly betome 8
inst because some people are imman oor slo resi th nection
Unfortunately healthcare facilites have many different kind of patients
‘who can become hosts People partclarly suscep t infecton include:
iM Eldery patents
Newborns
Persona with weakor undeveloped immune systems
Persons with ence, ull heals problems or cauic diseases that
require steroid therapy
1m Patients with surgi incisions, catheter, breathing tubes and other
cally ance patsy con alow
‘lcroorganiams to enters host sbody.
The longer a patents confined fo aheathare fact,
or ee che Geeta a
bi Ae
TRANSMISSION
‘Tobe transmitled, microorganisms must enter the hosts body. Entrance
‘The mouth, eyes, nose or oer openings into the body
reskin the hoet'sskin caused by cat, nck sn abrasions
‘oc dermatitis surgical incisions or invasive medical devices
1m X contaminated needle or oer sharp object
‘Ther are fve main outes of ranemisson
ntact
Common vehicle
1 Vectorborne
‘Covracr maassission-the most common route, canbe ether direct
orindiec.
Direct contac transmission ~accurs when microorganisms are
physically transferred from the source perso’s body surface tothe
Fos’s body surface. This can happen when a healtheare worker turns
corbathes patent, or performs other prtient-care activites that require
iret personal contact. Direc-contact wansnision can also occu
between two patients
Indireccontact transmission ~ occurs when source of infection
‘contaminates an intermediate abject which then contacts a susceptible
host This can happen when coneaminated gloves are
rot hanged betwean patients or when 2
Iealthoare worker stuck withme
=e
—
Seo
oa
‘Bronchoscopies droplet,
Infections dropiets are
propelled a short distance though the air an land in the host's eyes, nose
‘rmouth. Droplets do nt remain suspended in the
_Aumzonis raassutssow ~ can occur over grate distances than droplet
{ransmisson Infetious microorganioms are carried by mlcoscopic
droplet nuclei or even dust parties that remain suspended in the air for
lang periods of tine Microerganisms can then be inhaled by a susceptble
hostin the same room, oF they maybe cared by al currens and infect
people father away.
CConawon vaca munsuasion— ooours when microorganisms
se tranantted by contaminated items suchas fod, water, medications
tnd equipment
\Vecronsonve raxssissios- occurs when mosquitoes fies, ats and other
‘Yermin tana microorganisms
ETT fol Rere a on eres
Bile leh reirela
‘According othe Centers for Disease Control and Prevention effective
{nection contra programs have two levels: Standard Precautions and
‘Transmssion Based Precautions
Since there sno quick, surefire method of determining which patients
may carry an infectious disease, Standard Precautions require that you
{tea ll patients a though they may be infected. Standard Precautions
Combine the maior features of
Universal Precutions~ which reduce the risk of transiting
‘loodbome pathogens
1 Boy Substance neaton — which reduces the isk of tansnittng
ody bt
nother words, use Standard Precautions everytime you anticipate
‘contact with blood, al body flu, secretions and excretion nonintact
Skin and mucous membranes. Standard Precutions coveral healthcare
‘Workers whether giving direct-patient care oF working in Support ares,
[ke maintenance snd housekeeping.
‘Standard Precautions outline a system of safeguards to hap you protect
Yoursel rom infections suchas hepatitis B hepatitis Cand FIV, while
io protecting your patients from infectious organisms transmitted from
patient to patent by healthcare workers. Your employerhas policies
fing Standard Precautions including.
Protective work practices
Use of
protective equipment
Protective
housekeeping
tm Protection trough theeee
PROTECTIVE WORK PRACTICES
‘You can dcreae the spread of infection by using gone judgement and
practicing good hygiene.
Hand Biygiene
Hat hygiene isthe single most important precaution fr prevehting
thespian you wh cts rao
‘yourhands the es ila your cance of infection. Handwashing keeps
Sou from transferring contamination from yout hands wo patent other
res of your body of other
burfaces you may contact ter.
‘Always wath your hands for
Hseconde
1 Before you contact patent
After touching blood ll body
fy secre ond
‘vcretions om nic in
t
‘mocoxs membranes an
‘oniamitated fens whether
‘eno loves are wom
wine ae oves are 4,
emoved and beeen patient
‘ona
i Bciore eating drinking, y
spelying skew
Feaeing craet Boece”
taing te restroom
Ale you smoke cough
The COC recomend we of
Met ction bt
Youu wt iy old or
Kory hepeedaa bic balnat
eres yar and ogee coeing all hand sre and ages
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ee poe ees
Grom ee eee eee ee
SERGEY Sacto ae eae
Practice Good Hygiene
‘W Minimizeoplashing, spraying or spatering when performing
procedures involving bload or ofr potentially infectious materials
‘mDonotet drink smoke, appl cosmetics or lip balms, or handle
contact lees where there a reasonable chance you might be exposed
to blood or body fluids
‘Do not keep food and drinkin places whereblood or other potentially
{nfectious materials ae present
Handle Sharpe with Care
Prevent injures fom
needles and other sharp
‘deaning or disposing
‘ofthem
Soler medical devices,
sch as sharps with
gine tars injury
Pood eystems are
‘ow require,
Never bend, recap or
break needs ater use
1m Dispose of contaminated
sharps inappropriate
Ponetore-reastant
ontaners immediatly
seruse
PPE
Perscoal protective equipment (PPE) protects you fom infection hazards
when Wor propedly. PPE indus ploves, fuid-esistant gowns oF
aprons aceshel, protective eyewear and masks, resuscitation bags or
other ventilation devices
PE must be appropriate fr your task Wear as much or as ite PPE a3
you need to keep bloed or other potentially infectious matval rom
[Betting on your clothing, skin or mucous membranes
For example: f you anticipate skin exposure only to your hands, you need
to wear gloves‘Gores are the most common ype of PPE. You sould we posable
{doves for media procedures an heavy-duty wt loves for some
Eiccckecpng actives
Iilore dnting gloves wash
hands tou
Cee eytunieke”
vwbanage incase
‘damaged inany way and then discard
[Never wash or decontaminate
them frre
sm Uy gloves may be claned or
econtaminate fr reuse only they ace
tetdaraged I dargesirany wy
Contaminated gloves
sotto touch he
ote ofthe
Bove. Always
Sach your hands
ter soma
them. No gloves
‘fer Ob percent
ective protection
Ifyou have dermatitis caused or aggravated by weerng loves, o ifyou
‘Zale to doponbe doves ox should wear cot giove liner,
ponderem planes orkypostcngi loves Your employer il provide
fem for yo
Protection During Resuscitation
‘Sines patient may expel sae,
‘lod of oer ids which ould
‘contain infectious materia aod
unprotected moutheormoath
‘eststion insted se mechanical
fol mais feted tise
Fremcontact with potetally
infectious subaances
Always inpect your protective
gmt be, gan
1m Cican and maintain PPS prope.
Repair oc dicard any equipment that is flawed or damaged
sm Replace PPS a5 son as posublef i's penetrated by blood o other
potently infecsous mater.
sn Riways remove PPE before leaving the
‘work aren and place ins designated
Trerpine for dapostl nendering or
processing
sm Remove PPE carefully to avoid
‘contamination of clothing and skin
Remove PPE inthe proper order ~
‘and other protective clothing
Eetore gloves
Your employe also provides
‘cqipment necessary fo eliminate
infecious hazards a thelr source
Such as sutocaves, sharps spol
‘Container, el sheathing needles
‘and edleless systemsCOE eee itera cd
UCTS uissreui cers aK orerol Los
eal
ican abi
sn Ciean ll blood an body
romplly scorn Yo
poly
kin, shake hands or even when
va touch anther cient, co-worker
‘our employer as detailed police and procedures
followed when Transmission Based Prectutone ae
Incident to your immediate supervisor and fellow up with
‘scupational helth personnel‘DVDs, Videos, Web Courses and Handbooks from Coastal
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PATIENT SAFETY.
“ated otalaienlfomaty ak sboutomat ai,