Personal Care/Universal Precautions: Beckwith Residential Support Services

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PERSONAL CARE/UNIVERSAL

PRECAUTIONS

BECKWITH RESIDENTIAL SUPPORT


SERVICES
UNIVERSAL PRECAUTIONS
UNIVERSAL PRECAUTIONS

 Definition: All human blood and certain body fluids


are treated as if known to be infectious for HIV,
HBV, and other blood borne pathogens.
 Universal Precautions do not apply to:
 Feces
 Nasal Secretions
 Sputum
 Sweat
 Tears
 Urine
HANDWASHING

 It is important to protect yourself and the student from


germs that either individual has come in contact with.
 The following procedure for hand washing MUST be
followed at all times:
 Wash your hands with warm water. Add soap and rub your
hands to make a soapy lather.
 Wash the front and back of your hands, between your fingers
and under your nails. Count to 20, or sing “Happy Birthday” to
yourself.
 Rinse well.
 Dry hands with a clean paper towel.
 Turn off faucet with a paper towel.
HANDWASHING
Wearing Latex Gloves

AS PART OF THE STANDARD PRECAUTIONS


RESIDENTS WILL BE SUPPLY PERSONAL
ASSISTANT STAFF WITH LATEX GLOVES.
STAFF ARE TO WEAR THE LATEX GLOVES
WHEN INVOLVED IN TASKS THAT ARE AT
RISK OF EXPOSURE :

• A L L A C T I V I T I E S O F D A I LY L I V I N G ( A D L S )
INCLUDING BUT NOT LIMITED TO:

S H O W E R I N G / B AT H I N G EXTERNAL STOMA CARE


S H AV I N G DRESSING
BOWEL AND BLADDER CARE
BRUSHING TEETH ALL WOUND CARE
Beckwith Residential Support Services
Management of Bloodborne Pathogens

 Location of Campus Exposure Control Plans:


 Nugent Hall Floater office Room 1027
 Nugent Hall 1108 (Assistant Director of BRSS)
 Individuals Trained to Handle Bloodborne Pathogens
 Main Offices/1st Floor Nugent Hall
 Director/Associate Director/Disability Specialist
 Disability Advocates(DA)
 Personal Assistants
 Administrators/Personal Assistants
 All staff trained annually to handle Bloodborne Pathogens
 Location of Biohazard supplies and First Aid supplies
 FLOATER Office Room 1027 Nugent Hall
 All resident rooms will have vinyl/latex gloves
 Minimum Supplies available in Biohazard cabinet
 Disposable Paper Towels
 Small box containing disposable gloves
 Hand sanitizer and/or antiseptic towelettes
 Red metal first aid kit
 Orange biohazard bags
 Please see the Administrative staff to replace supplies as needed.

Waste Handling, Barrier Protection, and Packaging for placement in
trash receptacle
Waste is collected from resident room and then must be prepared for trash
receptacle.
The orange Biohazard bags require that persons handling them wear
gloves.
Soiled/contaminated tissue wastes used to clean the resident should be
placed in the residents’ garbage can and then the plastic garbage bag
removed and placed in the orange biohazard bag. There should not be a
need for additional barrier protection, unless there is visible external
contamination or the bag integrity is compromised.
Transfer the orange Bio bag to the trash receptacle in room 1031.
Housing BSW staff are contacted to clean and sanitize the area surfaces
including these areas; the floor, sink, desk, toilet, shower, walls, and/or bed.
Waste Handling, Barrier Protection, and Packaging for placement in
trash receptacle
Waste is collected from resident room and then must be prepared for trash
receptacle.
The orange Biohazard bags require that persons handling them wear
gloves.
• Soiled/contaminated tissue wastes used to clean the resident should be
placed in the residents’ garbage can and then the plastic garbage bag
removed and placed in the orange biohazard bag. There should not be a
need for additional barrier protection, unless there is visible external
contamination or the bag integrity is compromised.

• Transfer the orange Bio bag to the trash receptacle in room 1031.

• Housing BSW staff are contacted to clean and sanitize the area surfaces
including these areas; the floor, sink, desk, toilet, shower, walls, and/or
bed.

TASKS AT RISK TO POSSIBLE EXPOSURE


• All Activities of Daily Living (ADLs) including but not limited to:
Showering/bathing External Stoma care
Shaving Dressing
Bowel and Bladder care
Brushing teeth
All wound care
Who to Inform and What to Do In Case Of an
Exposure

 “Exposure incident” means a specific eye, mouth, other mucous


membrane, non-intact skin, or parenteral contact with blood or other
potentially infectious materials that results from the performance of an
employee’s duties. (29 CFR 1910.103(b) ).
 An employee who sustains an exposure incident shall wash the area immediately with soap and water
or, in the case of a mucous membrane exposure, flush the area with water. When handwashing sinks
are not available, hand cleaner or towelettes shall be used for skin only. The exposed skin area shall be
washed with soap and water as soon as possible. Exposed eyes, mouth, or other mucous membrane
must be rinsed with water.
 Immediately following washing and/or rinsing the exposed area, the employee shall report the
incident to the Associate Director of Beckwith Residential Support Services or the designee
and fill out the employee section of a Report of Exposure to Blood or other Potentially Infectious
Materials.
 The Associate Director shall complete the supervisor section of the Report of Exposure to Blood or
other Potentially Infectious Materials, documenting the route of exposure and the circumstances
under which the exposure incident occurred.
 Please contact the Biological Safety Section, Division of Research Safety at 333-2755 or
bss@illinois.edu for additional information on bloodborne pathogens or visit the web site at
http://www.drs.illinois.edu/bss/
SKIN CARE

 Breakdown of skin must be prevented because skin is


the body’s first line of defense.
 Skin requires adequate hydration.
 The cells of the body require adequate nutrition.
 Adequate circulation is required to maintain healthy
cells.
 Hygiene is necessary for skin integrity.
 Sensitivity of skin varies among people and is
affected by their general health status.
SKIN CARE

 Proper skin care begins with bathing. Wash skin with


mild soap, rinse well, and dry thoroughly.
 Pay special attention to hands and nails. Keep nails
short, straight across.
 Brush teeth and inspect mucous membranes for
intactness.
 Avoid using talc's and powders.
PRESSURE ULCERS

 Definition: An area where skin tissue has been


destroyed and there is often destruction under the
tissue as well. Caused by pressure on an area of the
body that results in a lack of nourishment to the
tissue cells.
 Skin inspection is the MOST IMPORTANT PART OF
YOUR JOB.
PRESSURE POINTS

 Tips of Ears
 Shoulders
 Intercostaliversal precautions when
tending the students joints
 Iliac injury/accident form crests
 Trochanter
 Ankles
 Vertebrae
 Sacrum
 Ischium
 Head of Fibula
 Heels
 Tips of toes
PRESSURE POINTS

 Bridge bony pressure points with pillows.

 In the prone position (student laying on stomach) place


pillow under chest and small rubber support under
forehead. Toes hang over mattress edge.
 Another option is to have the student lay face down and
place pillows under their chest, thighs, and shins, while
leaving hips, knees, and feet free from pressure.
 Students will give personal directions as to their
preference/needs.

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