INFECTION

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INFECTION CONTROL ITS IN YOUR HANDS
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Infection Prevention Control THE BASICS
Respiratory etiquette achooo!!!
Hand Hygiene Rub-a Dub Dub
Standard Precautions wet not yours take cover
IMMUNIZATION / INJURIES REACH FOR THE PHONE
Transmission-based PRECAUTIONS Stop In the name
of germs
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HAND HYGIENE
- NO ARTIFICIAL NAILS - CLEANSING HANDS
- THE MOST IMPORTANT MEANS OF PREVENTING THE
SPREAD OF INFECTION
No Fungus among us
Germs dont have a chance with the proper use of
these weapons.
Alcohol-based hand hygiene products
Soap / Water
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Hand Hygiene
Two different ways to keep your hands germ free
Speed washing not allowed
Soap and water for 15 seconds. (Make bubbles
while applying friction). Alcohol hand rub if no
visible soiling present on hands.
Hand Hygiene is JCAHOs 7 Patient Safety
Goal Speak-up Campaign for Patients Encouraging
patients to ask the Healthcare Worker (HCW) about
handwashing!
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STANDARD PRECAUTIONS
Healthcare workers must treat all blood body
fluids as infectious.
If it is wet and not yours...use a barrier!
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Standard Precautions also include
Hand Hygiene Personal Protective
Equipment (PPE) gloves,gowns,masks,face-shields,
goggles Anticipate Your Exposure Use
Sharp-Safety Devices Clean Surfaces
Regularly Appropriate Waste Disposal (Red
bags, regulated medical waste)
REMEMBER YOUR EYES
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PPEs Wear them proudly.
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BLOODBORNE PATHOGENS
The Big 3
HIV, HEPATITIS B AND HEPATITS C
SPREAD THROUGH CONTACT WITH BLOOD BODY FLUIDS
HIGH RISK BEHAVIORS Sharing Needles or other
sharp objects Unprotected Sexual Contact Unclean
Tattoo Parlors
Accidental puncture from contaminated needles and
other sharps can result in transmission of
Bloodborne pathogens.
Safety Needles, Devices and PPEs Protection.
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What is the "risk" after an exposure?
Hepatitis B
Vaccinated If you have received the vaccine
(all 3 shots) and have developed immunity,
virtually no risk for infection. Unvaccinated
Risk from single needlestick or cut 6-30
Depends on the Hepatitis (antigen of sources
blood).
Hepatitis C
Limited studies available but risk seems to be
about 1.8.
HIV
Average risk for HIV infection to develop after
needlestick or cut exposure to HIV blood is 0.3
Risk after exposure to HIV blood through
splashes to eyes, mouth or nose is 0.1
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RESPIRATORY ETIQUETTE
A.K.A. Good Health Manners
Cover coughs and sneezes with tissue or your
upper sleeve, NOT your hand.
Put used tissues in trash ASAP.
Dont forget to wash wash wash
Keep your germs to yourself
Make Respiratory Etiquette your Modus Operandi.
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RESPIRATORY ETIQUETTE Simple Steps Help
Infections

• What Healthcare workers can do
• Encourage patients to wash hands
• Wear mask/eye protection if close to coughing
  patient (within 3ft)
• Place patient in private room or away from other
  patients if cough fever are present and
  suspect contagious disease
• Provide patients with tissues teach them to
  cover their coughs

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Sample Sign
Might see this sign throughout our facilities
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Lets now put the Spotlight on
Tuberculosis (a.k.a. TB)
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TB is an airborne disease the germ is in the
air
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Certain procedures must be followed when caring
for a patient with known or suspect TB

• HCWs wear a N-95mask or PAPR for any room entry
• Keep the patients room door closed at all times
• (special air handling room, negative air
  pressure)
• When in the patient room
• - Encourage patients to Cover Coughs with a
  tissue
• - Encourage patients to wash hands
• When patients leave their rooms, make sure they
  are
• wearing a surgical mask (e.g. during any
  transport)

Respiratory Etiquette
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After Standard Precautions
Respiratory Etiquette comes,
Transmission-based PRECAUTIONS
Standard Precautions Respiratory Etiquette use
doesnt control all communicable diseases.
Organisms (a.k.a. germs) can be spread in
different ways. Respiratory droplets
Influenza, Rubella, Bacterial Meningitis Inhaled
airborne Tuberculosis (TB), Smallpox,
Chickenpox Direct contact Diarrhea (e.g. C.
difficile), skin infections, multi-drug
resistant organisms (e.g. MRSA, VRE) Providence
Health Systems Resistant Organism Codes. MDRO
Multi-drug Resistant Organisms MDROM (MRSA),
MDROV (VRE), MDROMV (MRSA VRE) MDROR
(ESBL)
These codes are seen on Patient Facesheet in
Staff Alert field
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Transmission-based PRECAUTIONS Always
Communicate to others when patients are in
isolation For any room entry don appropriate
PPE Clean ANY shared equipment between Patients
Although Isolation Signs May Appear Different,
ALL Will Have - a STOP Sign - List of Room
Entry PPE
Transmission-based Precautions isolation.
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? Use Standard Precautions, Cover Cough
GLOVES REQUIRED
MASK REQUIRED
___Surgical
___ N-95 or PAPR
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IMMUNIZATIONS, INJURIES Employee Health

• HEPATITIS B VACCINE
• ANNUAL TB RISK ASSESSMENT
• -Other vaccinations
• - REPORT ALL INJURIES

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If you have a work related injury, including
needlestick or blood exposure, immediately notify
your supervisor, and CALL 216-3200 to report the
injury to Employee Health.
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Infection Control on the PHS intranet
On the I.C. web site you will find

• ?Regional policies procedures
• Facility specific policies procedures
• ?(Infection Control Manual) ?
• ? Links, Resource Center
• ? Educational material
• ? Lots of valuable information on the site

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To get to the I.C. site, 1. Open home page. 2.
Click on site map. 3. Find Infection Control
link, and click on it.
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Screen Shot Infection Control Regional Site.
Links on the left allow user to check out their
specific facility Add to Favorite web sites
folder.
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Clean hands are beautiful to the world INFECTION
CONTROL IT TRULY IS IN YOUR HANDS!

• - Compassion
• Excellence
• Respect
• - Justice
• Stewardship