Health, Safety and Wellbeing Presentation Infection Control Minimising the spread of infectious disease in the workplace

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Health, Safety and WellbeingPresentationInfect
ion ControlMinimising the spread of infectious
disease in the workplace
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Introduction / Aims

• Module 1 Legislation and DETE Procedures
• Provide legislative and procedural information
• Module 2 - DETE Workplaces
• Health and safety relevant to departmental
  workplaces
• Module 3 - Infection Control
• Practices to prevent infection transmission
• Module 4 - Your Health and Wellbeing
• Individual responsibilities and protecting your
  health
• Module 5 - Vaccination Information
• Information relevant to DETE Workplaces
• Module 6 Take Home Message and Further
  Resources

Uncontrolled copy. Refer to the Department of
Education, Training and Employment Policy and
Procedure Register at http//ppr.det.qld.gov.au
to ensure you have the most current version of
this document.
3
Module 1 Legislation and DETE Procedures
Uncontrolled copy. Refer to the Department of
Education, Training and Employment Policy and
Procedure Register at http//ppr.det.qld.gov.au
to ensure you have the most current version of
this document.
4
Legislation

• Work Health and Safety Act 2011
• General duty to protect workers and others from
  harm.
• Public Health Act 2005
• Duty of schools and parents to minimise the risk
  of vaccine preventable contagious conditions in
  schools.

Uncontrolled copy. Refer to the Department of
Education, Training and Employment Policy and
Procedure Register at http//ppr.det.qld.gov.au
to ensure you have the most current version of
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5
Departmental Documents

• Departmental Procedures
• Infection Control
• Management of Prescribed Contagious Conditions
• Guideline
• Infection Control
• Fact Sheets / Safety Alerts

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Education, Training and Employment Policy and
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Infection Control Guideline Contents

• Infection Control
• Cleaning and Disinfecting
• Infectious Waste
• Contagious Conditions
• Pregnancy and Infection Control
• CPR Training
• Immunisation

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Module 2DETE Workplaces
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Education, Training and Employment Policy and
Procedure Register at http//ppr.det.qld.gov.au
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Module 2 - DETE Workplaces

• Why are DETE Workplaces Common Sites for
  Infectious Disease Transmission?
• Large numbers of people in close contact on a
  daily basis
• e.g. classrooms
• Culture of attendance (staff/students/others)
• infectious/contagious people at the workplace
• Possible contact with asymptomatic carriers
• disease is contagious before symptoms are present
• Non-vaccinated populations
• lack of immunity e.g. to childhood illnesses
• Hygiene issues
• young children / poor cough sneeze etiquette

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Risk Factors in DETE Workplaces

• High risk behaviours (injury/contact
  sports/special ed.)
• Contact sports / special education / first aid
• Duties
• (special ed / first aid / cleaning maintenance)
• DETE workplaces cover the length and breadth of
  the state
• most populations are represented within our staff
  and student base
• There is no state-wide record of staff and
  student vaccination
• Unknown vaccination/immunity status of workers
  and others as they move between locations
• Workplaces such as schools are community
  locations
• Visitors and volunteers may be accompanied by
  young children or babies
• Large percentage of female staff and students
• Diseases that may impact on pregnancy or the
  unborn child

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10
Risk Factors continued

• Special school environments and other integrated
  learning environments
• Staff and students who may have compromised
  health/immune systems
• Conscientious Objectors to Childhood Vaccination
• Some students / parents / staff are not immune to
  common childhood illnesses
• Childhood illnesses in children vs adults
• Common childhood illnesses are often more severe
  when seen in adult patients e.g. chickenpox.
• No requirement to disclose the nature of an
  illnesses
• Infectious/potentially contagious people at work
• HLS-PR-004 Management of Prescribed Contagious
  Conditions - has requirements regarding the
  notification of contagious conditions as
  defined by the Public Health Act and Regulation.
• Due to their nature, DETE workplaces are often
• natural amplifiers of infectious disease

Uncontrolled copy. Refer to the Department of
Education, Training and Employment Policy and
Procedure Register at http//ppr.det.qld.gov.au
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Module 3Infection Control
Uncontrolled copy. Refer to the Department of
Education, Training and Employment Policy and
Procedure Register at http//ppr.det.qld.gov.au
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Effective Infection Control

• There are many elements to effective infection
  control
• Develop and implement local infection control
  practices
• Promote infection control practices within the
  workplace
• Allocate funds to implement infection control
  practices and
• Work with your local Queensland Health Public
  Health Unit to manage and contain an outbreak of
  a contagious condition at the workplace.

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13

• Module 3 Infection Control

Infection Control
Personal Protective Equipment
Safe use of Sharps e.g.syringes
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Standard Precautions

• Standard Precautions aim to eliminate exposure.
• The underlying principle Assume all blood and
  bodily fluids/substances are potentially
  infectious and therefore apply
• Good hygiene including hand washing
• Use of personal protective equipment
• Appropriate waste disposal
• Cleaning and sanitation.
• Infectious diseases may be
• Blood borne
• Airborne / droplet
• Transferred via contact

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Education, Training and Employment Policy and
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Hand Washing Infection Control

• Hand Washing is one of the most important
  measures in preventing transmission of infection.
  
• Hands should be washed using soap, water and then
  dried
• before
• handling, preparing or eating food
• before and after
• assisting students with eating/meals
• assisting students with toileting
• providing first aid or medication
• contact with an ill or injured person
• after
• contact with blood or body fluids (this includes
  your own e.g. Sneezing/coughing)
• removal of protective gloves
• using the toilet and
• after contact with animals.

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16
This poster can be downloaded and displayed near
hand washing sinks.
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Education, Training and Employment Policy and
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General Hygiene

• Adhere to good hygiene practices, including hand
  washing
• Avoid sharing of utensils or drinking
  cups/bottles
• Cover any open wounds with water proof dressing
• Use personal protective equipment (PPE) e.g.
  disposable gloves
• Handle and dispose of sharps and other infectious
  waste appropriately
• Clean / disinfect any contaminated items

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Personal Protective Equipment

• Personal Protective Equipment (PPE)
• All workers should wear personal protective
  equipment e.g. disposable gloves for all contact
  with blood and body fluids/substances.
• Examples
• Rendering first aid
• Toileting (e.g. special education facilities)
• Picking up rubbish/waste.

Uncontrolled copy. Refer to the Department of
Education, Training and Employment Policy and
Procedure Register at http//ppr.det.qld.gov.au
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19
Module 4Your Health Safety and Wellbeing
Uncontrolled copy. Refer to the Department of
Education, Training and Employment Policy and
Procedure Register at http//ppr.det.qld.gov.au
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Module 4 Your Health, Safety and Wellbeing

• What infectious diseases/conditions can be
  encountered in your workplace?
• How are these diseases/conditions spread?
• What can you expect from your workplace?
• Risk Management approach to infection control
• What can you do to protect yourself and others
  against transmission?
• What are your responsibilities?

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Infectious Diseases vs Vaccine Preventable

• The diseases below are relevant to DETE
  workplaces.
• Fact sheets are available from Queensland
  Health
• ? Whooping Cough (Pertussis)
• ? Measles
• ? Mumps
• ? Rubella
• ? Hepatitis A
• ? Hepatitis B
• ? Influenza (Including swine flu)
• ? Chickenpox (Varicella)

Diseases in RED are relevant to
pregnancy Diseases with a green tick ? are
vaccine preventable
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Route of Transmission
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What to Expect From Your Worplace

• If there is an outbreak of an infectious disease
  at a DETE workplace
• Contact the local Queensland Health Public Health
  Unit for advice.
• Liaise with the Public Health Unit to manage and
  contain any outbreak of a contagious condition.
  e.g. measles, and prevent it from entering the
  broader community.
• Work caused illnesses (infectious disease
  contracted at work) must be notified to Workplace
  Health and Safety Queensland

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Protecting Yourself Risk Assessment

• Protecting Yourself
• Step 1 Be aware of the hazardsBe aware of
  likely diseases in your workplace / how can they
  been transferred from person to person.
• Step 2 - Decide who might be harmed and howWhat
  is the harm? How likely is this harm?
• Step 3 - Decide on control measures
• e.g. Awareness training
• Step 4 - Put controls in placee.g. Run training
  sessions
• Step 5 - Review the controlsAre the controls
  working?

Be familiar with relevant departmental procedures
and guidelines as well as your local practices.
e.g. Infection Control Guideline
Uncontrolled copy. Refer to the Department of
Education, Training and Employment Policy and
Procedure Register at http//ppr.det.qld.gov.au
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Protecting Yourself what to do

• Adopt and promote
• The Infection Control Guideline
• Standard Precautions for Infection Control
• Safe use of Sharps
• Safe Waste Management
• Cleaning and Disinfection
• Use of Personal Protective Equipment
• Hand and Respiratory Hygiene
• Attend training on a regular basis
• Consider vaccination and know your immunity
  status.

Uncontrolled copy. Refer to the Department of
Education, Training and Employment Policy and
Procedure Register at http//ppr.det.qld.gov.au
to ensure you have the most current version of
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Pregnancy

• If possible, ensure that you have your
  immunisations up-to-date before you become
  pregnant or at least be aware of your
  immunisation status.
• If you are pregnant, discuss your work
  requirements with your treating doctor to
  determine if you need to take any special
  precautions when in the workplace.
• Refer to the procedure WFR-PR-011 Pregnancy in
  the Workplace
• Any issues with regard to work placement or leave
  should be discussed with your Officer-in-Charge.
  
• This information is also important to all who may
  have a pregnant contact e.g. spouse.

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Diseases Relevant to Pregnancy

• Measles
• Mumps
• Rubella
• Influenza (including swine flu)
• Chickenpox (Varicella)
• Cytomegalovirus (CMV)
• Parvovirus

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Your Responsibilities

• Know your immunisation status
• Store this information in a location that can be
  readily accessed if needed.
• Stay home when unwell
• Students should not be at school/college when
  they are unwell.
• Parents should be requested to collect unwell
  school students.
• Staff are expected to stay home when they are
  unwell.
• Refer to minimum exclusion periods.
• Refer to contagious conditions procedure.

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Module 5Information on Vaccination
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Education, Training and Employment Policy and
Procedure Register at http//ppr.det.qld.gov.au
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Information on Vaccination

• The Australian Immunisation Handbook 9th edition
  provides vaccination recommendations for specific
  occupational groups.

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31
Information on Vaccination

• Source Australian Immunisation Handbook 9th
  Edition

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What is a vaccination and how does it work?

• Vaccinations protect you from specific diseases.
• They boost your body's immune system and create
  immunity that protects you from an infection
  without causing the suffering of the disease
  itself.  
• Most vaccines contain a little bit of the disease
  germ that is weak or dead. Vaccines do NOT
  contain the type of germ that makes you sick.
• Having this little bit of the weak or dead germ
  makes your body's defense system build antibodies
  to fight a real infection in the future.
• Your body can make antibodies in two ways by
  getting the disease or by getting the vaccine.
• Getting the vaccine is a much safer way to make
  antibodies without having to suffer the disease
  itself and the risk of becoming disabled or even
  dying.
• The Australian Immunisation Handbook 9th Edition
  contains a table that compares the effects of
  disease vs the side effect of the vaccine. This
  has been made into a handout and can also be
  viewed at http//www.health.gov.au/internet/immun
  ise/publishing.nsf/Content/Handbook-quickguides-si
  deeffects.

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Module 5 Information on Vaccination
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34
Module 6Take Home Message Further Resources
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Take Home Message

• Be aware of your immunity status to common
  infectious diseases especially childhood
  illnesses.
• DETE workplaces harbour infectious diseases some
  of which can be harmful during pregnancy.
• Prevent the spread of infectious disease through
  STANDARD PRECAUTIONS and IMMUNISATION.
• Seek advice from Qld Health Population Health
  Units as required.

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Further Resources

• Queensland Health 13HEALTH
• Departmental Policy Infection Control
• Departmental Policy Management of Prescribed
  Contagious Conditions http//education.qld.gov.au/
  strategic/eppr/health/index.html
• Infection Control Guideline
• http//education.qld.gov.au/health/pdfs/healthsaf
  ety/infection_control_guideline.pdf
• Creating Healthier Workplaces Infection Control
  http//education.qld.gov.au/health/safety/hazards/
  infection.html
• Your Regional Senior Health and Safety Consultant
  http//education.qld.gov.au/health/contacts/hscont
  acts.html
• Key Health and Safety Tips for Teachers
• http//www.deir.qld.gov.au/workplace/documents/sh
  owDoc.html?WHS20Fast20Facts/healthcommunity20-
  20teacher
• Local Qld Health Public Health Unit
• http//www.health.qld.gov.au/healthyschools/contac
  tus.asp

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37
Infection Control Animation
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