Communicable Disease Control

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Communicable Disease Control

• Lee Carn, RN, BSN, NCSN
• Power Point by Jill Crider

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Agenda

• Principles of Communicable Disease
• Effective Disease Prevention in Schools
• Bloodborne Pathogens Universal Precautions
• Reportable Diseases
• Use of Communicable Disease Section of the School
  Health Manual

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The Chain of Infection
Causative agent
Reservoir
Susceptible Host
Portal of Exit
Portal of entry
Mode of Transmission
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The Chain of Infection
People, Surfaces Water, Food
Causative agent
Bacteria, Virus, Fungus, Parasites
Reservoir
Susceptible Host
Droplets Excretion Secretion
Oral Wound Mucous Membranes Respiratory Sexual
Portal of Exit
Portal of entry
Mode of Transmission
Air, Direct contact, Fecal-Oral, Blood STD
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EFFECTIVE DISEASE PREVENTION IN SCHOOLS

• Surveillance - Observation for cases
• Medical Evaluation - Referral
• Reporting
• Contact Prophylaxis

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Effective Disease Prevention in Schools

• Isolation - Exclusion from school
• Standard Precautions
• Immunization
• Prevention Education

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Health room Cleanliness

• Maintaining cleanliness to prevent the
  transmission of communicable diseases in the
  health room.
• Hand washing
• Bactericidal Solutions
• Clean countertops, cots, equipment

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Other Cleanliness Concerns

• Class room cleanliness
• Diapering
• Toileting

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Bloodborne Pathogens

• Bloodborne pathogens are disease-causing
  microorganisms that may be present in human blood
  or other potentially infectious material (OPIM)

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Bloodborne Pathogens

• District Control Plan
• Your job puts you at risk to be exposed to
  bloodborne pathogens.
• Two most common
• Hepatitis B
• HIV

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Bloodborne Pathogens

• Practice Standard Precautions
• Treat all human blood and certain body fluids as
  if they are known to contain bloodborne pathogens.

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Bloodborne Pathogens

• Engineering Controls - appropriate containers for
  disposing of regulated waste, sharps containers.
• Work Practice Controls - procedures you must
  follow on the job to reduce exposure

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Bloodborne Pathogens

• Personal Protective Equipment
• Gloves
• Gowns
• Face shields
• Protective masks
• Resuscitation shields
• Housekeeping

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Bloodborne Pathogens

• Exposure Incident
• Notify the nurse for evaluation and follow-up
• Hepatitis B Vaccine

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Reportable Diseases

• List of Notifiable conditions in NMSHM
• First call nurse - she will determine next step.
• Exercise restraint. Avoid spreading rumors.

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Communicable Disease Manual

• Clinical Description
• Transmission
• Prevention Education
• School Action

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Resources

• Check the School Health Manual for links.
• Questions?
• Thank you for attending!