Infection Control and Communicable Diseases - PowerPoint PPT Presentation

About This Presentation
Title:

Infection Control and Communicable Diseases

Description:

Infection Control and Communicable Diseases By: Darryl Jamison Macon County EMS Training Coordinator ALWAYS WEAR GLOVES WITH EVERY PATIENT Background Nurses 5,378 ... – PowerPoint PPT presentation

Number of Views:416
Avg rating:3.0/5.0
Slides: 25
Provided by: maconncOr
Learn more at: https://maconnc.org
Category:

less

Transcript and Presenter's Notes

Title: Infection Control and Communicable Diseases


1
Infection Control and Communicable Diseases
  • By Darryl Jamison
  • Macon County EMS Training Coordinator

2
Universal Precautions
  • ALWAYS WEAR GLOVES WITH EVERY PATIENT

3
Background
4
Adults Reported with AIDS and a History of
Healthcare Employment
  • Nurses5,378
  • Health Aides5,638
  • Technicians3,182
  • Physicians1,792
  • Therapists1,082
  • Dental Workers492
  • Paramedics476
  • Surgeons122
  • Other5,050
  • Total23,212

5
Healthcare Personnel with Documented and Possible
Occupationally Acquired AIDS/HIV as of December
2001
  • Nurses24/35
  • Laboratory Worker/Clinical16/17
  • Physician (non-surgical)6/12
  • Lab. Tech./Non-clinical3/0
  • Housekeeper2/13
  • Surgical Technician2/2
  • Embalmer1/2
  • Respiratory therapist1/2
  • Dialysis Tech.1/3
  • EMT/Paramedic0/12
  • Surgeon0/6

6
Post Exposure Evaluation and Follow-Up
7
Protocol for Obtaining Medical Treatment,
Counseling, Baseline Blood Testing, and
Prophylaxis
  • Contact the supervisor immediately.
  • Employees will be seen initially at AMC Emergency
    Dept. and will receive follow-up care and
    counseling from Macon County Health Department,
    with the exception of HIV exposure which should
    be followed up with primary care physician. This
    will include but not limited too, prophylactics.
  • Initial evaluation will be according to the
    protocol of the receiving medical facility, and
    CDC guidelines for Occupational Exposure of
    Healthcare Professional.
  • Each exposure shall be documented on a MCEMS
    Exposure Report Form and appropriate Workers
    Comp form. An appt. should be made ASAP , no
    longer than 24 hours p exposure.

8
Serological Testing of Exposed Employees
  • The exposed employees consent is required for
    collection and testing of blood for exposure. If
    baseline consent is denied, the exposed employee
    should be requested to have blood drawn and
    stored, usually for a period of 3 months, leaving
    the option open for the person to provide consent
    for serological testing at a later date.

9
Source Patient Consent for Blood Draw
  • By NC general statute the source patient has no
    right to refuse blood testing.
  • Should be made from the time of initial care
    within the hospital setting, if for some reason
    the exposure occurs at the scene, contact
    supervisor or training officer, and he/she will
    make contact with the source patient for testing
    arrangements.
  • Should also contact shift supervisor of the
    receiving facility for proper testing.

10
Medical Followup
  • The facility that provides initial baseline
    testing, and prophylactic treatment of exposed
    employees shall forward the information to the
    Macon County Health Department, within 24 hours
    if possible (ie. Weekends).
  • Macon County Health Department will provide
    additional treatment, exception for HIV exposure,
    and counseling, which should be done in person if
    possible.

11
Accident/Incident Review
  • T.O. will review the circumstances of the
    exposure to determine if procedures, protocols
    and/or training need to be repeated or revised to
    prevent a reoccurence of the incident.
  • The completed Exposure Incident Report Form
    should be completed and returned to the T.O. to
    initiate this process.

12
Post Exposure Highlights
  • Documentation of exposure routes and how exposure
    incident occurred.
  • Identification of documentation of source
    individuals infectivity, if possible
  • Collection and testing of employees or students
    blood for HBV and HIV serological status, consent
    required
  • Post-exposure prophylaxis when medically
    indicated
  • Counseling
  • Evaluation of reported illness

13
Housekeeping
  • Clean up kit.
  • A 110 dilution of 5.25 clorox and water.
  • Red bag
  • Use only tongs, forceps or brush and dust pan for
    cleaning up broken glass
  • Inspect and decontaminate on a regular basis
    reusable receptacles (ie, trash cans)
  • If visibly contaminated clean as soon as
    feasible.
  • Shall disinfect each shift, preferably after each
    call, anything that touches the patient and/or
    you touch will providing care after transfer.
  • Regulated medical waste shall be placed in a
    closable and labeled or color-coded container.
  • When discarding contaminated sharps, place them
    in a closable, puncture-resistant, appropriately
    labeled leak-proof container for that purpose.

14
Cont.
  • Sharps containers shall be placed where they are
    easily accessible, to the immediate area where
    sharps will be used.
  • Containers shall be kept upright throughout use,
    replaced routinely, closed when moved, and not
    allowed to overfill
  • When replaced, take to the hospital for disposal.

15
General Rules for Preventing Needlesticks
  • NEVER recap any needles clean or contaminated
  • ALWAYS make sure that the safety mechanism is
    working
  • NEVER hand someone else YOUR needle
  • Immediately discard used needle after use
  • ALWAYS draw up your own medicine

16
(No Transcript)
17
(No Transcript)
18
(No Transcript)
19
(No Transcript)
20
(No Transcript)
21
(No Transcript)
22
(No Transcript)
23
(No Transcript)
24
Types of Safety Needles
Write a Comment
User Comments (0)
About PowerShow.com