Infection control for SARS

1
Infection control for SARS

• Intensive Care UnitPrince of Wales
  HospitalShatinHong Kong
• Tutorial prepared by Charles Gomersall
• Version 1.0
• April 8th 2003

2
Disclaimer

• The procedures shown in this tutorial reflect
  current practice in Prince of Wales Hospital ICU
  and are based on our current understanding of
  SARS
• The author, the Prince of Wales Hospital and The
  Chinese University of Hong Kong take no
  responsibility for any adverse event resulting
  from the use of this tutorial

3
Warning

• Attention to infection control is vital
• The agent that causes SARS is highly contagious
  and may cause life-threatening illness
• Many healthcare workers, both old and young have
  been affected and some have died

4
Personal

• In
• Wash hands
• Mask
• Goggles
• Cap
• Gown
• Wash hands
• Gloves

• Out
• Cap
• Gown
• Wash hands
• Goggles
• Mask
• Wash hands
• Outside mask
• Wash hands

5
In

1. Wash hands
2. Mask
3. Goggles
4. Cap
5. Gown
6. Wash hands
7. Gloves

6
In

1. Wash hands
2. Mask
3. Goggles
4. Cap
5. Gown
6. Wash hands
7. Gloves

7
Wash hands

1. Palm to palm
2. Palm to back, fingers interlaced
3. Palm to palm, fingers interlaced
4. Fingers clasped
5. Thumbs
6. Fingers to palm
7. Forearms

8
Wash hands

1. Palm to palm
2. Palm to back, fingers interlaced
3. Palm to palm, fingers interlaced
4. Fingers clasped
5. Thumbs
6. Fingers to palm
7. Forearms

9
Wash hands

1. Palm to palm
2. Palm to back, fingers interlaced
3. Palm to palm, fingers interlaced
4. Fingers clasped
5. Thumbs
6. Fingers to palm
7. Forearms

10
Wash hands

1. Palm to palm
2. Palm to back, fingers interlaced
3. Palm to palm, fingers interlaced
4. Fingers clasped
5. Thumbs
6. Fingers to palm
7. Forearms

11
Wash hands

1. Palm to palm
2. Palm to back, fingers interlaced
3. Palm to palm, fingers interlaced
4. Fingers clasped
5. Thumbs
6. Fingers to palm
7. Forearms

12
Wash hands

1. Palm to palm
2. Palm to back, fingers interlaced
3. Palm to palm, fingers interlaced
4. Fingers clasped
5. Thumbs
6. Fingers to palm
7. Forearms

13
Mask

• Use N95 or N100 mask
• Surgical masks do NOT provide protection
• Check fit of mask each time it is used
• place both hands over the mask and exhale
  vigorously
• if air leaks around the nose adjust the nosepiece
• if air leaks at mask edges, reposition the straps
  for a better fit
• recheck

14
In

• Wash hands
• Mask
• Goggles
• Cap
• Gown
• Wash hands
• Gloves

15
In

• Wash hands
• Mask
• Goggles
• Cap
• Gown
• Wash hands
• Gloves

16
In

• Wash hands
• Mask
• Goggles
• Cap
• Gown
• Wash hands
• Gloves

17
In

• Wash hands
• Mask
• Goggles
• Cap
• Gown
• Wash hands
• Gloves

18
In

• Wash hands
• Mask
• Goggles
• Cap
• Gown
• Wash hands
• Gloves

19
In

• Wash hands
• Mask
• Goggles
• Cap
• Gown
• Wash hands
• Gloves

20
Ready

• Wash hands
• Mask
• Goggles
• Cap
• Gown
• Wash hands
• Gloves

21
Inside

• Change gloves between patients
• Change gloves before using phone, computers,
  writing notes etc
• Wash your hands whenever you change your gloves
• Do not touch your face or eyes

22
Out

• Cap
• Gown
• Remove gloves
• Wash hands
• Goggles
• Mask
• Wash hands
• Outside mask
• Wash hands

23
Out

• Cap
• Gown
• Remove gloves
• Wash hands
• Goggles
• Mask
• Wash hands
• Outside mask
• Wash hands

24
Out

• Cap
• Gown
• Remove gloves
• Wash hands
• Goggles
• Mask
• Wash hands
• Outside mask
• Wash hands

25
Out

• Cap
• Gown
• Remove gloves
• Wash hands
• Goggles
• Mask
• Wash hands
• Outside mask
• Wash hands

26
Out

• Cap
• Gown
• Remove gloves
• Wash hands
• Goggles
• Mask
• Wash hands
• Outside mask
• Wash hands

27
Out

• Cap
• Gown
• Remove gloves
• Wash hands
• Goggles
• Mask
• Wash hands
• Outside mask
• Wash hands

28
Out

• Cap
• Gown
• Remove gloves
• Wash hands
• Goggles
• Mask
• Wash hands
• Outside mask
• Wash hands

29
Out

• Cap
• Gown
• Remove gloves
• Wash hands
• Goggles
• Mask
• Wash hands
• Outside mask
• Wash hands

30
Out

• Cap
• Gown
• Remove gloves
• Wash hands
• Goggles
• Mask
• Wash hands
• Outside mask
• Wash hands

31
Eating and drinking

• Always wash your hands first
• Use your own utensils
• Sit at least 1m apart
• Do not talk
• Do not cough or sneeze when not wearing a mask

32
Respiratory

• No nebulizers or Venturi masks
• No non-invasive ventilation
• Minimize circuit breaks
• HMEF
• Bacterial filter
• Scavenging

33
Respiratory

• No nebulizers or Venturi masks
• No non-invasive ventilation
• Minimize circuit breaks
• HMEF
• Bacterial filter
• Scavenging

34
Respiratory

• No nebulizers or Venturi masks
• No non-invasive ventilation
• Minimize circuit breaks
• HMEF
• Bacterial filter
• Scavenging

35
Respiratory

• No nebulizers or Venturi masks
• No non-invasive ventilation
• Minimize circuit breaks
• HMEF
• Bacterial filter
• Scavenging

36
Respiratory

• No nebulizers or Venturi masks
• No non-invasive ventilation
• Minimize circuit breaks
• HMEF
• Bacterial filter
• Scavenging

37
Respiratory

• No nebulizers or Venturi masks
• No non-invasive ventilation
• Minimize circuit breaks
• HMEF
• Bacterial filter
• Scavenging

38
Urine

• Direct urine flow against the wall of the
  collecting jug to avoid splashes

39
Urine

• Turn on water to flush away urine

40
Urine

• Carefully empty the urine onto the side of the
  sluice to avoid splashes

41
Urine

• Clean up any spills immediately with sodium
  hypochlorite solution

42
Remember

• This disease is highly contagious
• It is potentially life threatening
• Your safety and the safety of your family and
  patients depends on your strict adherence to
  infection control measures