Keeping Bugs Under Control

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Keeping Bugs Under Control
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Session Goals

• Describe OHS
• Describe Routine Practises
• Aware of neddle stick Policy
• Explain types of precautions
•  

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Surveillance for Illness among Employees

• T.B.
• Hepatitis B
• Influenza
• Chicken pox
• Fever respiratory surveillance amongst employees

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Modes of Transmission
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Routine (Standard) Patient Care Practices

• Universal Precautions
• Body Substance Precautions

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Routine Patient Care Practices

• These practices combine the major features of
  Universal Precautions and Body Substance
  precautions
• These practices apply to ALL
• blood
• body fluids
• secretations excretations
• non intact skin
• mucous membranes

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Routine (Standard) Patient Care Practices

• Routine Patient Practices
• Additional Precautions

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Routine Patient Care Practices

• Designed for the care of all patients
• Stop spread of disease
• Minimize the risk of transmission from

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Routine Patient Care Practices

• Decrease the risk of transmission of germs from
  both patients with a known infectious agent and
  from those with an undiagnosed infection
• Standard for ALL patients

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Routine Patient Care Practices

• As Lab workers we decide if the activity we will
  be doing on the speicmens may potentially splash
  or soil us
• If we believe we may get splashed or soiled then
  we will take the precautions that will protect us

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Handwashing and Hand Antisepsis
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When do you wash your hands?
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When do you wash your hands?

• On arrival at the hospital
• Before eating, drinking or handling food.
• Before and after performing any personal body
  function
• i.e. after blowing and wiping the nose, using
  the toilet, combing hair
• Whenever your hands become obviously dirty.

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When do you wash your hands?

• After touching equipment or surfaces known or
  considered likely to be contaminated with blood,
  body fluids, secretations or excretations

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When do you wash your hands?

• Always after you take off your gloves
• After taking off masks , eye protection and gowns

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Alcohol hand rinse

• Effective alternative to soap and water
• Waterless antiseptic hand rinse
• Outside patients rooms and placed throughout the
  hospital
• If your hands are visibly soiled then you must
  use soap and water

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Hand Washing

• HANDWASHING is the SIMPLIEST practice that has
  been shown conclusively to decrease the spread of
  infections in hospitals and in the community

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Gloves
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Gloves

• Gloves are not required for routine patient care
  activities where contact is limited to patients
  intact skin

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When do you wear Gloves?

• When you anticipate contact with
• Any body fluids
• Put on gloves before contact with potentially
  contaminated object

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Gloves

• Remember gloves are NOT a substitute for hand
  washing. Gloves are an added measure.
• Always wash after wearing gloves
• .

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Gloves

• Change when soiled
• Are not to be reused or washed

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Masks, Gowns Eye Protection
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Masks, Gowns Eye Protection

• The need for gowns, masks and eye protection
  depends on the tasks being preformed
• If the activity is likely to generate splashes or
  sprays then wear the appropriate personal
  protective equipment that will protect you

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Masks Eye Protection

• Use if procedures activities are likely to
  generate splashes, or sprays of blood or body
  fluids
• Worn to protect YOUR mucous membranes

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Masks Eye Protection

• Masks need to cover your nose and mouth to fully
  protect
• Fully operating laminar flow hood does protect
  the mucous membranes of your eyes, nose and mouth

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Gowns
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When do you wear Gowns?

• To protect uncovered skin during procedures and
  patient care activities likely to generate
  splashes
• To prevent your clothes from becoming soiled

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ACCOMODATION
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Accomadation

• Single rooms are not usually required for routine
  patient care
• A single room may be required for certain
  patients who will are incontinent of stool and
  can not contain their faeces so they contaminate
  their immediate area

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Patient Care Equipment
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Patient Care Equipiment

• Reusable equipment that has been in direct
  contact with the patient must be cleaned before
  the piece of equipment is used for another
  patient
• Other items that are shared should also be
  cleaned between patients i.e. walkers, commodes
  blood pressure cuffs

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Patient Care Equipiment

• Handle soiled equipment so you are not
  contaminating your self or your clothing or the
  patients environment

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Patient Care Equipiment

• If the piece of equipment touches mucous
  membranes of a patient or penetrates intact skin,
  it must be cleaned and disinfected or sterilized
  before it is used with another patient

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Environmental Controls
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Environmental Control

• A process where the hospital is cleaned,
  including patient's rooms, and the patients
  environment
• Medical equipment surfaces and housekeeping
  surfaces all must be cleaned

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Environmental Control

• Cleaning and disinfection schedules and methods
  vary according to
• the area of the hospital
• type of surface to be cleaned
• amount and type of soiling or dirt present

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Routine Patient Care Practices

• HANDWASHING
• GLOVING
• GOWNS/MASKS/GOGGLES
• ACCOMMODATION
• PATIENT CARE EQUIPMENT
• ENVIRONMENTAL CONTROL

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ADDITIONAL PRECAUTIONS

• Certain Pathogens or clinical presentations
  may require additional precautions

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Keeping Bugs Under Control

• Infection Control is everybodys
  businessprotecting patients and health care
  providers at Mount Sinai Hospital
• Together we can make the difference in the spread
  of infectious diseases and improve outcomes