1. Infection Prevention Presentation
Barley Chironda RPN, CIC
Manager IPAC and MDRD
St Joseph Health Center
Toronto
@barleychironda

2. Objectives
1. To provide understanding about IPAC
2. To review your current infection control
knowledge
3. Share Challenges related to IPAC
4. To inspire you to want to work in IPAC

3. Role of an ICP
 Educator
 Friend
 Surveillance
 Detective
 Problem Solver
 Comedian
 Sales Person

4. Infection Prevention and Control Department
 Infectious Disease Physicians
 Infection Control Practitioner
 Data Analysis
 Admin Support
 Manager
 Public Health Liaison

5. IPAC Toolboxes
 Routine Practice
 Handwashing
 Cleaning
 Surveillance
 Risk Assessment
 PPE
 Additional Precautions

6. Routine Practices
Are meant for all patients all the time
regardless of diagnosis
–Hand Hygiene
–Cleaning equipment
–Patient Risk Assessment
–PPE

7. 4 Moments

8. Routine Practices
Disinfecting equipment

9. Risk Assessment
Higher Risk:
• Incontinent of stool or Loose Stool
• Draining skin lesions or wounds
• Copious uncontrolled respiratory secretions
• ICU setting (extensive hands on care)
• Patient has many invasive devices
• Patients has poor hygienic practices (disoriented )

10. PPE
• Better SAFE than SORRY: PPE is used to protect health care
workers from exposure to microorganisms that affect our
patients
• Whether patient is on isolation precautions or not, PPE use is
based on the behavior of the patient and the task to be
performed
– Gown and/or gloves for wound examination or dressing
changes
– Mask & eye protection when in close proximity to a coughing
patient
– Gown, glove and mask use all appropriate when performing a
task that may generate aerosols (e.g. intubation, suctioning) or
may result in contact with blood or body fluid
– Glove use is based on the task and the extent of anticipated
contact with the patient or patient’s environment
• Dispose of PPE prior to leaving patient care area

11. Additional Precautions
1. Contact
2. Droplet
3. Airborne

12. Rules of Additional Precautions
1. Additional Precautions can be
started by anyone
2. Can only be discontinued by an ICP
or IPAC Officer.

13. Stay Home if SICK
 Please do NOT come to Volunteer if you
are sick.
 Especially if you have fever, rash,
nausea, vomiting or diarrhea.
 Stay up to date on Vaccines
 Cover your cough

14. Our Goal is ZERO Infections!
Befriend staff
Be available
Involve the staff

15. t
The Superbugs

16. MRSA and VRE
Contact Precautions
Reassessment after a
month.
Needs 3 swabs to clear
taken a week apart

17. CPE
 Contact
Precautions
 Maintain
Isolation for
hospitalization

18. Cdiff or Acute Loose stool
 Contact
Precautions
 Maintain
Isolation until
48 hrs after
treatment and
formed stool

19. TB
 Airborne
Precautions
 Maintain
Isolation until
ICP review

20. Acute Febrile illness
 New onset cough
and fever. Nurse
to inform ICP
 Maintain droplet
Isolation until ICP
review

21. Lice and Scabies
 Contact
Precautions
 Await
effective
treatment and
advise ICP

22. When to call IPAC
 To reassess isolation status
 Microbiology report that may change
the isolation status
 Symptoms of concern
 Need in-service on IPAC
 Great Idea on how to improve

23. Fighting Antibiotic
Resistance

24. What is ASP?

25. Why IPAC is for you
 Monday to Friday
 Fun
 Its interesting
 Its cool
Position Title: Infection Control Practitioner
Department: Infection Prevention &Control
Job Type: Full Time
Compensatio
n:
$35.970 - $49.311 per hour

26. Quiz
Which of the following equipment must be
cleaned and disinfected between use with
patients?
 a.Blood pressure cuff
 b.Wheelchair
 c.Glucometer
 d.Stethoscope
 e. All of the above

27. Quiz
What does Routine Practices mean?
a. Wear a mask if a patient is coughing in
their room
b. Wash hands after removing gloves
c. Wear a gown if soiling of clothing is
likely
d. All of the above
e. None of the above

28. Contact Me
Barley Chironda
Manager of Infection Control and Medical
Device Reprocessing Department
St Joseph's Health Centre
email: chirob@stjoe.on.ca
Phone: 416-530-6000 ext 4581
Mobile: 647-539-8043
Twitter: @barleychironda

29. Questions