Definition on bloodborne pathogens on workers to their health.ppt
Chironda Best Practices for IPAC in Physicians Offices
1. Best Practices for Infection
Prevention & Control (IPAC) in
Clinical Offices – A Review of the
Guidance Documents
Barley Chironda RPN CIC
Manager of Infection, Prevention & Control and Medical Device
Reprocessing Department, SJHC
2. AGENDA
• Importance of Adhering to Best Practice
Recommendations
• Best Practices for IPAC in Clinical Office Practice
• Staff Education and Safety
• Risk Assessments
• Resources and Supports
6. Reasons to follow Practice
• Legal and Best Practice Guidelines
• Increasing provision of care in the
Physicians office
• Vulnerable patient populations visiting
offices
• Ongoing outbreaks and patient
notification events.
9. Administrative Measures for Clinical Office
• Dedicate Resources to Infection Prevention
• Develop and maintain IPAC and occupational
health programs
• Assure sufficient and appropriate supplies
necessary for adherence to Routine Precautions
10. Facility Recommendations
• There are waste receptacles available in each
room
• There is a waiting area for patients that need to
be segregated for acute infection
• Gloves are available and used appropriately
• Masks are available and used appropriately
• There is a functional separation of clean storage
and dirty utility areas
11. Reception Area
• Reception staff are protected from patients by a barrier
• There is infection control signage at the entrance of the
office/clinic
• A telephone screening tool has been provided and is
being used appropriately
• There is infection control signage at the reception desk
• There are alcohol-based hand rub and masks available at
reception, with signage for appropriate use
• There are tissue boxes available
• Toys are properly cleaned
14. Environmental Cleaning
• There are procedures for cleaning the office setting.
If cleaning is contracted out, the cleaning contractor
has procedures for cleaning the office setting
• Approved and appropriate disinfectant products are
available for patient surfaces, equipment and
instruments
• Clinic/examination areas and high touch surfaces
are cleaned and disinfected daily. Areas in direct
contact with the patient are cleaned between
patients.
15. Environmental Cleaning cont..
• Other office areas are cleaned at least weekly
• Medical equipment used on multiple patients is
cleaned between patients
• There is a procedure for cleaning up spills of
body fluids
• Waste is segregated and managed according to
provincial regulations and local bylaws
17. Examination Rooms
• There are hand washing sinks with liquid soap
available in each clinic area
• Alcohol-based hand rub is available in each
examination room
• Puncture-resistant sharps containers are
provided in each exam room or clinic area
• Sharps are discarded directly into sharps
containers
• Sharps containers are not overfilled past the fill
line
18. Examination Rooms continued
• PPE is available and is worn when necessary and
appropriately
• Supplies are not stored under, or on counters
adjacent to, hand washing sinks
• If patients with active pulmonary tuberculosis
are routinely seen, an appropriately ventilated
examination room is available
19. Staff
• There are written IPAC policies and procedures
• Staff are aware of the location of IPAC policies
and procedures
• Staff follow IPAC policies and procedures
• Staff are immunized appropriately
• If patients with active pulmonary tuberculosis
are routinely seen, N95 respirators are available
and used appropriately and staff receive annual
TB skin testing
• Staff who wear N95 respirators are fit-tested
20. Medications and Vials
• Single dose vials are not reused. Leftover
contents are not combined or pooled.
• A sterile syringe and needle/cannula is used
when entering a vial.
• All needles and syringes are single patient use
only.
• Multidose vials are not used wherever possible
21. Vaccines
• There are policies and procedures for handling and
storage of vaccines.
• There is a thermometer in the refrigerator.
• Temperatures of refrigerators used to store vaccines
are checked twice daily and recorded.
• Vaccines are: kept refrigerated at a temperature
between 2°C and 8°C kept frozen at a temperature of
-15 °C protected from light if required
• If refrigerator temperatures are less than 2°C or
greater than 8°C, report immediately to the public
health unit for assessment of vaccine potency.
22. Resources
• Public Health Ontario Checklists
• Toronto Public Health
• Hospital Infection Control Team
• Regional Infection Control Networks (RICN)
23. References
• Ontario Agency for Health Protection and
Promotion (Public Health Ontario), Provincial
Infectious Diseases Advisory Committee.
Infection Prevention and Control for Clinical
Office Practice. 1 st Revision. Toronto, ON:
Queen’s Printer for Ontario; April 2015.
https://www.publichealthontario.ca/en/eReposi
tory/IPAC_Clinical_Office_Practice_2013.pdf
