9. Gloves
Gloving
Protective barrier
○ To caregivers
○ To patients
○ Between patients / within the same patient
When?
○ Anticipated direct contact with non intact skin/body fluids
○ Care of patients colonized with MDRO
○ Handling potentially contaminated patient care
equipments/env
Failure to change gloves between patient contacts –
INFECTION CONTROL HAZARD
10. Other Barrier Protection
Masks
Eye protection
Goggles/Face Shields
Gowns and protective apparel
Why gowns???
When to remove??
11. Respiratory protection
Face Masks N95 Respirators
Loose fitting, not
designed to filter out
small aerosols
Place on coughing
patient (source control)
HCW should wear mask
to
protect patient during
certain procedures (e.g.,
surgery)
protect HCW
○ droplet precautions
○ Mask + goggles for
anticipated
spray/splash
Tight fitting respirator,
designed to filter the
air
Protects the wearer
HCW should wear
when concerned about
transmission by
airborne route
12.
13.
14. Patient Care Equipment and Articles
Disposal
○ Bags
Sharps
Reusable devices
○ Critical - Sterilised / Disinfected
○ Non critical – cleaned amd disinfected after
use
15. Patient placement
Private room
Patient with highly transmissible or
epidemiologically important
microorganisms
With handwashing and toilet facilities
Appropriate room mate sharing – same
microorganisms – COHORTING
Useful during outbreaks --- eg??
Airborne transmission – room with
appropriate air handling and ventilation
16. Transport
Only for essential purposes
With appropriate barriers
Precautions in the new area to be
transported
Informing patients
17. Others
Linen and Laundary
Common sense storage and processing of
soiled linen
Dishes, Glasses, Cups, and Eating
Utensils
Hot water and detergents
Routine and Terminal cleaning
18. Standard Precautions
Universal Precautions + Body
Substance isolation
Principle : All blood, body fluids,
secretions, excretions except sweat, non
intact skin, and mucous membranes
may contain transmissble infectious
agents
FOR THE CARE OF ALL PATIENTS
19. Standard Precautions .
Hand washing
PPE – gloves,mask,goggles ,
gown.
Proper - handling of soiled
patient care equipments,
environmental cleaning,disposal
of sharps.
Respiratory hygiene/cough
etiquette
Minimal handling of soiled linen.19
23. Airborne precautions
Patient placement :
monitored negative air pressure
6-12 air changes per hour
Appropriate discharge of air outdoors
Keep the room door closed
Respiratory protection
N 95 mask while entering the room / discard
in trash while leaving the room
Patient transport
Mask on the patient
26. Droplet Precautiions
Patient placement:
Private room
If not available, spatial separation of atleast
3 ft
Special air handliing and ventilation – not
necessary
Door may remain open
Mask while entering the patient room /
discard in trash after leaving the room
Masking the patient when transport
needed
29. Contact Precautions
Private room
Gloves and Handwashing
Gown – remove when leaving the room
Precautions while transport
Dedicate the use of non critical patient
care equipment to a single patient (or)
clean and disinfect before use for
another patient
30.
31. This is opposite of the
other isolations!!
It is to protect the
patient from the
organisms in the
environment.
Immunocompromised
patients
Burn patients
Patients receiving
chemotherapy or
radiation
REVERSED ISOLATION
32. Sterile gloves, gowns, masks are used
by HCW and visitors.
Frequent disinfecting of the room
All equipment and supplies are sterile
and at best disinfected before entering
room
Positive pressure in the room. Filtered,
clean air is brought into the room and
allowed to vent out of the room to the
surrounding corridors.
Protect the patient
33. QUESTIONS ???
When do you practice standard precautions?
Among the mask, gown, gloves which do you
need the most in contact precautions?
What would you do after using USG machine for a
patient with MRSA?
When a patient is isolated with contact
precautions, doctor adjusts the ventilator settings
without gloves.. What is your take? What would
you do?
When a patient with tuberculosis is admitted, what
kind of isolation would you do?
When there is no private room available for a
patient with swine flu what are your options for
admission?