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Second year Nursing
                1433- 1434 A.H. / 2012- 2013
              Microbiology Practical (Course I)




• By:
        Hibah A. W. Abusulaiman
Who knows these gentlemen?!
What about this lady?!
She was afraid of being infected by…
This is called:
Health Associated Infection (HAI)
The major cause of HAI is

The lack of compliance by health care
   workers with basic prevention
             techniques.
The word infection is most likely
          related to…
Microbes
4 WH Questions

•   What are microbes?
•   Where do they live?
•   When do they survive?
•   Why they are participating other life forms?
So the study of microbes is
          called…
        Microbiology
Why do we study medical
   microbiology???
Nine out of ten cells in our
   bodies are microbes
 So, why are we not suffering from
      any disease all the time?
When microbes can cause a disease?


Weak immune system.
Pathogenic microbial invasion.
Invasion to a sterile body site.
Microbes Include…

Bacteria.
Viruses.
Parasites.
Fungi.
Bacteria

• Unicellular prokaryotes.
• Examples:
  – Staphylococcus spp.
  – Vibrio cholera.
Viruses

• Smallest infectious particle.
• Example:
  – Rotavirus.
Parasites

• Eukaryotes, unicellular or multicelluar.
• Example:
  – Giardia lambia.
Fungi

• Eukaryotes, in a unicellular or filamentous
  form.
• Example:
  – Trichophyton rubrum
Microbes are responsible about
          infections
  Thus they are responsible about HAI
Objectives
• Microbiology Lab safety.
• The preventive measures of infection for
  healthcare teams.
Sense we will enter a microbiology
  lab, we have to know about…
       Microbiology lab safety
Before entering

The Microbiology Lab


  Be sure of
following the
 safety rules
Safety in
Microbiology Laboratory
Aims of following safety rules and practices


• To prevent the occurrence of accidental
  infections in the lab and reduce them if they
  occur.
• Prevent potentially harmful microbes from
  leaving the lab.
Safety in the Microbiology Lab


               • Wash your hands with
                 soap and water before
                 you begin and after you
                 finish your work and
                 before leaving the lab.
Safety in the Microbiology Lab



               • Decontaminate your
                 work surface before and
                 after you work
Safety in the Microbiology Lab



               • No bags inside the lab.
Safety in the Microbiology Lab



               • Wear only closed-toed
                 shoes in the laboratory.
Safety in the Microbiology Lab


               • Wear lab scrub and
                 fully- buttoned lab coat.
Safety in the Microbiology Lab




               • Tight your hair.
               • No cosmetics
Safety in the Microbiology Lab

• If you are:
  – Injured…
  – Immunocompromised..
  – Pregnant…
  – Allergic to latix…
Safety in the Microbiology Lab



               • Be careful not to burn
                 yourself when using
                 Bunsen burner.
Safety in the Microbiology Lab



               • Keep your hands away
                 from your mouth and
                 eyes…
Safety in the Microbiology Lab



               • Do not eat, drink or
                 chew gum while you are
                 in the lab
Safety in the Microbiology Lab



               • Avoid using electronic
                 devices …
                  – Mobiles, MP3
                    players, laptops…
Safety in the Microbiology Lab



                • Never mouth pipetting.
Safety in the Microbiology Lab


               • Always keep cultures in
                 a test tube rack
                 whether you are
                 working at your bench
                 or walking about in the
                 lab.
Safety in the Microbiology Lab



             • Place all contaminated
               tubes, plates and waste
               materials in appropriate
               receptacles for
               subsequent sterilization.
Safety in the Microbiology Lab


               • If you spill a chemical on
                 your skin, immediately
                 wash the affected area. If a
                 chemical or a culture gets
                 into your eye, immediately
                 wash your eye for 5 min.
Safety in the Microbiology Lab


• If anything containing viable bacteria spills,
  cover the spell or broken glass with a paper
  towel and a generous amount of disinfectant
  to remain on the slip for at least 20 min.
  before cleaning it up.
Safety in the Microbiology Lab


• Sweep up pieces of broken glass (after
  disinfection if necessary) and place them in
  the specified container.
Safety in the Microbiology Lab



               • Place sharps, such as
                 syringes and slides, in a
                 designated sharp
                 containers.
Safety in the Microbiology Lab

• Do not keep cultures in your lab drawer or
  locker when you have finished with them.

• Do not remove cultures, reagents, or other
  materials from the lab unless you have
  permission to do so.
Safety in the Microbiology Lab



• Know the first aid kit location in your lab.
So, do we have to apply such
    rules in the hospital?!
         Yes, because…
You have to apply :
     The Preventive
       Measures


          Personal




         Procedural




       Environmental
1. Personal
• Hand hygiene.
• Fingernails, artificial nails and jewelry.
• Post exposure prophylaxis.
• Prevention of ventilator associated
  pneumonia.
• Safe injection practices.
1. Personal
• Hand hygiene:
     (Resident flora and transient flora)
  – Be sure to wash your hand before and
  after the patient contact
  – Be sure to wash your hand before starting
    invasive procedures
  – Soaps are detergent based products that have mini if
    any antimicrobial activity.
  – Alcohol based hand rubs have activity against broad
    spectrum of medically important pathogens.
1. Personal
• Fingernails, artificial nails and jewelry:
   – The subungual area of the fingers harbor high
     concentrations of bacteria both before and after
     handwashing.
   – Wearing at least one ring on the dominant hand
     increases the number of microbes contaminating
     the hand.
1. Personal
• Post exposure prophylaxis:
  • TB, HBV, HCV, HIV and influenza viruses

• Prevention of ventilator associated
  pneumonia:
  – arises when there is bacterial invasion of the
    pulmonary parenchyma in a patient receiving
    mechanical ventilation
  – Eliminate contamination of equipment
  – Practice hand hygiene prior to and following care
1. Personal
• Safe injection practices:
  – Unsafe injection practices have been the source of
    many HCV outbreaks.
2. Procedural
• Sterilization and disinfection.
3. Environmental
– House keeping practices for environmental
  surfaces:
   • Environmental surfaces (e.g., floors) are considered
     noncritical surfaces requiring low-level disinfection.
     When equipment and environmental surfaces are
     visibly contaminated with blood, body fluids or other
     potentially infectious materials, or are soiled with or
     used in the presence of infectious materials,
     decontamination should be performed immediately
     following a procedure.
3. Environmental
• Laundry:
  – laundry which has been soiled with blood or other
    potentially infectious materials . Contaminated
    laundry shall be handled as little as
    possible, placed and transported in labeled or
    color-coded bags.
3. Environmental
• Personal protective equipments:
  – specialized clothing or equipment worn by an
    employee for protection against a hazard
  – Hand hygiene should be performed immediately
    after the removal of any personal protective
    equipment.
3. Environmental
• contaminant, labeling, and disposal of
  biohazard waste:
  – Biohazardous waste includes liquid or semi-liquid
    blood or other potentially infectious materials;
    contaminated items that would release blood or
    infectious materials in a liquid or semi-liquid state.
  – All containers should be labeled or color-coded.
To Contact Me

• Register on FB:
     Hibah’s microclasses
     Note: please send your name, department
  and Gp#

• e-mail: abusulaiman.hw1@gmail.com
Thank you for paying attention



Any Questions???

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Nursing lab 1

  • 1. Second year Nursing 1433- 1434 A.H. / 2012- 2013 Microbiology Practical (Course I) • By: Hibah A. W. Abusulaiman
  • 2. Who knows these gentlemen?!
  • 3.
  • 5.
  • 6. She was afraid of being infected by…
  • 7. This is called: Health Associated Infection (HAI)
  • 8. The major cause of HAI is The lack of compliance by health care workers with basic prevention techniques.
  • 9. The word infection is most likely related to…
  • 11. 4 WH Questions • What are microbes? • Where do they live? • When do they survive? • Why they are participating other life forms?
  • 12. So the study of microbes is called… Microbiology
  • 13. Why do we study medical microbiology???
  • 14. Nine out of ten cells in our bodies are microbes So, why are we not suffering from any disease all the time?
  • 15. When microbes can cause a disease? Weak immune system. Pathogenic microbial invasion. Invasion to a sterile body site.
  • 17. Bacteria • Unicellular prokaryotes. • Examples: – Staphylococcus spp. – Vibrio cholera.
  • 18. Viruses • Smallest infectious particle. • Example: – Rotavirus.
  • 19. Parasites • Eukaryotes, unicellular or multicelluar. • Example: – Giardia lambia.
  • 20. Fungi • Eukaryotes, in a unicellular or filamentous form. • Example: – Trichophyton rubrum
  • 21. Microbes are responsible about infections Thus they are responsible about HAI
  • 22. Objectives • Microbiology Lab safety. • The preventive measures of infection for healthcare teams.
  • 23. Sense we will enter a microbiology lab, we have to know about… Microbiology lab safety
  • 24. Before entering The Microbiology Lab Be sure of following the safety rules
  • 26. Aims of following safety rules and practices • To prevent the occurrence of accidental infections in the lab and reduce them if they occur. • Prevent potentially harmful microbes from leaving the lab.
  • 27. Safety in the Microbiology Lab • Wash your hands with soap and water before you begin and after you finish your work and before leaving the lab.
  • 28. Safety in the Microbiology Lab • Decontaminate your work surface before and after you work
  • 29. Safety in the Microbiology Lab • No bags inside the lab.
  • 30. Safety in the Microbiology Lab • Wear only closed-toed shoes in the laboratory.
  • 31. Safety in the Microbiology Lab • Wear lab scrub and fully- buttoned lab coat.
  • 32. Safety in the Microbiology Lab • Tight your hair. • No cosmetics
  • 33. Safety in the Microbiology Lab • If you are: – Injured… – Immunocompromised.. – Pregnant… – Allergic to latix…
  • 34. Safety in the Microbiology Lab • Be careful not to burn yourself when using Bunsen burner.
  • 35. Safety in the Microbiology Lab • Keep your hands away from your mouth and eyes…
  • 36. Safety in the Microbiology Lab • Do not eat, drink or chew gum while you are in the lab
  • 37. Safety in the Microbiology Lab • Avoid using electronic devices … – Mobiles, MP3 players, laptops…
  • 38. Safety in the Microbiology Lab • Never mouth pipetting.
  • 39. Safety in the Microbiology Lab • Always keep cultures in a test tube rack whether you are working at your bench or walking about in the lab.
  • 40. Safety in the Microbiology Lab • Place all contaminated tubes, plates and waste materials in appropriate receptacles for subsequent sterilization.
  • 41. Safety in the Microbiology Lab • If you spill a chemical on your skin, immediately wash the affected area. If a chemical or a culture gets into your eye, immediately wash your eye for 5 min.
  • 42. Safety in the Microbiology Lab • If anything containing viable bacteria spills, cover the spell or broken glass with a paper towel and a generous amount of disinfectant to remain on the slip for at least 20 min. before cleaning it up.
  • 43. Safety in the Microbiology Lab • Sweep up pieces of broken glass (after disinfection if necessary) and place them in the specified container.
  • 44. Safety in the Microbiology Lab • Place sharps, such as syringes and slides, in a designated sharp containers.
  • 45. Safety in the Microbiology Lab • Do not keep cultures in your lab drawer or locker when you have finished with them. • Do not remove cultures, reagents, or other materials from the lab unless you have permission to do so.
  • 46. Safety in the Microbiology Lab • Know the first aid kit location in your lab.
  • 47. So, do we have to apply such rules in the hospital?! Yes, because…
  • 48. You have to apply : The Preventive Measures Personal Procedural Environmental
  • 49. 1. Personal • Hand hygiene. • Fingernails, artificial nails and jewelry. • Post exposure prophylaxis. • Prevention of ventilator associated pneumonia. • Safe injection practices.
  • 50. 1. Personal • Hand hygiene: (Resident flora and transient flora) – Be sure to wash your hand before and after the patient contact – Be sure to wash your hand before starting invasive procedures – Soaps are detergent based products that have mini if any antimicrobial activity. – Alcohol based hand rubs have activity against broad spectrum of medically important pathogens.
  • 51. 1. Personal • Fingernails, artificial nails and jewelry: – The subungual area of the fingers harbor high concentrations of bacteria both before and after handwashing. – Wearing at least one ring on the dominant hand increases the number of microbes contaminating the hand.
  • 52. 1. Personal • Post exposure prophylaxis: • TB, HBV, HCV, HIV and influenza viruses • Prevention of ventilator associated pneumonia: – arises when there is bacterial invasion of the pulmonary parenchyma in a patient receiving mechanical ventilation – Eliminate contamination of equipment – Practice hand hygiene prior to and following care
  • 53. 1. Personal • Safe injection practices: – Unsafe injection practices have been the source of many HCV outbreaks.
  • 54. 2. Procedural • Sterilization and disinfection.
  • 55. 3. Environmental – House keeping practices for environmental surfaces: • Environmental surfaces (e.g., floors) are considered noncritical surfaces requiring low-level disinfection. When equipment and environmental surfaces are visibly contaminated with blood, body fluids or other potentially infectious materials, or are soiled with or used in the presence of infectious materials, decontamination should be performed immediately following a procedure.
  • 56. 3. Environmental • Laundry: – laundry which has been soiled with blood or other potentially infectious materials . Contaminated laundry shall be handled as little as possible, placed and transported in labeled or color-coded bags.
  • 57. 3. Environmental • Personal protective equipments: – specialized clothing or equipment worn by an employee for protection against a hazard – Hand hygiene should be performed immediately after the removal of any personal protective equipment.
  • 58. 3. Environmental • contaminant, labeling, and disposal of biohazard waste: – Biohazardous waste includes liquid or semi-liquid blood or other potentially infectious materials; contaminated items that would release blood or infectious materials in a liquid or semi-liquid state. – All containers should be labeled or color-coded.
  • 59. To Contact Me • Register on FB: Hibah’s microclasses Note: please send your name, department and Gp# • e-mail: abusulaiman.hw1@gmail.com
  • 60. Thank you for paying attention Any Questions???