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IPC Training - sensitization to health care staff-Dr Mahesh Kumar
Infection PREVENTION & Control
(Incontextto coronavirusdisease2019{covid-19})
संक्रमण बचाव एवं नियंत्रण
(कोरोिा वायरस संक्रामक रोग(कोववड-19) के सन्दर्भ में )
IPC Training - sensitization to health care staff-Dr Mahesh Kumar
Symbol of BIOHAZARD & CYTOTOXIC
(जैव खतरा एवं साइटोटॉक्ससक चचह्ि )
IPC Training - sensitization to health care staff-Dr Mahesh Kumar
SYMBOL
Corona virus disease 2019
Covid-19 pandemic is well known infection worldwide.
IPC Training - sensitization to health care staff-Dr Mahesh Kumar
BMW management Rule 2016
 सर्ी अपशिष्ट जो निदाि, जांच,
चचककत्सा, अिुसन्धाि या
टीकाकरण के दौराि उत्पन्ि होते
है वो BMW नियम के अन्दर
आता है I
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
 The revised rule of BMW management in 2016 is
must be implemented at all health care facility.
 It covers all health related facility
 It include waste generation, segregation,
collection, packaging, transportation, storage, etc.
related to BMW waste.
INTRODUCTION पररचय
 Prevention is better than cure (रोकथाम इलाज से बेहतर है )
 The IPC stands for - Infection prevention and control
 Prevention and control are always cost effective, decreases morbidity
and mortality.
 IPC is very important inevitable part of clinical management of patient
 It is initiated when patient entered in hospital
 IPC is a team work and is contribution of all staff.
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
STANDARD PRECAUTIONS – सामान्य सावधानियां
1. PHYSICAL DISTANCING/social distancing/
2. RESPIRATORY HYGIENE ETIQUETE
3. USE OF MASKS
4. HAND HYGIENE/ cleanliness
5. USE OF PPE
6. PREVENTION OF NEEDLE STICK INJURY
7. WASTE MANAGEMENT
8. CLEANING AND DISINFECTION OF
EQUIPMENTS
9. CLEANING OF THE ENVIRONMENT
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
1. सामाक्जक दूरी बिाए रखे
2. श्वसि, खांसिे आदद के प्रनत शिष्टाचार
3. चेहरे पर मास्क का प्रयोग करे
4. हाथ की स्वच्छता पर ध्याि दे
5. PPE पी पी इ का प्रयोग करे
6. सुई /िापभ इंजुरी से बचाव एवं नियम निवभहि
7. BMW /जैववक कचरा एवं सामान्य कचरा
प्रबंधि
8. प्रयुसत उपकरण की साफ़ सफाई
9. आस पास वातावरण को साफ़ सुथरा रखिा
1. Physical distancing सामाक्जक दूरी बिाए रखे
 Keep appropriate distance (6
feet distance)
 Avoid to touch to anyone
until unless not emergency.
 Always with PPE while going
to touch
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
 दो गज दूरी बिा कर रखे I
 जब तक बहुत जरूरी ि हो ककसी को
ि छु ए I
 जब र्ी कु छ छू िे जा रहे हो हमेि
PPE पहिे
2. RESPIRATORY HYGIENE ETIQUETE
(श्वसि, खांसिे आदद के प्रनत शिष्टाचार )
 खांसी , छ ंक आिे पर सभ्यता का पररचय दे ,
 स्वच्छता का ध्याि दे ,
 ककसी के सामिे पर ि खांसे ि छ के ,
 हथेली पर ि छ ंके
 कु हिी पर / साइड होकर छ ंके
 जम्हाई, खांसी इत्यादद से बचे
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
3. Hand Hygiene
(हस्त स्वच्छता)
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
Hand Hygiene हस्त
स्वच्छता..............................
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
१. मरीज को छू िे के पहले
२. कोई कमभ/ चचककत्सा कायभ करिे के पहले
३. िरीर द्रव के संपकभ में आिे पर
४. मरीज को छू िे के बाद
५. रोगी के आस पास की बस्तुओ के संपकभ में
आिे पर.
हाथ कब धोये / साफ़ करे ...........
1. Before touching a patient
2. Before any aseptic procedure
3. After exposure to any body fluid
4. After touching a patient
5. After touching patient
surrounding
Five Moments of Hand hygiene
Hand washing technique/ हाथ धोिे की ववचध
 Step 1 - Rub your palms together.
 Step 2 - Rub the back of hand, both hand, one by one.
 Step 3 - Rub both your hands while interlocking your fingers.
 Step 4 - Rub your thumbs
 Step 5 - Rub the tips of your fingers and nails.
 . Step 6 - Rub ends of your wrists, both hands
SUMAN-Kalai
सीधा, उल्टा, मुट्ठ , अंगूठा
, िाख़ूि , कलाई
IPC Training - sensitization to health care staff-Dr Mahesh Kumar
 Wash hand when visibly soiled/exposed to infective things.
 Duration of entire procedure 20-30 seconds
 Wet your hands and apply enough soap (coin size).
4. Personal Protective Equipment & Practices
(व्यनतगत सुरक्षा उपकरण एवं अभ्यास)
PPE
One should must know about
Use of gloves during
procedures and examination
Use of Masks and Head caps
Use of Heavy duty gloves and
gum boots by waste handlers
use of Aprons by clinical
staff.
IPC Training - sensitization to staff of CBPACS-Dr Mahesh Kumar
ग्लव्स प्रयोग
परिचय
मास्क एवं कै प
पहनने की सही
ववधि का ज्ञान
ग्लव्स पहनने एवं
ननकालने की सही
ववधि का ज्ञान.
डिस्पोजेबल PPE
पुनः प्रयोग न किे
5. Decontamination & cleaning of instruments
उपकरण िुद्चधकरण एवं स्वच्छता
 Pulse oximeter
 Thermal temperature scanner
 Thermometer
 Oxygen cylinder, Oxygen mask
 BP machine
 Stethoscope
 Instrument trolley
 Bed, bed side locker
 Furniture, doors handles.
 Waste Management TROLLEY/ equipment's
 CLEANING AND DISINFECTION OF
EQUIPMENTS
 SAFE HANDLING OF EQUIPMENTS
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
6. Disinfection and sterilization
(नििःसंक्रमण एवं निजीववकरण)
IPC Training - sensitization to health care staff-Dr Mahesh Kumar
Physical Agents
- Sunlight
- Drying
- Dry heat
- Moist heat
- Radiation
Chemical Agents
- Alcohol
- Aldehyde
- Phenols
- Surface active agents
- Hypochlorite
- Try to use disposable item, PPE, face mask, etc
- Pre-treat clean the linen before going to
dispose.
With the help of
How to disinfect OXYGEN cylinder
ऑक्सीजन सससलंिि की कै से संक्रमण िहहत किे
 As per guideline
 Clean the cylinder with potable
hot water along with detergent
(temp of water approx. 50
degree centigrade)
 After that, fogging or cleaning
with 1% hypochlorite solution.
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
7. Environmental Control.
(वातावरण नियंत्रण)
 Care of surrounding – आस पास का ध्याि रखे
 Avoid crowding र्ीड़ ि लगाए
 Restricted / limited entry प्रनतबन्ध पूवभक / सीशमत प्रवेि
 Entry / exit under Security supervision गाडभ के देखरेख में आिा / जािा
 Keep social distancing सामाक्जक दूरी बिा कर रखे
 Put waste at proper dustbin / foot operated covered bin
कचरे को उचचत डडब्बे में रखे I
IPC Training - sensitization to health care staff-Dr Mahesh Kumar
7. Environmental Control…..(वातावरण नियंत्रण)…………………………
IPC Training - sensitization to health care staff-Dr Mahesh Kumar
 Regular cleaning of duty room, ward,
gallery, transition area, control room,
communication room, ड्यूटी रूम / वाडभ
/गैलरी / ट्ांजीिि एररया / कं ट्ोल रूम /
कम्युनिके िि रूम का नियशमत सफाई रखे
• Regular & proper cleaning of DONNING
& DOFFING zone
 Clean TOILET area- िौचालय की सफाई
 Clean lift – शलफ्ट की सफाई
HOW TO CLEAN LIFT
(सलफ्ट की सफाई कै से किे )
 Avoid crowding in lift. Separate lift for staff and patient
 Don’t direct spray hypochlorite on button site. Cover the key with
transparent plastic sheet.
 Press the button/switch with cotton, paper, blunt rod. Don’t prick the
polythene
 Clean the wall, floor with general cleaning agent.
 Don’t use excess un-necessary hypochlorite solution, it may make
corrosion in the wall .
IPC Training - sensitization to health care staff-Dr Mahesh Kumar
क्स्पल मैिेजमेंट ककट तैयार
रखे
Spill Management Kit
 PPE – Personal protective equipments
Surgical gloves Face mask, Apron Goggle, Shoe cover
 Bloating paper,
 News paper
 Hypochlorite solution
 BMW - bins
IPC Training - sensitization to health care staff-Dr Mahesh Kumar
8. Spill management.
स्राव प्रबंधि
9. Isolation and Barrier Nursing.
पृथसकरण िशसिंग
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
Aim
 To protect medical staff against infection
 To protect patient with highly infectious diseases from spreading their pathogen to other non infected
people.
HOW ?
 Maintain isolation area - Placing the patient in a single room
 Keep barrier nursing
Extra prection implemented to reduce/prevent spread of germ
 INFECTION CONTROL NURSE
 NURSING INCHARGE
 STAFF NURSE ON DUTY
 By team
9. Isolation and Barrier Nursing………………………..contd
पृथसकरण िशसिंग
 Aseptic care
 Isolation
 Safer handling of sharp
 Linen handling and disposal
 Waste disposal
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
 Handling biological spills
 Environmental cleaning
 Risk assessment
 Staff health
WASTE MANAGEMENT
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
Waste management
Follow BMW rule 2016
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
 Generation
 Segregation
 packaging
 Collection
 Transportation
 Storage
Mistake गलनतया
IPC Training - sensitization to health care staff-Dr Mahesh Kumar
Mistake गलनतया
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
Precautions
 Alert while on duty
 Don’t loose precaution at any place
otherwise may cost infection
 Prepare fresh hypochlorite solution in
accurate ratio
 Donning & Doffing should be careful.
Protect yourself and prevent
transmission.
 संक्रमण से खुद बचे दुसरे को र्ी बचाए
IPC Training - sensitization to health care staff-Dr Mahesh
Kumar
HOME MESSAGE- सन्देि
 सावधाि रहे , सतकभ रहे , संक्रमण ि फै लाए ि हो
 Social distancing, mask, respiratory hygiene, का पालि करे
 PPE, donning, doffing का सही से पालि करे
 िरीर से निकलिे वाले रसत ,पूय, स्राव संक्रशमत है / संक्रशमत हो
सकते है I सावधािी से प्रबंधि करे
 अस्पताल के सामान्य कचरे को संक्रशमत कचरे में ि शमलाये ,
दोिों में फकभ समझे , दूसरे को र्ी समझाए
 सुरक्षक्षत रहे स्वस्थ रहे I
IPC Training - sensitization to health care staff-Dr Mahesh Kumar
धन्यवाद

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IPC Training - sensitization to health care staff

  • 1. IPC Training - sensitization to health care staff-Dr Mahesh Kumar Infection PREVENTION & Control (Incontextto coronavirusdisease2019{covid-19}) संक्रमण बचाव एवं नियंत्रण (कोरोिा वायरस संक्रामक रोग(कोववड-19) के सन्दर्भ में ) IPC Training - sensitization to health care staff-Dr Mahesh Kumar
  • 2. Symbol of BIOHAZARD & CYTOTOXIC (जैव खतरा एवं साइटोटॉक्ससक चचह्ि ) IPC Training - sensitization to health care staff-Dr Mahesh Kumar SYMBOL
  • 3. Corona virus disease 2019 Covid-19 pandemic is well known infection worldwide. IPC Training - sensitization to health care staff-Dr Mahesh Kumar
  • 4. BMW management Rule 2016  सर्ी अपशिष्ट जो निदाि, जांच, चचककत्सा, अिुसन्धाि या टीकाकरण के दौराि उत्पन्ि होते है वो BMW नियम के अन्दर आता है I IPC Training - sensitization to health care staff-Dr Mahesh Kumar  The revised rule of BMW management in 2016 is must be implemented at all health care facility.  It covers all health related facility  It include waste generation, segregation, collection, packaging, transportation, storage, etc. related to BMW waste.
  • 5. INTRODUCTION पररचय  Prevention is better than cure (रोकथाम इलाज से बेहतर है )  The IPC stands for - Infection prevention and control  Prevention and control are always cost effective, decreases morbidity and mortality.  IPC is very important inevitable part of clinical management of patient  It is initiated when patient entered in hospital  IPC is a team work and is contribution of all staff. IPC Training - sensitization to health care staff-Dr Mahesh Kumar
  • 6. STANDARD PRECAUTIONS – सामान्य सावधानियां 1. PHYSICAL DISTANCING/social distancing/ 2. RESPIRATORY HYGIENE ETIQUETE 3. USE OF MASKS 4. HAND HYGIENE/ cleanliness 5. USE OF PPE 6. PREVENTION OF NEEDLE STICK INJURY 7. WASTE MANAGEMENT 8. CLEANING AND DISINFECTION OF EQUIPMENTS 9. CLEANING OF THE ENVIRONMENT IPC Training - sensitization to health care staff-Dr Mahesh Kumar 1. सामाक्जक दूरी बिाए रखे 2. श्वसि, खांसिे आदद के प्रनत शिष्टाचार 3. चेहरे पर मास्क का प्रयोग करे 4. हाथ की स्वच्छता पर ध्याि दे 5. PPE पी पी इ का प्रयोग करे 6. सुई /िापभ इंजुरी से बचाव एवं नियम निवभहि 7. BMW /जैववक कचरा एवं सामान्य कचरा प्रबंधि 8. प्रयुसत उपकरण की साफ़ सफाई 9. आस पास वातावरण को साफ़ सुथरा रखिा
  • 7. 1. Physical distancing सामाक्जक दूरी बिाए रखे  Keep appropriate distance (6 feet distance)  Avoid to touch to anyone until unless not emergency.  Always with PPE while going to touch IPC Training - sensitization to health care staff-Dr Mahesh Kumar  दो गज दूरी बिा कर रखे I  जब तक बहुत जरूरी ि हो ककसी को ि छु ए I  जब र्ी कु छ छू िे जा रहे हो हमेि PPE पहिे
  • 8. 2. RESPIRATORY HYGIENE ETIQUETE (श्वसि, खांसिे आदद के प्रनत शिष्टाचार )  खांसी , छ ंक आिे पर सभ्यता का पररचय दे ,  स्वच्छता का ध्याि दे ,  ककसी के सामिे पर ि खांसे ि छ के ,  हथेली पर ि छ ंके  कु हिी पर / साइड होकर छ ंके  जम्हाई, खांसी इत्यादद से बचे IPC Training - sensitization to health care staff-Dr Mahesh Kumar
  • 9. 3. Hand Hygiene (हस्त स्वच्छता) IPC Training - sensitization to health care staff-Dr Mahesh Kumar
  • 10. Hand Hygiene हस्त स्वच्छता.............................. IPC Training - sensitization to health care staff-Dr Mahesh Kumar १. मरीज को छू िे के पहले २. कोई कमभ/ चचककत्सा कायभ करिे के पहले ३. िरीर द्रव के संपकभ में आिे पर ४. मरीज को छू िे के बाद ५. रोगी के आस पास की बस्तुओ के संपकभ में आिे पर. हाथ कब धोये / साफ़ करे ........... 1. Before touching a patient 2. Before any aseptic procedure 3. After exposure to any body fluid 4. After touching a patient 5. After touching patient surrounding Five Moments of Hand hygiene
  • 11. Hand washing technique/ हाथ धोिे की ववचध  Step 1 - Rub your palms together.  Step 2 - Rub the back of hand, both hand, one by one.  Step 3 - Rub both your hands while interlocking your fingers.  Step 4 - Rub your thumbs  Step 5 - Rub the tips of your fingers and nails.  . Step 6 - Rub ends of your wrists, both hands SUMAN-Kalai सीधा, उल्टा, मुट्ठ , अंगूठा , िाख़ूि , कलाई IPC Training - sensitization to health care staff-Dr Mahesh Kumar  Wash hand when visibly soiled/exposed to infective things.  Duration of entire procedure 20-30 seconds  Wet your hands and apply enough soap (coin size).
  • 12. 4. Personal Protective Equipment & Practices (व्यनतगत सुरक्षा उपकरण एवं अभ्यास) PPE One should must know about Use of gloves during procedures and examination Use of Masks and Head caps Use of Heavy duty gloves and gum boots by waste handlers use of Aprons by clinical staff. IPC Training - sensitization to staff of CBPACS-Dr Mahesh Kumar ग्लव्स प्रयोग परिचय मास्क एवं कै प पहनने की सही ववधि का ज्ञान ग्लव्स पहनने एवं ननकालने की सही ववधि का ज्ञान. डिस्पोजेबल PPE पुनः प्रयोग न किे
  • 13. 5. Decontamination & cleaning of instruments उपकरण िुद्चधकरण एवं स्वच्छता  Pulse oximeter  Thermal temperature scanner  Thermometer  Oxygen cylinder, Oxygen mask  BP machine  Stethoscope  Instrument trolley  Bed, bed side locker  Furniture, doors handles.  Waste Management TROLLEY/ equipment's  CLEANING AND DISINFECTION OF EQUIPMENTS  SAFE HANDLING OF EQUIPMENTS IPC Training - sensitization to health care staff-Dr Mahesh Kumar
  • 14. 6. Disinfection and sterilization (नििःसंक्रमण एवं निजीववकरण) IPC Training - sensitization to health care staff-Dr Mahesh Kumar Physical Agents - Sunlight - Drying - Dry heat - Moist heat - Radiation Chemical Agents - Alcohol - Aldehyde - Phenols - Surface active agents - Hypochlorite - Try to use disposable item, PPE, face mask, etc - Pre-treat clean the linen before going to dispose. With the help of
  • 15. How to disinfect OXYGEN cylinder ऑक्सीजन सससलंिि की कै से संक्रमण िहहत किे  As per guideline  Clean the cylinder with potable hot water along with detergent (temp of water approx. 50 degree centigrade)  After that, fogging or cleaning with 1% hypochlorite solution. IPC Training - sensitization to health care staff-Dr Mahesh Kumar
  • 16. 7. Environmental Control. (वातावरण नियंत्रण)  Care of surrounding – आस पास का ध्याि रखे  Avoid crowding र्ीड़ ि लगाए  Restricted / limited entry प्रनतबन्ध पूवभक / सीशमत प्रवेि  Entry / exit under Security supervision गाडभ के देखरेख में आिा / जािा  Keep social distancing सामाक्जक दूरी बिा कर रखे  Put waste at proper dustbin / foot operated covered bin कचरे को उचचत डडब्बे में रखे I IPC Training - sensitization to health care staff-Dr Mahesh Kumar
  • 17. 7. Environmental Control…..(वातावरण नियंत्रण)………………………… IPC Training - sensitization to health care staff-Dr Mahesh Kumar  Regular cleaning of duty room, ward, gallery, transition area, control room, communication room, ड्यूटी रूम / वाडभ /गैलरी / ट्ांजीिि एररया / कं ट्ोल रूम / कम्युनिके िि रूम का नियशमत सफाई रखे • Regular & proper cleaning of DONNING & DOFFING zone  Clean TOILET area- िौचालय की सफाई  Clean lift – शलफ्ट की सफाई
  • 18. HOW TO CLEAN LIFT (सलफ्ट की सफाई कै से किे )  Avoid crowding in lift. Separate lift for staff and patient  Don’t direct spray hypochlorite on button site. Cover the key with transparent plastic sheet.  Press the button/switch with cotton, paper, blunt rod. Don’t prick the polythene  Clean the wall, floor with general cleaning agent.  Don’t use excess un-necessary hypochlorite solution, it may make corrosion in the wall . IPC Training - sensitization to health care staff-Dr Mahesh Kumar
  • 19. क्स्पल मैिेजमेंट ककट तैयार रखे Spill Management Kit  PPE – Personal protective equipments Surgical gloves Face mask, Apron Goggle, Shoe cover  Bloating paper,  News paper  Hypochlorite solution  BMW - bins IPC Training - sensitization to health care staff-Dr Mahesh Kumar 8. Spill management. स्राव प्रबंधि
  • 20. 9. Isolation and Barrier Nursing. पृथसकरण िशसिंग IPC Training - sensitization to health care staff-Dr Mahesh Kumar Aim  To protect medical staff against infection  To protect patient with highly infectious diseases from spreading their pathogen to other non infected people. HOW ?  Maintain isolation area - Placing the patient in a single room  Keep barrier nursing Extra prection implemented to reduce/prevent spread of germ  INFECTION CONTROL NURSE  NURSING INCHARGE  STAFF NURSE ON DUTY  By team
  • 21. 9. Isolation and Barrier Nursing………………………..contd पृथसकरण िशसिंग  Aseptic care  Isolation  Safer handling of sharp  Linen handling and disposal  Waste disposal IPC Training - sensitization to health care staff-Dr Mahesh Kumar  Handling biological spills  Environmental cleaning  Risk assessment  Staff health
  • 22. WASTE MANAGEMENT IPC Training - sensitization to health care staff-Dr Mahesh Kumar
  • 23. Waste management Follow BMW rule 2016 IPC Training - sensitization to health care staff-Dr Mahesh Kumar  Generation  Segregation  packaging  Collection  Transportation  Storage
  • 24. Mistake गलनतया IPC Training - sensitization to health care staff-Dr Mahesh Kumar
  • 25. Mistake गलनतया IPC Training - sensitization to health care staff-Dr Mahesh Kumar
  • 26. Precautions  Alert while on duty  Don’t loose precaution at any place otherwise may cost infection  Prepare fresh hypochlorite solution in accurate ratio  Donning & Doffing should be careful. Protect yourself and prevent transmission.  संक्रमण से खुद बचे दुसरे को र्ी बचाए IPC Training - sensitization to health care staff-Dr Mahesh Kumar
  • 27. HOME MESSAGE- सन्देि  सावधाि रहे , सतकभ रहे , संक्रमण ि फै लाए ि हो  Social distancing, mask, respiratory hygiene, का पालि करे  PPE, donning, doffing का सही से पालि करे  िरीर से निकलिे वाले रसत ,पूय, स्राव संक्रशमत है / संक्रशमत हो सकते है I सावधािी से प्रबंधि करे  अस्पताल के सामान्य कचरे को संक्रशमत कचरे में ि शमलाये , दोिों में फकभ समझे , दूसरे को र्ी समझाए  सुरक्षक्षत रहे स्वस्थ रहे I IPC Training - sensitization to health care staff-Dr Mahesh Kumar धन्यवाद

Editor's Notes

  1. Under the overall umbrella of Quality Assurance Program , this program was launched to fast track changes which immediately and directly impact the beneficiaries visiting the hospital.