Infection Control issues, IC activities, infectious diseases, blood borne diseases, needlestick injuries,handwashing, environmental cleaning etc.

1. Infection Control Inservice
Presented By:
Eneida Cruz, DNP, RN
Program
Surveillance Prevention
Control Education

2. Infection
Elements of Infection
– A SOURCE of infection
– A TRANSMITTER of infection
– A SUSCEPTIBLE HOST
Sources of Infection:
– Food
– Feces
– Fomities (furniture, toliets, floors, etc.)
– Finger
– Contaminated personal protective equipment
(ie, gloves)

3. Infection, cont’d
Causes of Infection:
– Virus
– Bacteria
– Parasite
– Fungi
Diseases caused by Infection:
– Cold/Flu
– Lyme’s Disease
– AIDS
– Urinary and Kidney Infections
– Strep Throat
– Pink Eye
– Boils

4. Infection Control Overview
Infection Control Program
– Infection Control Plan
– Exposure Control Plan
– Infection Control Consultant
Policies & Procedures
– Clinical Manual Policies
• C.46.A - C.46.M
• TB Screening
• Influenza Program
• Employee Health & Vaccine Screening
Regulatory
– DOHSS
– JC
– OSHA

5. Infection Control Activities
Semi-Annual Infection Control Survey &
Risk Assessment
Clinical Activities
– Patient Education
– Pre - Procedure Phone Calls
– Post Procedure Phone Calls
QA Activities
– QA Audit Form
– Monthly Hand Hygiene Monitoring Tool
Infection Control Report
– MR Review

6. Infection Control Activities, cont’d
Environment of Care
– Environment of Care Survey
– Environmental Services Plan
– Quality Inspection Reports
Staff Education
– Annual Mandatory Inservice
– As needed
Logs
– Needlestick Injury Log
– Blood/Body Fluids Exposure Log

7. Infectious Diseases
Tuberculosis (TB)
– Spread by tiny germs that can float in
the air
– Anyone nearby can breathe TB germs
into his/her lungs
– TB germs can live in your body without
making you sick
– TB skin test (PPD) done annually

8. Bloodborne Diseases
Hepatitis B (HBV)
– An illness of the liver caused by infection
with the Hepatitis B Virus
– Vaccine Series
Hepatitis C (HCV)
– Similar to HBV
– No vaccine available
HIV/AIDS
– A condition in which the body’s immune
system breaks down

9. Needlestick Injuries
600,000 needlesticks estimated annually
by OSHA in the U.S.
Needlestick injuries occur when staff:
– dispose of needles
– collect and dispose of materials used
during patient care procedures
– administer injections
– draw blood
– handle trash or dirty linens where
needles have been inappropriately
discarded

10. Needlestick Injuries, cont’d.
Prevent Injuries by utilizing
– Sharp Disposable System
– Needle Devices
– Needleless IV Connector
– Self-Resheathing Needle
Report all NEEDLESTICK INJURIES
– Policy C.46.F
– Log
– Incident Report
– Medical Care

11. Standard Precautions
Handwashing
– Soap
– Waterless Soap
Gloving
Masking
Gowning
Appropriate device handling
Appropriate handling of laundry

12. Latex Allergy
Reaction to certain proteins in latex
rubber
Risk to Health care workers
developing latex allergy
The most common reaction is
– Irritant Contact Dermatitis
• dry, itchy, irritated areas on the skin
– Allergic Contact Dermatitis (sometimes
called Chemical Sensitivity Dermatitis)
• skin rash similar to that of poison ivy

13. Latex Allergy, cont’d.
Policy C.54.A
Clinical Activities
– Patient Care
• Latex Allergy Signs
– Supplies
• All medical supplies are latex free unless
otherwise documented on package, i.e.,
Foley Catheters contain latex.
*MOST MEDICAL SUPPLIES ARE LATEX
FREE

14. Environmental Cleaning
Surface Disinfectant Cloths
* CONTACT TIME FOR CAVI WIPES IS 2 MINUTES
Room Turnover
– Posted in each procedure room and in
the recovery room
– Wipe down all surface areas, stretcher,
pillow, B/P cuff, monitors, etc.

15. Medical Equipment
Single use devices discard after use
Reusable devices must be cleaned and
maintained according to manufacturer’s
instructions (Glucometer)
Cleaning
– Enzymatic cleaner
– Sponges/pipe cleaners
High Level Disinfection (HLD)
– Test strips & Quality Control
– Temperature
– Log sheet

16. Infection Control Prevention
Handwashing
– CDC Guidelines
Protect yourself and others

17. Healthcare Worker Hand
Hygiene Educational Video