in Health Care
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Teaching and Learning Module
• The Programme Created for
Schedule of training module at
Travancore Medical College, Kollam
Kerala as a part of Infection Control
Programme organised by Infection
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in Infection Control
Help patient understand
basic disease prevention
educate patients about
Three Levels of Infection
Sanitization – cleaning
equipment to remove
Disinfection – second
level used on
equipments that come
in contact with intact
Sterilization – complete destruction of all microorganisms-
pathogenic, beneficial, and harmless- surface of instrument
Collecting instruments – place in
container with water and neutral pH
detergent until you can get to them.
Use utility gloves always and mask,
eye protection and protective clothing
if blood, body fluids or tissue are
Sanitization Methods (cont.)
Drain disinfectant or
Rinse each piece under hot
Scrub each item using hot,
soapy water and small
Pay careful attention to
hinges, ratchets and nooks
• Apply standard precautions to all
patients regardless of their
diagnosis, and to all
contaminated equipments and
• Use judgment in determining
which protective barriers are
necessary. Dr.T.V.Rao MD 7
Sanitization Methods (cont.)
Rinse instruments individually and
place each one on a clean towel.
Roll all instruments in the towel to
Place instruments either in trays or
bins for storage or wrap for
Wear gloves when handling instruments.
Disinfection solution must cover every
Used if instrument does not penetrate a
patient’s skin or mucous membranes
Laryngoscopes and nasal specula
1. Hands Hygiene
2. Use Personal protective equipment's
• Eye protection
• Face Shields
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Discard needles and other sharps in
.Discard needles and other sharps in
the sharp containers which are located as
close as possible to the area of use. Don't
recap needles, If any ,use the Scoop
method (one hand method).
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Never Recap Needle
You are Likely to Injure
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• Should be easily accessible
• At or below the level of the eyes
• Kept away from the pathways
• Not to be kept on the grounds.
• Should Not be overfilled more than 3/4
• Never to be shake to get more space
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CLEANING SPILLS (e.g. Blood & body fluids)
• Wear gloves and other PPE
• Absorb: Wipe up the spill with an
absorbent towel.Clean with detergent.
• Apply disinfectant to the contaminated
area using sodium hypochlorite( Clorox
1: 10= 1 volume+9 water volumes)
contact time 5-10min.
• Absorb Clorox and wash with water.
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•Alcohol-based Hand Rub
•Use of gloves does NOT
replace hand washing.
•Gloves must be changed in-
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• When to wash your hands :
• If hands are visibly dirty .
• Soiled hands with blood or body
• After contact with: blood ,body
fluids, secretions or mucus
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When to wash your hands?
• After contact with intact or non-
• After handling items potentially
• In-between patients .
• After removing gloves.
• After using bathroom.
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When to wash hands
• Before direct contact with
• Before donning (sterile) gloves.
• Before preparing or handling
• Before handling clean dressing.
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When to use alcohol-based hand
• If hands are NOT visibly soiled
alcohol rub could be used
instead of hand washing.
• If hand are visibly soiled
(contaminated) ,they should be
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PPE: Personal Protective Equipment's:
• Gloves donning & removal
• Other PPE donning &removal
• Donning & removal of N95 mask
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• Used in addition to Standard
Precautions for Specified Patients
• Designed for the Care of Patients known
or suspected to be infected by
epidemiologically important pathogens
spread by: airborne, droplet, or contact
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• For infectious agents with droplet nuclei > 5
microns, through cough or sneezing:
• Precaution Details:
–Surgical Mask if within 1 meter of patient.
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For effective segregation of waste,
provision of different types of waste
containers in all clinical areas, is
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