Biosafety in causality Departmentour vision to safety

1. Dr.T.V.Rao. Dr Lipin Prasad
BIOSAFETY IN
CAUSALITY
DEPARTMENT
OUR VISION TO SAFETY
DR.T.V.RAO MD 1

2. LIFE AT RISK - KEEP THE CASUALTY
UPDATE AND SAFE
DR.T.V.RAO MD 2

3. CAUSALITY IS THE FACE OF ANY
HOSPITAL
• A causality is the index of the Hospital emergency
services provided to the Society and Public at Large.
All groups are receive round the clock .
• Causality services if well established will bring in
confidence in the patients and by standards.
• A causality is the index of services of any other area in
the Hospital in human safety,
However a good organizational practices will bring in
creditability for all our efforts.
DR.T.V.RAO MD 3

4. ENVIRONMENTAL MEASURES
• Cleaning and disinfecting non-critical surfaces in
patient-care areas are part of Standard Precautions. In
general, these procedures do not need to be changed
for patients on Transmission-Based Precautions. The
cleaning and disinfection of all patient-care areas is
important for frequently touched surfaces, especially
those closest to the patient, that are most likely to be
contaminated (e.g., bedrails, bedside tables,
commodes, doorknobs, sinks, surfaces and equipment
in close proximity to the patient)
DR.T.V.RAO MD 4

5. • The frequency or
intensity of cleaning
may need to change
based on the patient’s
level of hygiene and the
degree of
environmental
contamination and for
certain for infectious
agents whose reservoir
is the intestinal tract
OUR CAUSALITY PRACTICES DIFFER ON THE
NATURE OF PATIENTS WE RECEIVE…
DR.T.V.RAO MD 5

6. • We have to practice more
dedicated hygienic practice
in paediatrics facilities
where patients with stool
and urine incontinence are
encountered more
frequently. Also increased
frequency of cleaning may
be needed in a Protective
Environment to minimize
dust accumulation
BETTER CLEANING IN DEALING WITH PATIENTS
ADMITTED WITH DIARRHEAL DISEASES
DR.T.V.RAO MD 6

7. PROPER CLEANING AND DISINFECTION ARE
A TOP PRIORITY
• In all healthcare settings, administrative, staffing
and scheduling activities should prioritize the
proper cleaning and disinfection of surfaces that
could be implicated in transmission. During a
suspected or proven outbreak where an
environmental reservoir is suspected, routine
cleaning procedures should be reviewed, and
the need for additional trained cleaning staff
should be assessed.
DR.T.V.RAO MD 7

8. • Adherence should
be monitored and
reinforced to
promote
consistent and
correct cleaning is
performed.
DEDICATED CLEANING PRACTICES REDUCES
INFECTIONS AND INCREASE HUMAN SAFETY
DR.T.V.RAO MD 8

9. WHAT DISINFECTS USED FOR CLEANING
• The disinfectants or detergents/disinfectants that best
meet the overall needs of the healthcare facility for
routine cleaning and disinfection should be selected . In
general, use of the existing facility
detergent/disinfectant according to the manufacturer’s
recommendations for amount, dilution, and contact
time is sufficient to remove pathogens from surfaces of
rooms where colonized or infected individuals were
housed.
DR.T.V.RAO MD 9

10. • Includes those
pathogens that are
resistant to multiple
classes of
antimicrobial agents
(e.g., C. difficle,
VRE, MRSA, MDR-
GNB
WHAT ARE INFECTIOUS AGENTS AT OUR
CASUALTY
DR.T.V.RAO MD 10

11. • Most often,
environmental
reservoirs of pathogens
can infect our staff, due
to a failure to follow
recommended
procedures for cleaning
and disinfection rather
than the specific
cleaning and
disinfectant agents
used
HOW WE CAN PREVENT THESE INFECTIONS
DR.T.V.RAO MD 11

12. • Certain pathogens
(e.g., rotavirus,
noroviruses, C. difficle)
may be resistant to
some routinely used
hospital disinfectants
.The role of specific
disinfectants in limiting
transmission of
rotavirus has been
demonstrated
BE CAUTIOUS WHEN DEALING WITH ..
DR.T.V.RAO MD 12

13. CHORINE BASED DISINFECTANTS ARE IDEAL WHEN
DEALING WITH C.DIFFICLE RELATED INFECTIONS
• C. difficle may display increased levels of spore
production when exposed to non-chlorine-based
cleaning agents, and the spores are more resistant
than vegetative cells to commonly used surface
disinfectants, some investigators have recommended
the use of a 1:10 dilution of 5.25% sodium hypochlorite
(household bleach) and water for routine environmental
disinfection of rooms of patients with C. difficile when
there is continued transmission
DR.T.V.RAO MD 13

14. • Medical equipment and
instruments/devices
must be cleaned and
maintained according to
the manufacturers’
instructions to prevent
patient-to-patient
transmission of
infectious agents
PATIENT CARE EQUIPMENT AND
INSTRUMENTS/DEVICES
DR.T.V.RAO MD 14

15. • Patients in casualty bring in
several community associated
infections Cleaning to remove
organic material must always
precede high level disinfection
and sterilization of critical and
semi-critical instruments and
devices after use because
residual proteinases material
reduces the effectiveness of
the disinfection and
sterilization processes
PATIENTS IN CASUALTY BRING IN SEVERAL
COMMUNITY ASSOCIATED INFECTIONS.
DR.T.V.RAO MD 15

16. • Noncritical equipment, such
as commodes, intravenous
pumps, and ventilators,
must be thoroughly cleaned
and disinfected before use
on another patient. All such
equipment and devices
should be handled in a
manner that will prevent
HCW and environmental
contact with potentially
infectious material.
CARING NON CRITICAL EQUIPMENT IN
CAUSALITY
DR.T.V.RAO MD 16

17. • It is important to include
computers and
personal digital
assistants (PDAs)
mobile phones, ipad's
and tablet digital
devices used in patient
care in policies for
cleaning and
disinfection of non-
critical items.
CARE FOR YOUR COMMUNICATING DEVICES
WITH SIMPLE MEASURES
DR.T.V.RAO MD 17

18. • In all healthcare settings,
providing patients who are
on Transmission-Based
Precautions with dedicated
noncritical medical
equipment (e.g.,
stethoscope, blood
pressure cuff, electronic
thermometer) has been
beneficial for preventing
transmission
CARING YOUR NON CRITICAL
EQUIPMENT'S
DR.T.V.RAO MD 18

19. • Equipment can be
cleaned on-site using a
detergent/disinfectant
and, when possible,
should be placed in a
single plastic bag for
transport to the
reprocessing location.
IF THE PATIENT DEVICES OR EQUIPMENT'S
ARE CONTAMINATED START A EARLY ACTION
DR.T.V.RAO MD 19

20. • Soiled textiles, including
bedding, towels, and
patient or resident clothing
may be contaminated with
pathogenic
microorganisms. However,
the risk of disease
• Transmission is negligible if
they are handled,
transported, and laundered
in a safe manner
CARING THE LINEN SAFETY
DR.T.V.RAO MD 20

21. • 1) not shaking the items or
handling them in any way
that may aerosolize
infectious agents; 2)
avoiding contact of one’s
body and personal clothing
with the soiled items being
handled; and 3) containing
soiled items in a laundry
bag or designated bin.
When laundry chutes are
used, they must be
maintained to minimize
dispersion of aerosols from
contaminated items
PRINCIPLES FOR HANDLING SOILED LAUNDRY ARE
DR.T.V.RAO MD 21

22. • No additional precautions
are needed for non-medical
solid waste that is being
removed from rooms of
patients on Transmission-
Based Precautions. Solid
waste may be contained in
a single bag (as compared
to using two bags) of
sufficient strength
SOLID WASTE
DR.T.V.RAO MD 22

23. • Prevention of needle sticks
and other sharps-related
injuries
• Injuries due to needles and
other sharps have been
associated with transmission
of HBV, HCV and HIV to
healthcare personnel. The
prevention of sharps injuries
has always been an essential
element of Universal and now
Standard Precautions
OUR LIFE IS PRECIOUS
FOLLOW THE UNIVERSAL PRECAUTIONS
DR.T.V.RAO MD 23

24. OUR CLEAN HANDS SAVE MANY PATIENTS
DO NOT FORGET TO WASH HANDS
DR.T.V.RAO MD 24

25. A MUST IN CAUSALITY
DEPARTMENT
DR.T.V.RAO MD 25

26. • Programme Created by Dr.T.V.Rao MD for
Health Care Professionals
• Email
• doctortvrao@gmail.com
DR.T.V.RAO MD 26