INFECTION CONTROL NURSE changing role in health care by Dr.T.V.Rao MD

1. INFECTION CONTROL NURSE
CHANGING ROLE IN HEALTH CARE
DR.T.V.RAO MD
12/31/2017Dr.T.V.Rao MD @ Infection control 1

2. 12/31/2017Dr.T.V.Rao MD @ Infection control 2

3. INFECTION CONTROL IS A TEAM WORK
.
• THE INFECTION PREVENTION AND CONTROL TEAM IS MULTI-DISCIPLINARY
AND WILL INCLUDE:
CONSULTANT NURSE INFECTION PREVENTION AND CONTROL NURSE JOINT
DIPC
INFECTION PREVENTION AND CONTROL DOCTOR
MEDICAL MICROBIOLOGISTS
INFECTION PREVENTION AND CONTROL SPECIALIST NURSES INFECTION
PREVENTION AND CONTROL NURSES
AUDIT AND SURVEILLANCE SUPPORT WORKERS
AUDIT AND SURVEILLANCE COORDINATOR/ADMINISTRATOR
12/31/2017Dr.T.V.Rao MD @ Infection control 3

4. ROLE OF INFECTION CONTROL NURSE
• NURSES PLAY A VITAL ROLE IN PREVENTING THE
DEVELOPMENT AND SPREAD OF INFECTIONS AMONG
HOSPITAL PATIENTS. SOME NURSES, CALLED INFECTION
CONTROL NURSES, SPECIALIZE IN THIS, BUT ALL NURSES
IN A HOSPITAL SHARE RESPONSIBILITY FOR MONITORING
PATIENTS, PRACTICING GOOD HYGIENE AND
IMPLEMENTING ALL OTHER METHODS DESIGNED TO
KEEP HOSPITALS STERILE AND PATIENTS SAFE.
12/31/2017Dr.T.V.Rao MD @ Infection control 4

5. INFECTION CONTROL BEEDS EXPERT
PROFESSIONALS TO CARE AND REDUCE THE
INFECTION RATES
• THE ICN AS AN EXPERT HEALTHCARE
PROFESSIONAL WILL ENDEAVOR TO
SET UP AND MONITOR QUALITY
PROGRAMMES AND FACILITATE THE
SAFE DELIVERY OF PATIENT CARE. THE
INFECTION CONTROL TEAM, AND
ESPECIALLY THE ICN, HAVE
PERFORMED QUALITY CONTROL AND
SURVEILLANCE BY CONTINUALLY
MONITORING AND VERIFYING THE
REASONS FOR INFECTIONS
12/31/2017Dr.T.V.Rao MD @ Infection control 5

6. INFECTION CONTROL NURSES ARE TRAINED FOR PURPOSE AND A
MULTITASKING JOB
• SOME NURSES SPECIALIZE IN
PREVENTING, DETECTING AND
CONTROLLING INFECTION OUTBREAKS.
INFECTION CONTROL NURSES EDUCATE
THEIR FELLOW NURSES AND OTHER
HOSPITAL EMPLOYEES ON PROPER
SANITATION AND HYGIENE PROCEDURES
SUCH AS HAND WASHING, DISPOSING OF
MEDICAL WASTE PRODUCTS LIKE USED
SYRINGES, AND CLEANING UP PATIENTS
AND THEIR SURROUNDINGS TO PREVENT
DEADLY BACTERIA FROM THRIVING AND
SPREADING THROUGHOUT THE ENTIRE
12/31/2017Dr.T.V.Rao MD @ Infection control 6

7. WHY WE NEED INFECTION CONTROL
NURSES
IN THE AGE OF THE
“SUPERBUG” OR INFECTION
THAT IS NONRESPONSIVE TO
ANTIBIOTIC THERAPY, THE
INCREASE IN THE VISIBILITY
AND RESPONSIBILITIES OF
THE INFECTION CONTROL
NURSE IS DEMONSTRABLE
12/31/2017Dr.T.V.Rao MD @ Infection control 7

8. INFECTION CONTROL NURSES ARE TRAINED WITH
PEER REVIEWED GUIDELINES
• THE OCCUPATIONAL SAFETY AND HEALTH
ADMINISTRATION (OSHA), JOINT
COMMISSION ON ACCREDITATION OF
HEALTHCARE ORGANIZATIONS (JCAHO),
THE CENTERS FOR DISEASE CONTROL
(CDC), AS WELL AS CENTERS FOR
MEDICARE AND MEDICAID SERVICES (CMS)
HAVE PUT IN PLACE REQUIREMENTS AND
ASSESSMENT GOALS THAT REQUIRE
SPECIFIC ADHERENCE TO MEASURES THAT
CONTROL THE OUTBREAK OF
PREVENTABLE HOSPITAL ACQUIRED
12/31/2017Dr.T.V.Rao MD @ Infection control 8

9. •EDUCATION OF NURSES
• INFECTION CONTROL EDUCATION TAKES
PLACES ON DIFFERENT LEVELS AND
ADDRESSES THE DIFFERENT
POPULATIONS IN THE HOSPITAL
SETTING. THE INFECTION CONTROL
NURSE OR STAFF WILL BE RESPONSIBLE
FOR THE INITIAL AND ONGOING
TRAINING OF THE HOSPITAL STAFF IN
THE PREVENTION OF THE SPREAD OF
INFECTION. THIS WILL INCLUDE
EDUCATION IN HAND WASHING,
EQUIPMENT USAGE, AS WELL AS
HANDLING PATIENTS AND GUESTS.
12/31/2017Dr.T.V.Rao MD @ Infection control 9

10. DUTIES AND SKILLS
• •MONITORING – ONE OF THE PRIMARY
RESPONSIBILITIES OF THE INFECTION CONTROL NURSE AND
STAFF IS MONITORING THE OCCURRENCE OF INFECTION
IN THE CLINICAL SETTING. DATA ON THE PATIENT
POPULATION, THE TYPES OF INFECTIONS INVOLVED AND
THE CAUSES AND TREATMENT OF INFECTION IS COMPILED
AND ANALYZED TO ADDRESS CONTINUING IMPROVEMENTS
IN THE OPERATION AND CONTROL OF PREVENTABLE
DISEASES.
12/31/2017Dr.T.V.Rao MD @ Infection control 10

11. LEARNING AND PRACITISING SKILLS A
PRIORITY
• ,A CANDIDATE FOR A POSITION AS AN
INFECTION CONTROL NURSE WILL ALSO
HAVE SEVERAL YEARS OF NURSING
EXPERIENCE IN A HOSPITAL SETTING
INCLUDING PRACTICAL EXPERIENCE IN
INFECTION CONTROL. PRACTICAL
EXPERIENCE CAN BE ACQUIRED
THROUGH A PROGRAM OR
VOLUNTEERING FOR CERTAIN
RESPONSIBILITIES IN AN ASSIGNED UNIT
OF NURSING.
12/31/2017Dr.T.V.Rao MD @ Infection control 11

12. TEACHING SKILLS AND MONITORING THE
PRACTICES A PRIORITY
12/31/2017Dr.T.V.Rao MD @ Infection control 12

13. PREVENTION OF INFECTION
• THE INFECTION CONTROL STAFF WILL
FOLLOW GUIDELINES SET OUT BY THE
CDC AND CMS, AS WELL AS OTHER
LICENSING BODIES INCLUDING THE
CERTIFICATION BOARD OF INFECTION
CONTROL (CBIC) TO ASSURE THE
HOSPITAL AND CLINICAL SETTING ARE
OPERATING OPTIMALLY TO REDUCE
THE OCCURRENCE OF PREVENTABLE
INFECTIONS.
12/31/2017Dr.T.V.Rao MD @ Infection control 13

14. ADHERENCE TO PEER REVIWED
PROTOCOLS
• AS WITH OTHER AREAS OF SKILLS AND
RESPONSIBILITIES, ADHERENCE TO
GUIDELINES FOR INFECTION CONTROL
TAKES PLACE ON SEVERAL LEVELS. THE
INFECTION CONTROL NURSE WILL
EVALUATE EACH AREA IN A CLINICAL
SETTING TO ASSURE POLICIES ARE BEING
FOLLOWED AND MAKE
RECOMMENDATIONS ON
IMPROVEMENTS. IN ADDITION TO
ASSURING THAT THE STAFF IS ADHERENT
TO HOSPITAL GUIDELINES,
12/31/2017Dr.T.V.Rao MD @ Infection control 14

15. THE INFECTION CONTROL NURSES ARE RESPONSIBLE
FOR
• THE INFECTION CONTROL NURSE
IS ALSO RESPONSIBLE FOR
UPDATING THE CLINICAL POLICIES
AND GUIDELINES SET OUT BY
CONTROLLING ORGANIZATIONS.
IN RECENT YEARS, CENTERS FOR
MEDICARE AND MEDICAID
SERVICES HAVE MADE CLINICAL
ORGANIZATION FINANCIALLY
RESPONSIBLE FOR THE CARE
NECESSARY TO TREAT HOSPITAL
ACQUIRED INFECTION
12/31/2017Dr.T.V.Rao MD @ Infection control 15

16. REPORTING INFECTIONS
REPORTING TAKES PLACE ON
SEVERAL LEVELS. NOT ONLY IS
THE INFECTION CONTROL NURSE
AND STAFF COMPILING REPORTS
ON OCCURRENCES FROM THE
STAFF, THEY ALSO KEEP
RECORDS ON THE EDUCATION
AND CLASSES THEY DELIVER TO
THE STAFF ON INFECTION
CONTROL.
12/31/2017Dr.T.V.Rao MD @ Infection control 16

17. THE INFECTION CONTROL NURSES ARE TRAINED
WITH PEER REVIEWED GUIDELINES
• INCLUDE INITIAL HOSPITAL
ORIENTATION, AS WELL AS
ONGOING TRAINING AS REQUIRED
AND CHANGES TO POLICIES AS
THEY ARE DETERMINED AND
OUTLINED. IN ADDITION, THIS
INFORMATION IS RELAYED TO
INFECTION CONTROL BODIES SUCH
AS THE CDC AND CMS FOR
ADHERENCE AND ONGOING
12/31/2017Dr.T.V.Rao MD @ Infection control 17

18. WHY INCREASING NEED FOR INFECTION CONTROL
NURSES
• INFECTION CONTROL HAS
BECOME ONE OF THE MOST
IMPORTANT POSITIONS IN
HEALTHCARE. AS THE
INCREASED USE OF
ANTIBIOTICS HAS LAID THE
GROUNDWORK FOR
INCREASED RESISTANCE OF
INFECTION TO CERTAIN
TREATMENTS,
12/31/2017Dr.T.V.Rao MD @ Infection control 18

19. NURSES MONITOR THE INCIDENCE OF HOSPITAL
ASSOCIATED INFECTIONS
• THE ROLE OF AN INFECTION
CONTROL NURSE TO MONITOR
OCCURRENCES AND EDUCATE
PATIENTS AND STAFF ON THE
PREVENTION AND CONTROL OF
DISEASES HAS GROWN. THEY
HAVE BECOME THE FIRST LINE
OF DEFENSE AND INFORMATION
FOR EVERYONE ENTERING THE
HEALTHCARE SETTING. 12/31/2017Dr.T.V.Rao MD @ Infection control 19

20. SURVEILLANCE AND EPIDEMIOLOGIC
INVESTIGATIONS
• AN INFECTION PREVENTIONIST SHOULD
BE ABLE TO DESIGN THEIR SURVEILLANCE
SYSTEM TO ENSURE COMPLETE AND
ACCURATE COLLECTION,
INTERPRETATION AND REPORTING OF
DATA. IN MANY HOSPITALS, THE IP
RELIES ON AUTOMATED SYSTEMS TO
COLLECT, COMPILE AND REPORT ON
DATA COLLECTED THROUGHOUT THE
FACILITY, BUT HE OR SHE SHOULD BE
ABLE TO CUSTOMIZE THE INFECTION
PREVENTION MODULES TO GATHER THE
DATA MOST RELEVANT FOR THE
12/31/2017Dr.T.V.Rao MD @ Infection control 20

21. INFECTION PREVENTION AND CONTROL LINK
PRACTITIONER
• THE ROLE OF THE INFECTION PREVENTION AND CONTROL LINK
PRACTITIONER IS:
TO ACT AS A RESOURCE IN THEIR CLINICAL AREA, AND TO LIAISE
WITH THE INFECTION PREVENTION AND CONTROL (IPAC) NURSES.
TO HELP CREATE AND MAINTAIN AN ENVIRONMENT WHICH WILL
ENSURE THE SAFETY OF PATIENT/CLIENTS, THEIR RELATIVES AND
OTHER HEALTH CARE WORKERS USING EVIDENCE BASED
INFECTION PREVENTION AND CONTROL KNOWLEDGE TO REDUCE
THE RISK OF INFECTION.
TO ACT AS A ROLE MODEL FOR COLLEAGUES.
12/31/2017Dr.T.V.Rao MD @ Infection control 21

22. EDUCATION AND RESEARCH
• THE IP SHOULD CONTINUE TO GROW IN
SKILLS AND KNOWLEDGE BY STAYING
CURRENT ON RESEARCH FINDINGS AND
INCORPORATING EVIDENCE-BASED BEST
PRACTICES INTO INFECTION PREVENTION
POLICIES AND PROTOCOLS. THE IP SHOULD
ALSO CREATE AND DELIVER EFFECTIVE
EDUCATIONAL PROGRAMS TO EDUCATE
STAFF ON INFECTION PREVENTION AND
CONTROL TOPICS, AND BE ADEPT AT
WORKING WITH PATIENTS, FAMILIES AND
VISITORS TO MINIMIZE INFECTION RISK.
12/31/2017Dr.T.V.Rao MD @ Infection control 22

23. HAND WASHING A PRIORITY
12/31/2017Dr.T.V.Rao MD @ Infection control 23

24. FOR PATIENTS, THE ULTIMATE VALUE OF AN INFECTION
CONTROL PROGRAMME IS MEASURED BY MANY PARAMETERS
• LOWER RATES OF INFECTION
• HIGHER RATES OF SURVIVAL
• AVOIDANCE OF OR DECREASE IN
MORBIDITY
• SHORTER PERIODS OF ILLNESS OR
HOSPITAL CONFINEMENTS
• MORE RAPID RETURN TO HEALTH.
12/31/2017Dr.T.V.Rao MD @ Infection control 24

25. PROMOTE HAND WASHING AT MANY STAGES OF
HEALTH CARE
• THE BATTLE AGAINST HOSPITAL
ACQUIRED INFECTION CONTINUES, AND
WITH ANTIBIOTIC RESISTANCE EVER
INCREASING, THERE SHOWS LITTLE SIGN
OF IT STOPPING SOON. EFFECTIVE HAND
HYGIENE IS ONE OF THE SIMPLE STEPS
EVERY NURSE, MIDWIFE AND MEDICAL
PROFESSIONAL CAN TAKE TO HELP
COMBAT INFECTION AND PROTECT
THEIR PATIENTS FROM HARM. 12/31/2017Dr.T.V.Rao MD @ Infection control 25

26. HAND HYGIENE IS THE BEST TOOL TO SAVE MANY LIVES
12/31/2017Dr.T.V.Rao MD @ Infection control 26

27. THE BEST NURSES PRACTICE GOOD HAND WASHING
12/31/2017Dr.T.V.Rao MD @ Infection control 27

28. HOW NURSES PRACTICES HAND HYGIENE
12/31/2017Dr.T.V.Rao MD @ Infection control 28

29. WE ALL CARE TO PREVENT INFECTIONS
ARE YOU DOING ?
12/31/2017Dr.T.V.Rao MD @ Infection control 29

30. • PROGRAM CREATED BY DR.T.V.RAO MD FOR BENEFIT OF
MEDICAL AND NURSING PROFESSIONALS WHO CARE THE
PATIENTS IN CHANGING WORLD WHERE THE INFECTION
MATTERS TO EVERY ONE
• EMAIL
• DOCTORTVRAO@GMAIL..COM
12/31/2017Dr.T.V.Rao MD @ Infection control 30