PPT for undertaking training of Healthcare Workers for Infection control.

1. 1. Hand Hygiene. Hand hygiene is the most important
measure to prevent the spread of infections among
patients and HCWs
2. Respiratory Hygiene/Cough Etiquette.
3. Sharps Safety. Safe Injection Practices.
4. Sterilization and Disinfection of Patient-Care Items
and Devices.
5. Environmental Infection Prevention and Control.
6. Antibiotic Policy.
Principals of Infection Control

2. Self Protection.
• The healthcare workers should cover their
nose and mouth with regular surgical face
mask.
• Don't apply foundation, sunscreen, lipstick
with N95.
• Don’t wear any jewellery, Bangles Watch,
money, Belt, wallet, purse etc.
• Shave beard.
• Sanitize mobile frequently.
•

3. Self Protection.
• Avoid touching eyes, nose and mouth.
• Keep social distancing .
• Frequent hand hygiene.

4. Self Protection.
• Avoid/ be extremely careful aerosol
generating procedures-
1. CPR – consider DNR
2. Endotracheal intubation
3. Non invasive ventilation-
1. Bi Pap
2. C Pap
3. Bag mask ventilation
4. High flow Oxygen.
5. Suctioning.

5. Self Protection.
Cleaning Staff
• Don’t use broom (झाड
ू ) only mopping
• Use PPE
– Splash proof gown
– Goggles
– Mask
– Gum boots
– Nitrile gloves

6. Staff Protection.
Doctors
• Don’t prescribe Injections / IV fluids
without clear indications..

7. Levels of precautions
Transmission-Based Precautions
1. Standard Precautions.
2. Droplet Precautions
3. Contact Precautions.
4. Airborne Precautions

8. Standard Precautions
• Hand hygiene
• Give up hand to face habit
• Infectious waste management
• Sharps safety devices
• PPE
• Respiratory hygiene/cough etiquette

9. Standard Precautions
• Considers all person potentially infectious
• Applies to all individuals, regardless of
presence/type of symptoms
• Used against exposure to blood, all body
fluids, secretions, excretions (except sweat),
mucous membranes, non-intact skin
• Needle stick injury.
• Safe waste management
• Cleaning and disinfection of equipment.
• Cleaning of environment.

10. Hand hygiene
Wash hands:
– Before and after client contact
– After removing gloves and other PPE
– After contact with contaminated surfaces and
items, specimens, even when gloves are worn
– Before eating or drinking
– After using restroom
– After coughing, sneezing, blowing nose

11. Hand hygiene
• If hands are visibly soiled- wash them.
• If looking clean Perform- Hand hygiene
–

12. WHO 5mmoments of Hand
hygiene

13. Standard precautions
1) Work practices-
• Hand hygiene
• No eating, drinking in areas with risk of
transmission
• No re-capping of used needles
2) Engineering controls-
• Safety devices on sharp medical devices
• Sharps containers
• Hand washing facilities

14. Droplet Precautions
For patients of respiratory infections
1. Source control: put a mask on the patient.
2. Appropriate patient placement in a single
room
3. PPE don mask upon entry into the patient
room or patient space.
4. Patient to wear a mask and follow respiratory
Hygiene/Cough Etiquette.

15. Contact Precautions.
1. Appropriate patient placement in a single
patient space or room.
2. PPE gloves and gown.
3. Limit transport and movement of
patients outside of the room .
4. Use disposable or dedicated patient-care
equipment (e.g., blood pressure cuffs). If common use
of equipment for multiple patients is unavoidable, clean and
disinfect such equipment before use on another patient.
5. Cleaning and disinfection of the rooms.

16. Airborne Precautions
• For HCWs performing Aerosol-generating
procedures-
• Open suctioning of respiratory tract.
• Intubation
• CPR

17. Airborne Precautions
• Use PPE
1. Gloves
2. Full sleeved gown
3. Eye protection
4. Fit tested N95 respirators
5. User seal check before each use.

18. Infectious waste
management
sharps containers
– puncture resistant
– leak-proof, closable
– labeled with biohazard
symbol or white
– do not overfill

19. Sharps safety devices
 Needle stick Safety
and Prevention Act
– Avoid the use
of needles
where safe
alternatives are
available
– Never shear,
break, bend, or

20. Sharps safety devices
 Needle stick Safety
and Prevention Act
– Dispose needle
and sharps in
proper container
– Never reach into
or overfill a
sharp container

21. Personal protective equipment
• Specialized clothing or equipment worn by
employees for protection against health and
safety hazards.
• Personal protective equipment is designed
to protect many parts of the body, i.e., eyes,
head, face, hands, feet, and ears

22. Personal protective
equipment
Types
Gloves
Gowns
Aprons
Goggles, face shields
Surgical/procedure masks
Respirators

23. Standard precautions
Respiratory hygiene/cough etiquette
– Cover mouth and nose with tissue when coughing,
sneezing / into own elbow.
– Immediately toss tissue into yellow bin.
– Wash hands with soap and water or use alcohol gel
– Have client wear mask if possible
– Barriers for front line staff

24. IN OT
• Handle sharp with instruments.
• -Pass sharps to each other via kidney
tray.
• -Pass needle to and for needle holder &
thumb forceps.
• -Use thumb forceps in left hand during
surgery.
• -Use instrument for retraction.
• -Wear goggles during surgery.
• -Throw sharps into sharp collector.
• -Use skin stapler.

25. IN OT
• -Wear gumboots in O.T.
• -Report needle pricks to ART center.
• -Soak used instruments in bleach before.
• washing

26. IN OT
• Do not Catch needle with hands.
• -Do not Pass sharps hand to hand.
• -Do not Recap used needle.
• -Do not Use of straight needle.
• -Do not Use hand for retraction.
•

27. Waste Management
• Keep colour coded bins .
• Double bags.
• Label Bins, Bags, containers, trolleys “COVID19
waste”.
• Transport “COVID19 waste” separately from
other waste.
• BMW staff to wear PPEs Splash proof gowns,
Goggles, Masks, Nitrile gloves, Gum boots.
• Disinfect Bins, Bags, containers, trolleys 1%
hypochlorite solution.
• Make separate Pit for burial.

28. Colour coding of Hospital Waste
Transfer out if COVID-19 negative
Discharge: afebrile for 48 hours; normal vital signs
(pulse, respiration and BP

29. Sanitization
• No brooms.
• No Vacuum Cleaners
• No Spraying No fumigation, No fogging
• Only mopping with 1% hypochlorite 3 times a
day.
• Unidirectional Mopping away from you.
• The door knobs, handles, railings, lift switches,
nursing platforms etc. should be frequently
disinfected with 1% hypochlorite.