Infection Control Inservice Surveillance Prevention Program Control Education Presented By: Eneida Cruz, DNP, RN
InfectionElements of Infection – A SOURCE of infection – A TRANSMITTER of infection – A SUSCEPTIBLE HOSTSources of Infection: – Food – Feces – Fomities (furniture, toliets, floors, etc.) – Finger – Contaminated personal protective equipment (ie, gloves)
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
Infection Control Overview Infection Control Program – Infection Control Consultant Policies & Procedures – Clinical Manual Policies • C.46.A - C.46.M • Exposure Control Plan • TB Screening • Influenza Program Regulatory – DOHSS – JCAHO – OSHA
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
Infection Control Activities, cont’d Environmental Services Plan – Environment of Care Survey – Quality Inspection Reports Staff Education – Annual Mandatory Inservice – As needed Logs – Needlestick Injury Log – Blood/Body Fluids Exposure Log
Infectious DiseasesTuberculosis (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
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
Needlestick Injuries 800,000 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
Needlestick Injuries, cont’d.Prevent Injuries by utilizing – Sharp Disposable System – Needle Devices – Needleless IV Connector – Self-Resheathing NeedleReport all NEEDLESTICK INJURIES – Policy C.46.F – Log – Incident Report – Medical Care
Standard PrecautionsHandwashingGlovingMaskingGowningAppropriate device handlingAppropriate handling of laundry
Latex AllergyReaction to certain proteins in latex rubberRisk to Health care workers developing latex allergyThe 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
Latex Allergy, cont’d.Policy C.54.AClinical Activities – Patient Care • Latex Allergy Signs – Supplies • All medical supplies are latex free unless otherwise documented on package, i.e., Foley Catheters contain latex.
Environmental CleaningSurface Disinfectant ClothsRoom Turnover – Posted in each procedure room and in the recovery room – Wipe down all surface areas, stretcher, pillow, B/P cuff, monitors, etc.
Medical EquipmentSingle use devices discard after useReusable devices must be cleaned and maintained according to manufacturer’s instructionsCleaning – Enzymatic cleaner – Sponges/pipe cleanersHigh Level Disinfection (HLD) – Test strips – Temperature – Log sheet
Infection Control PreventionHandwashing Protect yourself and others