Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

1 Bioseguridad

83,630 views

Published on

Published in: Business
  • Comprueba la fuente ⇒ www.EddyHelp.com ⇐. Este sitio me ha ayudado a escribir artículos científicos en inglés y español.
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD THIS BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download Full EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download Full doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book THIS can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer THIS is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story THIS Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money THIS the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths THIS Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download Full EPUB Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download Full doc Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download PDF EBOOK here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download EPUB Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download doc Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download Full EPUB Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download Full doc Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download PDF EBOOK here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download EPUB Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download doc Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

1 Bioseguridad

  1. 1. FUNDAMENTOS DE BIOSEGURIDAD
  2. 2. 1. Gestión integral de residuos hospitalarios 2. Sistema de precauciones universales 3. Esterilización de instrumentos 4. Reglas básicas de Bioseguridad CONTENIDO
  3. 3. En Colombia se generan aprox. 27.000 ton /dia En Bogotá : 6.000 ton /dia “ Herencia” de cada habitante a la ciudad: A los 50 años : 11 ton basura A los 70 años : 19 ton basura 1. GESTIÓN INTEGRAL DE RESIDUOS HOSPITALARIOS BASURA
  4. 4. BASURA HOSPITALARIA HOSPITAL MEDIANO ( aprox. 250 camas ) GENERA DIARIAMENTE 1/2 Ton DE BASURA HOSPITAL GRANDE ( aprox. 500 camas ) GENERA DIARIAMENTE 1 Ton DE BASURA EN PROMEDIO CADA CAMA HOSPITALARIA GENERA DIARIAMENTE 2 Kg DE BASURA
  5. 5. DISPOSICIÓN DE DESECHOS HOSPITALARIOS: OBJETIVOS <ul><li>Evitar infecciones </li></ul><ul><li>intra-hospitalarias </li></ul><ul><li>Evitar </li></ul><ul><li>accidentes de trabajo </li></ul><ul><li>Recuperar </li></ul><ul><li>Elementos reciclables </li></ul>
  6. 6. DISPOSICIÓN DE DESECHOS HOSPITALARIOS CLASIFICACIÓN RIESGO BIOLÓGICO INFECTANTES NO INFECTANTES TÓXICOS DESTINO FINAL NO RECICLABLES RECICLABLES
  7. 7. DISPOSICIÓN DE DESECHOS HOSPITALARIOS CLASIFICACIÓN SEGÚN RIESGO BIOLÓGICO Desechos con microorganismos potencialmente patógenos y/o residuos con características físicas, químicas tóxicas para personas y el medio ambiente Infectantes: pueden producir enfermedad No infectantes: Sin capacidad para generar enfermedad Tóxicos: Pueden producir intoxicación o daño en personas y el medio ambiente
  8. 8. No reciclables: Desechos biodegradables (Basuras, residuos alimentarios, piezas anatomopatológicas, sobras, material hospitalario, desechos industriales) Destino final: relleno sanitario / incineración (1.200 C) Reciclables: No biodegradables, reutilizables (Vidrio, plástico, papel, cartón, placas rayos x) Destino final: empresas recuperadoras DISPOSICIÓN DE DESECHOS HOSPITALARIOS CLASIFICACIÓN SEGÚN DESTINO FINAL
  9. 9. RESIDUOS HOSPITALARIOS Y SIMILARES CLASIFICACIÓN RESIDUOS NO PELIGROSOS BIODEGRADABLES RECICLABLES INERTES ORDINARIOS (COMUNES) RESIDUOS PELIGROSOS INFECCIOSOS (DE RIESGO BIOLÓGICO) QUÍMICOS RADIACTIVOS Res 1164 / 02 MINAMBIENTE: MANUAL DE PROCEDIMIENTOS PARA LA GESTIÓN INTEGRAL DE RESIDUOS HOSPITALARIOS Y SIMILARES
  10. 10. SISTEMA INTERNACIONAL DE COLORES Material Orgánico Residuos Peligrosos Material no recuperable Papel y Cartón Vidrio Plástico
  11. 11. 2. SISTEMA DE PRECAUCIONES UNIVERSALES Precauciones de bioseguridad universalmente aceptadas para la prevención del ATEP Deben tenerse en cuenta en toda actividad que implique contacto con material biológico (sangre, tejidos, fluidos corporales y/o elementos contaminados con éstos) con el fin de evitar la transmisión de Agentes causantes de enfermedad en la población expuesta, En especial el VIH y los virus de hepatitis B y C
  12. 12. Utilice EPP para todo procedimiento que implique contacto con sangre, tejidos, fluidos corporales y/o elementos contaminados con éstos Lávese adecuadamente las manos antes y después de realizar cualquier procedimiento Deseche el material cortopunzante en el guardián de seguridad No deambule con elementos de protección personal fuera del sitio de trabajo 2. SISTEMA DE PRECAUCIONES UNIVERSALES
  13. 13. Restrinja el ingreso a áreas de alto riesgo No fume , no coma , no beba en su lugar de trabajo No guarde alimentos en equipos de refrigeración junto con productos químicos o sustancias contaminadas Maneje todo paciente como potencialmente infectado Evite desenfundar y re- enfundar agujas manualmente No re-utilice material contaminado 2. SISTEMA DE PRECAUCIONES UNIVERSALES
  14. 14. 3. DESINFECCIÓN Y ESTERILIZACIÓN DE INSTRUMENTOS CLASIFICACIÓN DE ARTÍCULOS Y ELEMENTOS CRÍTICOS SEMI-CRÍTICOS NO CRÍTICOS
  15. 15. Críticos Penetran tejidos estériles del cuerpo, blandos u óseos Ej . Instrumental quirúrgico y de curación, odontológico (Exodoncia, endodoncia, periodoncia) prótesis vasculares, esqueléticas, catéteres, agujas de jeringas, fórceps 3. DESINFECCIÓN Y ESTERILIZACIÓN DE INSTRUMENTOS
  16. 16. Semi-críticos Entran en contacto con mucosas (Oral, nasal, ocular, vaginal, uretral, anal) Ej . Equipos de anestesia, asistencia respiratoria, endoscopios, laparoscopios, broncoscopios, cánulas endotraqueales, sondas, tubos de aspiración 3. DESINFECCIÓN Y ESTERILIZACIÓN DE INSTRUMENTOS
  17. 17. No críticos Entran en contacto con piel intacta del paciente Ej . Fonendoscopios, muebles de unidad odontológica, objetos de uso del paciente ( vasos, loza, cubiertos, orinal, ropa de cama, muebles, ... ) 3. DESINFECCIÓN Y ESTERILIZACIÓN DE INSTRUMENTOS
  18. 18. ESTERILIZACIÓN Destrucción o eliminación de vida microbiana Incluyendo esporas Ventajas : rápido calentamiento y penetración; destruye bacterias y esporas; no deja residuos tóxicos; bajo deterioro del material expuesto; económico Deesventaja : corrosivo para instrumental metálico Autoclave Agua hirviente o vapor fluyente
  19. 19. Aplicación de agentes físicos: calor seco : Deseca células; fusiona membranas; destruye lípidos y proteínas. Se usa a 170 C para instrumental metálico y a 140 C para otros fines Ventaja : no corrosivo Desventaja : requiere mayor tiempo de esterilización que calor húmedo Horno caliente Horno rotatorio para incineración ESTERILIZACIÓN
  20. 20. Radiaciones Rayos UV Poco penetrantes; afectan moléculas de DNA de microorganismos, para infecciones transmitidas por aire y para desinfección de superficies ( ej . Quirófanos) Rayos gamma Para esterilización de antibióticos, medicamentos, vacunas ESTERILIZACIÓN
  21. 21. Aplicación de agentes químicos (También desinfectantes) ALCOHOL ETÍLICO: antisépticos, piel SOLUCIONES YODADAS: desinfección piel SOLUCIONES CLORADAS: desinfección agua FORMALDEHÍDO: esterilización instrumentos, fumigaciones ÓXIDO DE ETILENO: esterilización materiales e instrumentos ESTERILIZACIÓN
  22. 22. Método polémico, considerado obsoleto e insustentable, por contaminación con: Dioxinas: variedad de problemas de salud, incluido cáncer, daños del sistema inmunológico, reproductivos y del desarrollo Mercurio , neurotóxico, deterioro de funciones motoras Metales pesados : plomo, cadmio Gases ácidos INCINERACIÓN
  23. 23. 4. REGLAS BÁSICAS DE BIOSEGURIDAD <ul><li>Lugar de trabajo ordenado y aseado </li></ul><ul><li>Herramienta adecuada para cada labor </li></ul><ul><li>Uso de EPP </li></ul><ul><li>Desarrollar labores con atención </li></ul><ul><li>Informar condiciones / actos inseguros </li></ul><ul><li>Reportar oportunamente los AT </li></ul>
  24. 24. 4. REGLAS BÁSICAS DE BIOSEGURIDAD <ul><li>Venopunciones </li></ul><ul><li>Utilice sólo jeringas y agujas desechables </li></ul><ul><li>Use guantes y evite punción accidental </li></ul><ul><li>Si ocurre salpicadura en ojos o mucosas, lávese con agua abundante; en piel, adicione jabón antiséptico; e informe inmediatamente sobre el evento ocurrido </li></ul><ul><li>Deseche el material cortopunzante contaminado en el guardián y el resto (guantes, compresas, toallas) en bolsa plástica roja debidamente marcada </li></ul>
  25. 25. 4. REGLAS BÁSICAS DE BIOSEGURIDAD <ul><li>Laboratorio clínico </li></ul><ul><li>Prohibido guardar alimentos o bebidas en neveras </li></ul><ul><li>Prohibido maquillaje y adornos (joyas) en cara y manos </li></ul><ul><li>Prohibido el pipeteo bucal de todas las sustancias </li></ul><ul><li>Al terminar labores, desinfectar superficies de trabajo (hipoclorito de sodio o alcohol antiséptico) </li></ul>
  26. 26. 4. REGLAS BÁSICAS DE BIOSEGURIDAD <ul><li>Con sangre </li></ul><ul><li>Identificar lesiones en manos (cortaduras, rasguños) antes de colocarse los guantes Conservar tubos para muestras en óptimas condiciones </li></ul><ul><li>Manejar toda muestra como potencialmente infecciosa </li></ul><ul><li>Informar resultado positivo al personal de procesamiento, marcar producto como biológicamente peligroso </li></ul>

×