1 Introduction & Overview Program.pptx.ppt

MTI, Khyber Teaching Hospital, Peshawar
Introduction and Overview
Infection Control Training Course
By
Rehmat Ullah
Nursing Director, MTI KTH, Peshawar

Overview/Introduction MTI KTH, Peshawar
A. History of Hospital
 A state-of-the-art tertiary care teaching Hospital located in
Peshawar, Pakistan
 formerly Hayat Shaheed Teaching Hospital, was
established in 1976 as a training and biomedical research
facility
 The present capacity of beds is 1300
 Khyber Medical College, the first medical school of the
province, came into existence in February, 1954
 Khyber College of Dentistry as department of Dentistry was
created in 1964
 School of Nursing Khyber Teaching Hospital also works as
an allied institution with KTH for training of student nurses
since inception of the institution

VISION
 To become a role model & leader in
patient care, medical education,
research and community interaction.

Infection control Training
Infection control is important for safety of both
patients and the workers because infections
can:
 Increase the Lengthen the stay for the patients
 Increase the hospital cost/patient cost
 Can cause more pain and suffering to the
patients and may even lead to death
 Expose the workers to many germs that may
cause illness to them and their family if they get
infections from the hospital.

Goals & Objectives of the Program
 Assure that licensed, registered, or certified health
professionals understand how bloodborne
pathogens may be transmitted in the work
environment: patient to healthcare worker,
healthcare worker to patient, and patient to patient
 Apply current scientifically accepted infection
prevention and control principles as appropriate for
the specific work environment.
 Minimize opportunity for transmission of pathogens
to patients and healthcare workers.

Course Structure
 is based on training contents created by Joint
Commission International (JCI) presents in-depth
knowledge through three comprehensive
modules
1. Module 1: Basic Science and Principles
2. Module 2: Applications in Care Settings
3. Module 3: Special Infection Prevention Issues,
Leadership, and Patient Safety

Introduction to Course
 Duration Of Course
 There will be a minimum of 2.5 months.
 Stand Alone Modules
 Each module is offered as a Competence Certificate
Short Course.
 Evaluation
 The outcome will be evaluated by successfully
completing a written exam, practical work and clinical
projects.

Presentation
Hours
Lectures 14 hours
Practical/Clinical work and monitoring 32 hours
04 Reflective writing on clinical learning 20 hours
Clinical writing 80 hours

INFECTION PREVENTION AND CONTROL
PROGRAM SCHEDULE 2019
Date & Day 0830 - 1030 Am 10:45 - 12: 00 12-1400
Thursday
25/07/2019
Characteristics and functions of an IPC program
(Mr. Rehmat Ullah)
Basic Microbiology Concepts
(Mr. Noor Rehman)
Patient Care Processes To Prevent Infections
(AP. Dr. Asghar )
Thursday
01/08/2019
Epidemiology and Statistics for IPC
(Mr. Hidayat Ullah/Mr. Rehmat Ullah)
Barrier Precautions and Isolation
(Mst. Nazia Gul/ Mr. Asmat Pasha)
Methods of Cleaning, Disinfection, and
Sterilization
(Mr. Noor Rehman)
Thursday
08/08/2019
Infectious diseases and health care-associated infections
(HAIs)
(AP. Dr. Hamza Ali Khan)
Prevention of Infections Caused by Multi-resistant
Organisms
(AP. Dr. Awais Naeem)
IPC Clinical Monitoring and Hand hygiene
assessment
(Facilities Visits)
(Mst. Nazia Gul, Mr. Asmat Pasha & Mst. Zuhra)
Thursday
22/08/2019
Patient care practices for preventing device- and
procedure-associated infections
(Mr. Asmat Pasha/ Mst. Uzma)
Outbreak investigation methods and application
(Mr. Abbas/ Mr. Hidayat Ullah)
HAIs in hospital, clinical, and support
services
(Facilities Visits)
Thursday
29/08/2019
Environmental Infection Risks And Prevention
Strategies
(Mr. Rehmat Ullah/ Mr. Asmat Pasha)
IPC during facility construction & renovation
(Mr. Rehmat Ullah/ Mst. Nihayat Usman)
Infection issues for specialty and ambulatory
settings
(Facilities Visits)
Thursday
05/09/2019
Preparation for infectious disease emergencies and
disasters
(AP. Dr. Awais Naeem/ Mr. RehmatUllah)
Sepsis Awareness and Education
Employee health and IPC
(Dr. Aleena Badshah)
Infection prevention for selected hospital
services
(Facilities Visits)
Thursday
12/09/2019
Quality improvement methods and performance
measures & Advanced Leadership Strategies
(Mr. RehmatUllah)
(Facilities Visits)
Written Exam & Project Presentation

The Reflective Writing
 The Gibbs reflective writing cycle shall be used for clinical practice reflection
 Description
 What Happened?
 Feelings
 What were you thinking and feeling?
 Evaluation
 What was good and bad about the experience?
 Analysis
 What sense can you make of the situation?
 Conclusion
 What else could you have done?
 Action Plan
 If it arose again what would you do?

PROJECT GUIDELINES
 Participants are required to implement a project that brings about a
significant change in their organizations. They will be required to apply
the learning of concepts and knowledge from the Training Program they
went through.
 The project should have the following characteristics:
 Have a clear objective.
 Specify what the outputs should be and each output must be SMART
(specific, measurable, achievable, realistic and time bound).
 There must be at least two clear outputs.
 The approach to the change must be documented.
 Be a new project based on the learning from the training program and the
project must specify how the learning was applied in the project. The
project can be an existing project which has an expanded scope to bring
about a change expected from this assignment.

Infection Control and Prevention Program in
MTI KTH, Peshawar

HOSPITAL INFECTION CONTROL
PROGRAM
 Infection Control is a core part of a healthcare
organisation’s (MTI-KTH) clinical governance and
patient safety programmes.
 SCOPE
 The scope of this program extends to all areas of the
MTI-KTH, Peshawar.

 SCOPE
 The scope of this program extends to all areas of the MTI-
KTH, Peshawar.
 GOAL:
1. To prevent or minimize the potential for infections to
patients and family as well as to staff
2. To provide safety for patient, family and employee,
Surveillance of infection rates, outbreaks and
implementation of control measures
3. To Identify and rectification of flaws in infection control
practices
4. To ensure compliance with best practices and regulations in
infection control.
HOSPITAL INFECTION CONTROL
PROGRAM

 To develop written policies, procedures and standards for cleanliness, sanitation and
asepsis in the hospital.
 To interpret, uphold and implement the hospital infection control policies and procedures
in specific situations.
 To provide surveillance for different types of infections.
 To review and analyze infections, those occur, in order to take corrective steps.
 To develop preventive measures designed to control, prevent or minimize the risk of
nosocomial infections.
 To develop a mechanism to supervise infection control measures in all phases of
hospital activities.
 Review and update hospital infection control policies and procedures from time to time.
 Advice the Medical Director on matters related to the proper use of antibiotics, develop
antibiotic policies and recommend remedial measures when antibiotic resistant strains
are detected.
 Help to provide employee health education regarding matters related to HCAIs.
SPECIFIC OBJECTIVES OF
INFECTION CONTROL PROGRAM

OVERSIGHT AND RESPONSIBILITY
FOR INFECTION CONTROL
 The Medical Director (MD) is ultimately
responsible for the infection control program.
 The MD as chairman of clinical executive board
(CEB) delegates this function to chairman ICC and
Infection Control Committee.

Infection Control Committee (ICC)
 an integral component of the patient safety programme of
the health care facility,
 is responsible for establishing and maintaining
infection prevention and control, its monitoring,
surveillance, reporting, research and education.
 This committee has been granted the authority to
implement any measures necessary to prevent and control
the spread of infection and to conduct any studies in this
connection.
 All departments will facilitate in the effective functioning of
this committee.
 The committee will report to the Clinical Executive Board,
quarterly.

Structure of the committee
 Chairperson: Head of the Infection Disease
 Member: Senior Microbiologist/Pathologist
 Member: Head Anesthesia and OT/ Manager OT
 Member /Secretary. Infection Control Nurse
 Members: Representation from Management/
Administration (Deans, Medical Director Hospital
Director, Nursing Director)
 Relevant Medical Faculties
 Support Services: (OT/CSSD, Housekeeping/
Sanitation, Engineering, Pharmacologist, Store Officer
/ Materials Department)

Infection Control Committee (ICC)
 MEETING SCHEDULE
 Once every quarters, or more as required by the
chairman ICC.
 REPORTING AND COORDINATION
 The ICC will submit meeting minutes to ICC members,
MD, HD & ND.
 The committee shall report and submit quarterly
Infection Control Report to the Medical Director as
Chairman CEB.

Responsibilities of the Infection
Control Team
 Develop a manual of policies and procedures for
aseptic, isolation and antiseptic techniques
 Carry out targeted surveillance of HCAIs, data
analysis for presentation in ICC meeting and take
corrective steps
 Advise staff on all aspects of infection control and
maintain a safe environment for patients and staff
 Supervise and monitor cleanliness and hygienic
practices
 Oversee sterilization and disinfection and monitor the
use and quality control of disinfectants

Responsibilities of the Infection
Control Team
 Advise management of at risk patients and supervision of
isolation procedures
 Investigate outbreaks of infection and take corrective measures
for control and prevention of outbreak
 Waste management
 Provide relevant information on infection problems to
management.
 Assist in training of all new employees as to the importance of
infection control and the relevant policies and procedures
 Organize regular training programme for the staff to ensure
implementation of infection control practices
 Audit infection control procedures and antimicrobial usage –
Monitors Health care workers safety Programme

Infection Control Nurse
 Responsibility is delegated to the infection control
Nurse (ICN) to carry out daily functions of the
infection control program.
 These functions include data management, policy
and procedure development, education, employee
health coordination, quality improvement,
consulting and investigating potential out breaks.
 The ICN is administratively part of the nursing
department/ division and reports to the infection
control committee for professional oversight and
direction.

NURSING PROCEDURE FOR INFECTION
CONTROL SERVICES

1. EDUCATION OF HEALTHCARE WORKERS
2. VACCINATION
3. ENVIRONMENTAL TESTING
4. SURVEILLANCE ON HOSPITAL ACQUIRED
INFECTIONS
5. ISOLATION OF INFECTIOUS PATIENTS
6. HAND HYGIENE AUDIT
7. NEEDLE STICK INJURIES
8. COMMUNICATION
9. OTHER ACTIVITIES

EDUCATION OF HEALTHCARE
WORKERS
 This refers to the process of education of all health
care workers (doctors, nurses, allied)
 New joiner’s orientation session
 Infection control workshop for nurses
 sessions as a part of other programme of nurses
 Need base session with other health care worker (CSSD, OR
& Endoscopy etc.)
 Dissemination of IC&P updates
 Unit based in- service sessions
 prevention and control strategies and trends sharing
 Educational records of session

VACCINATION
 vaccination against Hepatitis B
 Typhoid vaccination
 Flu vaccinations

ENVIRONMENTAL TESTING
 The process of checking hospital facilities like
food, drinking water and air culture sampling
testing to make sure that the environment, food
and drinking water is safe for consumers.

SURVEILLANCE ON HOSPITAL
ACQUIRED INFECTIONS
 Identification of patients as per standard
definitions for;
 Ventilator Associated Pneumonia,
 Central Line Associated Blood Stream Infection,
 Cather Associate Urinary Tract Infections,
 Bed sore,
 Surgical Site infection in Critical Care Areas

ISOLATION OF INFECTIOUS
PATIENTS
 This process refers to nurse the patient in
separate room who has contagious
disease/infections like C. Diff, MRSA, Scabies,
VRE, TB, Measles, Chicken pox and others which
may spread through contact, droplet and airborne
route

HAND HYGIENE AUDIT
 Hand Hygiene facilities are checked by infection
control nurses and infection control link-liners.
 Data collection by all departmental link-liner and
infection control nurse/s
 Data is analyzed by ICN, presented in ICC, CEB,
NAB, & HQI session
 Report is forwarded to all concerned head of
departments by Infection Control Nurse/s’

NEEDLE STICK INJURIES
 All health care workers who get a needle stick
injury must report
 After blood results Risk Assessment is being
carried out by ICN as:
 Review of Lab reports & consult with ID physician if
needed
 Recommends follow up if required
 Reports in ICC and all concerned departments.
 Infection Control keeps the record of all NSI

COMMUNICATION
 The common used ways of communication are:
 E: mails across the facility through infection control team.
 Infection Control Committee meeting
 Clinical rounds and report by ICN/S’
 Infection Control updates are being shared Clinical Executive
Board Meeting by chairman of the committee and Nursing
Advisory Board Meeting by Infection Control Nurse
 In hospital operation committee meeting by Nurse Manager
Risk Management in the presence of all HODs’/designee.
 Department infection control link linear

OTHER ACTIVITIES
 Participation in annual divisional/Departmental
audit.
 Monthly risk management and infection control
clinical round.
 Monthly infection control rounds of other high risk
areas (pharmacy, pathology, etc.).
 Participates for hospital facility round.
 Education of externals, if any.

THANKS
Questions

1 Introduction & Overview Program.pptx.ppt

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