The Presentation has a small brief about various Housekeeping Procedures like Handwashing, Use of PPEs, Blood Spill, Linen Management, Biomedical Waste Safety, NSI Protocols.
Overview
Introduction to Needle Stick Injury(NSI)
Definition and History
Organisms transmitted due to NSI
Cause of Injury
Preventing Occupational injuries
Management of Exposed person
Data from AIIMS
Burden of NSI related diseases
Changing trend of NSI related disease
What can be done?
Summary
How to care and handle surgical instruments?raj_chandra
The proper care and handling of your valuable surgical instruments will improve their longevity and function. Choose a protocol appropriate for your environment from these cleaning techniques.
Infection Control Guidelines for Sharp Injuries Prevention
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Overview
Introduction to Needle Stick Injury(NSI)
Definition and History
Organisms transmitted due to NSI
Cause of Injury
Preventing Occupational injuries
Management of Exposed person
Data from AIIMS
Burden of NSI related diseases
Changing trend of NSI related disease
What can be done?
Summary
How to care and handle surgical instruments?raj_chandra
The proper care and handling of your valuable surgical instruments will improve their longevity and function. Choose a protocol appropriate for your environment from these cleaning techniques.
Infection Control Guidelines for Sharp Injuries Prevention
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Safety precautions in the clinic and laboratory.pptxMustafa Al-Ali
Safety precautions in the clinic and laboratory.
Mustafa al-ali, 48
Safety precautions in the clinic and laboratory
Safety precautions in the dental clinic and laboratory are crucial to protect both patients and dental healthcare professionals. Here are some key safety measures to consider:
Personal Protective Equipment (PPE)
Hand Hygiene
Sterilization and Disinfection
Waste Management
Radiation Safety
Emergency Preparedness
Chemical Safety
Ergonomics
Personal Protective Equipment (PPE)
Personal protective equipment (PPE) should be selected based on risk assessment and tasks to be performed.
These items are designed to provide a protective barrier during dental procedures and through the sterilization process. PPE must also be considered for patients as they enter the facility and provided to administrative staff who may be screening them upon arrival.
Personal Protective Equipment (PPE)
Gown
Dental Hygiene Care Professionals (DHCP) should wear protective clothing (eg, gowns, jackets) to prevent contamination of scrubs and to protect the skin from exposure to blood and bodily fluids.
Sleeves should be long enough to protect the forearms.
Protective clothing should be changed after use or when it becomes visibly soiled by blood or other bodily fluids.
DHCP should remove protective clothing before leaving the work area.
Personal Protective Equipment (PPE)
Eyewear/Face Shields
Protective Eyewear
DHCP should wear protective eyewear with solid side shields or a face shield during procedures likely to generate splashes or sprays of blood or bodily fluids or the spatter of debris. Reusable protective eyewear should be cleaned with soap and water, and when visibly soiled, disinfected between patients.
Personal eyeglasses are not considered PPE.
Protective eyewear should be provided to patients.
Face Shields
Face shields provide full-face coverage.
Must be worn with a face mask.
Personal Protective Equipment (PPE)
Gloves
DHCP should wear gloves to prevent contamination of their hands when touching mucous membranes, blood, saliva, or other potentially infectious materials and to reduce the likelihood that microorganisms on their hands will be transmitted to patients during patient care.
Gloves should be used for one patient only and discarded appropriately after use.
Hand hygiene should be performed prior to donning gloves and immediately after glove removal.
Hand Hygiene
Hand hygiene is extremely important to prevent the spread of the SARS CoV-2 virus. It also interrupts the transmission of other viruses and bacteria, thus reducing the overall burden of disease, Dental healthcare facilities should ensure that hand hygiene supplies are readily available in every patient care location.
Pre-washing considerations
Remove jewelry, ring, watches, or bracelets
Remove artificial nails if present.
Cover skin cuts, abrasions, breaks or cracks with waterproof adhesive dressings.
Use running water; avoid dipping or washing hands in a basin of standing water
MATERIALS AND ITS TYPES
machinary , equipments and linen using in hospitals and their care
EQUIPMENTS AND ITS TYPES
CARE OF LINEN
CARE OF RUBBER GOODS
CARE OF STAINLESS STEEL GOODS
CARE OF GLASS EQUIPMENTS
CARE OF PLASTIC ITEMS
CARE OF FURNITURE
CARE OF MACHINERY EQUIPMENTS
MAINTANENCE OF WARD INVENTORY
Similar to Housekeeping procedures, biomedical waste safety, nsi protocols. (20)
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There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
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Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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4. HANDWASHING
Remember: For All Types of Hand Hygiene
Keep nails short
(1-2 mm)
Do not wear nail polish
Remove jewellery, bracelets, wrist watches
Do not dry hands on clothes/uniforms after hand washing
5. USE OF PPEs
Personal Protective Equipments (PPE) are the equipments that will protect
the user against health or safety risks at work.
Personal Protective Equipments:
• Shoe cover/Leggings
• Gown
• Cap
• Mask
• Goggles
• Gloves (Separate for chemical and solvents)
• Gum boots
7. SPILL KIT
Large spill kit contents Small spill kit contents
1. Gown
2. Mask
3. Cap
4. Absorbent Sheet
5. Gum boots
6. Heavy Duty Gloves
7. Splash goggles
8. Forcep/ Tong
9. Plastic scoop
1. Mask
2. Cap
3. Heavy duty gloves
4. Paper Towel
5. Shoe Covers
8. SPILL KIT
Spot Cleaning:
•Select appropriate PPE
•Wipe up spot immediately with a tissue or paper tissue wet with 1% hypochlorite.
•Discard contaminated materials.
•Perform hand hygiene
Small Spills (up to 10cm diameter or 100ml)
•Select appropriate PPE
•Mark the site.
•Place absorbent paper and pour 1% hypochlorite over it.
•Wait for 10-20minutes.
•Collect the contaminated absorbent paper and discard it into yellow plastic bag.
•Wipe the area.
•Perform Hand Hygiene.
Large Spill (greater than 10cm diameter or > 100ml)
•Select Appropriate PPE.
•Restrict the area.
•Mark the site.
•Place the absorbent sheet and pour 1% hypochlorite over it.
•Wait for 10- 20 minutes.
•Collect the contaminated absorbent sheet and discard it into yellow plastic bag.
•Wipe the area.
•Perform Hand Hygiene.
https://youtu.be/5vt-HkjbrQ0
9. LINEN MANAGEMENT
•Dirty linen transported in dirty hampers.
•Soiled linens (infected + stained) are transported in
yellow bags and then treated in laundry with 10%
hypochlorite for 30 minutes.
10. BIOMEDICAL WASTE MANAGEMENT
Yellow bag with a Biohazard symbol for body parts,
tissues, gauze, bandages & blood bag
Red bag for plastic and rubber items like Catheters,
Syringes, Vacutainers, urine bags & Gloves
Blue bag glassware, broken ampoule & Medicine
vials, Metallic body implants
Black bag for general waste
White Container Puncture Proof for broken nozzles of
syringes, scalpels, lancets, blades and needles
12. NEEDLE STICK INJURY PROTOCOLS
Do not suck the injury site
Do not squeeze the finger
Remain CALM
Dispose the sharp appropriately
First aid – Wash and irrigate the site
Report to the appropriate authority
Get evaluated for PEP and baseline testing for HIV/Hep. B & C
as per the guidelines
PEP should be started within 2 hours of exposure, and not later
than 72 hours
Follow-up counseling and care