This document discusses infection prevention and standard safety measures. It begins by introducing the topic and defining hospital-associated infections. It then covers the chain of infection, types of infections like nosocomial and iatrogenic, common organisms causing infection, and the nursing process for infection control including assessment, diagnosis, goals, and implementation. It details standard, contact, airborne and droplet precautions. It concludes by discussing the roles and responsibilities of infection control nurses.
Role of nurses in infection control dr.rs 07 04-2016SOMESHWARAN R
Role of nurses in infection control Universal safety precautions Hand washing Needle stick injury Post exposure prophylaxis MBBS UG STUDENTS MEDICINE CLASS THEORY PPT Power point
The Ebola epidemic which has no existing cure warrants a unique approach from medicine; barrier nursing which emphasises control and prevention of further infection. For now, this method should be considered to gain control over the outbreak.
Role of nurses in infection control dr.rs 07 04-2016SOMESHWARAN R
Role of nurses in infection control Universal safety precautions Hand washing Needle stick injury Post exposure prophylaxis MBBS UG STUDENTS MEDICINE CLASS THEORY PPT Power point
The Ebola epidemic which has no existing cure warrants a unique approach from medicine; barrier nursing which emphasises control and prevention of further infection. For now, this method should be considered to gain control over the outbreak.
This PPT is for the all the nursing staff and student working at clinical sided to control infection, maintain aseptic technique while doing procedure and compulsory use the PPE.
the ot nursing is an essential concept that every student nurse must have an adequate knowledge in order to counteract the issues related to OT nursing.
updated guidelines of hospital infection control, as mentioned in the ppt. its not all the guidelines but yes a brief overview and for further details refer to hospital infection control guidelines pdf.which is available in my uploads.
Hospital acquired infections: The different common sources of infection, their routes of spread and the growing antimicrobial resistance. Also includes a discussion on hospital Infection prevention and control guidelines and the universal and standard precautions.
The very first requirement in a hospital that it should do the sick no harm" - Florence Nightingale
Health care associated infections economic loss, prolonged hospital stay & adverse patient outcomes.
This PPT is for the all the nursing staff and student working at clinical sided to control infection, maintain aseptic technique while doing procedure and compulsory use the PPE.
the ot nursing is an essential concept that every student nurse must have an adequate knowledge in order to counteract the issues related to OT nursing.
updated guidelines of hospital infection control, as mentioned in the ppt. its not all the guidelines but yes a brief overview and for further details refer to hospital infection control guidelines pdf.which is available in my uploads.
Hospital acquired infections: The different common sources of infection, their routes of spread and the growing antimicrobial resistance. Also includes a discussion on hospital Infection prevention and control guidelines and the universal and standard precautions.
The very first requirement in a hospital that it should do the sick no harm" - Florence Nightingale
Health care associated infections economic loss, prolonged hospital stay & adverse patient outcomes.
A. Standard Precautions-Standard precautions are to be followed for all patients, irrespective of their infection status.
These are to be used to avoid contact with blood, body fluids, secretions and excretions regardless of whether contaminated grossly with blood or not; non intact skin; and mucous membrane.
They are the basic level of infection control precautions which are to be used, as a minimum, in the care of all patients
Infection control measure to be undertaken by hospital- Use standard precaution for the care of all patients.
This general mandate is necessary because it is sometimes not known if the patient is colonized or infected with certain pathogenic microorganisms.
Barrier precautions reduce the need to handle sharps.
B. Transmission Precautions- The second tier condenses the disease-specific and categories approach to isolation into new transmission categories to be taken based on the route of transmission of organisms like contact precautions, airborne precautions, etc.
These precautions are designed for specific patients with highly transmissible pathogens
Occupational Blood Borne Infections: Prevention is Better than CureApollo Hospitals
Viral infections like HIV, hepatitis Band C virus pose a big risk to the contacts of individuals with high risk behaviour as well as to the attending health care workers. Blood, semen, vaginal and other potentially infectious materials can transmit the infection to the susceptible contacts. Universal precautions should be strictly implemented during clinical examination, laboratory work and surgical procedures to prevent transmission to the health care providers. Health care workers should receive vaccination for hepatitis B infection. An inadvertent exposure should be managed with proper first aid and infectivity of the source and severity of exposure should be assessed. Severity of exposure is based on the nature and area of exposed surface, mode of injury and volume of infective material. Post-exposure prophylaxis (PEP) should be started as soon as possible after a proper counseling about the effectiveness of post-exposure prophylaxis, side effects and risk of carrying the infection to his familial contacts and its prevention.
Standard precautions are meant to reduce the risk of transmission of blood borne and other pathogens from both recognized and unrecognized sources.
They are the basic level of infection control precautions which are to be used, as a minimum, in the care of all patients.
Standard safety precautions are the basic infection prevention and control measures necessary to reduce the risk of transmission of infectious agent from both unrecognized and unrecognized sources of infection.
The elements of Standard Precautions include:
Hand hygiene.
Use of gloves and other barriers (e.g., mask, eye protection, face shield, gown).
Handling of patient care equipment and linen.
Environmental control.
Prevention of injury from sharps devices, and patient placement.
Respiratory hygiene and cough etiquette
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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2. INTRODUCTION
• Hospital associated infections account for
considerable economic loss through
prolonged hospital stay and adverse patient
outcomes.
• In most health care facilities the average
incidence of HAI is around 5-10 %
3. EFFECT OF HAI ON HEALTH CARE
Increases morbidity and mortality
Length of stay and cost of health care
increases
Risk of being the target of litigations
Bad reputation for the hospital
6. THE INFECTIOUS PROCESS
Infections follow a progressive
course
1. Incubation period
2. Prodromal stage
3. Illness stage
4. Convalescence
7. HEALTH CARE ASSOCIATED
INFECTIONS
It’s also called nosocomial infection.
An infection occurring in a patient in a
hospital or other healthcare facility in
whom the infection was not present or
incubating at the time of admission.
9. IATROGENIC INFECTIONS
Type of nosocomial infections resulting from
a diagnostic or therapeutic procedure.
It can be exogenous or endogenous
10. COMMON ORGANISMS CAUSING HAI
Staphylococcus aureus
Gram – ve bacilli from solutions
Viruses from blood and blood products
Fungi
11. NURSING PROCESS IN INFECTION
CONTROL
ASSESSMENT
Status of defense mechanisms: Any
break in primary and secondary defenses
Client susceptibility: many factors viz
age, nutritional status, stress, disease
process, medical therapy etc..
Clinical appearance: the signs and
symptoms may be general or localized.
Laboratory data:
12. NURSING PROCESS
NURSING DIAGNOSIS
Risk of infection.
Risk for injury.
Imbalanced nutrition less than body
requirements.
Impaired oral mucosal membrane.
Risk for impaired skin integrity.
13. GOALS AND OUTCOMES
Preventing exposure to micro organisms
Controlling or reducing the extent of
infections
Maintaining resistance to infection
Educating the client and family about
infection control techniques
15. INFECTION REDUCTION
Asepsis
Activities to prevent infection or to break chain of
infection.
Medical asepsis:
Clean technique to reduce and prevent spread of
microbes.
Examples : Hand hygiene, using clean gloves,
cleaning envt routinely.
16. MEDICAL ASEPSIS- PRINCIPLES
• Hand washing
• Don’t discard soiled linens on the floor.
• Don’t allow uniform to come in contact with bed linens.
• Always do damp dusting.
• Don’t shake bed linens.
• Discard wastes in appropriate bags.
• The water used for patient care is directly poured into
drain.
17. CONTROL OF INFECTIOUS AGENT
Proper cleansing, disinfection,
sterilization of contaminated objects
reduces and often eliminate micro
organisms.
18. CONTROL OF INFECTIOUS AGENT
CLEANING:
It involves use of water and mechanical
action with detergents or enzymatic
products.
19. CONTROL OF INFECTIOUS AGENT
Disinfection :
A process that eliminates many or all micro-
organisms with the exception of bacterial spores.
It is generally accomplished by the use of
chemical disinfectants.
Types
Concurrent
Terminal
Prophylactic
20. STERILIZATION
Physical or chemical process that
completely destroys or removes all
microbial life including spores. Steam under
pressure, ETO gas are examples.
Sterilization by dry heat: hot air oven,
incinerators
Sterilization by moist heat: autoclaving (
heating 121 c at 18lb pressure for 20-30
min )
22. CONTROL OF RESERVOIRS
Dressing: change dressings that
become wet/ soiled.
Contaminated articles: place tissue,
soiled dressings, soiled linen in
moisture resistant bags for proper
disposal.
Contaminated needles: engage
safety features of all sharp devices
and dispose in puncture proof
container. Don’t Recap needles.
23. CONTROL OF RESERVOIRS
Bottled solutions: don’t leave bottled
solutions open for prolonged periods.
Keep solutions tightly capped.
Surgical wounds: keep drainage
tubes and collection bags patent to
prevent accumulation of serous fluid
under skin surface.
24. CONTROL OF PORTAL OF EXIT
To control microorganisms exiting via
respiratory tract , mask can be used . Avoid
coughing and sneezing directly over surgical
wounds and sterile dressing fields. Give
special attention to hand washing.
25. CONTROL OF PORTAL OF EXIT
Mask, gowns, protective eye wear should
be worn when there is a probability of
splashing.
The nurse should always wear disposable
gloves when handling exudate.
Laboratory specimens should be handled as
if they are infectious.
26. CONTROL OF TRANSMISSION
The most important and basic
technique in preventing and controlling
transmission of infection is HAND
HYGIENE
Hand washing is a vigorous, brief
rubbing together of all surfaces of
hands lathered in soap, followed by
rinsing under a stream of water. (CDC,
2002)
27. HAND WASHING - TYPES
Surgical hand washing
Hygienic hand washing
Social hand washing
29. SAFE HANDLING OF SHARPS
Never pass sharps from one person to
another
Always dispose your own sharps
Use forceps instead of fingers for
guiding suturing
DO NOT RECAP needles
Dispose sharps in puncture
proof bags
30. CONTROL OF PORTALS OF ENTRY
Maintaining integrity of skin and mucus
membrane
Skin should be lubricated to prevent
breakdown
Avoid recapping of needles. A needle
stick should be reported immediately.
All drainage system should be closed
and intact. Drainage receptacle should
only be opened to discard or measure
the volume.
31. CONTROL OF PORTALS OF ENTRY
The nurse obtains specimens from drainage
tubes and IV tubing ports.
The method of preventing entry of
microorganisms in wounds : clean wound
from inside to outside , clean to
contaminated area.
32. PROTECTION OF SUSCEPTIBLE HOST
Maintain personal hygiene
Maintenance of adequate fluid intake
Pulmonary hygiene
Balanced diet
Promote comfort and sleep
Immunization
33. STANDARD PRECAUTIONS
It apply to blood, all body fluids, excretions
except sweat, non-intact skin, mucus
membrane
The CDC uses isolation guidelines that
contain a two tiered approach.
The first tier contains precautions designed
to care for all clients in any setting
regardless of their diagnosis or presumed
infectiousness.
34.
35. STANDARD PRECAUTIONS
Hands are washed between client contacts ,
after contact with blood , body fluids,
secretions, excretions and after contact with
equipments or articles contaminated and
immediately after gloves are removed.
Gloves are worn when touching the blood,
body fluids, secretions, excretions, non-intact
skin, mucus membranes or contaminated items
36. STANDARD PRECAUTIONS
Masks, eye protection, face shields
are worn if client care activities may
generate splashes.
Gowns are worn if soiling of
clothes is likely from blood or
body fluid.
Perform hand hygiene after removing
gloves or gown.
37. STANDARD PRECAUTIONS
Client care items are properly cleaned and
reprocessed and single use items are
discarded.
Contaminated linen is placed in leak proof
bag.
All sharps and needles are discarded in
puncture proof bags.
Processing all laboratory specimens as
potentially infectious
38. ADDITIONAL PRECAUTIONS
Additional precautions must be applied to clients
known or suspected to be infected or colonised
with infectious agents
• This includes specific measures above Standard
precautions
Also known as transmission based
precautions
. Additional precautions include:
•Airborne precautions;
•Droplet precautions; and
•Contact precautions.
39. AIRBORNE PRECAUTIONS
To reduce the transmission of diseases spread by
the airborne route.
Diseases which spread by this mode include
open/active pulmonary tuberculosis (TB), measles,
chicken pox, pulmonary plague and haemorrhagic
fever with pneumonia.
The following precautions need to be taken:
Implement standard precautions.
Place patient in a single room that has a
monitored negative airflow pressure,
40. AIRBORNE PRECAUTIONS
The air should be discharged to the outdoors or
specially filtered before it is circulated to other
areas of the health care facility.
Keep doors closed.
Limit the movement and transport of the patient
from the room for essential purposes only. If
transport is necessary, minimize dispersal of droplet
nuclei by masking the patient with a surgical mask.
41. DROPLET PRECAUTIONS
Applicable to pneumonias, pertussis,
diphtheria, influenza type B, mumps, and
meningitis.
PRECAUTIONS
Implement standard precautions.
Place patient in a single room (or in a room
with another patient infected by the same
pathogen).
42. CONTACT PRECAUTIONS
Contact Precautions will be used when there is
known or suspected risk of transmission of
pathogenic microorganisms by direct or indirect
contact.
Multi Resistant Staphylococcus Aureus (MRSA),
Vancomycin Resistant Enterococcus (VRE),
Respiratory Syncytial Virus (RSV), highly
contagious skin infections such as scabies, lice and
impetigo, hepatitis A, Shigella and other
gastroenteritis
43. CONTACT PRECAUTIONS
If possible a clean, non-sterile gown or disposable overall
should be worn and discarded immediately after contact
with the patient ceases
. Hands must be washed using a suitable anti-microbial
soap, preferably four percent (4%) chlorexidine
gluconate.
All equipment used in the transport and care of these
patients should be cleaned thoroughly in hot soapy water
and and then a broad spectrum disinfectant.
The patient compartment should also be washed with
hot soapy water and a broad spectrum disinfectant.
44. SURGICAL ASEPSIS
Sterile technique includes procedures used to eliminate all
microorganisms and spores, from an object or area.
PRINCIPLES OF SURGICAL ASEPSIS
All sterile objects remain sterile only when touched by other sterile
objects.
Only sterile objects should be placed in a sterile field.
A sterile field out of vision or an object held below persons’ waist is
contaminated.
A sterile object becomes contaminated on prolonged exposure to air.
When a sterile object comes in contact with a wet contaminated
surface , sterile object becomes contaminated by capillary action.
The edges of a sterile field are considered to be contaminated.
45. PROCEDURES FOR TERMINAL CLEANING
Every item should be cleaned with appropriate
germicidal solution
Beds and furnitures should be cleaned with
germicidal solution
Linen should be removed from the bed without
shaking it
Mattresses and pillow covered with durable plastic
covers should be washed thoroughly with
germicidal solutions
Wastebaskets should be thoroughly washed with
germicidal solution
46. BLOOD AND BODY FLUID CLEANUP
Appropriate PPE should be worn.
Household heavy duty gloves should be used
The area should be cleaned of organic material
Area is disinfected with sodium hypochlorite.
Contact time= 10min
The area is then wiped
The towels should be discarded in yellow bags
49. OCCUPATIONAL HEALTH HAZARDS
HIV,HBV,HCV ,TUBERCULOSIS etc are the chief
occupational health hazards
Needle stick injuries play an important role.
50. FUNCTIONS OF INFECTION
CONTROL NURSES
• Regular visits to all wards and
high risk units
• Checking nsg supervisors register
and records for cases suggestive of infection
• Collection of samples from different areas for
surveillance
• Daily visit to microbiology laboratory to ascertain
results of samples collected for surveillance and to
liaise between microbiology and clinical depts
51. FUNCTIONS OF INFECTION CONTROL
NURSE
Compilation of ward wise, discipline wise
and procedure wise statistics for HAI
Monitoring and supervision of infection among
hospital staff
Training of nsg aids and paramedical personnel
on correct hygiene practices and aseptic
techniques
52. STAFF HEALTH ACTIVITIES
Elements of infection control practices of
staff
Medical evaluation
Personnel health and safety education
Immunization programmes
Management of job related illnesses and
exposures
53. STAFF HEALTH ACTIVITIES
HIV;there is a separate regimen for
post exposure paophylaxis
Health counselling to be undertaken
to provide individually targeted
information.
Records are maintained of all
accidental HAI acquired by the staff
54. STAFF HEALTH ACTIVITIES
ACCIDENTAL EXPOSURES TO BE
REPORTED TO OFFICER I/C EMPLOYEES
HEALTH SERVICES, CASUALTY CONSULTANT,
AND/OR CASUALTY MEDICAL OFFICER
55. NURSING PROCESS -EVALUATION
Monitor all invasive &surgical sites for swelling,
erythema or purulent discharge
Review laboratory tests
Document the clients response to therapies for
infection control.
Report the efficacy of any intervention in reducing
infection
56. CONCLUSION
Main strategies for control of infection
include
Removal of source
Blocking transmission
Enhancing the resistance of patients
Strict adherence to simple infection
control procedures go long way in
controlling nosocomial infections
57. REFERENCES
Potter AP, Perry AG, Fundamentals of nursing,6
edition, Mosby, St:Louis,773-819
Seema Sood, Microbiology for nurses,2 edition 46-
70
AIIMS infection control manual
http://www.wikipedia.org
http:// www.cdc.gov