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OOuuttlliinnee 
 Definitions 
 Modes of transmission of infections 
 Portals of entry of bacteria 
 Explain universal precautions 
 Explain the worker’s role in preventing 
spread of infections 
 Proper hand washing techniques 
 Personal Protective Equipment 
 Summary
DDEEFFIINNIITTIIOONNSS 
• Infection control – the set of methods used to 
control and prevent the spread of disease 
• Infections - are caused by pathogens (germs) 
• Communicable disease – disease spread from 
one person to another 
• Infectious disease – disease caused by a 
pathogen (germ or bacteria)
Contaminated – means dirty, soiled, unclean 
Disinfection – cleaning so that germs 
(pathogens) are destroyed 
Mode of transmission – the way germs are 
passed from one person to another 
Mucous membranes – membranes that line 
body cavities that open to the outside of the 
body
MMOODDEESS OOFF 
TTRRAANNSSMMIISSSSIIOONN 
Body fluids – tears, saliva, sputum (mucus 
coughed up), urine, faeces, semen, vaginal 
secretions, pus or other wound drainage, blood 
Touching the infected person or their secretions 
Touching something contaminated by the 
infected person. 
Droplets – coughing, sneezing, laughing, 
spitting, talking
PPOORRTTAALLSS OOFF EENNTTRRYY 
• Any body opening of an uninfected person which 
allows pathogens to enter 
• Nose, mouth, eyes, rectum, genitals and other 
mucous membranes 
• Cuts, abrasions or breaks in the skin
Patient to 
Worker 
Visitor 
Patient 
Worker to 
Worker 
Visitor 
Patient 
Visitor to 
Worker 
Visitor 
Patient
UUNNIIVVEERRSSAALL 
PPRREECCAAUUTTIIOONNSS 
 are infection control guidelines designed to 
protect workers/patients from exposure to 
diseases spread by blood and certain body 
fluids. 
Always treat blood, body fluids, broken skin and 
mucous membranes as if they were infected 
Always follow Universal Precautions because 
you cannot tell by looking at a person whether 
they have a contagious disease
• Use practical, common sense 
• Wash your hands before putting on gloves and 
immediately after removing gloves 
• Do not touch clean objects with contaminated 
gloves
• Wear gloves if you may come in contact with 
blood, body fluids, secretions and excretions, 
broken or open skin, human tissue of mucous 
membranes 
• Bag all disposable contaminated supplies 
• Clean all surfaces that may be contaminated 
with infectious waste, such as beds, wheelchairs 
and shower chairs
WWHHAATT CCAANN II DDOO???? 
• Good hand washing is the most effective method 
to prevent the spread of infection 
• May use an alcohol-based hand cleaner in place 
of washing with soap and water 
• Avoid touching eyes, nose or mouth
• Cover your nose and mouth with a tissue every 
time you cough or sneeze 
• Throw used tissue in a wastebasket 
• If you don’t have a tissue, sneeze or cough into 
your sleeve 
• Always clean your hands after coughing or 
sneezing
HHooww ttoo CClleeaann HHaannddss 
• Remove all wrist and hand jewelry. 
• Cover cuts and abrasions with waterproof dressings. 
• Keep fingernails short, clean, and free from nail polish.
EEffffeeccttiivvee HHaannddwwaasshhiinngg TTeecchhnniiqquuee 
• Wet hands under tepid running water 
• Apply soap or antimicrobial preparation 
o solution must have contact with whole surface area of hands 
o vigorous rubbing of hands for 10–15 seconds 
o especially tips of fingers, thumbs and areas between fingers 
• Rinse completely 
• Dry hands with good quality paper towel.
HHooww ttoo uussee wwaatteerrlleessss hhaannddrruubb 
• Make sure all visible dirt is removed from 
your hands 
• Apply a dime sized amount of waterless 
hand sanitizer to the palm of one hand or 
use a waterless hand sanitizer wipe 
• Rub hands together covering all surfaces of 
hands and fingers 
• Rub until waterless hand sanitizer is absorbed 
• Remember, waterless sanitizers are not effective if 
dirt is visible on your hands
YYoouurr 55 mmoommeennttss ffoorr 
HHAANNDD HHYYGGIIEENNEE
PPeerrssoonnaall PPrrootteeccttiivvee EEqquuiippmmeenntt 
• Gloves, aprons, gowns, eye protection, and 
face masks 
• Health care workers should wear a face mask, 
eye protection and a gown if there is the 
potential for blood or other bodily fluids to 
splash.
• Masks should be worn 
o if an airborne infection is suspected or confirmed 
o to protect an immune compromised patient.
GGlloovveess 
Gloves must be worn for: 
• all invasive procedures 
• contact with sterile sites 
• contact with non-intact skin or mucous membranes 
• all activities assessed as having a risk of exposure to 
blood, bodily fluids, secretions and excretions, and 
handling sharps or contaminated instruments. 
Hands should be washed before and after gloving
SSaaffee UUssee aanndd DDiissppoossaall ooff 
SShhaarrppss 
• Keep handling to a minimum 
• Do not recap needles; bend or break after use 
• Discard each needle into a sharps container at the point 
of use 
• Do not overload a bin if it is full 
• Do not leave a sharp bin in the reach of children
GGEENNEERRAALL GGUUIIDDEELLIINNEESS 
• Wear gloves when handling soiled linens 
• Fold or roll linen so that the dirtiest area is 
inside 
• Hold and carry dirty linen away from your 
body 
• Do not shake dirty linen or clothes
• Use appropriate receptacles for disposal 
• Do not touch the inside of any disposal container 
• Do not use “re-usable” equipment again until it has 
been properly cleaned 
• Never use disposable equipment more times than 
recommended by the manufacturer
SSuummmmaarryy 
• Know the main guidelines in each of the 
clinical environments you are assigned. 
• Accept responsibility for minimizing 
opportunities for infection transmission.
• Educate patients and families/visitors 
about clean hands and infection 
transmission. 
• Ensure patients on precautions have same 
standard of care as others: 
o frequency of entering the room 
o monitoring vital signs
Infection Control
Infection Control

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Infection Control

  • 1.
  • 2. OOuuttlliinnee  Definitions  Modes of transmission of infections  Portals of entry of bacteria  Explain universal precautions  Explain the worker’s role in preventing spread of infections  Proper hand washing techniques  Personal Protective Equipment  Summary
  • 3. DDEEFFIINNIITTIIOONNSS • Infection control – the set of methods used to control and prevent the spread of disease • Infections - are caused by pathogens (germs) • Communicable disease – disease spread from one person to another • Infectious disease – disease caused by a pathogen (germ or bacteria)
  • 4. Contaminated – means dirty, soiled, unclean Disinfection – cleaning so that germs (pathogens) are destroyed Mode of transmission – the way germs are passed from one person to another Mucous membranes – membranes that line body cavities that open to the outside of the body
  • 5. MMOODDEESS OOFF TTRRAANNSSMMIISSSSIIOONN Body fluids – tears, saliva, sputum (mucus coughed up), urine, faeces, semen, vaginal secretions, pus or other wound drainage, blood Touching the infected person or their secretions Touching something contaminated by the infected person. Droplets – coughing, sneezing, laughing, spitting, talking
  • 6. PPOORRTTAALLSS OOFF EENNTTRRYY • Any body opening of an uninfected person which allows pathogens to enter • Nose, mouth, eyes, rectum, genitals and other mucous membranes • Cuts, abrasions or breaks in the skin
  • 7. Patient to Worker Visitor Patient Worker to Worker Visitor Patient Visitor to Worker Visitor Patient
  • 8. UUNNIIVVEERRSSAALL PPRREECCAAUUTTIIOONNSS  are infection control guidelines designed to protect workers/patients from exposure to diseases spread by blood and certain body fluids. Always treat blood, body fluids, broken skin and mucous membranes as if they were infected Always follow Universal Precautions because you cannot tell by looking at a person whether they have a contagious disease
  • 9. • Use practical, common sense • Wash your hands before putting on gloves and immediately after removing gloves • Do not touch clean objects with contaminated gloves
  • 10. • Wear gloves if you may come in contact with blood, body fluids, secretions and excretions, broken or open skin, human tissue of mucous membranes • Bag all disposable contaminated supplies • Clean all surfaces that may be contaminated with infectious waste, such as beds, wheelchairs and shower chairs
  • 11. WWHHAATT CCAANN II DDOO???? • Good hand washing is the most effective method to prevent the spread of infection • May use an alcohol-based hand cleaner in place of washing with soap and water • Avoid touching eyes, nose or mouth
  • 12. • Cover your nose and mouth with a tissue every time you cough or sneeze • Throw used tissue in a wastebasket • If you don’t have a tissue, sneeze or cough into your sleeve • Always clean your hands after coughing or sneezing
  • 13.
  • 14. HHooww ttoo CClleeaann HHaannddss • Remove all wrist and hand jewelry. • Cover cuts and abrasions with waterproof dressings. • Keep fingernails short, clean, and free from nail polish.
  • 15. EEffffeeccttiivvee HHaannddwwaasshhiinngg TTeecchhnniiqquuee • Wet hands under tepid running water • Apply soap or antimicrobial preparation o solution must have contact with whole surface area of hands o vigorous rubbing of hands for 10–15 seconds o especially tips of fingers, thumbs and areas between fingers • Rinse completely • Dry hands with good quality paper towel.
  • 16. HHooww ttoo uussee wwaatteerrlleessss hhaannddrruubb • Make sure all visible dirt is removed from your hands • Apply a dime sized amount of waterless hand sanitizer to the palm of one hand or use a waterless hand sanitizer wipe • Rub hands together covering all surfaces of hands and fingers • Rub until waterless hand sanitizer is absorbed • Remember, waterless sanitizers are not effective if dirt is visible on your hands
  • 17. YYoouurr 55 mmoommeennttss ffoorr HHAANNDD HHYYGGIIEENNEE
  • 18. PPeerrssoonnaall PPrrootteeccttiivvee EEqquuiippmmeenntt • Gloves, aprons, gowns, eye protection, and face masks • Health care workers should wear a face mask, eye protection and a gown if there is the potential for blood or other bodily fluids to splash.
  • 19. • Masks should be worn o if an airborne infection is suspected or confirmed o to protect an immune compromised patient.
  • 20. GGlloovveess Gloves must be worn for: • all invasive procedures • contact with sterile sites • contact with non-intact skin or mucous membranes • all activities assessed as having a risk of exposure to blood, bodily fluids, secretions and excretions, and handling sharps or contaminated instruments. Hands should be washed before and after gloving
  • 21. SSaaffee UUssee aanndd DDiissppoossaall ooff SShhaarrppss • Keep handling to a minimum • Do not recap needles; bend or break after use • Discard each needle into a sharps container at the point of use • Do not overload a bin if it is full • Do not leave a sharp bin in the reach of children
  • 22. GGEENNEERRAALL GGUUIIDDEELLIINNEESS • Wear gloves when handling soiled linens • Fold or roll linen so that the dirtiest area is inside • Hold and carry dirty linen away from your body • Do not shake dirty linen or clothes
  • 23. • Use appropriate receptacles for disposal • Do not touch the inside of any disposal container • Do not use “re-usable” equipment again until it has been properly cleaned • Never use disposable equipment more times than recommended by the manufacturer
  • 24. SSuummmmaarryy • Know the main guidelines in each of the clinical environments you are assigned. • Accept responsibility for minimizing opportunities for infection transmission.
  • 25. • Educate patients and families/visitors about clean hands and infection transmission. • Ensure patients on precautions have same standard of care as others: o frequency of entering the room o monitoring vital signs

Editor's Notes

  1. Keep in Mind that transmission is not one-way and does not discriminate! Patients can Transmit to workers, visitors and other patients and vice versa. Any infectious person puts everyone in her immediate surroundsing s at risk!
  2. Soap solution must have contact with whole surface area of hands—vigorous rubbing of hands for 10–15 seconds (especially tips of fingers, thumbs and areas between fingers). A link to drawings showing the procedure - Effective Handwashing Technique
  3. Links to drawings and directions for this procedure - How to use waterless handrub Click on to start video (link to the file)
  4. Personal protective equipment includes the use of gowns, gloves, aprons, eye protection and face masks. The use of these equipment is usually based on assessment of the risk of micro-organism transmission to the patient or to the carer as well as the risk of contamination of the health-care practitioner’s clothing and skin by the patient’s blood, bodily fluids, secretions or excretions.
  5. 1. Gloves are now an everyday part of clinical practice. There are two main indicators for wearing gloves in the clinical setting: • to protect the hands from contamination with organic matter and micro-organisms; • to reduce the risk of transmitting microorganisms to both patients and staff. 2. Even if a student is required to wear gloves this does not replace the need for cleaning one’s hands. 3. Gloves must be worn for: - all invasive procedures; - contact with sterile sites; - contact with non-intact skin or mucous membranes; - all activities assessed as having a risk of exposure to blood, bodily fluids, secretions and excretions, and handling sharps or contaminated instruments. 4. Gloves should be worn only once and should be put on immediately before the care activity, removed immediately afterwards and changed between patients and pisodes of care; 5. Gloves must be disposed of as clinical waste and hands must be decontaminated by washing appropriately.
  6. Students should be aware of the significant problem for health-care workers caused by needle stick injuries, which are as prevalent as injuries from falls and handling and exposure to hazardous substances.