2. DEFENITION
ā¢ MEASURES PRACTICED BY HEALTH
CARE PERSONNEL TO PREVENT
SPREAD ,TRANSMISSION AND
ACQUISITION OF INFECTION BETWEEN
CLIENTS,FROM HEALTH CARE
PROVIDERS TO CLIENTS AND FROM
CLIENTS TO HEALTH CARE
PROVIDERS
3. ā¢ INFECTION COTROL MEASURES ARE
BASED ON HOW AN INFECTIOUS
AGENT IS TRANSMITTED .
INCLUDES ā¦
STANDARD PRECAUTIONS
ADDITIONAL PRECAUTIONS
4. STANDARD PRECAUTIONS
Specific precautions designed to
prevent harmful bacteria and viruses
from infecting people who are
providing first aid or health care.
5. STANDARD PRECAUTIONS
ā¢ As defined by CDC:
ā¢ Standard Precautions are a set of
practices designed to prevent the
transmission of HIV, Hepatitis B and
other blood borne pathogens (bacteria
and viruses).
ā¢ Under SP, blood and other body fluids
of all patients are considered
potentially infectious.
6. Body Fluids Include:
ā¢ Blood ā¢ Drainage from
ā¢ Vomit cuts, scrapes,
ā¢ Saliva wounds or sores
ā¢ Secretions from
ā¢ Stool (feces)
mucous
ā¢ Urine membranes
ā¢ Drainage from ā¢ Sputum (mucus
nose from lungs)
or sinuses
ā¢ Vaginal secretions
ā¢ Semen
8. Personal Protective
Equipment
ā¢ āspecialized clothing or equipment
worn by an employee for protection
against infectious materialsā
9. Personal Protective
Equipment
ā¢ Gloves
ā¢ Aprons
ā¢ Gowns
ā¢ Protective
eyewear
ā¢ Face shields
ā¢ Masks
10. Gloves...
Always wear gloves when ā¦
ā¢ Direct contact with body fluids is
anticipated (nosebleeds, bleeding
abrasions, etc.)
ā¢ Handling clothes soiled by urine, feces,
vomit or blood
ā¢ Diapering children
11. Glovesā¦
ā¢ One time use.
ā¢ If gloves not immediately available, use
barrier such as paper towels.
ā¢ When removing, peel off hands and roll
glove outside in.
ā¢ Discard gloves in lined trash container.
ā¢ Wash hands after removing gloves.
12. Key Points About PPE
ā¢ Done before contact with the patient,
generally before entering the room
ā¢ Use carefully ā donāt spread
contamination
ā¢ Remove and discard carefully, either at
the doorway or immediately outside
patient room; remove respirator outside
room
ā¢ Immediately perform hand hygiene
PPE Use in Healthcare Settings
13. Factors Influencing PPE
Selection
ā¢ Type of exposure anticipated
ā Splash/spray versus touch
ā Category of isolation precautions
14. Sequence for Removing PPE
ā¢ Gloves
ā¢ Face shield or goggles
ā¢ Gown
ā¢ Mask or respirator
PPE Use in Healthcare Settings
15. : Decontamination
ā¢ Area must be cleaned with approved quaternary
disinfectant ā
Clorox wipes and Lysol type products will kill many
infectious organisms but will not kill blood borne
pathogens.
ā¢ Contact custodian for clean-up of blood or body
fluid āspillsā.
ā¢ Discard gloves and any contaminated materials in
a lined trash container.
ā¢ Wash Hands.
16. Hand washing
The MOST IMPORTANT STEP
Use liquid soap and warm water.
Wash vigorously for 10 ā 15 seconds.
Rinse under warm running water.
.
17.
18. Waste Disposal
ā¢ Proper handling and
disposal of needles.
ā¢ Taking precautions to
prevent injury from
scalpels, needles, and other
sharp instruments.
19. Waste Disposal
ā¢ Bag and tie
ā¢ Place in second bag and tie again
(double bag technique)
ā¢ Place all sharps (used needles) in
sharps container.
ā¢ Wash hands after removing
gloves.
20. Flow Chart - Disposal of Wastes at
the Health Facility
Disposal of Injection Related Wastes
Needles / broken Needle Cap /
Swabs
Wrapper ampoules / cutter Syringes (after
(sharps) hub cut), gloves,
IV set
White Translucent Yellow Bag
Green Bag Blue Bag
Puncture Proof
Container
Municipal Disinfectant / Disinfectant / Incineration/
wastes Autoclaving & Autoclaving, Burial
Shredding & Sharp Shredding &
Pit Recycling
There are four key points to remember about PPE use. First, don it before you have any contact with the patient, generally before entering the room. Once you have PPE on, use it carefully to prevent spreading contamination. When you have completed your tasks, remove the PPE carefully and discard it in the receptacles provided. Then immediately perform hand hygiene before going on to the next patient.
The sequence for removing PPE is intended to limit opportunities for self-contamination. The gloves are considered the most contaminated pieces of PPE and are therefore removed first. The face shield or goggles are next because they are more cumbersome and would interfere with removal of other PPE. The gown is third in the sequence, followed by the mask or respirator.