#دكتور_حاتم_البيطار #دحاتم_البيطار #timodentist 📞01005684344 💬 واتس 01202389028 Dr Hatem ElBitar د حاتم البيطار أستشاري وجراح أسنان زميل الزمالة المصرية محاضر ادارة المستشفيات ومكافحة العدوى 01005684344 #دحاتم_البيطار http://bit.ly/2xzMIlo

1. ‫البيطار‬ ‫حاتم‬ ‫د‬
01005684344

2. ●●Spaulding Classification
●●Critical items
(e.g., surgical instruments) are
objects that enter sterile tissue or
the vascular system and must be
sterile prior to use.

3. Spaulding Classification
●●Semi-critical items
(e.g., endoscopes used for upper
endoscopy and colonoscopy) which contact
mucous membranes or
non-intact skin and require, at a minimum,
high-level disinfection prior to reuse.

4. Spaulding Classification
●●Non critical items
(e.g., blood pressure cuffs) are those that
may come in contact with intact skin but
not mucous membranes and should
undergo low- or intermediate-level
disinfection depending on the nature and
degree of contamination.

5. recommendations for cleaning/disinfection of
medical equipment
In ambulatory care settings
-Facilities should ensure that reusable
medical equipment
(e.g., blood glucose meters and other
point-of-care devices, surgical
instruments, endoscopes) is cleaned and
reprocessed appropriately prior to use on
another patient

6. -Reusable medical equipment must
be cleaned and reprocessed
(disinfection or sterilization) and
maintained according to the
manufacturer’s instructions. If the
manufacturer does not provide such
instructions, the device may not be
suitable for multi-patient use
Key recommendations for cleaning, disinfection
and/or sterilization of medical equipment in ambulatory
care settings:

7. 3. Assign
responsibilities for
reprocessing of medical
equipment to HCP with
appropriate training
Key recommendations for cleaning, disinfection
and/or sterilization of medical equipment in ambulatory
care settings:

8. Key recommendations for cleaning, disinfection
and/or sterilization of medical equipment in ambulatory
care settings:
- Assure HCP have access to
and wear appropriate PPE
when handling and
reprocessing contaminated
patient equipment

9. Key recommendations
For
Respiratory Hygiene
/Cough Etiquette
in ambulatory care settings:

11. - Respiratory Hygiene/Cough Etiquette is an
element of Standard Precautions that
highlights the need for prompt
implementation of infection prevention
measures at the first point of ambulatory
settings
(e.g., reception and triage areas).
Key recommendations
For Respiratory Hygiene
/Cough Etiquette
in ambulatory care settings:

12. Key recommendations
For Respiratory Hygiene
/Cough Etiquette
in ambulatory care settings:
- This strategy is targeted primarily at
patients and accompanying family
members or friends with undiagnosed
transmissible respiratory infections,
and applies to any person with signs of
illness including cough, congestion,
rhinorrhea, or increased production of
respiratory secretions when entering
the facility.

13. Key recommendations for Respiratory Hygiene/Cough
Etiquette in ambulatory care settings:
1. Implement measures to contain respiratory
secretions in patients and accompanying
individuals who have signs and symptoms of
a respiratory infection, beginning at point of
entry to the facility and continuing
throughout the duration of the visit.
2. Post signs at entrances with instructions to
patients with symptoms of respiratory
infection .

16. Key recommendations for Respiratory Hygiene/Cough
Etiquette in ambulatory care settings:
3. Cover their mouths/noses when
coughing or sneezing
4. Inform how to Use and discard of
their tissues
5. Perform hand hygiene after hands
have been in contact with respiratory
secretions

17. 6. Provide tissues and no-
touch receptacles for
disposal of tissues
7. Provide resources for
performing hand hygiene
in or near waiting areas
Key recommendations for Respiratory Hygiene/Cough
Etiquette in ambulatory care settings:

18. Key recommendations for Respiratory Hygiene/Cough
Etiquette in ambulatory care settings:
8. Offer masks to coughing patients and
other symptomatic persons upon entry
to the facility
9. Provide space and encourage persons
with symptoms of respiratory infections
to sit as far away from others as
possible. If available, facilities may wish
to place these patients in a separate
area while waiting for care

19. Key recommendations for Respiratory Hygiene/Cough
Etiquette in ambulatory care settings:
10. Educate HCP on the
importance of infection
prevention measures
to prevent the spread of
respiratory pathogens when
examining and caring for patients
with signs and symptoms of a
respiratory infection.

20. How to select gowns and gloves

21. There are a variety of ways to safely remove gloves, one option is:
– With the gloved hand, grasp the palm area of the other gloved
hand and peel off
– Hold removed glove in gloved hand; slide fingers of ungloved
hand under remaining glove at wrist, peel off and discard
Sequence of PPE doffing, gloves are usually the first item to be
removed
(CDC, Sequence for Personal Protective Equipment,
https://www.cdc.gov/hai/pdfs/ppe/ppe-sequence.pdf)

22. Wear when contact between clothing or skin with patient
blood or body substances is expected.
For example:
• Contact with patient’s non-intact skin (e.g., wounds)
• During procedures likely to generate a splash or spray of
blood or body fluid
• Handling containers or patient fluids likely to leak, splash
or spill
(CDC, Sequence for Personal Protective Equipment,
https://www.cdc.gov/hai/pdfs/ppe/ppe-sequence.pdf)

23. explain guidelines cdc of how to wear and remove ppe with safest