IPC (according to WHO guideline 2020)

1. Infection Prevention and Control
(IPC)
for Novel Coronavirus (COVID19)

2. • Describe source control, administrative
control
and environmental.
• Describe the WHO recommended IPC
measures for health care facilities ,including when
dealing with a suspect or confirmed 2019 n COV
cases;
• Describe additional IPC measures to
be take to assist in general preparedness
within a health care facility .
Learning objectives:

3. General WHO advice for COVID-19
 Avoid close contact with people suffering
from acute respiratory infection.
 Frequent hand hygiene ,especially after
direct contact with ill people or their
environment .
 People with symptoms of acute respiratory
etiquette, wear a medical mask and seek
medical care if in respiratory distress.

4. What IPC strategies are
recommended by WHO for
COVID-19 ?

5. WHO recommended IPC strategies for
preventing or limiting the spread of COVID-19
IPC strategies to prevent or limit transmission in health care
settings include the following:
1.Apply standard precautions for all patients;
2.Ensuring triage ,early recognition and source control .
3.Implementing empiric additional precaution for suspected
cases of COVID-19 infection;
4.Implementing administrative control.

6. Apply standard precaution for all
patient

7. Standard Precautions
The basic level of IPC precautions, to be used for ALL
patients at All times:
The minimum prevention measures the apply at
all times to all patient care regardless of
suspected or confirmed status of the patient .
Risk assessment is critical for all activities
,i.e. Assess each health care activity and
determine the personal protective equipment
(PPE) that is needed for adequate protection.

8. Element of standard
precaution:
1.Hand hygiene
2.Respiratory hygiene (etiquette)
3.PPE according to risk.
4.Safe injection practices ,sharp management
and injury prevention.
5.Safe handling ,cleaning and disinfection of
patient care equipment .
6.Enviromental cleaning.
7.Safe handling and cleaning of soiled area .
8.Waste management

9. Chain of Transmission
Infectious
agent
Reservo
ir
Chain
of
infectio
n Port of
Exit
Mode of
Transmission
Susceptibl
e
Host
Portal of
Entry

10. Hand Hygiene
Best way to prevent the spread of germs in the
health care setting and community.
Our hands are our main tool for work as health
care workers-and they are the key link in the
chain of transmission.

11. When you need to wash your
hands?

12. Hand hygiene :
HOW
Use appropriate product and technique
An alcohol –based hand rub product is preferable
,if hands are not visibly soiled .
Rub hand 20-30 seconds
Soap running water and single use towel ,when
visibility dirty or contaminated with proteinaceous
material.
Wash hands for 40-60seconds

14. Respiratory hygiene /etiquette procedure
.Turn head away from others when
coughing/sneezing
.Cover the nose and mouth with tissue
.If tissues are used, discard immediately
in to trash
.Cough /sneeze into your sleeve if no
tissue is available
.Clean your hand with soap and water or
alcohol-based products

15. Why is respiratory hygiene
important ?
Good respiratory hygiene
/cough etiquette can
reduce the spread of
microorganisms(germs)that
cause respiratory
infections(cold ,flu)?

16. Promoting respiratory hygiene
.Encourage hand washing for patients with
respiratory systems.
.Provide mask for patients with respiratory
symptoms
.Patients with fever and cough or sneezing should
be kept at least 1m away from other patient .
.Post visual aids reminding patient and visitors
with respiratory symptoms to cover their cough.
.Consider having masks and issues available for
patients in all areas .

17. Example of PPE for use in health care
setting COVID-19

18. Risk Assessment and standard
Precautions:
Risk assessments
mean that the risk of exposure and extent of
contact that you anticipate with blood, body fluids,
respiratory
droplets, or open skin.
 select which PPE items to wear based on this
assessment.
 perform hand hygiene according to the WHO five
moment
 should be done for each patient each time.Make this routine

19.  Always clean your hands before and after the
wearing
of the PPE.
 PPE should be available where and when it is
indicated.
 Select according to risk or per transmission –
based precautions.
 always be put on before contact with the patient
 always be immediately removed after completing
the task and leaving the patient care area.
 never be reused disposable PPE
 clean and disinfect reusable PPE between each
use
The principles for using PPE

20. Principle for using PPE
 Change PPE immediately if it becomes
contaminated or damaged.
 PPE should not be adjusted or touched during
patient care specifically,
 make sure to never touch your face while wearing
PPE
 If there is concern or breach of these practices,
leave the patient care area when safe to do so
and properly remove and change your PPE.
 Always keep in mind to remove carefully as to
avoid self-contamination.
.

21. What is decontamination:
This is the process that removes soil and
pathogenic organisms from objects so that
they are safe to handle, safe to process, safe
to use.
Cleaning Disinfecting Sterilization

22. (Standers Precautions ( safe
injections
 clean workspace
 hygiene perform
 Hand hygiene
 sterile safety-engineered syringe
 Sterile vial of medication diluent
 skin cleaning by antiseptic.
 An appropriate collection of sharps
 appropriate waste management.
7 steps

23. Steps of cleaning