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1
“
Hand Hygiene
2
3
Hand Hygiene
Washing hands
with soap and
water
Hand rubbing
with alcohol-
based handrub
When with visible particles
4
5
6
Hand Washing Types
7
1). Medical Hand Wash
2). Surgical Hand Wash
“
WHY Do We Promote
Hand Washing?
8
“
What is an Infection ?
9
10
Hospital Infection
Prevention and Control
Strategies
Careful plans or methods (Strategies)
Contents
▸ Introduction to Topic
▸ Hand Hygiene
▸ Personal Protective Equipment (PPE)
▸ Injection Safety
▸ Safe Management of Waste
13
Contents
▸ Environmental Cleaning and Disinfection
▸ Prevention of Surgical Site Infections (SSI)
▸ Prevention of Healthcare-Associated Infections
(HAIs)
▸ Water, Sanitation, and Hygiene (WASH)
▸ Q and A 14
“
Personal Protective Equipment
(PPE)
15
The Primary Purpose of PPE
16
• To minimize the exposure of individuals to various hazards
- Physical hazards - Biological hazards
- Chemical hazards - Radiological agents.
(By creating a barrier between the wearer and the hazardous elements)
• Helps reduce the risk of injury, illness, or infection.
Protective Clothing
17
• Coveralls
• Gowns
• Aprons, or lab coats
( To shield the body from chemical splashes, contaminants, or
physical hazards.)
Coveralls
18
Gowns
19
Aprons, or lab coats
20
Gloves
▸ To protect hands from chemicals, pathogens, sharp
objects, or extreme temperatures.
▸ Different types of gloves are used depending on the
specific hazards and tasks involved.
▸ For example Clean glows, Surgical glows
21
Sterile/Surgical or Non-sterile/Clean Glows
22
Face Protection
▸ Face shields
▸ Safety goggles, or safety glasses
(To protect the eyes, nose, and mouth)
▸ From debris, splashes, or harmful substances.
23
Face shields
24
Safety Goggles, or Safety Glasses
25
Respiratory Protection
▸ Respirators or masks to filter out airborne
contaminants:
- Dust
- Fume
- Pathogens
▸ Providing respiratory protection to the wearer. 26
Respirators or Masks
27
Foot Protection
▸ Safety shoes or boots with reinforced toes and
soles to protect against:
- Falling objects
- Punctures
- Electrical hazards
- Slips and falls. 28
Safety Shoes or Boots
29
Foot Protection
30
Head Protection
▸ Helmets or Hard Hats
▸ Designed to protect the head from:
- Falling objects
- Electrical hazards
- Impacts, or other head injuries. 31
Helmets or Hard Hats
32
Hearing Protection
▸ Earplugs or earmuffs
▸ To safeguard the ears from:
- Excessive noise levels
- Loud machinery.
33
Earplugs or Earmuffs
34
35
Injection Safety
Unsafe Injection Practices
▸ Using the same syringe to more than one
patient
▸ Accessing a medication vial or bag with a used
syringe 36
Unsafe Injection Practices
▸ Using the remaining contents from vial or bag
for another patient
▸ Using medications for more than one patient
▸ Failing to use aseptic technique 37
38
Safe Practices for Medical Injections
▸ Never administer medications from the same
syringe to more than one patient
▸ Do not enter a medication vial, bag, or bottle
with a used syringe or needle. 39
Safe Practices for Medical Injections
▸ Never use medications packaged as single-
dose or single-use for more than one patient
▸ Always use aseptic technique
40
41
“
Safe Management of Waste
42
Healthcare Waste Management
▸ Waste Segregation
▸ Handling and Storage
▸ Transportation
▸ Treatment and Disposal
▸ Training and Education 43
Types of Waste/Waste Segregation
▸ Infectious waste
▸ Pathological waste
▸ Sharps waste
▸ Chemical waste
▸ Pharmaceutical waste
▸ Cytotoxic waste
▸ Radioactive waste
▸ Non-hazardous or general waste 44
Infectious Waste
▸ Used needles and syringes
▸ Laboratory cultures and specimens
▸ Blood and blood products
▸ Contaminated personal protective equipment
(PPE) 45
Pathological Waste
▸ Human tissues, organs, body parts
▸ Human fluids
▸ Laboratory specimens and cultures
46
Sharps Waste
▸ Needles
▸ Syringes
▸ Lancets
▸ Other devices used for medical procedures,
treatment, or testing 47
Chemical Waste
▸ Pharmaceuticals
▸ Disinfectants
▸ Solvents
▸ Heavy metals
▸ Radioactive materials 48
Pharmaceutical Waste
▸ Unused, expired, or contaminated
medications
▸ Other pharmaceutical products
49
Cytotoxic (substance that kills cells) Waste
▸ Empty chemotherapy drug vials or containers
▸ Used or expired chemotherapy drugs
▸ Contaminated gloves, gowns, and other personal protective
equipment (PPE)
▸ Sharps, such as needles and syringes, used in cytotoxic drug
administration
▸ Laboratory cultures and specimens treated with cytotoxic agents
50
Radioactive Waste
▸ High-level waste (HLW
▸ Intermediate-level waste (ILW)
▸ Low-level waste (LLW)
(categorized based on their level of radioactivity and the time
it takes for the radioactivity to decay to safe levels) 51
Radioactive
▸ Having or producing powerful and
dangerous energy that comes from the
breaking up of atoms
▸ Uranium is a radioactive material.
52
Non-hazardous or general waste
▸ Paper waste
▸ Packaging waste
▸ Food waste
53
Handling and Storage
▸ Use of appropriate containers, labelling, and
secure storage areas
▸ To prevent accidents, contamination, and
access by unauthorized individuals 54
Transportation
▸ Compliance with Regulations
▸ Licensed Waste Transporter
▸ Dedicated Vehicles
▸ Security and Tracking
▸ Timely Transport
▸ Training and Awareness
▸ Documentation and Recordkeeping
55
Treatment and Disposal
▸ On-Site Treatment (autoclaves, Incineration )
▸ Off-Site Treatment (incineration, autoclaving,
microwaving, or chemical treatment)
▸ Landfill Disposal
▸ Recycling (paper, plastic, glass, and metal
containers ) 56
Proper Disposal of Sharps Waste
▸ Use proper sharps containers
▸ Do not overfill containers
▸ Do not recap or bend needles
▸ Keep sharps containers in accessible locations
▸ Do not dispose of sharps waste in regular trash
▸ Use authorized collection programs 57
Chemical Treatment
▸ Sodium hypochlorite
▸ Chlorine dioxide
▸ Peracetic acid
▸ Hydrogen peroxide
58
Training and Education Topics
▸ Waste Classification
▸ Regulations and Guidelines
▸ Storage and Transportation
▸ Infection Control and Personal Protective
Equipment (PPE)
▸ Emergency Preparedness 59
Training and Education Methods
▸ Workshops
▸ Seminars
▸ Online courses
▸ On-the-job training
▸ Certifications from relevant organizations
60
National colour code for health care waste
▸ Black – noninfectious/non hazardous
▸ Yellow – infectious waste
▸ Yellow with red stripes – sharps bin
▸ Red – clean glass
▸ Orange – clean plastic
▸ Blue – clean paper
▸ Green – discarded food/biodegradable waste 61
Colour Codes
▸ Brown – metal
▸ Purple – cytotoxic waste
▸ Gray – electrical and electronic waste (e-waste)
▸ White – pharmaceutical waste
62
“
Environmental Cleaning
and Disinfection
63
What is Cleaning?
▸ The process of removing dirt, dust, stains, and
other unwanted substances from surfaces,
objects, or environments to maintain hygiene,
appearance, and functionality. 64
Common Cleaning Activities
▸ Dusting ( wet and dry)
▸ Sweeping and mopping
▸ Vacuuming (carpets, upholstery, or other
surfaces)
▸ Washing (dishes, clothes, windows, and more )
65
Cleaning Guidance
66
Area/item Method of cleaning/disinfection
Floors Damp mop at least 3 times a day in
clinical areas and keep dry. Use
0.1% hypochlorite.
Mops Rinse in water, soak in freshly
prepared 0.1% hypochlorite for 30
minutes
Cleaning Guidance
Walls
▸ Should be tiled or enamel painted up to 4-5 feet
Damp ( WET) wipe monthly
High touch surfaces
▸ 70% alcohol or 0.1% hypochlorite Frequent
cleaning 67
High-Touch Surfaces
▸ Bedrails
▸ IV poles
▸ Sink handles
▸ Bedside tables
▸ Counters where medications and supplies are
prepared 68
High-Touch Surfaces
▸ Edges of privacy curtains
▸ Patient monitoring equipment (e.g. keyboards)
▸ Transport equipment (e.g. wheelchair handles)
▸ Call bells
▸ Doorknobs
▸ Light switches 69
Disinfection
▸ A process that eliminates many or all
pathogenic microorganisms, except bacterial
spores, on inanimate objects
70
Disinfection
71
Equipment Agents for Decontamination/
Disinfection
Thermometer 70% Alcohol
Stethoscopes 70% Alcohol
Sputum mugs 5% phenolic disinfectant or 1%
hypochlorite for 30 min
Sterilization
▸ The complete removal of all forms of
microorganisms, both vegetative and
spore forms, from a surface or an object
72
Sterilization/Autoclave
▸ Forceps
▸ Speculum
▸ Kidney trays
▸ Dressing Packets
▸ Metal instruments
73
“
Prevention of Surgical Site
Infections (SSI)
74
Practice Aseptic Techniques
▸ Sterile PPE
▸ Sterile Equipment
▸ Theatre Environment Sterility
▸ Theatre Etiquette
75
Aseptic
▸ Free from contamination caused by
harmful bacteria, viruses, or other
microorganisms
76
Difference between Aseptic and Sterile
Aseptic technique
▸ Intended to minimize contamination from
pathogens.
Sterile technique
▸ Used to create an area free from any
microorganisms, pathogenic or otherwise 77
DISINFECTANT
▸ Glutaraldehyde-based formulations ( HIGH)
▸ Hydrogen peroxide ( HIGH)
▸ Hypochlorite ( HIGH)
▸ Ethyl or isopropyl alcohol (70-90%) ( MEDIUM)
▸ Sodium hypochlorite ( MEDIUM)
▸ Phenolic ( MEDIUM) 78
Equipment Decontamination
79
Category Method of
decontamination
Equipment
High
(critical)
Sterilization Surgical
instruments
Intermediate
(semi-critical)
High-level
disinfection by
heat or chemicals
Anesthetic
masks,bedpans
and urinals
Equipment Decontamination
80
Category Method of
decontamination
Equipment
Low
(non-
critical)
Low level
disinfection
(cleaning).
Blood pressure
cuffs,stethoscopes
electrocardiogram
leads,etc.Environm
“
81
PREVENTION OF
SURGICAL SITE
INFECTION
PREOPERATIVE MEASURES
▸ Preoperative bathing
▸ Mechanical bowel preparation
▸ The use of oral antibiotics
▸ Hair removal with clipper if required
▸ Surgical site preparation with alcohol-based
antiseptic solutions 82
▸ Surgical hand preparation
▸ Perioperative blood glucose control
83
Scrubbing with a suitable antimicrobial soap
for 2 to 5 minutes up to forearm
POSTOPERATIVE MEASURES
▸ Surgical antibiotic prophylaxis
▸ Advanced dressings
▸ Optimal timing for wound drain removal
84
“
Prevention of Healthcare-
Associated Infections (HAIs)
85
What is HAI ?
▸ An infection that develops during, or soon after,
receiving healthcare services or being in a
healthcare setting
▸ Infections people get while they are receiving
health care for another condition. 86
Common Infections Associated with
Healthcare
▸ Catheter-associated urinary tract infections
(CAUTI)
▸ Bloodstream infections (CLABSI)
▸ Surgical site infections (SSI)
▸ Pneumonia. 87
88
Stewardship
▸ Control
▸ Protection
▸ Supervision
▸ Administration
89
90
“
Multidrug-resistant Organisms
91
Methicillin-resistant Staphylococcus aureus(MRSA)
▸ A potentially dangerous type of staph bacteria
▸ Resistant to certain antibiotics
▸ May cause skin and other infections
▸ Spread by having direct contact
▸ By sharing personal items (towels or razors )
92
(MRSA) Skin Lesion
93
Vancomycin-resistant Enterococci (VRE).
94
• Spread from person to person
• Six different types of vancomycin resistance
are shown
• Transmitted by touching articles soiled by an
infected person's feces.
“
Water, Sanitation, and
Hygiene (WASH)
95
Drinking Unsafe Water Impairs Health
▸ Diarrhea
▸ Giardiasis
▸ Dysentery
▸ Typhoid fever
▸ E. Coli infection
▸ Salmonellosis 96
Adequate WASH in Health Care Facilities
is Important
▸ A human right
▸ Essential for ensuring quality health care
▸ Contributes to the reduction of health care costs
by protecting the health of staff and preventing
hospital-acquired infections
97
▸ Contributes to disease prevention
▸ Helps to control and reduce the spread
antibiotic resistant pathogens
▸ Prevents contamination of the environment( by
safe management of wastewater and medical
waste.) 98
Adequate WASH in Health Care Facilities
is Important
99
100
101

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