Barrier technique personal protective equipment [compatibility mode]drnahla
Infection Control Guidelines for appropriate use of personal protective equipment Barrier technique personal protective equipment
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.
Barrier technique personal protective equipment [compatibility mode]drnahla
Infection Control Guidelines for appropriate use of personal protective equipment Barrier technique personal protective equipment
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
1. Guidance for the Selection and
Use of Personal Protective
Equipment (PPE) in Healthcare
Settings
2. PPE Use in Healthcare Settings:
Program Goal
Improve personnel safety in the
healthcare environment through
appropriate use of PPE.
PPE Use in Healthcare Settings
3. PPE Use in Healthcare Settings:
Program Objectives
• Provide information on the selection and use
of PPE in healthcare settings
• Practice how to safely don and remove PPE
PPE Use in Healthcare Settings
5. Regulations and
Recommendations for PPE
• OSHA issues workplace health and safety
regulations. Regarding PPE, employers must:
– Provide appropriate PPE for employees
– Ensure that PPE is disposed or reusable PPE is cleaned,
laundered, repaired and stored after use
• OSHA also specifies circumstances for which PPE is
indicated
• CDC recommends when, what and how to use PPE
PPE Use in Healthcare Settings
6. Hierarchy of Safety and Health
Controls
• Training and administrative controls
• Engineering controls
• Work practice controls
• Personal protective equipment
PPE Use in Healthcare Settings
7. Types of PPE Used in
Healthcare Settings
• Gloves – protect hands
• Gowns/aprons – protect skin and/or clothing
• Masks and respirators– protect mouth/nose
– Respirators – protect respiratory tract from airborne
infectious agents
• Goggles – protect eyes
• Face shields – protect face, mouth, nose, and eyes
PPE Use in Healthcare Settings
8. Factors Influencing PPE Selection
• Type of exposure anticipated
– Splash/spray versus touch
– Category of isolation precautions
• Durability and appropriateness for the task
• Fit
PPE Use in Healthcare Settings
9. Gloves
• Purpose – patient care, environmental
services, other
• Glove material – vinyl, latex, nitrile, other
• Sterile or nonsterile
• One or two pair
• Single use or reusable
PPE Use in Healthcare Settings
10. Gloves
• Purpose – patient care, environmental
services, other
• Glove material – vinyl, latex, nitrile, other
• Sterile or non-sterile
• One or two pair
• Single use or reusable
PPE Use in Healthcare Settings
11. Do’s and Don’ts of Glove Use
• Work from “clean to dirty”
• Limit opportunities for “touch contamination” -
protect yourself, others, and the environment
– Don’t touch your face or adjust PPE with
contaminated gloves
– Don’t touch environmental surfaces except as
necessary during patient care
PPE Use in Healthcare Settings
12. Do’s and Don’ts of Glove Use
(cont’d)
• Change gloves
– During use if torn and when heavily soiled (even
during use on the same patient)
– After use on each patient
• Discard in appropriate receptacle
– Never wash or reuse disposable gloves
PPE Use in Healthcare Settings
13. Gowns or Aprons
• Purpose of use
• Material –
– Natural or man-made
– Reusable or disposable
– Resistance to fluid penetration
• Clean or sterile
PPE Use in Healthcare Settings
14. Face Protection
• Masks – protect nose and mouth
– Should fully cover nose and mouth and prevent
fluid penetration
• Goggles – protect eyes
– Should fit snuggly over and around eyes
– Personal glasses not a substitute for goggles
– Antifog feature improves clarity
PPE Use in Healthcare Settings
15. Face Protection
• Face shields – protect face, nose, mouth, and
eyes
– Should cover forehead, extend below chin and wrap
around side of face
PPE Use in Healthcare Settings
16. Respiratory Protection
• Purpose – protect from inhalation of
infectious aerosols (e.g., Mycobacterium
tuberculosis)
• PPE types for respiratory protection
– Particulate respirators
– Half- or full-face elastomeric respirators
– Powered air purifying respirators (PAPR)
PPE Use in Healthcare Settings
17. Elements of a Respiratory
Protection Program
• Medical evaluation
• Fit testing
• Training
• Fit checking before use
PPE Use in Healthcare Settings
18. For additional information on
respirators….
• http://www.cdc.gov/niosh/npptl/respirators/
respsars.html
• http://www.cdc.gov/niosh/99-143.html
• http://www.cdc.gov/niosh/topics/respirators
PPE Use in Healthcare Settings
19. PPE Use in Healthcare Settings:
How to Safely Don, Use, and
Remove PPE
20. Key Points About PPE
• Don before contact with the patient, generally
before entering the room
• Use carefully – don’t spread contamination
• Remove and discard carefully, either at the
doorway or immediately outside patient room;
remove respirator outside room
• Immediately perform hand hygiene
PPE Use in Healthcare Settings
21. Sequence* for Donning PPE
• Gown first
• Mask or respirator
• Goggles or face shield
• Gloves
*Combination of PPE will affect sequence – be practical
PPE Use in Healthcare Settings
22. How to Don a Gown
• Select appropriate type and size
• Opening is in the back
• Secure at neck and waist
• If gown is too small, use two gowns
– Gown #1 ties in front
– Gown #2 ties in back
PPE Use in Healthcare Settings
23. How to Don a Mask
• Place over nose, mouth and chin
• Fit flexible nose piece over nose bridge
• Secure on head with ties or elastic
• Adjust to fit
PPE Use in Healthcare Settings
24. How to Don a Particulate
Respirator
• Select a fit tested respirator
• Place over nose, mouth and chin
• Fit flexible nose piece over nose bridge
• Secure on head with elastic
• Adjust to fit
• Perform a fit check –
– Inhale – respirator should collapse
– Exhale – check for leakage around face
PPE Use in Healthcare Settings
25. How to Don Eye and Face
Protection
• Position goggles over eyes
and secure to the head using
the ear pieces or headband
• Position face shield over face
and secure on brow with
headband
• Adjust to fit comfortably
PPE Use in Healthcare Settings
26. How to Don Gloves
• Don gloves last
• Select correct type and size
• Insert hands into gloves
• Extend gloves over isolation gown cuffs
PPE Use in Healthcare Settings
27. How to Safely Use PPE
• Keep gloved hands away from face
• Avoid touching or adjusting other PPE
• Remove gloves if they become torn; perform
hand hygiene before donning new gloves
• Limit surfaces and items touched
PPE Use in Healthcare Settings
28. PPE Use in Healthcare Settings:
How to Safely Remove PPE
29. “Contaminated” and “Clean”
Areas of PPE
• Contaminated – outside front
• Areas of PPE that have or are likely to have been in
contact with body sites, materials, or environmental
surfaces where the infectious organism may reside
• Clean – inside, outside back, ties on head
and back
• Areas of PPE that are not likely to have been in
contact with the infectious organism
PPE Use in Healthcare Settings
30. Sequence for Removing PPE
• Gloves
• Face shield or goggles
• Gown
• Mask or respirator
PPE Use in Healthcare Settings
31. Where to Remove PPE
• At doorway, before leaving patient room or in
anteroom*
• Remove respirator outside room, after door
has been closed*
* Ensure that hand hygiene facilities are available at the point
needed, e.g., sink or alcohol-based hand rub
PPE Use in Healthcare Settings
32. How to Remove Gloves (1)
• Grasp outside edge near
wrist
• Peel away from hand,
turning glove inside-out
• Hold in opposite gloved
hand
PPE Use in Healthcare Settings
33. How to Remove Gloves (2)
• Slide ungloved finger
under the wrist of the
remaining glove
• Peel off from inside,
creating a bag for both
gloves
• Discard
PPE Use in Healthcare Settings
34. Remove Goggles or Face Shield
• Grasp ear or head
pieces with ungloved
hands
• Lift away from face
• Place in designated
receptacle for
reprocessing or disposal
PPE Use in Healthcare Settings
35. Removing Isolation Gown
• Unfasten ties
• Peel gown away from
neck and shoulder
• Turn contaminated
outside toward the inside
• Fold or roll into a bundle
• Discard
PPE Use in Healthcare Settings
36. Removing a Mask
• Untie the bottom, then
top, tie
• Remove from face
• Discard
PPE Use in Healthcare Settings
37. Removing a Particulate Respirator
• Lift the bottom elastic
over your head first
• Then lift off the top
elastic
• Discard
PPE Use in Healthcare Settings
38. Hand Hygiene
• Perform hand hygiene immediately after
removing PPE.
– If hands become visibly contaminated during PPE
removal, wash hands before continuing to remove PPE
• Wash hands with soap and water or use an
alcohol-based hand rub
PPE Use in Healthcare Settings
* Ensure that hand hygiene facilities are available at the point
needed, e.g., sink or alcohol-based hand rub
39. PPE Use in Healthcare Settings:
When to Use PPE
41. Standard Precautions
• Previously called Universal Precautions
• Assumes blood and body fluid of ANY patient
could be infectious
• Recommends PPE and other infection control
practices to prevent transmission in any
healthcare setting
• Decisions about PPE use determined by type
of clinical interaction with patient
PPE Use in Healthcare Settings
42. PPE for Standard Precautions (1)
• Gloves – Use when touching blood, body
fluids, secretions, excretions, contaminated
items; for touching mucus membranes and
nonintact skin
• Gowns – Use during procedures and patient
care activities when contact of clothing/
exposed skin with blood/body fluids,
secretions, or excretions is anticipated
PPE Use in Healthcare Settings
43. PPE for Standard Precautions (2)
• Mask and goggles or a face shield – Use
during patient care activities likely to generate
splashes or sprays of blood, body fluids,
secretions, or excretions
PPE Use in Healthcare Settings
44. What Type of PPE Would You
Wear?
• Giving a bed bath?
• Suctioning oral secretions?
• Transporting a patient in a
wheel chair?
• Responding to an
emergency where blood is
spurting?
• Drawing blood from a
vein?
• Cleaning an incontinent
patient with diarrhea?
• Irrigating a wound?
• Taking vital signs?
PPE Use in Healthcare Settings
45. What Type of PPE Would You Wear?
• Giving a bed bath?
• Generally none
• Suctioning oral secretions?
• Gloves and mask/goggles or a
face shield – sometimes gown
• Transporting a patient in a
wheel chair?
• Generally none required
• Responding to an emergency
where blood is spurting?
• Gloves, fluid-resistant gown,
mask/goggles or a face shield
• Drawing blood from a vein?
• Gloves
• Cleaning an incontinent patient
with diarrhea?
• Gloves w/wo gown
• Irrigating a wound?
• Gloves, gown, mask/goggles
or a face shield
• Taking vital signs?
– Generally none
PPE Use in Healthcare Settings
46. PPE for Expanded Precautions
• Expanded Precautions include
– Contact Precautions
– Droplet Precautions
– Airborne Infection Isolation
PPE Use in Healthcare Settings
47. Use of PPE for Expanded
Precautions
• Contact Precautions – Gown and gloves for contact
with patient or environment of care (e.g., medical
equipment, environmental surfaces)
• In some instances these are required for entering patient’s
environment
• Droplet Precautions – Surgical masks within 3 feet
of patient
• Airborne Infection Isolation – Particulate respirator*
*Negative pressure isolation room also required
PPE Use in Healthcare Settings
48. Hand Hygiene
• Required for Standard and Expanded Precautions
• Perform…
– Immediately after removing PPE
– Between patient contacts
• Wash hands thoroughly with soap and water or
use alcohol-based hand rub
PPE Use in Healthcare Settings
49. PPE Use in Healthcare Settings:
Final Thoughts
• PPE is available to protect you from exposure
to infectious agents in the healthcare
workplace
• Know what type of PPE is necessary for the
duties you perform and use it correctly