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ROLE OF SVC PROVIDER TO COMBAT
HOSPITAL ACQUIRED INFECTION
Presented by
Capt Rubel
RN-28
OBC -89
OBJECTIVE
1. Introduction
2. What is HAI
3. Who are the svc provider
4. Epidemiology of HAI
5. Agents
6. Causes
7. Role of svc provider
8. Prevention
9. Conclusion
INTRODUCTION
Hospital acquired infection (HAI) or is one of the
burning issue world wide. Every year there is thousands
of mortality worldwide. Estimated by the UK
Department of Health it is about 6–10% .In the US CDC
estimated that roughly 1.7 million HAI & contribute to
99,000 deaths each year. [1] SVC provider can play an
exceedingly imp role to reduce morbidity & mortality.
Hospital-acquired infection
A Hospital-acquired infection also known as a
nosocomial infection -from the Greek words
nosos, meaning disease, and komide, care-, is an
infection that is acquired in a hospital or other
health care facility. It is sometimes called a
healthcare–associated infection.
Health SVC Provider
Health svc is broad term. It is provided by health team
member of which includes Doctor or Physician as a
leader. Other members of his team includes nurse,
pharmacist, medical assistant, other stuffs even ward
boy, cleaner etc.
History of HAI
Infecting organisms
Infecting agents
COMBATING HAI
General Guidelines for Disinfection :
• (1) Critical instruments/equipment (that are those
penetrating skin or mucous membrane) should undergo
sterilization before and after use. Ex: surgical instruments.
• (2) Semi-critical instruments / equipment (that are those
in contact with intact mucous membrane without
penetration) should undergo high level disinfection before
use and intermediate level disinfection after use. Ex:
endotracheal tubes
• (3)Non-critical instruments /equipment (that are those in
contact only with intact skin) require only intermediate or
low level disinfection before and after use. Ex: ECG
electrodes
Role of Physicians
• By providing direct patient care using practices which minimize
infection
• By following appropriate practice of hygiene (e.g. handwashing,
isolation
• Protecting their own patients from other infected patients and from
hospital staff
• who may be infected Complying with the practices approved by the
Infection Control Committee.
• Obtaining appropriate microbiological specimens when an infection
is present.
• Notifying cases of hospital-acquired infection to the team, as well
as the admission of infected patients
Role of the nursing staff
• Implementation of patient care practices for
infection control is the role of the nursing staff.
• The senior nursing administrator is responsible for
participating in the Infection Control Committee
,Promoting the development and improvement of
nursing techniques & ongoing review of aseptic
nursing policies, with approval by the Infection
Control Committee.
Role of the hospital pharmacist:
• The hospital pharmacist is responsible for
obtaining, storing and distributing
pharmaceutical preparations using practices
which limit transmission of infectious agents to
patients.
• Maintaining records of antibiotics distributed to
the medical departments
• Providing summary reports of prevalence of
resistance monitoring sterilization, disinfection
and the environment where necessary
Role of the food service:
• The in-charge of food services must be
knowledgeable in food safety, staff training, storage
and preparation of foodstuffs, job analysis and use of
equipment.
• The head of catering services is responsible for
defining the criteria for the purchase of foodstuffs
Equipment use & cleaning procedures to maintain a
high level of food safety.
Role of the housekeeping service:
• Classifying the different hospital areas by varying
need for cleaning & developing policies for
appropriate cleaning techniques.
• Developing policies for collection, transport and
disposal of different types of waste.
• Ensuring that liquid soap and paper towel dispensers
are replenished regularly.
Role of the laundry service:
• The laundry is responsible for developing policies for
working clothes in each area and group of staff, and
maintaining appropriate supplies ,ensuring that liquid
soap and paper towel dispensers are replenished
regularly.
• Distribution of working clothes and if necessary,
managing changing rooms.
• Developing policies for the collection and transport of
dirty linen.
• Defining, where necessary, the method for disinfecting
infected linen, either before it is taken to the laundry
or in the laundry itself.
SUMMARY
Conclusion
Hospital Acquired Infection is still one of the major
hindrance of good outcome of treatment. Every year
thousands of lives are sacrificed due to hospital
acquired infection along with a huge economic loss.
Health svc providers can play a major role to combat
this infection by adopting proper measures.
Role of service provider to combat hai/nosocomial infection
Role of service provider to combat hai/nosocomial infection

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Role of service provider to combat hai/nosocomial infection

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  • 3. ROLE OF SVC PROVIDER TO COMBAT HOSPITAL ACQUIRED INFECTION Presented by Capt Rubel RN-28 OBC -89
  • 4. OBJECTIVE 1. Introduction 2. What is HAI 3. Who are the svc provider 4. Epidemiology of HAI 5. Agents 6. Causes 7. Role of svc provider 8. Prevention 9. Conclusion
  • 5. INTRODUCTION Hospital acquired infection (HAI) or is one of the burning issue world wide. Every year there is thousands of mortality worldwide. Estimated by the UK Department of Health it is about 6–10% .In the US CDC estimated that roughly 1.7 million HAI & contribute to 99,000 deaths each year. [1] SVC provider can play an exceedingly imp role to reduce morbidity & mortality.
  • 6. Hospital-acquired infection A Hospital-acquired infection also known as a nosocomial infection -from the Greek words nosos, meaning disease, and komide, care-, is an infection that is acquired in a hospital or other health care facility. It is sometimes called a healthcare–associated infection.
  • 7. Health SVC Provider Health svc is broad term. It is provided by health team member of which includes Doctor or Physician as a leader. Other members of his team includes nurse, pharmacist, medical assistant, other stuffs even ward boy, cleaner etc.
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  • 15. General Guidelines for Disinfection : • (1) Critical instruments/equipment (that are those penetrating skin or mucous membrane) should undergo sterilization before and after use. Ex: surgical instruments. • (2) Semi-critical instruments / equipment (that are those in contact with intact mucous membrane without penetration) should undergo high level disinfection before use and intermediate level disinfection after use. Ex: endotracheal tubes • (3)Non-critical instruments /equipment (that are those in contact only with intact skin) require only intermediate or low level disinfection before and after use. Ex: ECG electrodes
  • 16. Role of Physicians • By providing direct patient care using practices which minimize infection • By following appropriate practice of hygiene (e.g. handwashing, isolation • Protecting their own patients from other infected patients and from hospital staff • who may be infected Complying with the practices approved by the Infection Control Committee. • Obtaining appropriate microbiological specimens when an infection is present. • Notifying cases of hospital-acquired infection to the team, as well as the admission of infected patients
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  • 19. Role of the nursing staff • Implementation of patient care practices for infection control is the role of the nursing staff. • The senior nursing administrator is responsible for participating in the Infection Control Committee ,Promoting the development and improvement of nursing techniques & ongoing review of aseptic nursing policies, with approval by the Infection Control Committee.
  • 20. Role of the hospital pharmacist: • The hospital pharmacist is responsible for obtaining, storing and distributing pharmaceutical preparations using practices which limit transmission of infectious agents to patients. • Maintaining records of antibiotics distributed to the medical departments • Providing summary reports of prevalence of resistance monitoring sterilization, disinfection and the environment where necessary
  • 21. Role of the food service: • The in-charge of food services must be knowledgeable in food safety, staff training, storage and preparation of foodstuffs, job analysis and use of equipment. • The head of catering services is responsible for defining the criteria for the purchase of foodstuffs Equipment use & cleaning procedures to maintain a high level of food safety.
  • 22. Role of the housekeeping service: • Classifying the different hospital areas by varying need for cleaning & developing policies for appropriate cleaning techniques. • Developing policies for collection, transport and disposal of different types of waste. • Ensuring that liquid soap and paper towel dispensers are replenished regularly.
  • 23. Role of the laundry service: • The laundry is responsible for developing policies for working clothes in each area and group of staff, and maintaining appropriate supplies ,ensuring that liquid soap and paper towel dispensers are replenished regularly. • Distribution of working clothes and if necessary, managing changing rooms. • Developing policies for the collection and transport of dirty linen. • Defining, where necessary, the method for disinfecting infected linen, either before it is taken to the laundry or in the laundry itself.
  • 25. Conclusion Hospital Acquired Infection is still one of the major hindrance of good outcome of treatment. Every year thousands of lives are sacrificed due to hospital acquired infection along with a huge economic loss. Health svc providers can play a major role to combat this infection by adopting proper measures.

Editor's Notes

  1. In 1841, Ignaz Semmelweis, a Hungarian obstetrician was working at a Vienna maternity hospital. He was "shocked" by the death rate of women who developed puerperal fever .He documented that mortality was three times higher in the ward where the medical students were delivering babies than in the next ward that was staffed by midwifery students . The medical students were also routinely working with cadavers. He compared the rates of infection with a similar hospital in Dublin, Ireland and hypothesized that it was the medical students who somehow were infecting the women after labor. He instituted mandatory hand-washing in May 1847 and infection rates dropped dramatically
  2. Bacteria: Staph. aureus Pseudomonas spp Legionella pneumophila Environmental Gram- negative bacilli Enterobacteriaceae Enterococci Coagulase-negative staphylococci Clostridium difficile Acinetobacter spp stenotrophomonas maltophilia Strep. pyogenes Viruses: Varicella zoster virus Respiratory viruses (RSV, rhinovirus, etc.) Norovirus and other enteric Blood-borne infection Fungus: Candida spp Aspergillus spp