This document discusses the importance of infection control standards in healthcare facilities. It outlines the need for a coordinated infection control program with clear roles and responsibilities. The infection control committee should oversee the infection control team and their activities like surveillance, outbreak investigation and staff education. Written infection control guidelines, policies and procedures are required for all departments addressing various aspects of infection prevention.
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Infection prevention and control (IP&C) practices are important in maintaining a safe environment for everyone by reducing the risk of the potential spread of disease.
Role and Responsibilties of ICD IN abx.pptxShahnazAlman2
Infection prevention and control (IP&C) practices are important in maintaining a safe environment for everyone by reducing the risk of the potential spread of disease.
updated guidelines of hospital infection control, as mentioned in the ppt. its not all the guidelines but yes a brief overview and for further details refer to hospital infection control guidelines pdf.which is available in my uploads.
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White Paper - Infection Preventionists: Healthcare’s Guardians at the Gate Ne...Q-Centrix
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The facility will obtain and maintain current guidance and signage advisories on disease-specific response actions from the New York State Department of Health (NYSDOH) and the Centers for Disease Control and Prevention (CDC). For more details please view this presentation - https://highlandrehabandnursing.com/
Nurses have critical roles and responsibilities during the COVID-19 pandemic. They will continue to be at the front line of patient care in hospitals and actively involved with evaluation and monitoring in the community. Nurses have to ensure that all patients acquire personalized, high-quality services irrespective of their infectious condition. They will also engage in planning for anticipated COVID-19–related outbreaks, which increase the demand for nursing and healthcare services that might overload systems.
Health Education on prevention of hypertensionRadhika kulvi
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updated guidelines of hospital infection control, as mentioned in the ppt. its not all the guidelines but yes a brief overview and for further details refer to hospital infection control guidelines pdf.which is available in my uploads.
Infection Prevention and Control in Hospitals by Dr DeleKemi Dele-Ijagbulu
Infection prevention and control is everybody's business! It is an essential, though often under-recognised and under supported part of the infrastructure of health care. However it saves lives and prevents avoidable morbidity and mortality. This presentation highlights the importance and the practical components of infection prevention and control in the hospital setting.
White Paper - Infection Preventionists: Healthcare’s Guardians at the Gate Ne...Q-Centrix
This white paper examines a key player at the front lines of hospitals’ never-ending battles against HAIs –Infection Preventionists (IPs). It briefly explains their varied roles, responsibilities and new challenges, the difficulty in recruiting these highly sought-after experts, and why and how hospitals should be doing more to help overworked and understaffed IPs be successful. Lastly, it covers new technologies and IP support services that can be integrated into hospitals’ infection control practices.
The facility will obtain and maintain current guidance and signage advisories on disease-specific response actions from the New York State Department of Health (NYSDOH) and the Centers for Disease Control and Prevention (CDC). For more details please view this presentation - https://highlandrehabandnursing.com/
Nurses have critical roles and responsibilities during the COVID-19 pandemic. They will continue to be at the front line of patient care in hospitals and actively involved with evaluation and monitoring in the community. Nurses have to ensure that all patients acquire personalized, high-quality services irrespective of their infectious condition. They will also engage in planning for anticipated COVID-19–related outbreaks, which increase the demand for nursing and healthcare services that might overload systems.
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Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
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One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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1. Standards in Infection
Control for Health Care
Facilities
Technical Working Group on
Development of Standards in
Infection Control
2. Why is Infection Control
Important
1. Increasing incidence of healthcare
associated infection caused by
antibiotic resistant organisms.
2. More susceptible patients admitted in
HCF.
– Very old and very young
– Immunosuppressed
– Invasive diagnostic and therapeutic
procedures
– Chronic diseases
3. Why is Infection Control
Important
3. Emergence of life threatening
infection like SARS and other
emerging infections.
4. Threat of Pathogenic Avian Flu
pandemic and terrorism.
4. Cost of Health Care
Associated Infection
PERSONNEL
• Need for
hospitalization
• Income loss
• Pain and suffering
• Disfigurement/
Disability
• Death
INSTITUTIONS
• Loss of revenue
• Extra duty
• Liability insurance
• Malpractice
• Reputation
5. Cost of Health Care
Associated Infection
BSI Pneumonia UTI
Extra days
confinement
15 11 13
Added cost US$ 2,619 US$ 2,051 US$ 1,970
Rosenthal and Migone. Nosocomial Infections Costs And Extra Days In Intensive
Care Units In Argentina. Prospective Cohort Matched Cases.
IV Infections Control And Hospital Epidemiology
Pan American Congress. 2002, Cancun, Mexico.
6. ARE HEALTHCARE FACILITIES in
the PHILIPPINES PREPARED
TO RESPOND TO EMERGING and
RE-EMERGING INFECTIONS?
7. Country preparedness
means
Capability to prevent and control highly transmissible
infection
through
An Effective National Infection Control Program
with universally accepted standards
implemented by
All Healthcare Facilities
and
Coordinated by the
CHIEF OF HOSPITAL
8. Development of Standard in
Infection Control for Health Care
Facilities
Historical background:
1986 DOH Department order to create 3
important hospital committees.
1992 Philippine Hospital Infection
Control Society affiliate of
Philippine Hospital Association.
1996 DOH reiterated 1986 order but
with no implementing guidelines.
9. Development of Standards in
Infection Control for Health Care
Facilities
2000 Need to have Standards of
Infection Control Programs.
2004 Post SARS – Development of
Standard after collaboration with
DOH and NGO professional
societies (PHICS, PHICNA, PSMID)
- Technical Working Group created
to develop/formulate standards
10. Development of Standards in
Infection Control for Health Care
Facilities
2005 Draft of Standards sent to
professional societies for
their comments/suggestions
- Final document – now in print.
11.
12.
13.
14. Standards in Infection
Control for Health Care
Facilities
Standards on:
I Management, Structure, Functions
and Responsibilities
II Policies, Guidelines and Procedures
III Microbiology Service
IV Surveillance
V Education and Training
15. I. Standard on Management
Structure and Functions
and Responsibilities
16. Management, Structure,
Function and
Responsibilities
Each health care facilities (HCF) shall have
a coordinated institutional program
provided with:
• Significant and adequate designed
personnel with clearly defines
responsibilities, commensurate authority,
clear lines of communication.
17. Management, Structure,
Function and
Responsibilities
Each health care facilities (HCF) shall have
a coordinated institutional program
provided with:
• Significant and adequate designed
personnel with clearly defines
responsibilities, commensurate authority,
clear lines of communication.
• Resources to facilitate effective
implementation of infection control
program.
18. The Infection Control Committee created
under the Chief of Hospital serves as the
management structure of the Health Care
Facilities.
19. The Infection Control Committee (ICC) has a
multidisciplinary membership composed of:
• Chief of Hospital or his designated
representative.
• Core Members
• Auxiliary members
20. The ICC Core Members
composed of:
• Administrative Officer or equivalent
• Representative from:
– Clinical Departments including Infectious
Disease Section
– Nursing Service
– Microbiology Laboratory
– Special & High Risk units
• Emergency Room
• Operating Room
• Dialysis Unit
• Intensive Care Unit
• Endoscopy Unit
• Transplant Unit
21. Auxiliary Members
Representative from:
• Employees Health Service
• maintenance or Engineering
Service
• Pharmacy
• Central Sterilization Unit
• Dietary Service
• Linen and Laundry Service
22. Auxiliary Members
Representative from:
• Purchasing and Supply
Department
• Housekeeping Department
• Linked healthcare facilities
• Clinical Laboratory
• Others as needed
23. ICC Function and
Responsibilities
1. Formulate/update infection control
policies, guidelines and procedures.
2. Ensure implementation of infection
control, guidelines and procedures.
3. Ensure availability of resources and
contingencies for infection control
program.
24. ICC Function and
Responsibilities
6. Disseminate the necessary information and
coordinate with medical, nursing, administration,
other hospital committees and other appropriate
government agencies.
7. Oversees the performance of the ICT
8. Approves the infection control training modules.
9. Conduct IC meetings regularly at least quarterly
and as needed.
26. The Infection Control
Team
The Infection Control Team shall
be responsible for the day-to-day
infection control activities.
27. There shall be at least 1 full time
Infection Control Nurse (ICN) who is a
registered nurse who has been trained
or is receiving training in infection
control provided by an accredited
training organizations like PHICS,
PHICNA, PSMID. The ICN coordinates
with the ICP as well as with other
senior hospital staff.
28. There shall be sufficient number of
trained ICNs to facilitate and ensure the
effective implementation of infection
control program in the healthcare
facility. The ICN may be augmented by
trained nurses (link nurses) in patient
care areas or at least in high-risk clinical
areas.
29. ICT Functions
1. Conducts and document surveillance activities.
2. Coordinates with the Infectious Disease Section,
Microbiology Laboratory and administration as
well as other departments about known or
suspected cases of notifiable/ reportable
infectious disease, food poisoning and other
significant infections such as Multi Drug
Resistance Organism (MDRO)
30. ICT Functions
3. Investigates and initiates appropriate
responses to incidents or outbreaks of
infections, assess risks of infection and
recommends allocation of resources for
investigation, management and control.
4. Responds to urgent problems of infection
control through a 24 hours emergency
referral system.
31. ICT Functions
5. Ensures adequate, accurate and timely
reporting and feedback of information to
concerned areas/unit.
6. Propose resource requirement for the
program and any contingencies.
7. Develops IC training modules, organizes
the relevant education and training
programs for all healthcare staff and
encourages reflexive practice of infection
control measures.
32. ICT Functions
8. Monitors compliance to infection control
policies, guidelines and procedures.
9. Gives advice on the procurement of medical
equipment, drugs/medicines and supplies.
10. Participates in the planning and design of
plant facilities critical to infection control, i.e.
renovations, repairs, relocation of critical areas.
11. Recommends/propose to ICC actions, which
may have implications for infection control in the
hospital.
34. Standards on Guidelines,
Policies and Procedures
There are written guidelines, policies and
procedures that address infection
prevention, detection in the healthcare
facility.
35. Standard 1
Each department or service has an updated
copy of the approved hospital guidelines,
policies and procedures pertinent to their
activities
36. Requirements:
Guidelines, Policies and Procedures
1. Patient admissions/referrals, isolation
and timely case reporting of highly
transmissible and notifiable/ reportable
infectious diseases.
2. General Infection Control Guidelines,
policies and procedures
3. Infection Control Guidelines, Policies
and Procedures on Prevention of
Healthcare Associated Infection.
37. 4. Infection Control Guidelines and
Policies on Housekeeping Procedures.
5. Infection Control Guidelines, policies
and Procedures for Specific Patient Care
Areas.
6. Infection Control Guidelines, Policies
and Procedures for Hospital Service
Department/ Units.
Con’t
38. 7. Guidelines, Policies and Procedures on
Outbreak Investigation.
8. Infection Control Guidelines and
Policies related to Purchasing of medical
equipment, drugs/medicines and
supplies.
Con’t
39. 9. Guidelines and Policies on Rational
Antibiotic Use of coordination with
Microbiology Laboratory and pharmacy
Therapeutic Committee.
10. Guidelines and Policies on Upholding
Patient Confidentiality (Patient’s Rights)
Con’t
40. General Infection Control
Guidelines, Policies and
Procedures on:
• Hand Hygiene
• Isolation Precaution
• Decontamination, Disinfection, Sterilization;
Disinfectants for specific medical equipment/items
and area.
• Environmental Care and Healthcare Waste
Management
• Protection of Healthcare workers
41. IC Guidelines, Policies and
Procedures on Prevention of
Healthcare-Associated Infection:
• Respiratory Care
• In-dwelling Intravascular device Care
• Urinary Catheter Care
• Wound Care
42. IC Guidelines, Policies on
Housekeeping Procedures for:
• Isolation Rooms
• Regular Rooms/Wards
• Special Areas and High Risk Units
• Out Patient Department
43. IC Guidelines, Policies and
Procedures for Specific Care
Areas:
• ICU/CCU
• OR, DR, Nursery
• Dialysis Unit
• Burn Unit, trauma
Ward
• Emergency Room
• Transplant Unit
• Dental Clinic
• Endoscopy Unit
• Oncology unit
44. IC Guidelines, Policies and
Procedures for Hospital Service
Departments / Units
• Laboratory
• Dietary
• Laundry
• Linen
• Pharmacy
• Sterile Service
• Engineering and
Building Service
• Patient transport
facilities
• maorgue
45. These guidelines, policies and
procedures are made known to all
personnel through an administrative
order/ memorandum disseminate
during orientation and regular in-service
training. A simple audit tool will be
utilized to monitor compliance.
Standard 2
47. Microbiology Services
There shall be access to a licensed
microbiology section in a DOH licensed
clinical laboratory that shall provide
quality diagnostic and clinical services
required for epidemiologic evaluation,
effective surveillance and infection
control.
48. Standard 1
For Healthcare Facilities with
Microbiology Laboratory
There is a document available to all users of
the laboratory, which describes the
organization, and scope of the laboratory
services and standard operating
procedures.
49. The document describes:
• Availability of services during regular
working hours, after office hours, public
holidays and emergencies.
• Proper collection, handling, transport,
processing and disposal of specimens.
– Instructions on the appropriate specimens
to be collected, the availability of request
forms, appropriate containers, swabs,
transport media etc.
Requirements:
50. The document describes:
– Method of labeling and details required to complete the
request form (e.g. Patient information data, relevant
clinical information, the type of specimen and the
examination required)
• Type and range of specimens routinely examined and
those examined by special arrangement
• Proper collection of appropriate specimen and isolation
and identification procedures of potentially pathogenic
microorganism to specie level.
51. The document describes:
• Interpretation of results and timely
dissemination of information to concerned
areas.
• Availability of reports, technical and clinical advice
and procedures to access services.
• Quality control procedures (internal and external).
• Information on national reference laboratory for
services not available within the microbiology
laboratory of the healthcare facility.
52. The document describes:
• Guidelines, Policies and Procedures to be
observed on safe handling, transport and disposal
of specimens.
– Biosafety and biohazard precautions.
– Disinfection and sterilization of laboratory facilities.
– Good microbiologic laboratory facilities.
– Personal protective equipment (PPE), vaccination and
the prophylaxis required for laboratory personnel.
– Safe waste management based on national guidelines
– Acceptable/recommended recycling methods for
laboratory supplies.
53. The document describes:
• Identification and antibiotic susceptibility
patterns of bacterial isolates to antimicrobial
agents based on international standards.
• Results of screening tests for hospital staff
and employees (e.g. Stool culture for
dietary staff).
• Monitoring of sterilization and disinfection
procedures.
• Technical assistance for environmental
sampling and cultures when indicated.
54. The document describes:
• Appropriate data storage, retrieval and
communication facilities for tracking of
specimen, tracing of report and preparation
of surveillance information directly relating
to infection control.
56. There is a defined program of surveillance
and reporting of healthcare associated and
community acquired infection including
the collection, analysis, dissemination,
feedback and storage of data.
57. Standard I.
There shall be a defined surveillance
program
Requirements:
• The Infection Control Committee (ICC) defines
goals, objectives and priorities for all
surveillance activities on healthcare-associated
infections, including time frame, areas, patient
population to be studied and method to be
used.
• The ICC shall adopt the universally accepted
definitions of healthcare-associated infections
to be used in all surveillance activities.
58. Requirements:
• The surveillance forms shall be adapted and
standardized.
• The ICT collects, analyzes and reports the data
to clinicians administrators and others who
could use them constructively as basis for
intervention.
• The ICT uses the surveillance data of
evaluation of the program, identifying
problems, as well as revision of guidelines.
59. Requirements:
• The ICT coordinates with the microbiology
laboratory in the development of a program for
the surveillance of microorganisms, antibiotic
resistance patterns as well as clustering of
patient groups within their hospital network.
• The ICT may compare data with benchmark set
by national/international bodies as well as with
other institution for collaborative activities.
60. There is an efficient mechanism of reporting
healthcare-associated and community
acquired notifiable/reportable infections
including significant outbreaks/potential
outbreaks to ICT, ICC and to the National
Epidemiology Center, Department of Health
(NEC-DOH).
Standard 2
61. Requirements
• There is an organized/systematic
method/procedure of reporting
Healthcare-Associated Infections (HAI)
and Community-Acquired infections (CAI)
with potential for outbreaks.
• The ICC regularly reports their semi-
annual infection rates, antibiotic resistance
pattern to the clinicians, and
administration.
62. Requirements
• The ICC immediately reports to NEC-DOH
through the Chief of Hospital any
suspicion of potential outbreaks for their
information and appropriate action
following the NEC-DOH reporting system.
64. All healthcare staff including
support services shall receive
appropriate education and training
on epidemiology, surveillance,
prevention and control of
healthcare-associated infections.
65. Standard 1
There are adequate resources available in
the hospital for the required education
and training activities.
66. Requirements:
• There are adequate resources for
education, skills building and training of
healthcare staff and support/auxiliary
services.
• There are available and accessible venues
for teaching and training.
67. Requirements:
• There is access to up-to-date tools like audio-
visual materials and/or relevant books and
journals in infection control and hospital
epidemiology at the infection control office.
• There is available budget to allow attendance
of ICC members to infection control training,
conference, production of educational materials
and related activities.
68. Requirements:
• There are continuing education
opportunities within and outside
healthcare facility.
69. Standard 2
There are infection control educational
programs for the healthcare staff and
support services focused on relevant
topics for specific clinical setting.
70. Requirements
• There are institutional materials available
for education and training which includes:
– Epidemiology of Healthcare-Associated
Infection
– Basic Principles in Prevention and Control:
hand Hygiene, Isolation Precaution,
decontamination, Disinfection & Sterilization,
Care of the Environment and Hospital Waste
Management
71. Requirements
– Infection Control During Routine Patient Care
– Infection Control in Special and High Risk
Area
– Infection Control in Hospital Ancillary Services
Healthcare worker: Infection Risks and
Prevention
72. Requirements
• There is involvement of the ICC/ICT in the
orientation and continuing education of
patients, students, trainees and other
healthcare staff and other healthcare
personnel.
– There is involvement of the ICC/ICT in the
course design and implementation of basic
level training and continuing education of
healthcare staff.
73. Requirements
– There is a basic course in infection control
conducted regularly, at least twice a year as
needed and records of the attendance of all
staff on these educational activities.
– There is a defined policy for teaching patients
and the appropriate members of their families
(e.g. Watchers class) about the precautions
relevant to the diagnosis of the
affected/infected patients.
74. Requirements
• There are mechanisms for information
dissemination and assessment of knowledge and
practices of healthcare staff on new guidelines and
written policies on infection control practices,
surveillance and observational studies.
• There are tools for knowledge assessment of
infection control practices, and procedures (e.g.
Equipment disinfection methods, when and how to
isolate patients, etc.)
75. Requirements
• The Infection Control Committee monitors
and conducts periodic assessment of
infection control practices.
76. Successful implementation of these Standards
needs
FULL COOPERATION and PARTICIPATION
of
Government and Non-Government Health
Care Facilities
and monitoring and evaluation by
the DOH and accrediting organizations
78. Cont…
• 4. Supervision and monitoring of
sterilization and disinfection of
equipment/instruments and hospital areas.
• 5. Waste management
• 6.. Prevention, management and
counseling of exposures of PGH
employees to infectious diseases.