UNIVERSAL PRECAUTIONSKeeping germs away. Keeping you healthyJohn Muchiri, RN
UNIVERSAL PRECAUTIONSDefinitionMeasures designed to prevent transmission of diseases (from blood and body fluids) (CDC)Treat everyone's bodily fluids as if they have potential infectionsPrecautionsContactDropletAirborne
UNIVERSAL PRECAUTIONSTransmission of diseaseA germA sourceAn exitMethod of transmissionPortal of entryA susceptible personThe goal is to stop germs from travelling from source to another person
UNIVERSAL PRECAUTIONSConsidered highly infectiousBloodSemenVaginal SecretionsCSFSynovial FluidsAmniotic fluidAll other body fluids
UNIVERSAL PRECAUTIONSNot infectious unless contaminatedFecesNasal secretionsSputumSweatTearsUrine/VomitSaliva
UNIVERSAL PRECAUTIONS
UNIVERSAL PRECAUTIONSWhen to wash handsBefore and After contact with clientBefore and after glovingBefore taking care of immune suppressed or new bornAfter using restroomUse non medicated soap and water In demanding circumstances, use ethyl or isopropyl alcohol
UNIVERSAL PRECAUTIONSUse disposable plastic glovesDo not reuse glovesChange after contact with each clientDon’t touch other environmental surfaces  except as necessaryDon’t touch your face with    contaminated glovesDiscard appropriately
UNIVERSAL PRECAUTIONSMask, Cap, eye wearMask if you have a condition transmissible by cough or if your client has oneUse cap to keep your hair from othersUse eye wear to shield against splashing bodily fluids
UNIVERSAL PRECAUTIONSUse protective shoesNo open toesUse an apron or gownPrevent exposure to harmful germsProtects our clothes from contamination
UNIVERSAL PRECAUTIONSRemoving personal protective equipment (PPE)Gloves Face shield/goggles/cap Gown  MaskRemoving gloves
UNIVERSAL PRECAUTIONSUse of needlesUse properly and wear protective glovesDispose properly  in thick puncture resistant containerAvoid recapping needlesUse disposable syringes and needles
UNIVERSAL PRECAUTIONSIf stuck with a needle or a sharp:Wash injured area with soap and waterEncourage bleeding if anyWash with soap and water at least 5 min.Report to your supervisor immediatelyProphylaxis to prevent HIV/HBV
UNIVERSAL PRECAUTIONSSpillage of body fluids/bloodNever wipe with working wet mopCover spill with paper and pour 1% hypochlorite or bleaching powder to decontaminate==
UNIVERSAL PRECAUTIONSInfection control measuresRespiratory etiquetteCover cough or sneeze     with tissue, discard, wash handsNo tissue? Sneeze in upper armLimit hand contact with eyes, mouth and noseDo not share personal itemsKeep your immunizations currentAdults: Tdat, Hep A & B, Meningococcal, Pneumococcal, MMR, Zoster
UNIVERSAL PRECAUTIONSResourceshttp://www.baltimorecountymd.govhttp://www.cdc.gov/niosh/topics/bbp/universal.htmlhttp://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=standards&p_id=10051
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Universal precautions