Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Hiv aids part 4[3]


Published on

Published in: Health & Medicine
  • Be the first to comment

  • Be the first to like this

Hiv aids part 4[3]

  1. 1. HIV/AIDS Elaine Kauschinger PhD, MS, ARNP, FNP-BC Assistant Professor of ClinicalLead Faculty, Family Nurse Practitioner Program University of Miami School of Nursing & Health Studies
  2. 2. Part 4:Prevention & Infection Control
  3. 3. Infection control practices Standard precautions • Standard precautions are the basic level of infection control that should be used in the care of all patients all of the time  Hand hygiene  Gloves, gowns, masks, face shield, & eye protection  Patient care equipment  1:10 bleach solution for accidental infectious fluid/blood spills
  4. 4. Post Exposure Prophylaxis A bloodborne pathogen is a pathogenic microorganismss that are transmitted via human blood and cause disease in humans.  They include, but are not limited to, hepatitis B virus, and human immunodeficiency virus. Although a number of pathogens can be transmitted percutaneously, HIV remains the most common. Mosbys Medical Dictionary, 8th edition, 2009, Elsevier
  5. 5. What is the Occupational Safetyand Health Administration(OSHA)? Created in 1970 to ensure a safe and healthy workplace. In 1991 the Bloodborne Pathogen standard was created. In 2001 the Needlestick Prevention Act required employers to select safer devices. All institutions are required to develop and implement a bloodborne pathogen exposure control plan.
  6. 6. Types of Bloodborne PathogenExposures  Needlestick  injuries are wounds caused by needles that accidentally puncture the skin.  Sharps Injury  scalpels  Splash  Cutaneous Exposure
  7. 7. Exposure These situations require consideration of treatment with HIV antiretroviral therapy: • Post exposure prophylaxis (PEP) Average risk of HIV transmission following percutaneous exposure to • Infected blood: 0.3% • Mucous membrane exposure: 0.09% • After skin exposure: unknown • Following exposure to fluids or tissues other than blood: unknown Risk of transmission of hepatitis B virus after a large bore needle stick is approximately 5% while to hepatitis C virus is 1.8%
  8. 8. Post Exposure Management  Clean exposed area with soap and water  Apply first aid  Supervisor Assistance – follow instructions located in UM Student Handbook (located on-line).  Counseling to determine
  9. 9. Post Exposure ManagementPost Exposure drug management dependent upon severity of injury: – Percutaneous – Mucous membrane – Skin
  10. 10. Resources National Clinicians’ Post-Exposure Hotline (PEPLine): 888-448-4911 Post-Exposure Prophylaxis Registry for Health Care Workers: 888-737- 4448 (888-PEP-4HIV) CDC (for reporting HIV seroconversion in health care workers who received PEP): 404- 638-6425
  11. 11.  National Post-Exposure Prophylaxis Hotline: 888-HIV-4911 Florida/Caribbean AIDS Education & Training Center: