HAND Hygiene

gloves amp

gowns

Prepared by Neonatal Nurse

RANIA QUMSIEH

January 31 2008

Fundamentals of Isolation Precautions

A variety of infection control measures are used for decreasing the risk of transmission of microorganisms in hospitals

These measures make up the fundamentals of isolation precautions

Improving Hand HygieneMany barriers and

lots of excuses

but there is a solution

Yes We Can Do Better

Alcohol-Based Hand Rub

Alcohol gel hand rubs

These are an accepted alternative to soap and water when

hand washing facilities are not available

there is a frequent need for hands to be decontaminated

Alcohol gel hand rubs

Hygienic treatment

3 ml for 30 seconds

Surgical disinfection

2 times x 45 ml for 3 minutes

Do not rinse Let dry

Alcohol-Based Hand Rub

Gentle on the hands

Contains

moisturizers

Alcohol-Based Hand Rubsaves time

Twice as fast as hand washing

Proven to be less drying amp irritating than antibacterial soap

Alcohol-Based Hand Rub If used appropriately

alcohol gel preparations can reduce the carriage of transient microorganisms

Fast acting kills bugs dead (ie VRE MRSA RSV etc)In 15 seconds it decreases the bacteria on your hands by 10000 fold

Different TechniquesSoap amp water

Antiseptic solution

Hydro-alcoholic gel

Elimination of transitory flora

90 999999999

Elimination of resident flora

No effect50 90

Time 30 seconds

1 minute15 ndash 25 seconds

Alcohol-Based Hand RubA study by Pittet et al on the

impact of hand hygiene programs emphasizing use of bedside alcohol-based hand disinfection showed that compliance improved from 48 to 66

and was associated with a significant fall in the nosocomial infection rate from 169 to 99

Alcohol-Based Hand RubThe MRSA transmission rate also

decreased from 216 to 093 incidents 10000 patient

Brown et al showed that a switch from soap and water to alcohol for hand hygiene in the NICU improved hand hygiene compliance and was associated with decreased cross-transmission of Klebsiella

advantages of alcohol rubs(1) they have an immediate and

delayed antimicrobial performance (2) no wash basin is necessary

(3) alcohol rubs can be conveniently available near every patientclient and are more practical when there is insufficient time to wash hands

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Prepared by Neonatal Nurse

RANIA QUMSIEH

January 31 2008

Fundamentals of Isolation Precautions

A variety of infection control measures are used for decreasing the risk of transmission of microorganisms in hospitals

These measures make up the fundamentals of isolation precautions

Improving Hand HygieneMany barriers and

lots of excuses

but there is a solution

Yes We Can Do Better

Alcohol-Based Hand Rub

Alcohol gel hand rubs

These are an accepted alternative to soap and water when

hand washing facilities are not available

there is a frequent need for hands to be decontaminated

Alcohol gel hand rubs

Hygienic treatment

3 ml for 30 seconds

Surgical disinfection

2 times x 45 ml for 3 minutes

Do not rinse Let dry

Alcohol-Based Hand Rub

Gentle on the hands

Contains

moisturizers

Alcohol-Based Hand Rubsaves time

Twice as fast as hand washing

Proven to be less drying amp irritating than antibacterial soap

Alcohol-Based Hand Rub If used appropriately

alcohol gel preparations can reduce the carriage of transient microorganisms

Fast acting kills bugs dead (ie VRE MRSA RSV etc)In 15 seconds it decreases the bacteria on your hands by 10000 fold

Different TechniquesSoap amp water

Antiseptic solution

Hydro-alcoholic gel

Elimination of transitory flora

90 999999999

Elimination of resident flora

No effect50 90

Time 30 seconds

1 minute15 ndash 25 seconds

Alcohol-Based Hand RubA study by Pittet et al on the

impact of hand hygiene programs emphasizing use of bedside alcohol-based hand disinfection showed that compliance improved from 48 to 66

and was associated with a significant fall in the nosocomial infection rate from 169 to 99

Alcohol-Based Hand RubThe MRSA transmission rate also

decreased from 216 to 093 incidents 10000 patient

Brown et al showed that a switch from soap and water to alcohol for hand hygiene in the NICU improved hand hygiene compliance and was associated with decreased cross-transmission of Klebsiella

advantages of alcohol rubs(1) they have an immediate and

delayed antimicrobial performance (2) no wash basin is necessary

(3) alcohol rubs can be conveniently available near every patientclient and are more practical when there is insufficient time to wash hands

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Fundamentals of Isolation Precautions

A variety of infection control measures are used for decreasing the risk of transmission of microorganisms in hospitals

These measures make up the fundamentals of isolation precautions

Improving Hand HygieneMany barriers and

lots of excuses

but there is a solution

Yes We Can Do Better

Alcohol-Based Hand Rub

Alcohol gel hand rubs

These are an accepted alternative to soap and water when

hand washing facilities are not available

there is a frequent need for hands to be decontaminated

Alcohol gel hand rubs

Hygienic treatment

3 ml for 30 seconds

Surgical disinfection

2 times x 45 ml for 3 minutes

Do not rinse Let dry

Alcohol-Based Hand Rub

Gentle on the hands

Contains

moisturizers

Alcohol-Based Hand Rubsaves time

Twice as fast as hand washing

Proven to be less drying amp irritating than antibacterial soap

Alcohol-Based Hand Rub If used appropriately

alcohol gel preparations can reduce the carriage of transient microorganisms

Fast acting kills bugs dead (ie VRE MRSA RSV etc)In 15 seconds it decreases the bacteria on your hands by 10000 fold

Different TechniquesSoap amp water

Antiseptic solution

Hydro-alcoholic gel

Elimination of transitory flora

90 999999999

Elimination of resident flora

No effect50 90

Time 30 seconds

1 minute15 ndash 25 seconds

Alcohol-Based Hand RubA study by Pittet et al on the

impact of hand hygiene programs emphasizing use of bedside alcohol-based hand disinfection showed that compliance improved from 48 to 66

and was associated with a significant fall in the nosocomial infection rate from 169 to 99

Alcohol-Based Hand RubThe MRSA transmission rate also

decreased from 216 to 093 incidents 10000 patient

Brown et al showed that a switch from soap and water to alcohol for hand hygiene in the NICU improved hand hygiene compliance and was associated with decreased cross-transmission of Klebsiella

advantages of alcohol rubs(1) they have an immediate and

delayed antimicrobial performance (2) no wash basin is necessary

(3) alcohol rubs can be conveniently available near every patientclient and are more practical when there is insufficient time to wash hands

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Improving Hand HygieneMany barriers and

lots of excuses

but there is a solution

Yes We Can Do Better

Alcohol-Based Hand Rub

Alcohol gel hand rubs

These are an accepted alternative to soap and water when

hand washing facilities are not available

there is a frequent need for hands to be decontaminated

Alcohol gel hand rubs

Hygienic treatment

3 ml for 30 seconds

Surgical disinfection

2 times x 45 ml for 3 minutes

Do not rinse Let dry

Alcohol-Based Hand Rub

Gentle on the hands

Contains

moisturizers

Alcohol-Based Hand Rubsaves time

Twice as fast as hand washing

Proven to be less drying amp irritating than antibacterial soap

Alcohol-Based Hand Rub If used appropriately

alcohol gel preparations can reduce the carriage of transient microorganisms

Fast acting kills bugs dead (ie VRE MRSA RSV etc)In 15 seconds it decreases the bacteria on your hands by 10000 fold

Different TechniquesSoap amp water

Antiseptic solution

Hydro-alcoholic gel

Elimination of transitory flora

90 999999999

Elimination of resident flora

No effect50 90

Time 30 seconds

1 minute15 ndash 25 seconds

Alcohol-Based Hand RubA study by Pittet et al on the

impact of hand hygiene programs emphasizing use of bedside alcohol-based hand disinfection showed that compliance improved from 48 to 66

and was associated with a significant fall in the nosocomial infection rate from 169 to 99

Alcohol-Based Hand RubThe MRSA transmission rate also

decreased from 216 to 093 incidents 10000 patient

Brown et al showed that a switch from soap and water to alcohol for hand hygiene in the NICU improved hand hygiene compliance and was associated with decreased cross-transmission of Klebsiella

advantages of alcohol rubs(1) they have an immediate and

delayed antimicrobial performance (2) no wash basin is necessary

(3) alcohol rubs can be conveniently available near every patientclient and are more practical when there is insufficient time to wash hands

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Alcohol gel hand rubs

These are an accepted alternative to soap and water when

hand washing facilities are not available

there is a frequent need for hands to be decontaminated

Alcohol gel hand rubs

Hygienic treatment

3 ml for 30 seconds

Surgical disinfection

2 times x 45 ml for 3 minutes

Do not rinse Let dry

Alcohol-Based Hand Rub

Gentle on the hands

Contains

moisturizers

Alcohol-Based Hand Rubsaves time

Twice as fast as hand washing

Proven to be less drying amp irritating than antibacterial soap

Alcohol-Based Hand Rub If used appropriately

alcohol gel preparations can reduce the carriage of transient microorganisms

Fast acting kills bugs dead (ie VRE MRSA RSV etc)In 15 seconds it decreases the bacteria on your hands by 10000 fold

Different TechniquesSoap amp water

Antiseptic solution

Hydro-alcoholic gel

Elimination of transitory flora

90 999999999

Elimination of resident flora

No effect50 90

Time 30 seconds

1 minute15 ndash 25 seconds

Alcohol-Based Hand RubA study by Pittet et al on the

impact of hand hygiene programs emphasizing use of bedside alcohol-based hand disinfection showed that compliance improved from 48 to 66

and was associated with a significant fall in the nosocomial infection rate from 169 to 99

Alcohol-Based Hand RubThe MRSA transmission rate also

decreased from 216 to 093 incidents 10000 patient

Brown et al showed that a switch from soap and water to alcohol for hand hygiene in the NICU improved hand hygiene compliance and was associated with decreased cross-transmission of Klebsiella

advantages of alcohol rubs(1) they have an immediate and

delayed antimicrobial performance (2) no wash basin is necessary

(3) alcohol rubs can be conveniently available near every patientclient and are more practical when there is insufficient time to wash hands

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Alcohol gel hand rubs

Hygienic treatment

3 ml for 30 seconds

Surgical disinfection

2 times x 45 ml for 3 minutes

Do not rinse Let dry

Alcohol-Based Hand Rub

Gentle on the hands

Contains

moisturizers

Alcohol-Based Hand Rubsaves time

Twice as fast as hand washing

Proven to be less drying amp irritating than antibacterial soap

Alcohol-Based Hand Rub If used appropriately

alcohol gel preparations can reduce the carriage of transient microorganisms

Fast acting kills bugs dead (ie VRE MRSA RSV etc)In 15 seconds it decreases the bacteria on your hands by 10000 fold

Different TechniquesSoap amp water

Antiseptic solution

Hydro-alcoholic gel

Elimination of transitory flora

90 999999999

Elimination of resident flora

No effect50 90

Time 30 seconds

1 minute15 ndash 25 seconds

Alcohol-Based Hand RubA study by Pittet et al on the

impact of hand hygiene programs emphasizing use of bedside alcohol-based hand disinfection showed that compliance improved from 48 to 66

and was associated with a significant fall in the nosocomial infection rate from 169 to 99

Alcohol-Based Hand RubThe MRSA transmission rate also

decreased from 216 to 093 incidents 10000 patient

Brown et al showed that a switch from soap and water to alcohol for hand hygiene in the NICU improved hand hygiene compliance and was associated with decreased cross-transmission of Klebsiella

advantages of alcohol rubs(1) they have an immediate and

delayed antimicrobial performance (2) no wash basin is necessary

(3) alcohol rubs can be conveniently available near every patientclient and are more practical when there is insufficient time to wash hands

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Alcohol-Based Hand Rub

Gentle on the hands

Contains

moisturizers

Alcohol-Based Hand Rubsaves time

Twice as fast as hand washing

Proven to be less drying amp irritating than antibacterial soap

Alcohol-Based Hand Rub If used appropriately

alcohol gel preparations can reduce the carriage of transient microorganisms

Fast acting kills bugs dead (ie VRE MRSA RSV etc)In 15 seconds it decreases the bacteria on your hands by 10000 fold

Different TechniquesSoap amp water

Antiseptic solution

Hydro-alcoholic gel

Elimination of transitory flora

90 999999999

Elimination of resident flora

No effect50 90

Time 30 seconds

1 minute15 ndash 25 seconds

Alcohol-Based Hand RubA study by Pittet et al on the

impact of hand hygiene programs emphasizing use of bedside alcohol-based hand disinfection showed that compliance improved from 48 to 66

and was associated with a significant fall in the nosocomial infection rate from 169 to 99

Alcohol-Based Hand RubThe MRSA transmission rate also

decreased from 216 to 093 incidents 10000 patient

Brown et al showed that a switch from soap and water to alcohol for hand hygiene in the NICU improved hand hygiene compliance and was associated with decreased cross-transmission of Klebsiella

advantages of alcohol rubs(1) they have an immediate and

delayed antimicrobial performance (2) no wash basin is necessary

(3) alcohol rubs can be conveniently available near every patientclient and are more practical when there is insufficient time to wash hands

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Alcohol-Based Hand Rubsaves time

Twice as fast as hand washing

Proven to be less drying amp irritating than antibacterial soap

Alcohol-Based Hand Rub If used appropriately

alcohol gel preparations can reduce the carriage of transient microorganisms

Fast acting kills bugs dead (ie VRE MRSA RSV etc)In 15 seconds it decreases the bacteria on your hands by 10000 fold

Different TechniquesSoap amp water

Antiseptic solution

Hydro-alcoholic gel

Elimination of transitory flora

90 999999999

Elimination of resident flora

No effect50 90

Time 30 seconds

1 minute15 ndash 25 seconds

Alcohol-Based Hand RubA study by Pittet et al on the

impact of hand hygiene programs emphasizing use of bedside alcohol-based hand disinfection showed that compliance improved from 48 to 66

and was associated with a significant fall in the nosocomial infection rate from 169 to 99

Alcohol-Based Hand RubThe MRSA transmission rate also

decreased from 216 to 093 incidents 10000 patient

Brown et al showed that a switch from soap and water to alcohol for hand hygiene in the NICU improved hand hygiene compliance and was associated with decreased cross-transmission of Klebsiella

advantages of alcohol rubs(1) they have an immediate and

delayed antimicrobial performance (2) no wash basin is necessary

(3) alcohol rubs can be conveniently available near every patientclient and are more practical when there is insufficient time to wash hands

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Alcohol-Based Hand Rub If used appropriately

alcohol gel preparations can reduce the carriage of transient microorganisms

Fast acting kills bugs dead (ie VRE MRSA RSV etc)In 15 seconds it decreases the bacteria on your hands by 10000 fold

Different TechniquesSoap amp water

Antiseptic solution

Hydro-alcoholic gel

Elimination of transitory flora

90 999999999

Elimination of resident flora

No effect50 90

Time 30 seconds

1 minute15 ndash 25 seconds

Alcohol-Based Hand RubA study by Pittet et al on the

impact of hand hygiene programs emphasizing use of bedside alcohol-based hand disinfection showed that compliance improved from 48 to 66

and was associated with a significant fall in the nosocomial infection rate from 169 to 99

Alcohol-Based Hand RubThe MRSA transmission rate also

decreased from 216 to 093 incidents 10000 patient

Brown et al showed that a switch from soap and water to alcohol for hand hygiene in the NICU improved hand hygiene compliance and was associated with decreased cross-transmission of Klebsiella

advantages of alcohol rubs(1) they have an immediate and

delayed antimicrobial performance (2) no wash basin is necessary

(3) alcohol rubs can be conveniently available near every patientclient and are more practical when there is insufficient time to wash hands

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Different TechniquesSoap amp water

Antiseptic solution

Hydro-alcoholic gel

Elimination of transitory flora

90 999999999

Elimination of resident flora

No effect50 90

Time 30 seconds

1 minute15 ndash 25 seconds

Alcohol-Based Hand RubA study by Pittet et al on the

impact of hand hygiene programs emphasizing use of bedside alcohol-based hand disinfection showed that compliance improved from 48 to 66

and was associated with a significant fall in the nosocomial infection rate from 169 to 99

Alcohol-Based Hand RubThe MRSA transmission rate also

decreased from 216 to 093 incidents 10000 patient

Brown et al showed that a switch from soap and water to alcohol for hand hygiene in the NICU improved hand hygiene compliance and was associated with decreased cross-transmission of Klebsiella

advantages of alcohol rubs(1) they have an immediate and

delayed antimicrobial performance (2) no wash basin is necessary

(3) alcohol rubs can be conveniently available near every patientclient and are more practical when there is insufficient time to wash hands

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Alcohol-Based Hand RubA study by Pittet et al on the

impact of hand hygiene programs emphasizing use of bedside alcohol-based hand disinfection showed that compliance improved from 48 to 66

and was associated with a significant fall in the nosocomial infection rate from 169 to 99

Alcohol-Based Hand RubThe MRSA transmission rate also

decreased from 216 to 093 incidents 10000 patient

Brown et al showed that a switch from soap and water to alcohol for hand hygiene in the NICU improved hand hygiene compliance and was associated with decreased cross-transmission of Klebsiella

advantages of alcohol rubs(1) they have an immediate and

delayed antimicrobial performance (2) no wash basin is necessary

(3) alcohol rubs can be conveniently available near every patientclient and are more practical when there is insufficient time to wash hands

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Alcohol-Based Hand RubThe MRSA transmission rate also

decreased from 216 to 093 incidents 10000 patient

Brown et al showed that a switch from soap and water to alcohol for hand hygiene in the NICU improved hand hygiene compliance and was associated with decreased cross-transmission of Klebsiella

advantages of alcohol rubs(1) they have an immediate and

delayed antimicrobial performance (2) no wash basin is necessary

(3) alcohol rubs can be conveniently available near every patientclient and are more practical when there is insufficient time to wash hands

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

advantages of alcohol rubs(1) they have an immediate and

delayed antimicrobial performance (2) no wash basin is necessary

(3) alcohol rubs can be conveniently available near every patientclient and are more practical when there is insufficient time to wash hands

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

A major disadvantageAlcohol gel should not

replace hand washing and should not be used if hands are visibly dirty or in the presence of organic matter eg blood feces urine sputum etc

The chemical activity will be inactivated by organic matter

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

When to use alcohol gel

Before and after minimal patient contact

If performing multiple tasks on the same patient

Within the same bay after minimal contact ndash ie taking observations

In an emergency situation moving to another patient

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

When to use alcohol gel

During ward rounds providing dressingswounds are not handled1048633

In the community setting where handwashing facilities may not be available

After a hand wash with liquid soap to provide a higher level of disinfection prior to performing clinical procedures

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

GLOVES Indications amp Procedure

Why to wear gloves

1)To provide a protective barrier against pathogenic transmission

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Why to wear gloves

2)To prevent cross contamination of the hands when dealing with the neonatal blood body fluids mucous membranes and non-intact skin

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Why to wear gloves

3)To reduce the possibility of transmitting the micro-organisms that present on the hands of personnel to the patients during invasive or other patient-care procedures that involve touching the neonate mucous membranes and non-intact skin

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Gloves Use

Between care activities and procedures on the same patient in which the health care worker deals with body fluids and secretions

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Gloves Use

After contact with materials that may contain high concentrations of microorganisms (eg after manipulating an indwelling urinary catheter and before suctioning an endotracheal tube)

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Gloves Use

Gloves should be used as an adjunct but not a substitute for hand washing

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Selection of gloves should be based on1 Risk analysis of the type of

setting type of procedure likelihood of exposure to blood or fluid capable of transmitting pathogens

2 Factors such as personal comfort and fit

3 Cost4 Latex allergy

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Gloves Use

Sterile Gloves must be used for invasive procedures only

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Gloves Use

Clean non-sterile gloves should be worn if exposure is anticipated to

blood and body fluids capable of

transmitting blood borne infection

infectious material such as pus feces respiratory secretions or exudate of skin lesions

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Policies of Using Gloves

1 Gloves must be worn by all staff prior to contact with blood amp body fluids

2 One pair of gloves for one patient

3 Do not touch anything during wearing gloves ldquoeg telephone door etchelliprdquo

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Policies of Using Gloves

4 Gloves must be worn when there is an open cut in the hands

5 Gloves donrsquot give 100 protection

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Gowns Various types of gowns are

worn to provide barrier protection and to reduce opportunities for transmission of microorganisms in hospitals

Gown should be fluid-

resistant and non-sterile

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Gown Use

Gowns are used to protect soiling of clothing during activities that may generate splashes or sprays of blood body fluids secretions and excretions

Gowns are especially treated

to make them impermeable to liquids

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Gown Use

The value of a gown in controlling infection is highly questionable

but before discarding our gowns many scientific aspects of its benefits and limitations could be studied

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

Gown Use

Further those who handle the infant must keep in mind that gowns do not prevent sepsis- but hand washing does

If the latter is not practiced gown will be a piece of decoration

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

THANK YOU

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control

References

1) Infection Control Today Magazine

PPErsquos Role in Standard amp Contact Precautions Jennifer Schraag 020107

2) Guidelines for Isolation Precautions in Hospitals Hospital Infection Control Advisory Committee

Julia S GarnerRNMN 01-01-1996

3) Improving Hand Hygiene Dr Hania Al-Jouzy

4) Manugel 85httpwwwouriel-medicalcom

5) MOH Guidelines of Infection control