Infection Control Inservice

Presented By:

Eneida Cruz, DNP, RN

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Program

Surveillance Prevention

Control Education

Infection Elements of Infection

– A SOURCE of infection

– A TRANSMITTER of infection

– A SUSCEPTIBLE HOST

Sources of Infection: – Food

– Feces

– Fomities (furniture, toliets, floors, etc.)

– Finger

– Contaminated personal protective equipment

(ie, gloves)

Infection, cont’d

Causes of Infection: – Virus – Bacteria – Parasite – Fungi

Diseases caused by Infection: – Cold/Flu – Lyme’s Disease – AIDS – Urinary and Kidney Infections – Strep Throat – Pink Eye – Boils

Infection Control Overview

Infection Control Program – Infection Control Consultant

Policies & Procedures – Clinical Manual Policies

• C.46.A - C.46.M

• Exposure Control Plan

• TB Screening

• Influenza Program

Regulatory – DOHSS

– JCAHO

– OSHA

Infection Control Activities

Semi-Annual Infection Control Survey &

Risk Assessment

Clinical Activities

– Patient Education

– Pre - Procedure Phone Calls

– Post Procedure Phone Calls

QA Activities

– QA Audit Form

– Monthly Hand Hygiene Monitoring Tool

Infection Control Report

– MR Review

Infection Control Activities, cont’d

Environmental Services Plan

– Environment of Care Survey

– Quality Inspection Reports

Staff Education

– Annual Mandatory Inservice

– As needed

Logs

– Needlestick Injury Log

– Blood/Body Fluids Exposure Log

Infectious Diseases

Tuberculosis (TB)

– Spread by tiny germs that can float in

the air

– Anyone nearby can breathe TB germs

into his/her lungs

– TB germs can live in your body without

making you sick

– TB skin test (PPD) done annually

Bloodborne Diseases

Hepatitis B (HBV)

– An illness of the liver caused by infection

with the Hepatitis B Virus

– Vaccine Series

Hepatitis C (HCV)

– Similar to HBV

– No vaccine available

HIV/AIDS

– A condition in which the body’s immune

system breaks down

Needlestick Injuries 800,000 needlesticks estimated annually

by OSHA in the U.S.

Needlestick injuries occur when staff:

– dispose of needles

– collect and dispose of materials used

during patient care procedures

– administer injections

– draw blood

– handle trash or dirty linens where

needles have been inappropriately

discarded

Needlestick Injuries, cont’d.

Prevent Injuries by utilizing

– Sharp Disposable System

– Needle Devices

– Needleless IV Connector

– Self-Resheathing Needle

Report all NEEDLESTICK INJURIES

– Policy C.46.F

– Log

– Incident Report

– Medical Care

Standard Precautions

Handwashing

Gloving

Masking

Gowning

Appropriate device handling

Appropriate handling of laundry

Latex Allergy

Reaction to certain proteins in latex

rubber

Risk to Health care workers

developing latex allergy

The most common reaction is

– Irritant Contact Dermatitis

• dry, itchy, irritated areas on the skin

– Allergic Contact Dermatitis (sometimes

called Chemical Sensitivity Dermatitis)

• skin rash similar to that of poison ivy

Latex Allergy, cont’d.

Policy C.54.A

Clinical Activities

– Patient Care

• Latex Allergy Signs

– Supplies

• All medical supplies are latex free unless

otherwise documented on package, i.e.,

Foley Catheters contain latex.

Environmental Cleaning

Surface Disinfectant Cloths

Room Turnover

– Posted in each procedure room and in

the recovery room

– Wipe down all surface areas, stretcher,

pillow, B/P cuff, monitors, etc.

Medical Equipment Single use devices discard after use

Reusable devices must be cleaned

and maintained according to

manufacturer’s instructions

Cleaning

– Enzymatic cleaner

– Sponges/pipe cleaners

High Level Disinfection (HLD)

– Test strips

– Temperature

– Log sheet

Infection Control Prevention

Handwashing

Protect yourself and others