Infection Control Unit

2015

ORIENTATION PROGRAM

INFECTION CONTROLProgram to identify, control, and prevent infection which are potential hazards to all persons having contact with the hospital.

OUR MISSION IS YOUR W.I.S.H

WELLNESS,

INFECTION PREVENTION

SAFETY

AND HEALTH

OUR SERVICES & EDUCATIONAL PROGRAM ARE DIRECTED

TO HEALTH CARE PROVIDERS , PATIENTS, &

VISITORS OF NJCH

INFECTION CONTROL TEAM

Dr. Amro Kamal Infection Control Unit Director

Ext. 1032

Rhea Kaminski Infection Control Practitioner

Ext.1102

NJCH EMPLOYEEInfection Control Office is located in First

Floor In Front of First Floor Nurses Station

ICC MembersINDEPENDENT MEDICAL COMMITTEE

AdministrationLaboratory

Urology Dept.Surgery Dept.Pediatric Dept.Pharmacy Dept.Nursing Dept.

FMDBIOMED

Ancillary ServicesInfection Control Practitioner

Isolation Precaution (ICM-005) Types

1. Standard Precaution

2. Isolation/Transmission based precaution

Obj.To facilitate safe care of all patients presenting themselves to

NJCH with known or suspected communicable diseases

Rationale for Standard Precaution & Transmission-based Precaution in Health-care settings

Transmission of infectious agents within a healthcare setting requires three elements:A source (or reservoir) of infectious agentsA susceptible host with a portal of entry receptive to the agentA mode of transmission for the agent.

Source

Portal of entry

Mode of transmission

STANDARD PRECAUTIONSApply standard precautions to all patients

regardless of their diagnosis, and to all contaminated equipment and materials.

- Use judgment in determining which protective barriers are necessary.

Standard Precaution

Hand washingWater-repellent gown/(clean, non-sterile)

apronMaskProtective eye wear and/or face shieldsGloves (clean, non-sterile)Patient placementEnvironmental hygiene

Isolation/Transmission based precaution

a. Airborne precautionb. Droplet precautionc. Contact precaution

Airborne Precautions

In addition to Standard precautions, use airborne precautions for patients known or suspected to be infected with microorganism transmitted by airborne droplet containing microorganisms (small microorganisms) which remain suspended in the air and can be dispersed by air currents within a room or over a long distance.

Example:TuberculosisMeaslesChicken pox

cont. A. P.Patient placementsingle room/cohort- Negative air pressure - Keep the door closed- Respiratory mask/N-95

Patients transport

Droplet transmission

For microorganisms transmitted on large particles droplet ( > 5mm in diameter)

Usually infections happens within 3 feet from sourceE.g., pertussis, meningococcus

Precaution details:Private roomMask if within 3 feet of

patient

Contact Precautions For microorganisms

transmitted through skin-to-skin contact or through oro-fecal transmission where physical transfer of microorganisms to a host from a source takes place. E.g., MRSA, Typhoid, Clostridium difficile, Scabies

Precaution Details: Private room (otherwise

cohorting) Gloves upon contact

with patient Gloves removal before

leaving pt. room Handwashing before

wearing and after removal of gloves

Surgical Face Mask N95 Mask

Surgical Face Mask and N95 Mask

Sharps Management (ICM-025)Who is at risk of an occupational exposure?Who is at risk of an occupational exposure?

All healthcare workers who have the potential for exposure to infectious materials (e.g. blood, tissue, and specific body fluids, as well as medical supplies, equipment or environmental surfaces contaminated with these substances) e.g:Nurses Laboratory staffDoctors TechniciansTherapists Support personnel e.g. housekeeping,

maintenanceDental staff Contractual staffStudents

Protect yourself

Dispose with careNever recap needles, bent or broken by hand!

(If necessary use one handed technique)

Dispose of used needles in sharp disposal containers

Avoid overfilling sharp disposal containersCare for yourself

Get a hepatitis B vaccination; this is provided at no cost

Report all needle-stick and other injuries

General Principles

Hepatitis B VaccinationA primary course of hepatitis B vaccinations

over six monthsMandatory for all staff in contact with

patients and patient-contaminated material

Titre level (HBsAb) four to six weeks after last dose

Booster doses not required if titre level >10 mIU/mL

Reporting injuries is crucial

Waste management (ICM-012)Non-infectious (solid waste)

refers to all waste, biological or non-biological, that is discarded and not intended for use.

e.g. papers, flowers

“Infectious Waste”refers to that portion of medical waste that could transmit an infectious disease or waste that is

capable of producing an infectious diseases.e.g. gauze soaked with blood/body fluids

Waste management (ICM-012)Infectious Waste Yellow B. Bag

Non-Infectious Waste Regular bag

√Cultures and stocks of infectious agents√Blood, blood products, anything caked, soaked or dripping of blood √Waste from patients isolated with highly communicable disease√Fluids visibly with blood, Urine soaked waste, feces, vomit√ Blood bags and IV tubing with blood backed up the tubing, Urinary bag√Containers with free flowing blood√Peritoneal bags and bottles √Specimen cultures√ Discarded live and attenuated vaccines √Culture dishes used to transfer, inoculate and mix cultures √Pathological waste

√Non bloody gloves √IV bags and their tubing  √Non bloody wastes such as gloves, oxygen tubing √Packaging√ Medication vials√ Foods √Papers √ Blood tainted waste  Note: Blood soaked and blood tainted are not one and the same. A bit of blood on a gauze is not infectious

Color coded bags

Regular Waste

Regular waste

Contaminated linen

Infected linen

Body parts

Contaminated waste

Amputated body parts and placenta

Blood spillageSpillage -refers

to all body fluids that are hazardous to ones health

CONTENTS OF SPILLAGE KITDisposable glovesPlastic apronYellow biohazard bagWipes/paper towelGogglesShoe coverSharp containerSmall broom and dust pan5.25% Sodium Hypochlorite solution diluted 1:10

with water is available to all Units

How to deal with Blood Spillage Control Put the wet floor sign to secure the

area

Wear PPE

Contain Put on paper towel to absorb the

blood/body fluid spillPour clorox on the paper towel and let it stand for 5-10 minutes to

disinfectWipe it off and dispose of paper

towel in yellow biohazard bagRemove PPE and wash hands

Contact Call Housekeeping personnel to

clean the area thoroughly

Handwashing (ICM-011)Is a vigorous rubbing of both lathered hands

together for the removal of soil and microorganisms for at least 40-60 seconds.

It is the single most infection control measures.Performing hand washing is a simple, mundane

task.It is very low tech action but has been shown to

dramatically reduce health-care associated infections (HAI’s).

Still, there are a multitude of reasons why it isn’t always practiced as recommended:

Forgetfulness, too busy, lack of supplies, etc.

Handwashing (ICM-011)

The 5 Moments apply to any setting where health care involving direct contact with patients takes place

Identification of Infectious Medical Record File (ICM-026)To ensure proper identification of medical

record files with infectious disease Hepatitis B red sticker Hepatitis C blue sticker HIV yellow sticker MRSA orange sticker to minimize the possibilities of

transferring infection and protecting health staff providers from hazardous exposure to infection.

PREVENTIONIS PRIMARY!

•Protect patients…protect healthcare personnel…

•promote quality healthcare!

   

THANK YOU VERY MUCH !

YOUR SMILEIS MY PRIDE