Basic Infection Prevention Training. CIP Consulting LLC. Basic Infection Prevention Training. Role of the ICP. Father of Hand Hygiene: Dr. Ignaz Semmelweis. Role of the ICP. Infection Prevention and control expert Mentor staff Role model for Infection Prevention and Control
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1. Gram stain
Gram + Purple
Gram – Red
Gram Stain – allows identification of four basic groups of bacteria, and provide early suggestion of empiric antibiotics to use and possible initiation of isolation precautions.
2. Acid-fast stain
The charts have a corresponding column which gives the minimum inhibitory concentration for that drug.
For instance this culture report – the Ampicillin zone of inhibition was > 32, according to the CLSI guidelines that the lab uses, that zone of inhibition should be reported as “R”
Bacteria that is resistant to one or more classes of antibiotics
Fungi – Some are well adapted human pathogens, but most are accidental pathogens that we acquire through decaying organic matter or airborne spores.
What type of host plays an important part!
Construction on an oncology ward higher risk than construction on a medical surgical unit.
Review ICRA with the group
CSF human infections
5 – 500
2/3 serum glucose
< 30 - 70Meningitis – Cerebral spinal fluid
Meningitis Overview human infectionsInflammation of the meninges, which surrounds the brain and spinal cord. The inflammation may have infectious or non-infectious causes.
Presentation – both viral and bacterial present the same (fever, neck stiffness, altered mental status, headache photophobia, nausea, skin rash in meningococcal meningitis).
Basic Infection Prevention Training human infectionsComponents of Surveillance
“Past and current hospital surveillance data is the core of the MRSA risk assessment”.
Analysis – Based on annual data, HA MRSA goal is < 1 per 1000 patient days.
2009 2010 (rates per 100,000)
In 2011, The hospital continues to be low risk according to the CDC risk classification of inpatient hospitals with < 200 beds, and outpatient clinics (both must have < 3 confirmed TB patients per year)
Issues found during risk assessment and 11/2010 state health visit.
1. Only 1 ICP got immediate notification via email when PPD placed – this was fixed and now both ICP’s get immediate notification, so that prompt assessment can be made regarding negative airflow.
2. ACH in negative airflow rooms now checked quarterly and reported to EOC committee. Recommended ACH is 12.
3. Noted that compliance for annual fit testing not 100% as stated in TB control plan – Employee Health working on compliance issue.
4. “TB reference book” placed in nurse house supervisor office. This book has the list of “fit tested” team members and provides reference to reading TBST’s, discontinuation of airborne isolation and references TB control plan.
Basic Infection Prevention Training human infectionsInfection Control Risk assessments
Basic Infection Prevention Training human infectionsDisease Transmission and isolation
Wear face mask with eye shield
or mask & eye protection during
patient care activities that may
generate splashes or sprays of
blood or body fluids
Clean re-useable equipment
between patients to prevent
transfer of microorganisms to
other patients, staff
Patients infected or colonized with:
Patient may have:
Patient Care Equipment:
Patients infected or colonized
Patients infected with:
In healthcare organizations that outsource microbiology laboratory services (e.g., ambulatory care, home care, LTCFs, smaller acute care hospitals), specify by contract that the laboratory provide either facility-specific susceptibility data or local or regional aggregate susceptibility data in order to identify prevalent MDROs and trends in the geographic area served.(363) Category II
Diagnosis – definitive diagnosis of scabies infestation can be made by a skin scraping of the burrow.
Transmission – Prolonged direct skin to skin contact. Mites can burrow under the skin in 2.5 minutes.
Incubation – 2-6 weeks after exposure OR 1-4 days in people previously infected.
Alcohol hand foam is not effective in killing the spores of C – Diff.
Basic Infection Prevention Training In Healthcare Settings, 2006Federal and State Regulations
The pre employment health exam will include but not be limited to:
Tb Skin Testing
III.Evaluation and Improvement