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Physicians: Infection Prevention is in YOUR Hands. YOUR responsibility to: Protect YOUR Patients Protect YOURSELF. Chain of Infection. Natural body openings Man-made body openings. YOU. Contact. X. Droplet. PATIENT. MRSA. Airborne. Percutanous. TB. Sputum. Flu. Catheter.

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Physicians infection prevention is in your hands

Physicians: Infection Prevention is in YOUR Hands

YOURresponsibility to:Protect YOUR Patients

Protect YOURSELF


Chain of infection
Chain of Infection

Natural body openings

Man-made body openings

YOU

Contact

X

Droplet

PATIENT

MRSA

Airborne

Percutanous

TB

Sputum

Flu

Catheter

HANDS

Stool

Incision

Wounds

Mouth

Environment

Nose


Health care associated infection hai in the usa

An estimated 1.7 million HAIs each year

1.3 million are non-ICU related

4.5 of every 100 patients acquire

~ 99,000 HAI associated deaths each year

Health Care-Associated Infection (HAI) in the USA


Multi drug resistant organisms mdro
MULTI-DRUG RESISTANT ORGANISMS (MDRO)

MRSA

Acinetobacter

Serratia

Klebsiella (KPC)

VRE

Pseudomonas

E-coli


Prevention of mdros and hais
PREVENTION of MDROs and HAIs

  • Antibiotic Stewardship

  • Clean environment

  • Communication/Alerting (READ the signs!!)

  • Hand Hygiene*

  • Body Substance Precautions*

    *and remember the “iceberg effect”…



Clean your hands before touching the patient or any object or furniture in the patient’s immediate surroundings

Clean your hands (and before donning gloves) immediately before accessing a critical site with infectious risk for the patient!

Clean your hands when leaving the patient’s side, after touching a patient or his/her immediate surroundings

Clean your hands as soon as a task involving exposure risk to body fluids has ended (and after glove removal)!

Your 5 Moments of Hand Hygiene


https://www.youtube.com/watch?v=MGpevGkaPcY&feature=related or furniture in the patient’s immediate surroundings


Body substance precautions bsp

Barrier precautions or or furniture in the patient’s immediate surroundingsPersonal Protective Equipment (PPE) for ALL patients when you anticipate contact with

body substances or fluids

non-intact skin

mucous membranes

BSP protects YOU against patients with

Known diagnosed or suspected infections and diseases

Unknown incubating diseases or colonized with infectious organisms

Body Substance Precautions (BSP)


Direct and indirect contact
Direct and Indirect Contact or furniture in the patient’s immediate surroundings


Droplets splashes
Droplets, Splashes or furniture in the patient’s immediate surroundings


Airborne
Airborne or furniture in the patient’s immediate surroundings

N95 Respirator: requires fit testing

PAPR: Powered Air Purifying Respirator


What s wrong with this picture note staged scenarios
What’s wrong with this picture?? or furniture in the patient’s immediate surroundings(note, staged scenarios)

And where

have those

gloves been?


What s wrong with this picture note staged scenarios1
What’s wrong with this picture?? or furniture in the patient’s immediate surroundings(note, staged scenarios)

Is that chart

going back

to the rack?


Bloodborne pathogen exposure risks
Bloodborne Pathogen Exposure Risks or furniture in the patient’s immediate surroundings

  • HBV

    • 30% from a needle stick (10% chronic infection)

    • Effective vaccine

    • Effective post exposure treatment

  • HCV

    • 3% from a needle stick (85% chronic infection)

    • No vaccine

    • No good post exposure (treat if become infected)

  • HIV

    • 0.3% from a needle stick (100% chronic infection)

    • No vaccine

    • Effective post exposure treatment (get ASAP!)


Exposure to blood or body fluids
Exposure to Blood or Body Fluids or furniture in the patient’s immediate surroundings

  • PREVENTION!

    • BSP, Hand Hygiene, PPE, Vaccination

  • Go ASAP to the Work Wellness Center (WWC) during open hours, or

    • ED if WWC closed, then follow up with WWC!

    • Source patient testing by WWC or Nursing Supervisor

  • Exposures in Community Clinics/other facilities

    • most handled onsite, ask your Supervisor

  • Complete Worker’s Comp form w/ your Supervisor & send to HR

  • WWC confidentially evaluates & provides free follow-up or Rx based on CDC guidelines


Extreme care with all sharps
EXTREME Care with all Sharps or furniture in the patient’s immediate surroundings

  • The person who uses the sharp

  • puts it into the sharps container

  • NEVER recap, break or bend needles

BE AWARE OF YOUR ENVIRONMENT


Questions? or furniture in the patient’s immediate surroundingsCall the Infection Prevention and Control Office at 581-2706


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