INFECTION PREVENTION Part 1. N ational Patient Safety Goal #7. PREVENTION OF HEALTHCARE ASSOCIATED INFECTIONS. Comply with hand hygiene guidelines by either Centers for Disease Control and Prevention (CDC) OR World Health Organization (WHO)
PREVENTION OF HEALTHCARE ASSOCIATED INFECTIONS
Ventilator Associated Event (VAE)
Urinary Tract Infection (CAUTI)
Central Line Associated Blood Stream Infection
THE MOST EFFECTIVE WAY TO PREVENT THE SPREAD OF INFECTION
Before and after contact with a patient or contaminated surfaces:
Alcohol gel hand rub on any other occasion
SING HAPPY BIRTHDAY!
To ensure you have washed long enough
An important part of hand hygiene.
Hands that are chapped and dry not only present an exposure risk, but healthcare workers are less likely to wash when skin integrity is impaired.
Maintain good skin health with a hospital grade lotion.
Hospital grade lotions are compatible with alcohol gel.
Other lotion will decrease the efficacy of alcohol based gel.
Why identify patients who have a history of drug resistance?
Patients with a history of MDRO
pose a risk to the inpatient
population because they may
remain colonized with the
infectious bacteria even after
Identification of these patients
on admission allows us to
protect other patients and staff.
Those aren’t flammin’ hot Cheetos!
Clostridium difficile (C.dif) while not technically a drug resistant organism is
considered epidemiologically important due to:
Place a black square magnet on the
Patient Census board (white board)
next to the name of any patient who
is suspected or confirmed to have
Purpose: identifies any transmission risk to other patients and staff
1. alerts healthcare personnel to
wash with soap and water
2. alerts EVS that a 2 step terminal
cleaning process is indicated
False positive or negative result
Antibiotic prescribed when not
needed will delay or
prevent the appropriate
…..AND public reporting of erroneous rates by the IP
07.03.01 EP#6 ▬07.04.01 EP#5 ▬07.05.01 EP#6
Analysis: 1 VRE, 5/27DX Sepsis & Sacral Abscessè 5/28 intra-operative Cultures are negative è
6/9 wound Cultures test + VRE
Risks Factors: multiple co-morbidities, multiple transfers during visit, bowel prep when patient has sacral wound
Action Plan: Opportunities for improvement are use of rectal tube if indicated, wound care consult, limit
Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, 2007. Jane D. Siegel, MD; Emily Rhinehart, RN MPH CIC; Marguerite Jackson, PhD; Linda Chiarello, RN MS; the Healthcare Infection Control Practices Advisory Committee. http://www.cdc.gov/hicpac/pdf/isolation/Isolation2007.pdf
Chiarello L, Jackson M, Rhinehart E, Siegel JD, and the Healthcare Infection Control Practices Advisory Committee (HICPAC) (2006). Management of Multidrug-Resistant Organisms In Healthcare Settings.
William A. Rutala, Ph.D., M.P.H., David J. Weber, M.D., M.P.H., and the Healthcare Infection Control Practices Advisory Committee (HICPAC) (2008) Guideline for Disinfection and Sterilization in Healthcare Facilities, Centers for Disease Control and Prevention. http://www.cdc.gov/hicpac/pdf/guidelines/Disinfection_Nov_2008.pdf
Lynne Sehulster, Ph.D., Raymond Y.W. Chinn, M.D., Center for Disease Control and
Prevention / Healthcare Infection Control Practices Advisory Committee (HICPAC)
(2003), Guidelines for Environmental Infection Control in Health-Care Facilities