INFECTION
Download
1 / 20

INFECTION PREVENTION Part 1 - PowerPoint PPT Presentation


  • 186 Views
  • Uploaded on

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)

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' INFECTION PREVENTION Part 1' - sheryl


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

INFECTION

PREVENTION

Part 1


N ational patient safety goal 7
National 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)

  • Healthcare facilities must implement evidence based practices for the prevention of

    • Multi-drug resistant organisms (MDRO)

    • Central Line Associated Blood Stream Infections (CLABSI)

    • Surgical Site Infections (SSI)

    • Catheter Associated Urinary Tract Infections (CAUTI)

  • HAIs causing death or permanent loss of function are managed as sentinel events


Surgical Site Infection (SSI)

Ventilator Associated Event (VAE)

HAI

Catheter Associated

Urinary Tract Infection (CAUTI)

Central Line Associated Blood Stream Infection

(CLABSI)


H ealthcare associated i nfections hai
Healthcare Associated Infections (HAI)

  • An infection not present or incubating on admission

  • Related to a previous hospitalization (within 30 days)

  • May be associated with a procedure performed at a healthcare facility


HAND HYGIENE

THE MOST EFFECTIVE WAY TO PREVENT THE SPREAD OF INFECTION


Most Frequently

Missed

Frequently

Missed 

Less Frequently

Missed


H and hygiene practice
Hand Hygiene Practice

Before and after contact with a patient or contaminated surfaces:

  • Antibacterial soap and water when hands are:

  • Visibly soiled

  • Had contact with blood or body fluid

  • If C. dif. is suspected or confirmed

Alcohol gel hand rub on any other occasion

  • Use friction

  • Cover all surfaces of hands

SING HAPPY BIRTHDAY!

To ensure you have washed long enough

  • Don’t forget to keep nails ¼ inch in length to decrease accumulation of bacteria


Skin care
Skin Care

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.


DRUG RESISTANT ORGANISMS

VRE

MRSA

ESBL

KLEBSIELLA

ACINETOBACTER


Multi drug resistant organisms mdro
Multi-drug Resistant Organisms (MDRO)

  • Microorganisms that are resistant to

  • one or more classes of antimicrobial

  • agents .

  • Antibiotics fight off disease when

  • patient’s immune system cannot.

  • But what happens when a patient

  • (in a weakened state) acquires an

  • infection that is resistant to

  • antibiotics?


07 03 01 ep 8 9 laboratory based alert system for mdro
07.03.01 EP# 8&9 Laboratory-Based Alert System for MDRO

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

treatment.

Identification of these patients

on admission allows us to

protect other patients and staff.


Those aren’t flammin’ hot Cheetos!


U niversal identifier for c difficile
Universal Identifier for C.difficile

Clostridium difficile (C.dif) while not technically a drug resistant organism is

considered epidemiologically important due to:

  • A propensity for transmission within healthcare facilities.

  • Patients may develop as a result of antibiotic use.

  • General association with serious disease and increased morbidity /mortality.

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

C.difficile

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


Use proper technique during specimen collection to avoid
Use Proper Technique During Specimen Collection to Avoid…

Wrong Diagnosis

False positive or negative result

Wrong treatment

Antibiotic prescribed when not

needed will delay or

prevent the appropriate

treatment

Poor Outcomes

Antibiotic resistance

C.difficile colitis

Drug allergies

…..AND public reporting of erroneous rates by the IP



Hai report to the stakeholders
HAI Report to the Stakeholders

07.03.01 EP#6 ▬07.04.01 EP#5 ▬07.05.01 EP#6

  • Report of identified acquired infections within the facility

  • Posted in designated areas for staff to review

  • Includes a brief analysis with suggested strategies for improvement

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

transfers.



S tandard precautions
Standard Precautions

  • Otherwise known as Universal Precautions

  • Assumes blood and body fluid of any patient is infectious

  • Type of PPE used is determined by type of clinical interaction with patient


Personal Protective Equipment (PPE)

  • Gloves

  • Gowns

  • Masks

  • Respirators

  • Aprons

  • Eye shields


References
References

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.

http://www.cdc.gov/hicpac/pdf/MDRO/MDROGuideline2006.pdf

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

http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5210a1.htm


ad