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INFECTION CONTROL

INFECTION CONTROL. IC protects the patients, visitors, and healthcare workers through: Managing critical data and information, including surveillance of healthcare associated infections Setting and recommending policies and procedures

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INFECTION CONTROL

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  1. INFECTION CONTROL

  2. IC protects the patients, visitors, and healthcare workers through: Managing critical data and information, including surveillance of healthcare associated infections Setting and recommending policies and procedures Intervening directly to interrupt the transmission of infectious diseases Educating and training healthcare providers, patients, visitors, and the community What is Infection Control?

  3. Infection----------Transmission---------Host Source Route Infection Control Works toBreak the Chain of Infection

  4. Infection Control Hours • Office hours are 7:30am to 5:00pm • Main IC # is 342-3510 • You can reach someone on call at beeper 341-5658, 24/7 or contact the hospital operator.

  5. INFECTION CONTROL MANUAL • Accessed on Capslive • Contains the following • IC Policies and Procedures • Hand Washing Policy • Isolation Precaution Guidelines • Type and Duration of Precautions for Selected Diagnoses • Patient and Staff Education • TB, Bioterrorism and SARS Plans

  6. HANDWASHING is . . . • The single most important measure in preventing infections! Better patient outcomes are in your hands!

  7. Occasions for Hand Hygiene • Before and after patient care. • After sneezing, coughing, blowing your nose, or combing hair. • After using the toilet. • Before and after eating and handling food. • Before and after performing any invasive procedure. • After removing gloves.

  8. BLOODBORNE PATHOGENS • 20 different blood borne pathogens • 3 most often referenced: - HIV/AIDS - Hepatitis B - Hepatitis C

  9. Route of Transmission • Parenteral – worst case scenario, ex. Hollow bore needle stick • Mucous Membrane splash, ex. eyes, nose and mouth • Blood to blood, through an open area in your skin, ex. Open cut on the skin, open weeping dermatitis • Sexual contact • Mother to baby at time of birth

  10. Personal Protective Equipment • PPE Boxes • Gowns/Aprons • Gloves • Goggles • Masks * It is your responsibility to make sure you have the right size PPE, and that you wear it!

  11. Standard Precautions • Mandated by OSHA (Occupational Safety Health Administration) • “Treat every patient as if they could have something.” • “You don’t always have the knowledge of the patient’s blood borne pathogen status.” • “If it’s wet and not yours, put a barrier between you and it!”

  12. Hepatitis B Vaccine • 3 vaccines – 1mo., 2mos., 6mos. * Need all 3 vaccines to create the necessary immunity • 10% Fail Rate *2 full courses and then quit per ACIP • Potential lifelong immunity • Free thru Employee Health • Recommend titer at 3-6 mos. following 3rd vaccine

  13. Engineering and Administrative Controls Engineering: • Puncture proof needle boxes • Red bag “regulated waste” • Needleless systems and safer sharps Administrative: • New Employee Orientation • Safety Tour • Financial Support

  14. TUBERCULOSIS • Airborne transmission • Signs and symptoms: - cough that lasts longer than 3 weeks - weight loss - hemoptysis - spiking temperature - night sweats

  15. Monitoring Negative Pressure • Before the patient is admitted to the room a smoke test is to be done to confirm Neg. Pressure and results documented in the nursing care record • Daily monitoring via the wall monitor is to be documented by the nurse: Green light indicates room is under negative pressure! Red light call Facilities Service.

  16. Problem Pathogen Partnership Initiative • A public health initiative to control and reduce antibiotic resistant organisms. • Started at NHRMC – Dec. 2000 • First hospital in NC and 2nd in the nation • Program at NHRMC recognized with National awards. JCAHO called it a model program.

  17. PPPI Protocol • Screening of patients that meet criteria = nares and peri-rectal swab • Screening at the cost of the hospital, not the patient • Isolating patients in Contact Level 1 / Contact Level 2 • Colonized patients isolated the same as the infected patients • Hand washing using an antimicrobial soap and water or the alcohol waterless soap • Protocol for removing patients from PPPI precautions • Protocols for identifying patient upon readmission

  18. LATEX ALLERGY/ SENSITIVITY • Patients are asked on admission if they have any allergies • Once a Latex allergy/sensitivity is identified a cart of latex free products should be obtained from distribution • Sign the patient’s door, chart, and bed • Purple is the color for identification • Policy can be found on line on Capslive in the IC manual,Section 13

  19. Employees with Latex Allergy/Sensitivity • If you have a history, or this is a new diagnosis of a Latex allergy/ sensitivity you need to let Employee Health know so that they can note this in your file.

  20. THANK YOU! You are now an important part of our NHHN Infection Control Team!!

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