Promoting Asepsis and Infection Control. Teresa V. Hurley, MSN, RN. Nosocomial Infections. Worldwide Problem Acquired in health care facilities USA: Cost is in the billions for extended care and treatment A Leading cause of death
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Teresa V. Hurley, MSN, RN
Intensive Investigations into the:
Antibiotic Resistance is WORLD’S MOST PRESSING PROBLEM (CDC, 4/21/06)
Populations at risk: HIV infected, Sickle Cell Disease,
Elderly, Children under 2 y/o and children attending group day
care centers (CDC, 10/24/2005)
June 2006 hc/Pro Briefings on Infection Control
HIPPA regulations and infection control practices must protect privacy of patients. Door signs on patient doors with TB could lead to potential legal problems due to posting of a sign linked to patient
-SPREAD BY DIRECT CONTACT, stool, urine and hands of health care workers
-Normally present in intestines and female genital tract
Risk: long term antibiotic treatment; previous treatment with vancomycin and gentamycin; ICU, CA and Transplant Units; abdominal and chest surgeries; catheters (IV or urinary) (CDC, 11/2005)
(CDC, July 2005)
Acinertobacter Normally present in soil and water and skin of people---especially in health care workers
Outbreaks reported in ICUs and in settings where very ill are housed
Risk: people with weakenedd immune systems;chronic lung disease, ventilator patients, diabetics, open wounds and prolonged hospital stays (CDC, 9/24/2004)
Agent Transferred by droplet nuclei (moisture) or dust particles
If you have not received measles vaccine more likely to get it because you lack immunity.
Medical Asepsis is used to prevent the spread of microorganisms. Hand washing is the most effective means to prevent the spread of infection.
DRY HANDS FIRST THAN TURN OFF FAUCET WITH PAPER TOWEL
Double gloving is acceptable practice when working with blood and bodily fluids.
Clients and health care workers have developed latex allergies.
CDC (2002) recommendations for hand hygiene
Be careful that you do not touch your face when you have gloves on.
If you sneeze or cough and cover your nose or mouth you must re-glove.