isolation precautions n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Isolation Precautions PowerPoint Presentation
Download Presentation
Isolation Precautions

Loading in 2 Seconds...

play fullscreen
1 / 22

Isolation Precautions - PowerPoint PPT Presentation


  • 301 Views
  • Uploaded on

Isolation Precautions. Infectious Disease Epidemiology Section Office of Public Health Louisiana Dept of Health & Hospitals 800-256-2748 www.infectiousdisease.dhh.louisiana.gov Your taxes at work. Main Modes of Transmission. Isolation guidelines in Institutions are based on these.

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 'Isolation Precautions' - alyssa


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
isolation precautions

IsolationPrecautions

Infectious Disease Epidemiology Section

Office of Public Health

Louisiana Dept of Health & Hospitals

800-256-2748

www.infectiousdisease.dhh.louisiana.gov

Your taxes at work

main modes of transmission
Main Modes of Transmission

Isolation guidelines in Institutions are based on these

AIRBORNE

DROPLET

AND Vectorborne, Common source: Water, Food, Equipment, Rx

CONTACT

Direct Indirect

isolation precaution system for institutions
Isolation Precaution System for Institutions

is an expansion of

Universal Precautions

Standard Precautions

standard precautions
Standard Precautions
  • Same concept as UNIVERSAL PRECAUTIONS
    • Precautions should be taken for any contact with Blood and Body Fluid (UP)
    • AND for any contact with secretions and excretions, mucous membranes, damaged skin, contaminated environment and equipment
handwashing
Handwashing
  • Beginning and end of day
  • Before & after each patient contact
  • Before and after gloving
  • Anytime after contact with
    • Blood & body fluid
    • Secretions /excretions
    • Mucous membranes
    • Damaged skin
    • Contaminated environment
    • Contaminated equipment

10-15s

what does handwashing do
RESIDENT FLORA

Survives on the skin more than 24 hours

Not easily removed, hours of scrubbing

Complete stelirization impossible

Low virulence

Staphylococci, diphteroides,

mostly Gram + ,

very few Gram -

TRANSIENT FLORA

Survive on skin less than 24 hours

Easily removed with soap and water

Acquired during contacts with contaminated areas mouth, nose, perinealarea,genitals, anal area

catheter, bedpan, urinal, patient care casual contact

May have high virulenceðEnterobacteria, Gram - bacilli, Pseudomonas...

What Does Handwashing Do?

Humans sheds # 300,000,000 squames/day (4 to 25 mm) able to carry bacteria

what does handwashing do1
What Does Handwashing Do?

Hands of nurses washed and cultured:

NO Klebsiella

Seroytpe 21

Klebsiella cultured

Patient care Activity

hand sanitizer
Hand Sanitizer
  • Washing hands with soap and water is the best way to reduce the number of germs on them. If soap and water are not available, use an alcohol-based hand sanitizer that contains at least 60% alcohol. Alcohol-based hand sanitizers can quickly reduce the number of germs on hands in some situations,
  • but sanitizers do not eliminate all types of germs: Not effective on spores

(particularly Clostridium difficile) 

  • Hand sanitizers are not effective when hands are visibly dirty.
gloves
Gloves

GLOVES

DO NOT REPLACE

HANDWASHING

FOR ANY CONTACT WITH

  • Blood and Body Fluids
  • Secretions & excretions
  • Mucous membranes
  • Damaged skin
  • Contaminated environment or equipment

If it is wet, red or dirty

Wash, glove then wash

eye protection face shield
Eye ProtectionFace Shield

RISK OF SPRAY or SPLASH

  • of blood,
  • body fluid,
  • secretion
  • excretion

in FACE OR EYE

surgical masks
Surgical Masks
  • STANDARD PRECAUTIONS

For personnel to protect from splashes /sprays of BBF/ S E

  • DROPLET PRECAUTIONS

to prevent large droplets (>5m) on/from patient

  • For patients

to prevent emission of droplet (large and droplet nuclei)

slide13
Gown
  • STANDARD PRECAUTION

To protect from splashes /sprays of large quantities of BBF/S E

  • CONTACT PRECAUTION

To protect contamination of personnel clothing

patient placement
Patient Placement
  • AIRBORNE

Private room with ventilation control

  • DROPLET & CONTACT
    • Private room preferred
    • or cohort with same infection
    • or at least 3 feet between beds
    • Use common sense: do not mix in immunocompromisedpatient with infected one
airborne precautions
Airborne Precautions

Small droplets (<5m) emitted when coughing, & performance of procedures

1-ROOM WITH VENTILATION CONTROL

  • Negative air pressure
  • >6 air exchange /hour
  • HEPA filtered or exshaustout

2-PERSONAL RESPIRATOR

3-PATIENT wears surgical mask if coughing & when transported

Use STANDARD PRECAUTIONS at ALL times for ALL patients

airborne precautions personal respirator
Airborne Precautions: Personal Respirator

For Personnel

  • In AIRBORNE ISOLATION ONLY
  • To prevent inhalation of droplet nuclei
  • Main leak comes from poor fit around face

N95 Mask

PAPR Powered Air Purifying Respirators

Use STANDARD PRECAUTIONS at ALL times for ALL patients

airborne precautions signage
Airborne Precautions: Signage

Use STANDARD PRECAUTIONS at ALL times for ALL patients

droplet precautions
Droplet Precautions

Large particle droplets (>5m) emitted when coughing, sneezing, talking & performance of procedures

  • Private room
  • Mask when entering room

Use STANDARD PRECAUTIONS at ALL times for ALL patients

contact precautions
Contact Precautions
  • Private room (*)
  • Gloves when entering room,
  • change glove after infectious contact
  • Gown when entering room if substantial contact will occur

Use STANDARD PRECAUTIONS at ALL times for ALL patients

standard precaution ridiculously simple
Standard Precaution: Ridiculously Simple

STANDARD PRECAUTIONS = Universal precautions: Any one may be infectious, there is no way of predicting who is infected and may transmit blood borne pathogens (HBV, HCV, HIV…) or other microorganisms (MRSA, Cdiff, MDRO…)  USE STANDARD PRECAUTIONS WITH ALL PATIENTS ALL THE TIME

Wash * Touch * Wash

1

OK

If red, wet or dirty

Wash * Glove

Touch

Unglove * Wash

2

3

Know what is clean

Know what is dirty

Keep them apart

slide22

Use STANDARD PRECAUTIONS WITH ALL PATIENTS ALL THE TIME

And these other precautions may be added

  • AIRBORNE PRECAUTIONS
  • Personal Respirator: N95
  • Room with Ventilation Control:
    • Negative pressure
    • > 6 air exchange
    • Air filtrated before recirculation
    • or vented outside

Tuberculosis, Measles, Varicella, Any suspect of TB: chronic pulmonary symptoms >3 weeks

  • DROPLET PRECAUTIONS
  • Private room or 3ft separation between patients
  • Mask when within 3 ft of patients

MOST BACTERIAL & VIRAL RESPIRATORY INFECTIONS except RSV

Invasive H.influenzae, N.meningitidis, Invasive drug resistant S.pneumoniae, All serious bacterial respiratory infections spread by droplets, Diphtheria, Pneumonic Plague, Pertussis, Mycoplasma pneumoniae, Streptococcal pharyngitis, streptococcal pneumonia, scarlet fever, Adenoviral infections, Influenza, Mumps, Parvovirus 19, Rubella,

Paroxysmal cough (?Pertussis)

  • CONTACT PRECAUTIONS
  • Private room or 3ft separation between patients
  • Gloves when entering
  • Gown IF extensive contact

INFECTIONS TRANSMITTED BY CONTACT

Multi-Drug Resistant Organisms (MDRO), gastrointestinal, respiratory, skin, wound, infections or colonization with multidrug resistant bacteria, Enteric infections, enteroviral infections in infant, RSV, parainfluenza, Infectious skin infections: HSV, impetigo, cellulitis, scabies, staphylococcal furunculosis,Viral hemorrhagic conjunctivitis, viral fevers, abscess, draining wounds that cannot be covered. Respiratory infections: bronchiolitis in infants & children.

We do not use these terms any longer: Strict Isolation, Blood & body fluids,Drainage and secretions, Enteric, Respiratory, AFB