Section 4B Centralized Annual Update: Infection Prevention and Control (Non-Clinical)
Section 4 Introduction In this section the non-clinical reader will be introduced to policies that address infection prevention and control practices at TRMC which support three broad goals:1. Customers / Members free of infections acquired at the facility 2. Employees, medical staff, visitors, customers, volunteers free of illness and injury3. An organization that is prepared for outbreaks and emerging infectious diseases
Infection Prevention Key Points: Infection Prevention and Control Program Hand Hygiene Cleaning Respiratory Etiquette 5. Seasonal Influenza Vaccine 6. Tuberculosis (ATD) Risks associated with construction Standard Precautions
Policy 20-8022 Infection Prevention and Control Program Policy 20-8022 The Infection Control Officer has the authority to perform ongoing and/or immediate surveillance, prevention and control measures or studies instituting prevention and control activities such as maintenance of a sanitary environment and other measures that reduce customer, employee, and/or visitor harm related to transmission of disease at Tulare Regional Medical Center.
Policy 20-8022 Infection Prevention and Control Program continued: All employees must receive education annually regarding: • Hand hygiene practices • Standard Precautions • Tuberculosis and respiratory prevention plan
CDC Hand Hygiene Guidelines Policy 20-8025 Key Points: • Tulare Regional Medical Center’s “Are You Gellin?” hand hygiene campaign (use alcohol-based hand sanitizer prior to entering and upon exiting rooms). • Soap and water is used in place of alcohol-based hand sanitizer when hands are: • Visibly dirty. • After use of the bathroom. • After blowing or wiping the nose. • When there is an outbreak of Clostridium difficile or Norovirus in the hospital. • Keep fingernails clean and less than ¼ inch in length
Cleaning Equipment Policy 20-8030 Key Points: Cleaning is the physical removal of organic material or soil from objects.Disinfection is the killing/ inactivation of microorganisms.In order to appropriately disinfect it is important to use a disinfectant according to the manufacturer’s recommended “contact time” – the length of time the disinfected surface must remain wet to effectively kill microorganisms on that surface.Approved disinfectant shall be used in all common areas.
Cleaning Policy 20-8030 Key Points cont: • When medical equipment is cleaned/ disinfected it is bagged in plastic indicating that it has been cleaned/disinfected. • Clean and dirty processes are performed exclusive from one another, clean items will remain separate from dirty items at all times.
Blood Exposure Control Policy 20-8007 Key Points: • Potential exists for blood and body fluid exposure to all staff, and the same principles of exposure management should be applied. • If you perform tasks that involve blood, blood-contaminated body fluids, or other body fluids you may be eligible to receive vaccinations against Hepatitis B through your employer. • If you are exposed to blood or body fluids while working remember to wash and treat the affected area first, then notify your supervisor. You will be directed to go to the Emergency Department to receive follow-up care. • Remember to slow down, anticipate risks for blood and body fluid exposure, and be prepared with appropriate personal protective equipment (PPE) to reduce risk of exposure.
Influenza Vaccination Policy 20-8029 Key Points: • TRMC Staff receiving/declining or having received Seasonal influenza vaccination elsewhere will forward their individual vaccination data to Human Resources. • Staff that decline the seasonal influenza vaccine for any reason will be required to wear a simple surgical mask when in patient care areas for the duration of the influenza season. • Our goal is to protect staff, customers, and family members from the flu, its complications, and to decrease staff absenteeism.
TB Prevention Plan Policy 20-8013 Key Points: Annually clinical employees and child care staff are required to receive a Tuberculosis skin test (TST) to determine if they have been exposed to Tuberculosis (TB). Employees will be required to complete a TB questionnaire with questions about whether the employee has symptoms attributed to TB disease.If the employee is suspected of having active TB disease based on a prior positive TST and signs/symptoms attributed to active TB disease he/she will be required to receive a chest x-ray to better determine if the employee may have active TB disease.
Risk Assessment for Construction Policy 20-8023 Key Points: Construction activities may result in creation of dust and spread of microorganisms that could harm customers.Construction performed in public areas requires a posted Infection Control Risk Assessment (I.C.R.A.)Report to the supervisor on duty and/or Infection Prevention and Control Program (extension #3487) issues such as:(a) temporary construction barriers that have fallen or that are riddled with holes allowing dust from the construction site to enter public areas. (b) evidence of dust or debris coming through ventilation systems that bring air to public areas.(c) interruptions in water supplied to public areas.(d) evidence of pests such as insects or rodents in public areas.
The Power Is Yours! You have the power to make a difference everyday Everyone, including you has the power to prevent Infections and keep customers and staff safe from infection risk. If you observe an unsafe or unsanitary practice taking place that is against TRMC Infection Prevention Policies, show your power and speak up! Tell your colleagues, the supervisor on duty, or the Infection Preventionist.It may be intimidating at the time, but holding yourself and your colleagues accountable upholds the basic mission of all health care facilities: To focus on wellness and improving the health status of the community (not make them sick)
Infection Prevention & Control Conclusion: To perform infection prevention and control effectively it takes participation from all stakeholders within the organization. You are a part of the infection prevention and control team. Familiarize yourself with policies that address infection prevention and control practices, and if you have questions please contact the Infection Prevention and Control Program. With your help, we can protect our customers, ourselves, our co-workers, and community from infection.
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