1 / 49

Infection Prevention & Control for Patient Transporters

Infection Prevention & Control for Patient Transporters. Vydia Nankoosingh Kyla Van Dusen Infection Prevention & Control October 5, 2010. Outline. Chain of infection Routine practices & additional precautions Corporate policy change Transporting a patient. Chain of Infection.

nevan
Download Presentation

Infection Prevention & Control for Patient Transporters

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. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Infection Prevention & Control for Patient Transporters Vydia Nankoosingh Kyla Van Dusen Infection Prevention & Control October 5, 2010

  2. Outline • Chain of infection • Routine practices & additional precautions • Corporate policy change • Transporting a patient

  3. Chain of Infection Routine Practices & Additional Precautions In All Health Care Settings. PIDAC Aug 2009

  4. Chain of Infection VRE HOSPITALIZED PERSON GI TRACT MUCOUS MEMBRANES STOOL CONTACT

  5. Break the Chain • Routine Practices: • Hand hygiene • Personal Protective Equipment • Environmental cleaning & disinfecting

  6. Routine Practices • Infection prevention and control practices that are to be followed with all patients, all the time, regardless of diagnosis to prevent and control transmission of infections. • Elements of routine practices that apply to transport staff are hand hygiene , use of personal protective equipment and cleaning of multi-use equipment between patients.

  7. Hand Hygiene • Single most important practice for preventing the transmission of infection • Responsibility of all individuals involved in health care • There are two methods of killing/removing microorganisms on hands: • Alcohol based hand rub • Washing with soap & water

  8. When do I clean my hands? • Before and after contact with any patient, their body substances or items contaminated by them • Before putting on gloves • After taking off gloves • After using the washroom • After sneezing, coughing or blowing your nose • Any time hands are dirty

  9. Routine Practices:Personal Protective Equipment Would you wear PPE?

  10. Routine Practices:Personal Protective Equipment • Assess the risk of exposure and protect yourself with: • Gown • Gloves • Hand hygiene

  11. Routine Practices:Personal Protective Equipment • Wear gloves to handle soiled linen and bags of linen • Remove gloves, perform hand hygiene before pushing cart throughout the hospital

  12. Do you wear PPE to push the cart?

  13. Do you wear PPE to push the cart? • The preferred method is to use hand hygiene • Hand hygiene kills 99.9% of germs in 15 seconds • Hand hygiene protects you while also protecting others

  14. Routine Practices:Disinfecting Equipment Hospital approved disinfectant is Virox wipes Wear gloves as per label Multi-use equipment must be cleaned and disinfected between each patient Stretcher, wheelchair High touch surfaces

  15. Can you tell which patient has an infection?

  16. Additional Precautions • Used in addition to routine practices when a patient has a suspected or definite diagnosis of infection • Contact • Droplet/Contact • Airborne

  17. Additional Precautions • A patient’s isolation status could change at any time • Microbiology results • Symptoms of concern • Contact with a positive patient

  18. Additional Precautions:Disinfecting Equipment Hospital approved disinfectant is Virox wipes Wear gloves as per label Multi-use equipment must be cleaned and disinfected between each patient Stretcher, wheelchair High touch surfaces

  19. The tip of the iceber g is the patients with known infections The bottom represents the patients with infections that have not been identified yet The patients in the bottom of the iceberg are a source of transmission to others Iceberg Effect

  20. Corporate Policy Change Goal: Consistent and appropriate cleaning and disinfecting of all shared patient equipment • A high level of clean on a routine basis decreases the risk of transmission of infection in unidentified patients • Eliminates dirty equipment being left in halls or being used accidentally by other staff/patients/visitors

  21. Corporate Policy Change • Shared equipment are cleaned and disinfected by all staff between use with patients • Transport staff will clean all high touch surfaces of the stretcher/wheelchair with virox wipes • Designated clean holding areas identified on unit • Visibly soiled transport equipment will be cleaned by housekeeping as appropriate • Porter to notify HK by using the bed tracking system • Porter to identify equipment as dirty by using signage

  22. Assigned location on all units Porters to use for cleaning/disinfecting of high touch surfaces Sanitation Stations

  23. Handles Side rails Intravenous pole Bumper High Touch Surfaces-Stretcher

  24. Handles Seat Back rest Arm rests Intravenous pole Wheel lock handles and leg calf support High Touch Surfaces-Wheelchair

  25. Clean Equipment Holding Areas • Designated areas on all units • Separate wheelchair & stretcher holding areas • Signage on wall and tape outline on the floor Clean Stretcher Holding Area

  26. What do you think about this?

  27. Not always this visible that a piece of equipment is dirty or has not been cleaned Mode of Transmission?

  28. Clean or Dirty?

  29. Clean or Dirty? • Just because it ‘looks’ clean it does not mean it is clean • Some bacteria and viruses survive for weeks or months on dry surfaces

  30. Is this Okay?

  31. Is this Okay? • Wear gloves for as short a time as possible • Do not walk from room to room and other areas of the hospital wearing the same pair of gloves • Hands are often contaminated in the process of glove removal • Always perform hand hygiene before & after removal of gloves • Does not replace hand hygiene

  32. Is this Okay? • Gloves worn in common areas contaminate the environment • Puts patients/visitors/staff at risk • Hand hygiene kills 99.9% of germs in 15 seconds • Hand hygiene protect s you while also protecting others

  33. Moving a patient on Routine Practices • Perform hand hygiene • Assist patient onto clean wheelchair or stretcher in the patient's room • If any PPE was worn to move the patient, remove it alland perform hand hygiene • PPE, including gloves should NOT be worn while transporting patients • If the patient is coughing/sneezing, the nurse will provide them with a surgical mask, the transporter does not need to wear one • Practice good hand hygiene

  34. Moving a patient on Additional Precautions • Perform hand hygiene • Wear the appropriate PPE while assisting patient to a clean wheelchair or stretcher in the patient's room • Remove all PPE apparel, including gloves and perform hand hygiene after moving the patient and prior to transport • PPE, including gloves should NOT be worn while transporting patients • If the patient is coughing/sneezing, the nurse will provide them with a surgical mask, the transporter does not need to wear one (exception: airborne isolation) • Practice good hand hygiene

  35. Moving a patient from ICU • Patients are moved in their hospital beds • Perform hand hygiene • Wear the appropriate PPE while in the patient’s room to prepare them for transfer • Wipe down all high touch surfaces of the hospital bed with a virox wipe before leaving the unit • Remove all PPE apparel, including gloves and perform hand hygiene prior to transport • The nurse may wear PPE during transport due to the possibility that they may need to intervene quickly (code blue situation)

  36. Contact Precautions • No PPE for transporter • No PPE for patient • Porter to carry chart or put it in a plastic bag on patients lap • Hand hygiene

  37. Droplet/Contact Precautions • No PPE for transporter • Patient to wear surgical mask • Porter to carry chart or put it in a plastic bag on patients lap • Hand hygiene

  38. Airborne Precautions • Porter to wear N95 mask • Patient to wear surgical mask • Porter to carry chart or put it in a plastic bag on patients lap • Hand hygiene

  39. Don’t be a risk! • Use PPE appropriately • Protect yourself • Protect others • Don’t forget to perform hand hygiene!

More Related