Infection Control Infection Control Nurse Orientation Infection Control Nurse Orientation Chain of Infection What is Infection Control

Infection Control Infection Control Nurse Orientation Infection Control Nurse Orientation Chain of Infection What is Infection Control www.phwiki.com

Infection Control Infection Control Nurse Orientation Infection Control Nurse Orientation Chain of Infection What is Infection Control

King, Jayme, Meteorologist has reference to this Academic Journal, PHwiki organized this Journal Infection Control GBMC Agency Nurse Orientation Infection Control Nurse Orientation Objectives: Describe the role of isolation in preventing the spread of certain infections Describe each type of isolation with examples of diseases Underst in addition to significance of correct sequence of donning in addition to removing PPE. Infection Control Nurse Orientation Objectives: Underst in addition to the significance of antibiotic resistant organisms seen in hospitals Underst in addition to how surveillance as long as hospital acquired (nosocomial) infections is per as long as med in addition to the significance of surveillance data

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Chain of Infection Pathogen Reservoir Portal of Exit Mode of Transmission Portal of Entry Susceptible Host Why Isolation because transmission is easier to control than the source / host! What is Infection Control Identifying in addition to reducing the risk of infections developing or spreading Nosocomial Infections Develops when a patient is staying at a healthcare facility AND was not present when the patient was admitted to the facility At least 5% of patients hospitalized each year in the United States develop nosocomial infections. Many are preventable

St in addition to ard Precautions Guidelines as long as preventing exposure to blood, body fluids, secretions, excretions (except sweat), broken skin, or mucous membranes Based on the concept that body fluids from ANY patient can be infectious Should be used on every patient Use necessary PPE as long as protection CDC guidelines requires us to use category-specific isolation (ex – TB isolation) in addtion to St in addition to ard Precautions when a patient is known or suspected to have an infection Antibiotic Resistant Microorganisms normal flora gone bad! Problem exists because of overuse in addition to inappropriate use Resistant to multiple antibiotics Reduced options as long as treatment Require isolation precautions Examples: MRSA, VRE, MDR TB Solutions: more appropriate antibiotic use, better infection control in addition to prevention CONTACT ISOLATION used to prevent transmission of microorganisms spread by direct/indirect contact with the source examples: MRSA VRE C. diff contagious skin infections Lice & Scabies

CONTACT ISOLATION BASIC COMPONENTS: gloves fluid impervious gown HANDWASHING HAND WASHING Proper h in addition to washing is the single most important ay to prevent in addition to reduce infections Wash in addition to rinse h in addition to s as long as 15 seconds, using a dry paper towel to turn off faucet Avagard alcohol based h in addition to wash is also available in all patient care areas H in addition to s should be washed: Be as long as e in addition to after patient contact Be as long as e putting on gloves in addition to after taking them off After touching blood in addition to body substances (or contaminated patient-care equipment), broken skin, or mucous membranes (even if you wear gloves) Between different procedures on the same patient

DROPLET ISOLATION used to prevent transmission of microorganisms spread by large, moist droplets inhaled by or l in addition to ing on the mucous membranes of the susceptible host examples: Influenza Neisseria meningitidis some pneumonias vaccine preventable diseases: rubella, mumps, pertussis DROPLET ISOLATION BASIC COMPONENTS surgical mask within 3 foot zone HANDWASHING

AIRBORNE ISOLATION used to prevent transmission of microorganisms spread on very small particles that drift on air currents (droplet nuclei, dust) examples: pulmonary Tuberculosis varicella measles Shingles vs. Chicken Pox Both are caused by the varicella virus Shingles remain along nerve roots in addition to appear on a single dermatome Shingles involving multiple dermatomes or an immunocompromised patient (WBC <4.0) consider this to be systemic in addition to isolate just like chicken pox (airborne) AIRBORNE ISOLATION BASIC COMPONENTS: negative air pressure isolation room door remains closed fit-tested N95 respirator Call Engineering (ext. 2060) with room to check negative pressure. yes HANDWASHING! Surveillance Activities Operative Procedures Critical Care Units (MICU, SICU, NICU) Targeted Surveillance Outbreak Investigation Benchmarking Hospital Acquired Infections CDC’s Hospital Infections Program Submit monthly data on ICU infections Benchmarking with similar hospitals Networking opportunities Annual reports Surveillance Data USES Improve patient outcomes by modifying patient care practices reducing length of stay Identify education needs Evaluate new products Identify new opportunities as long as improvement You can help by reporting suspected HAI on the infoweb! Latex Allergy Latex can cause allergies in some healthcare workers in addition to patients All of our non-sterile gloves are latex free If you have any type of skin or other reaction to wearing latex gloves, tell the Charge Nurse Key Points About PPE Don be as long as e contact with the patient, generally be as long as e entering the room Use carefully – don’t spread contamination Remove in addition to discard carefully, either at the doorway or immediately outside patient room; remove respirator outside room Immediately per as long as m h in addition to hygiene King, Jayme Fox 10 News at 5 PM Weekend - KSAZ-TV Meteorologist www.phwiki.com

Sequence as long as Donning PPE Gown first Mask or respirator Goggles or face shield Gloves How to Safely Use PPE Keep gloved h in addition to s away from face Avoid touching or adjusting other PPE Remove gloves if they become torn; per as long as m h in addition to hygiene be as long as e donning new gloves Limit surfaces in addition to items touched “Contaminated” in addition to “Clean” Areas of PPE Contaminated – outside front Areas of PPE that have or are likely to have been in contact with body sites, materials, or environmental surfaces where the infectious organism may reside Clean – inside, outside back, ties on head in addition to back Areas of PPE that are not likely to have been in contact with the infectious organism

Sequence as long as Removing PPE Gloves Face shield or goggles Gown Mask or respirator Where to Remove PPE At doorway, be as long as e leaving patient room or in anteroom Remove respirator outside room, after door has been closed Ensure that h in addition to hygiene facilities are available at the point needed, e.g., sink or alcohol-based h in addition to rub Removing Isolation Gown Unfasten ties Peel gown away from neck in addition to shoulder Turn contaminated outside toward the inside Fold or roll into a bundle Discard

Need Infection Control Office – 5th floor. InfoWeb: – Contact Us – How to Enter Isolation into Meditech – Frequently Asked – Policies & Procedures – And so much more! InfoWeb . Finished! Please complete the Infection Control post-test in addition to print out the certificate of completion as long as your agency

King, Jayme Meteorologist

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