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Standard 15 – Infection Prevention and Control It is not always possible to identify people who may spread infections to others, or people most vulnerable to acquiring infection, hence the need for a set of standard principles that include best practice recommendations to ensure that patients, staff and others are protected from infection and these standard principles should be used with all patients at all times. The blood, body fluids, secretions and excretions of patients in any health care setting may contain either a blood borne virus or other pathogens. It is not always easy to determine the risk posed by individual patients until the results of microbiological and viral investigation are known. Therefore all patients are considered to pose a risk for cross infection and standard precautions must be adopted by all healthcare workers who have direct patient contact and exposure to blood or body fluids, unfixed tissues or organs. The reason for standard infection control precautions is to reduce opportunities for transmission of micro-organisms and protect the healthcare worker and others. Due to the procedures that they undertake, health-care staff may be at greater risk of exposure to blood/body fluid. Some professional bodies have produced their own guidance, for example laboratory staff. Document1 Document1 15.1a there are many ways infection can get into the body, can you list 5 ways? 1 2 3 4 5 Waste – Definitions Clinical Waste This means any waste which consists wholly or partly of human or animal tissue, blood or other body fluids, excretions, drugs or other pharmaceutical products, swabs or dressings, or syringes, needles or other sharp instruments, being waste which unless rendered safe may prove hazardous to any person coming into contact with it. Infectious Waste Infectious Waste is defined as waste that poses a known risk of infection. Even minor infections are included in the definition of infectious. Any implanted medical device that has been in contact with medical fluids should also be classified and treated as infectious waste. Chemical Hazard Healthcare Wastes Many infectious or non-infectious healthcare wastes contaminated with hazardous chemicals will be classified as a clinical waste Medicinal Waste Medicinal waste includes expired, unused, spilt and contaminated pharmaceutical products, drugs, vaccines, and serum (sera) that are no longer required and need to be disposed of appropriately. Sharps Waste Sharps are items that could cause cuts or puncture wounds. They include needles, hypodermic needles, scalpels and other blade, knives, infusion sets, broken glass and nails. Document1 Offensive Waste (Non Hazardous) Waste that has been assessed by a healthcare professional not to possess any hazardous properties or require specialist treatment or disposal, but which may cause offence to those coming into contact with it due to the presence of recognisable healthcare and laboratory waste items or bodily fluids. 15.1c Using the list you have made above, explain how your own health or hygiene might pose a risk to patients. 15.1d List common types of Personal Protective clothing & Equipment (PPE) and procedures – and how and when to use them. Document1 PPE / Clothing How When Procedures How When 15.1e Using the definitions above, explain the principles of safe handling of infected or soiled linen and clinical waste and the correct waste segregation. Type of waste Infected or soiled linen Clinical waste Correct waste segregation Document1 Action to take