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Transcript
INFECTION PREVENTION
AND CONTROL
In-service Training Guide
INFECTION CONTROL
What is an
infection?
DEFINITION
• Infection
- is the invasion of a host organism's bodily
tissues by disease-causing organisms, their
multiplication, and the reaction of host
tissues to these organisms and the toxins
they produce.
- Infections are caused by microorganisms
such as viruses, prions, bacteria, and
viroids, and larger organisms like
macroparasites and fungi.
HOW DO WE STOP IT?
THE SIX LINK CHAIN OF INFECTION
How a pathogen is transmitted
from one person to another
LINK 1
 Causative agent – pathogen or infectious
microorganism
• Bacteria
• Viruses
• Mold
• Fungi
LINK 2
 Reservoir – Place where pathogen lives
• Lungs
• Blood
• Digestive Tract
• ETC
LINK 3
 Portal of Exit – Any body opening on
infected person
• Nose
• Mouth
• Eyes
• Cut in Skin
• Urethra/Anus
LINK 4
 Mode of Transmission – How the Pathogen
travels from one person to the next
• Air
• Hands
• Other Surfaces
LINK 5
 Portal of Entry – Any body opening on
uninfected person
• Nose
• Mouth
• Eyes
• Cut in Skin
• Urethra/Anus
LINK 6
 Susceptible Host – an uninfected person
STOP THE BUGS
• Cleansing
• Disinfecting
• Sterilizing
 No Sharing
 Bag Hazardous Waste
 Linen Handling
LINEN HANDLING
• Bag at the point of
use
• Minimum agitation
• Do not sort or prerinse in resident
care areas
• Use PPE when
sorting
 No damp linen left
overnight
 Hot water above
160°for 25 minutes
HAND HYGIENE:
When to Wash
• When coming on duty
• Before and after direct resident
contact
• Before and after performing
any invasive procedure
• Before and after entering
isolation precaution settings
• Before and after assisting with
personal care
• Before and after handling
peripheral vascular catheters
and other invasive devices
• Before and after inserting
indwelling catheters
 Before and after changing a
dressing
 Upon and after coming in contact
with a resident’s intact skin
 After blowing or wiping nose
 After handling soiled linen
 After handling soiled equipment or
utensils
 After removing gloves or aprons
 After completing duty
HAND HYGIENE:
Use Soap and Water
•
•
•
•
•
•
When hands are visibly soiled
Before and after eating or handling food
Before and after assisting a resident with meals
After personal use of the toilet
After contact with a resident with infectious diarrhea
After performing your personal hygiene
HAND HYGIENE:
How to wash
• Wet hands first with clean, running warm water
• Apply the amount of product recommended by the
manufacturer to hands
• Rub hands together vigorously for a t least 15 seconds
covering all surfaces of the hands and fingers
• Rinse hands with water
• Dry with disposable paper towel
• Turn off the faucet with disposable paper towel.
STANDARD PRECAUTIONS
Use with everybody
Wear gloves
Handle used
equipment with care
Dispose of needles
properly
Wear face mask & eye
protection when
necessary
TRANSMISSION BASED
PRECAUTIONS
• Airborne
• Contact
• Droplet
Infectious Disease
Prevention Strategies
 Routinely using barriers (such as gloves and/or
goggles) when anticipating contact with blood
or body fluids.
 Immediately washing hands and other skin
surfaces after contact with blood or body fluids.
 Carefully handling and disposing of sharp
instruments during and after use.
Source: CDC: Occupational HIV Transmission and
Prevention Among Health Care Workers
REMEMBER….
IF IT’S WET AND NOT YOURS
DON’T TOUCH IT!!
WASH YOUR HANDS!!
WASH RESIDENTS’ HANDS!!
BAG IT!!
CLEAN IT!!
F441
INFECTION CONTROL
F441
 ESTABLISH A PROGRAM IN WHICH THE FACILITY –
• Investigates, controls, and prevents infections in the
facility
• Decides what procedures, such as isolation, should be
applied to an individual resident; and
• Maintains a record of incidents and corrective actions
related to infections.
INFECTION CONTROL
F441
 PREVENTING SPREAD OF INFECTION –
• When the Infection Control Program determines that a
resident needs isolation to prevent the spread of
infection, the facility must isolate the resident.
• The facility must prohibit employees with a
communicable disease or infected skin lesions from
direct contact with residents or their food, if direct
contact will transmit the disease.
• The facility must require staff to wash their hands after
each direct resident contact for which hand washing is
indicated by accepted professional practice.
INFECTION CONTROL
F441
 LINENS
• Personnel must handle, store, process and
transport linens as to prevent the spread of
infection.
MORE TO KNOW
Remember:
According to the Centers for Disease
Control and Prevention……
“Clean Hands –
Save
Lives”
YOUR TURN…..
Questions?
Comments?
Concerns?
Thank you! For all that you
do to prevent the spread of
infections in our home.
Arkansas Innovative Performance Program (AIPP)
1020 W 4th Street, Suite 430 • Little Rock, AR 72201
877-375-5700 • (Fax) 501-375-5926
[email protected] • aipp.afmc.org  arkansasculturechange.com
nhqualitycampaign.org
THIS MATERIAL WAS PREPARED BY THE ARKANSAS FOUNDATION FOR MEDICAL CARE INC. (AFMC) UNDER CONTRACT WITH THE ARKANSAS DEPARTMENT OF HUMAN SERVICES, DIVISION OF MEDICAL SERVICES. THE CONTENTS PRESENTED DO
NOT NECESSARILY REFLECT ARKANSAS DHS POLICY. THE ARKANSAS DEPARTMENT OF HUMAN SERVICES IS IN COMPLIANCE WITH TITLES VI AND VII OF THE CIVIL RIGHTS ACT.