Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
National Needlestick njuries Conference 2006 “Pointing Out the Future for Irish Healthcare workers” Infection Prevention & Control Siobhan Prout, BSAP 1 Education & Training Tradition & Ritual Modern Approach Strategic Management Siobhan Prout, BSAP 2 The Prevention of Transmission of Blood-Borne Diseases in the Health-Care Setting “The most effective way of preventing transmission of blood borne pathogens in the health-care setting is to make the working environment as safe as possible” Good infection prevention & control practices Implementation of standard precautions Provision of effective risk management policies Siobhan Prout, BSAP 3 Infection prevention & control practices Health care workers require knowledge on Source of micro-organisms Susceptibility of the Host Transmission methods of micro-organisms Siobhan Prout, BSAP 4 Source • Patients- acute disease, incubation period, colonised but asymptomatic or chronic carriers. • Endogenous flora • Health care personnel • Environment, • Equipment, medications. • Visitors Siobhan Prout, BSAP 5 Host Factors effecting : • age • underlying disease • medications e.g. antibiotics, steroids • irradiation • skin integrity • indwelling devices Siobhan Prout, BSAP 6 Transmission • Contact • Droplet • Airborne • Common vehicle transmission • Vectorborne Siobhan Prout, BSAP 7 Implementation of standard precautions • Apply to all patients receiving care, regardless of their diagnosis or presumed infection status • Apply to; • Designed to reduce the risk of transmission of blood-borne and other pathogens from recognised and unrecognised sources – blood – all body fluids ( except sweat) – non-intact skin – mucous membranes Siobhan Prout, BSAP 8 Implementation of standard precautions Guidelines; Hand hygiene • Promote hand hygiene as a key component of infection prevention & control in the hospital & community setting • Addresses the resources issues – Facilities location & design – Products available – Education, promotion of hand hygiene and audit of practice Siobhan Prout, BSAP 9 Implementation of standard precautions Personal protective equipment • Appropriate use of gloves • Cover cuts and abrasions • Use of visor or goggles/safety spectacles • Waterproof/repellent masks • Plastic aprons/gowns • Appropriate footwear Siobhan Prout, BSAP 10 Implementation of standard precautions • Use safety devices “an increased emphasis on precautionary measures to protect the health and safety of health-care workers….these measures should be taken with all patients in all health-care facilities at all times by all staff in both the public and private healthcare sectors” M. Harney, Tánaiste & Minister for Health & Children Siobhan Prout, BSAP 11 Implementation of standard precautions Safety devices & technology; Phlebotomy Siobhan Prout, BSAP 12 Implementation of standard precautions Safety devices & technology; Cannulation Siobhan Prout, BSAP 13 Implementation of standard precautions Safety devices & technology; Subcutaneous infusions Siobhan Prout, BSAP 14 Implementation of standard precautions • Single use items disposed after use 2 • Safe use of sharps disposal units • Prevention of surface contamination by blood and body fluids • Appropriate decontamination of spillages • Routine and terminal cleaning equipment & environment • Patient linen storage and laundry segregation • Patient placement and transportation Siobhan Prout, BSAP 15 Effective risk management policies Risk management focuses on • Active compliance of the healthcare worker with Infection Prevention & Control measures • Analysis of the working environment, conditions and practices that may contribute to the risk of transmission of BBV Siobhan Prout, BSAP 16 Effective risk management policies Efforts to prevent inoculation injury are focused on three main areas • Altered behavior & improved safety culture through ongoing education/training • Utilisation of engineering controls • Disease prevention through uptake of available vaccination and medical prophylaxis Siobhan Prout, BSAP 17 Professional issues • “Health care should be delivered with compassion and dignity in compliance with best practice in relation to safety and standards of care” • Acceptance of responsibility and understanding of accountability for own practice • Knowledge updated by on-going education • Documentation • Evaluation of own practice through audit process. Siobhan Prout, BSAP 18 Reason’s model on accident causation • Active errors : those having an immediate effect • Latent errors : conditions that lie dormant until activated by active errors. Siobhan Prout, BSAP 19 Reason’s model on accident causation Organisational Local management Unsafe acts Siobhan Prout, BSAP Safeguards 20 Reason’s Model on Accident Causation Danger Organisational problems Local Management Unsafe Acts Safeguards Injury Siobhan Prout, BSAP 21