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
Trichinosis wikipedia , lookup
Sexually transmitted infection wikipedia , lookup
Middle East respiratory syndrome wikipedia , lookup
Schistosomiasis wikipedia , lookup
Carbapenem-resistant enterobacteriaceae wikipedia , lookup
Coccidioidomycosis wikipedia , lookup
Hepatitis C wikipedia , lookup
Neonatal infection wikipedia , lookup
Marburg virus disease wikipedia , lookup
Human cytomegalovirus wikipedia , lookup
Hepatitis B wikipedia , lookup
PLEASE NOTE: This on-line, read-only version of this Policy & Procedure is the OFFICIAL copy. May 8, 2017 9:26 PM PACU Infection Control Guidelines Page 1 of 4 NEW ENGLAND BAPTIST HOSPITAL INFECTION CONTROL POLICY GUIDELINES Section VIII # Page 1of 4 P Subject: Post Anesthesia Care Unit Infection Control Policy and Procedure Effective Date: October 4,2004 Approved By: Infection Control Committee Author: Pauline Robitaille, RN, MSN, CNOR Supersedes: 12/01 PURPOSE To protect the Postoperative patient from cross contamination from other patients, hospital personnel and equipment. To protect the health care worker from the risk of contacting infections, such as, Hepatitis and AIDS, or other viruses that are present in blood and other body fluids. RESPONSIBILITY: All Post Anesthesia Care Unit Staff I. PERSONNEL ISSUES: A. Dress code for the PACU consists of scrubs that have been laundered by the hospital laundry facility. B. Personnel are to follow Standard precautions with all patients. C. Personnel must follow the Hospital Employee Health / Occupational Health guidelines regarding their work status following infectious exposures or absences due to illness. Refer to the Employee Health Guidelines in the Infection Control Manual. a. Category 1 Employees must receive a Hepatitis B vaccine or sign a declination form. D. All personnel will follow these guidelines to prevent the transmission of infection to patients, employees and visitors. E. PACU personnel will be fit tested for a TB mask prior to caring for patients with known or suspected disease. (Refer to the TB Exposure Control Plan located in the Safety Manual). PLEASE NOTE: This on-line, read-only version of this Policy & Procedure is the OFFICIAL copy. May 8, 2017 9:26 PM PACU Infection Control Guidelines Page 2 of 4 F. Employee Health 1) Personnel with patient contact who have an infectious process that is in the contagious state are not allowed to work until the stage has passed. This includes but is not limited to acute febrile respiratory infections, boils, draining wounds, rash, diarrhea, and conjunctivitis a) In the event that a decision has to be made to exclude an employee from work when there is a contagious disease the Surgical Services Management or Employee Health shall have this authority. 2) Follow-up of Inadvertent Exposure: b) All inadvertent exposures to blood or body fluids must be reported immediately to the Surgical Services Management , or designee. Inadvertent exposure includes percutaneous needle sticks, puncture injuries, bites, mucous membrane contamination, and contamination of non-intact skin. a) After exposure report to Employee Health or Immediate Care immediately (or as soon as possible) for evaluation and management. G. All personnel will follow these guidelines to prevent the transmission of infection to patients, employees and visitors. H. Personal protective equipment will be used when contact with blood or body fluid is anticipated I. Handwashing is generally considered the single most important procedure for the preventing the transmission of infection. ALL PERSONNEL WILL WASH THEIR HANDS: 1. Before and after direct contact with patients or patient care items. 2. Before eating and drinking. 3. After using the toilet or covering a sneeze or cough. 4. After removing gloves. 5. After contact with contaminated equipment or materials. 6. When visibly soiled. PLEASE NOTE: This on-line, read-only version of this Policy & Procedure is the OFFICIAL copy. May 8, 2017 9:26 PM PACU Infection Control Guidelines Page 3 of 4 J. Standard Precautions The concept of Standard precautions is based on the understanding that medical history and examination cannot reliably identify all patients with bloodborne pathogens such as HIV and Hepatitis. Therefore, it is essential that all blood and body fluid be considered as potentially infectious. When contact with blood or body fluid is anticipated, barrier precautions must be used. Personal Protective Equipment Include: 1. Gloves - Used when you anticipate direct contact with blood, body fluid, mucous membrane or non-intact skin. 2. Gowns - Used when soiling or splashing of clothing is likely to occur. 3. Mask and goggles, or face shield - Used when eyes or mucous membrane, (nose, mouth), may be splashed with blood or body fluid. 4. PACU personnel will be fit tested for a TB mask (N95) prior to caring for patients with known or suspected disease that requires airborne precautions. Refer to the TB Exposure Control Plan (located in the Safety Manual). Patients with known or suspected disease will not be admitted to the PACU, these patients will be admitted directly to the ICU(negative pressure room). 5. Each patient unit contains gloves, face and eye protection. A sharps disposal container and waste disposal bags are at each patient unit to dispose of contaminated material. 6. Calstat is at each patient unit. K. Needles, sharps or contaminated broken glass are to be disposed of in puncture resistant sharps containers. Use caution when handling or cleaning an area where sharps are present. Do not recap, bend, or break needles by hand. L. Education 1. Inservice education is attended by all staff on an annual basis, additional inservicing or continuing education is provided on the unit as necessary. Ongoing inservice education is conducted based on needs identified by the staff and Department Manager. 2. Inservice education provides information on any changes of policy and procedures as they relate to infection control and PACU clinical practice. This information is reviewed with the PACU staff by the Infection Control Coordinator, Perioperative Clinical Educator or Department Manager. 3. Initial orientation is mandatory for all new employees. PLEASE NOTE: This on-line, read-only version of this Policy & Procedure is the OFFICIAL copy. May 8, 2017 9:26 PM PACU Infection Control Guidelines Page 4 of 4 II. WORKPLACE / ENVIRONMENTAL CONDITIONS: A. Infectious Waste: 1. Medical infectious waste will be disposed of in red biohazard bags. Refer to NEBH Infection Control Manual and the Infectious Waste Disposal Policy for more information and the definition of medical infectious waste. 2. Sharp receptacles are located at several sites throughout the unit. 3. Gloves and facesheilds are located at each cubicle. 4. Biohazard waste trash container is located in the dirty utility room. 5. Masks and faceshields are available on the code cart. B. The PACU Attendant is responsible for cleaning the following items with a hospital approved disinfectant: 1. 2. 3. 4. 5. Horizontal surfaces. Stretchers and beds as needed. The Clean and Dirty utility rooms. Blood pressure cuffs (if soiled and unable to clean, they should be replaced) The medication preparation area (daily). C. The Housekeeping Department staff are responsible for environmental cleaning (i.e., curtains, poles, vents). D. Traffic Control: 1. Visitors may be allowed in the PACU with approval of the Primary Nurse. 2. Parents, clergy, and family members of critically ill patients will be allowed as appropriate. III. PATIENT ISSUES: A. Admission of patients to the PACU: 1. Dressings should be dry and intact. 2. Drainage tubes (Foley catheter, drain tubes, etc.) are left connected to the drainage system used. 3. Ends of wound catheters which have been connected to continuous wall suction, are wrapped in dry sterile dressing. 4. Stretcher linen is left in the dirty linen hamper on the patient unit prior to bringing the stretcher back to the PACU. PLEASE NOTE: This on-line, read-only version of this Policy & Procedure is the OFFICIAL copy. May 8, 2017 9:26 PM PACU Infection Control Guidelines Page 5 of 4 5. Patients with isolation needs must be identified and this information communicated to the PACU staff prior to the patient’s admission into the PACU. Postoperative orders for isolation must be written on the Physician’s order sheet. Patients will be assigned to the appropriate isolation rooms as follows: # 17 and/or #16. IV. OPERATIONAL PROCEDURES: The policies and procedures in the Nursing Department Procedure Manual and Infection Control Manual are applicable in the PACU. A. All disposable equipment is for single patient use. B. The bronchoscope is rinsed by PACU nursing personnel after each use and returned to the Operating Room for sterilization or high level disinfection. C. Ventilators are cleaned by the Respiratory Therapy Department personnel (Refer to Mechanical Ventilation Policy in Respiratory Therapy Policies and Procedures). D. Respirometers are sent to the Central Sterile Supply Department after each patient use for cleaning and sterilization. E. Laryngoscope blades are returned to the Anesthesia Department for processing after each use (Refer to Anesthesia Department Policies and Procedures). F. Pulse oximetry sensors are cleaned after each patient use (refer to the Pulse Oximetry Policy and Procedure located in the Department of Nursing Policy and Procedure book). References: 1. Federal Register, Vol. 56, No. 235, 29 CFR Part 1910.1030, Occupational Exposure to Bloodborne Pathogens, Final Rule, pp. 64175-82, December 1991. 2. Federal Register, Vol. 62, No. 201, Occupational Exposure to Tuberculosis; Proposed Rule, pp. 54160-54307, October 17, 1997. 3. New England Baptist Hospital Infection Control Manual. 4. New England Baptist Hospital Safety Manual. Reviewed: 7/82, 8/83, 6/84, 5/85, 6/86, 2/87, 9/88, 6/89, 10/93, 10/04 Revised: 6/81, 5/83, 3/87, 9/88, 3/90, 11/91, 11/93, 10/95, 11/97, 11/98, 12/99, 12/01,10/04 Approved by the Infection Control Committee: 11/91, 11/93, 11/16/95, 11/20/97, 12/15/99, 12/19/01 Approved by the Operating Room Committee: 2/6/96 Approved by the Medical Executive Committee: 1/22/96