Infection Prevention & Exposure Control Online Orientation. Kimberly Koerner RN, BSN Associate Health Nurse

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1 Infection Prevention & Exposure Control Online Orientation Kimberly Koerner RN, BSN Associate Health Nurse Created in 2015 Reviewed/Edited Jan 2017

2 Hand Hygiene Adherence to hand hygiene guidelines among healthcare personnel is poor (Center for Innovation in Quality Patient Care, 2012) Hand hygiene remains the most critical intervention for preventing the transmission of infectious materials to our patients

3 Hand hygiene Cleaning hands using soap and water or an alcohol-based hand rub Hand hygiene opportunities include Before touching a patient Before performing a clean or invasive procedure After handling body fluids After touching the patient, environment, or objects involved in the patient s care After removing gloves Please clean your hands when entering the patient s room and leaving.sends a message of commitment to Quality Patient Safety

4 Hand Hygiene Surveillance Hand Hygiene compliance is being observed.

5 As a healthcare worker I do not need to wash my hands or use hand sanitizer prior to entering a patient room because I just washed my hands leaving the previous patient s room. True False

6 Standard Precautions Standard Precautions Treat all patient s blood or body fluids as if they are infectious material

7 PERSONAL PROTECTIVE EQUIPMENT Personal Protective Equipment Specialized clothing or equipment worn by an employee for protection against infectious material.

8 Isolation Precautions Standard Precautions Treat all patient s blood or body fluids as if they are infectious material Contact Precautions - used for diseases transmitted by contact with the patient or the patient s environment Contact Precautions with Mask - used for diseases transmitted by contact with the patient or the patient s environment Droplet Precautions - prevent transmission of disease caused by large respiratory droplets that are generated by coughing, sneezing, or talking Airborne Precautions - prevent transmission of infectious organisms that remain suspended in the air and travel great distances Protective Environment Precautions - a protective environment is recommend for allogenic hematopoietic stem cell transplant recipients to reduce the risk of invasive environmental fungal infections

9 A new patient on the unit requires Physical Therapy and you have some free time so you are going to visit with the patient. There are no precaution signs on the door. To your knowledge there is no infectious processes present. What type of isolation precaution would you adhere to? A. Universal precautions B. Standard precautions

10 Contact Precautions Gown Gloves & Patient Placement single room preferred; however, patients with the same disease or organism may share a room Personal Protective Equipment (PPE) gown and gloves required on room entry Change gown and gloves between patients even if both patients share a room and both are on Contact Precautions Patient Transport The transporter should discard contaminated PPE before transporting the patient. Wear clean PPE for transportation of patient. Inform the receiving department of Isolation Precautions. MRSA, VRE, MDRO (multidrug resistant organisms), C-Difficile, chickenpox, and smallpox, Rota Virus, Hepatitis A, RSV, pediculosis, scabies, shingles, croup Standard Precautions

11 Occupational Exposures Healthcare workers are at risk of being EXPOSED through: NEEDLESTICKS OTHER SHARP INJURIES MUCUS MEMBRANES NON-INTACT SKIN Most common types of Bloodborne Pathogens: human immunodeficiency virus (HIV) hepatitis B virus (HBV) hepatitis C virus (HCV)

12 Health care workers are at risk of being exposed to bloodborne pathogens by which of the following: NEEDLESTICKS OTHER SHARP INJURIES MUCUS MEMBRANES NON-INTACT SKIN All the above

13 Occupational Exposure Site of Exposure: Use soap and water to wash areas exposed to infected fluids as soon as possible. Flush exposed mucous membranes with water. Flush exposed eyes with water or saline solution.

14 What is the first thing you should do after a potential exposure to bloodborne pathogens? Call the phlebotomy office Go to the ER Use soap and water on exposed skin or flush mucus membranes with water Pretend nothing happened

15 Exposures are immediately reported to supervisor and an Exposure Report is filled out by the employee V-Survey Report and Document Work Comp

16 Where would you report an exposure to blood or body fluids? Any icon in V-survey Under Workman s Compensation in V-survey Paper form received from HUC No form needs to be filled out

17 Consent is obtained from the employee and the known source Lab test: HIV hepatitis B hepatitis C If known source is negative: no further testing required If known source is positive: Associate testing treatment if indicated Source unknown: Associate testing treatment if indicated OBTAIN CONSENT

18 Post exposure counseling and follow-up are provided by the Associate Health Nurse. Post Exposure Associate Health Nurse Extension 5638

19 Exposure Control Plan Exposure control plan is located on the Hays Medical Center intranet under policy and procedures