Safe Care Is in YOUR HANDS

Safe Care Is in YOUR HANDS

1 in25 patients has a Healthcare-Associated Infection Would you like to be part of prevention? It s EASY and we can start TODAY!

STOP the spread of germs! Hand Hygiene Before entering and when exiting a patient s care area Waterless Hand Sanitizer or Soap/Water Clinical Staff Immediately before touching any line/device/wound dressing Preparing medications Immediately after glove removal After contact with blood, body fluids or wounds If moving from a contaminated-body site to a clean-body site Immediately prior to touching or accessing any equipment or supplies that should be maintained as Clean Stocked patient care equipment, keyboards, doors

Hand Hygiene (ADMIN-IC-2) Fingernails Artificial products are not allowed for anyone who has contact with patients, patient supplies, or in any patient care areas Gels, Shellacs, acrylics, nail jewelry, glitter, wraps, jamberry Restrictions Anything that interferes with hand hygiene must be evaluated by Occupation Health Injury/surgery Brace/cast Skin issues? Please report to OH, they can troubleshoot with you

When to wash with SOAP and WATER After contact with a patient or their environment with a diarrheal illness After changing a diaper or helping any patient in the bathroom/commode After using the bathroom yourself Before preparing food Before eating Before prepping medications Before oral care

Potential to spread rapidly, from infected people both symptomatic and asymptomatic Environmental contamination Equipment contamination including mobile devices People on antibiotics are 7-10 times more likely to get C. diff while on the drugs and in the month after Elderly, recent healthcare encounter including nursinghomes and outpatient clinics, proton pump inhibitors

Standard Precautions if it s wet and it s not yours don t touch it! Treat all blood and body fluids the same regardless of suspected or confirmed infection status of the patient Personal Protective Equipment - A variety of barriers used to protect eyes, airway, skin and clothing from spray, splatter, pathogens Gloves, gown, face shield/goggles Anticipate risk based on the task and CHOOSE PPE PRIOR to beginning

In addition to Standard Precautions we sometimes also use Transmission-Based Precautions Contact transmission is by direct or indirect contact with the patient or environment - Drug Resistant Organisms, Scabies Droplet spread through close respiratory or mucous membrane contact with secretions - Influenza, Pertussis Airborne agents remain infectious over long distances when suspended in air - Tuberculosis, Chickenpox CRMC uses Enteric Pathogen Precautions for patients with GI symptoms C. diff, norovirus, any infectious colitis

Drug Resistant Organisms MRSA, VRE, ESBL Treatment requires stronger, more toxic, more $ and/or multiple antibiotics Virulence factors, toxins, higher mortality than less resistant bacteria Patients who BOTH currently have an infection and have a history of infection are placed on Contact Precautions Why? Colonized in/on the body but on causing any symptoms of disease Both the patient and their environment are possible a reservoir for transmission to other patients Transmission = HANDS of HEALTHCARE WORKERS

The CDC recommends the use on Contact Precautions for patients infected or colonized with MDROs. Please order CONTACT PRECAUTIONS, on admission

Respiratory Hygiene and Cough Etiquette Part of Standard Precautions When someone is coughing/sneezing ask yourself: Do I want what they have, do I want the baby in the waiting room to get what they have? Prompt control at the first point of encounter with any CRMC facility Staff should identify persons with a potential respiratory infection and provide masks Applies to all staff, patients and visitors to help prevent the spread of undiagnosed transmissible respiratory infections

PETS ANIMALS in the FACILITY No pets: outpatients, staff, visitors Inpatients may request a dog visitation Davis Hospice Center has their own policy Therapy Dog Visits CRMC volunteers Service Animals Defined by the ADA as dogs that are individually trained to do work or perform tasks for people with disabilities Dogs are not required to be officially identified The dog must be under control and housebroken Stewardship of the dog is the responsibility of the handler Food, Water, Toileting, Clean up

Embrace your inner GERM-A-PHOBE 2 Minute Wet Contact Time Patient Care Equipment MUST be wiped down after each use *stethoscopes *wheelchairs *scissors *portable equipment Anything coming out of a patient room or care area must be disinfected High Touch Surfaces should be wiped down frequently throughout your shift *doors/door knobs *call lights *bed rails *phones *hand rails 4 Minute Wet Contact Time

Red Bag or Regulated waste OSHA Blood borne Pathogens standard uses the term, "regulated waste," to refer to the following categories of waste: (1) liquid or semi-liquid blood or OPIM; (2) items contaminated with blood or OPIM and which would release these substances in a liquid or semiliquid state if compressed; (3) items that are caked with dried blood or OPIM and are capable of releasing these materials during handling; (4) contaminated sharps; and (5) pathological and microbiological wastes containing blood or OPIM. * PPE trash * Paper off of the clinic table * Chucks absorbent pads * Linen

Your patient is on Contact Precautions. The patient s family visits everyday and refuses to wear appropriate PPE. What is your next step? 1. If staff or visitors are not going to touch the patient you don t have to wear PPE 2. You agree, they live at home with them and probably have the same thing 3. Tell the family to leave and not return until they are compliant with hospital policies and procedures 4. Educate family on importance of Transmission-Based Precautions, including the safety of other staff and patients 0% 0% 0% 0% 1 2 3 4

You are caring for a patient with Hepatitis and HIV. Which of the following is correct? 1. Place patient on Contact Precautions 2. Dispose of all items in red bag trash 3. Linen that becomes soiled with blood or body fluids should be thrown away 4. Follow Standard Precautions 0% 0% 0% 0% 1 2 3 4

You are caring for a patient on Enteric Pathogen Precautions. Which method of hand hygiene is most appropriate? 1. Soap and Water 2. Alcohol-based Product 3. I protected my hands by wearing gloves, either is fine 0% 0% 0% 1 2 3

A patient arrives with acute respiratory symptoms. The receptionist quotes He is coughing up a lung! What should be her next step? 1. Go ahead and transport patient to the floor 2. Don t address symptoms at all, you might offend the patient 3. Ask the patient to wear a mask to protect others 4. The patient is a small child and won t keep a mask on, place in a private room ASAP 5. 3 and 4 0% 0% 0% 0% 0% 1 2 3 4 5

What is the most appropriate product to use for routine cleaning of patient care items or surfaces? 1. Call Environmental Services you don t have to clean AND take care of the patient 2. The Purple-top PDI wipe that should be stocked in every patient room and care area 3. The Orange-top PDI wipe because the patient is on precautions 4. The Lysol you brought from home, that seems easier and the commercial says it works 5. 2 and 3 0% 0% 0% 0% 0% 1 2 3 4 5

Infection Prevention: For the lives you TOUCH Erica 633-6850 Patty 633-7788 Infection Prevention: For the Lives you Touch Erica 633-6850