Welcome to the Cooper Infection Prevention Team

Welcome to the Cooper Infection Prevention Team

We Need YOU on the Team

Healthcare Associated Infections Increase Morbidity & Mortality (Pain, Suffering and Death) CDC estimates that each year about 2 million patients admitted to acute care hospitals in the U.S. acquire an infection that was not related to the reason for hospitalization These infections result in about 99,000 deaths (one death every 6 minutes!!)

How do we protect our patients?? Not all healthcare associated infections are preventable but there are evidence based practice strategies that will reduce the incidence of CAUTI CLABSI VAP Surgical Site Infections

PATHOGENS ARE MOST OFTEN PASSED FROM PATIENT TO PATIENT ON THE HANDS OF HEALTHCARE WORKERS.

Hand Hygiene is the most important means of preventing and/or controlling infections

What Effects Compliance with Hand Hygiene Recommendations? Personal perception of risk to self Most motivating Personal beliefs about efficacy Role model of superior Expectation of superior Perception of risk to the patient Sadly, this is the least motivating

HAND HYGIENE IN!! HAND HYGIENE OUT!!

Surfaces Contaminated with the Patient s Organisms

5 Moments for Hand Hygiene

Remember to perform hand hygiene Between caring for patients in the same room

GEL OR WASH AFTER REMOVING YOUR GLOVES!! 12% OF THE TIME WHATEVER WAS ON THE OUTSIDE OF YOUR GLOVES BEFORE REMOVAL IS ON YOUR HANDS AFTER REMOVAL (and don t wear gloves in the hallway )

But I only touched the chart & the computer

Use Safe Work Practices to keep yourself safe and limit the spread of contamination Keep hands away from face Perform hand hygiene Limit surfaces touched Change gloves when torn or heavily contaminated

CAUTI Assess the need for a foley EVERY DAY Foley Bags off the floor! Foley Bags below the bladder Tubing secured to the leg-no tension or tugging! Good perineal care

CLABSI Assess the need for a central line EVERY DAY Check site every shift Change dressing if loose or soiled Avoid the antecubital site for peripheral IV s and the femoral site for central lines Scrub the hub before every access for 15-30 seconds and allow to dry Change peripherals every 96 hours Change any line put in under adverse conditions within 24 hours

VAP Head of bed 30⁰ Oral care every 4 hours Sedation Vacation

Surgical Site Infections Pre-Op Antibiotics Appropriate Hair Removal-No Shaving! Glucose and Temperature Control

Initiating Precautions Any professional nurse or physician may initiate Precautions If initiated by a nurse, an order is to be obtained that day or the next day Required for known or suspected diseases/organisms Provide education and document in EPIC Use the patient education modules in the IP Information Box or the intranet

Use Yellow Charts for Precautions Always put a copy of the actual Precautions sign on the inside front of the chart Clean charts between patients

Contact Precautions Private room or cohort Gloves when entering room Gowns when entering room C difficile, MDRO s RSV, viral respiratory infections in infants & toddlers, localized zoster

For Patients with Infective Diarrhea C. Difficile diarrhea Norovirus common cause of food poisoning ALWAYS USE SOAP AND WATER!!

BEFORE ENTERING AND UPON LEAVING THIS ROOM WASH YOUR HANDS WITH SOAP & WATER ONLY

Airborne Precautions (Small Droplet Aerosol) Prevent transmission by small droplet nuclei Negative pressure room N 95 mask TB, measles, smallpox

Droplet Precautions (Large Droplet Aerosol) Private room or cohort with same Standard surgical mask H.influenzae, including epiglottitis, influenza, mumps, meningococcal infections, pertussis, rubella

Seasonal Influenza Private room or cohorted Surgical mask to enter Gown and gloves if risk of contact with secretions N95 mask and eye protection for aerosol generating procedures Discontinue 7 days after the onset of symptoms Encourage resp. etiquette

Airborne & Contact Varicella, disseminated zoster, or zoster involving the nose or throat Negative pressure room Susceptible restriction

Safe Injection Practices ONE NEEDLE ONE SYRINGE ONLY ONE TIME

VANISH POINT SYRINGE

SAFETY DEPLOYED

Butterfly

BUTTERFLY

DEPLOYED

INSULIN SYRINGE

DEPLOYED

SAFETY SYRINGE

DEPLOYED

Educate Your Patient! The IP Information Box has materials on many topics in both English and Spanish! Preventing line infections Preventing surgical site infections Isolation Precautions..and more Vaccine Information Sheets (VIS) are in the IP Information Box and med rooms. Make sure your patient receives one when getting the influenza or pneumococcal vaccine.

You Are Leaders -You Can Enforce/reinforce Standard Precautions Teach patients/families Remind physicians & others who come onto your floor to follow proper techniques Set an example for others

Hey, I Need More Information Now! On the intranet homepage select: Departments or Nursing Then select Infection Prevention

I Still Have a Question Infection Prevention is Available to you 24/7 After Hours, Call the Page Operator

Do You Have a Concern or Suggestion? We would love to hear what you have to say

Thanks for Joining the Team!