Infection prevention & control 2016
Acknowledgment This webinar has been developed by Eastern Melbourne PHN on behalf of the Victorian PHN Alliance, which is the collective platform for the six PHNs in Victoria. Eastern Melbourne PHN does not take responsibility arising from the use of, or reliance on, this webinar by a third party. Any such use or reliance is the sole responsibility of that party. This webinar does not constitute medical advice. If you require medical advice, please consult an appropriate medical professional.
Objectives Explain the principles of infection control and chain of infection Define standard and transmission-based precautions and their use in general practice Recognise the importance of the use of personal protective equipment in prevention of transmission of infection Describe the role of hand hygiene, cleaning of the environment, sharps and spills management and staff immunisation in an infection prevention and control program.
Content What is infection control? What s in the new Standards? Infection prevention and control principles Protecting the health of staff and managing the practice physical environment Staff immunisation Safe sharps management Managing blood and body fluid exposure and spills Cleaning policy for the practice Care and use of linen Waste management Disease surveillance & outbreak management
What is infection control and what s new? New wording Focus on risk analysis Designated person Staff need to be educated and competent Disease surveillance Safe working environment
Infection prevention and control principles Practice team PPE Infection control principles How microorganisms grow and mode of transmission Precautions Hand hygiene
Principle 1: Infection prevention and control and the practice team All practice members are involved in the practice s program Designated person Risk assessment Education and training Protecting the practice team and patients from infection
Principle 2: How microorganisms are acquired and grow
Modes of transmission Contact- direct or indirect Droplet Airborne Vehicle Vector
Principle 3: Hand hygiene
Principle 4: Precautions Standard precautions Transmission based precautions Contact Droplet Airborne
Principle 5: Personal Protective Equipment (PPE)
Infection control policies and procedures in your practice Staff immunisation Safe sharps management Managing blood and body fluid exposure and spills Cleaning policy for the practice Use and care of linen Waste management Disease surveillance
Staff immunisation What vaccines staff should be offered? Immunisation history of staff members Encouraging patients to be immunised
Safe sharps management What is a sharp? Correct storage of sharps Who is responsible for sharps disposal?
Managing blood and body fluid exposure Written policies and procedures Documentation How to prevent exposure How to report exposure Immediate treatment
Managing blood and body fluid spills Staff must receive regular training and education Protocol should be available and included in spills kit
Managing blood and body fluid spills Contents of spills kit Laminated guide with list of contents and protocol Non-sterile utility gloves Disposable aprons Absorbent paper towel Detergent to clean or detergent wipes (+/- Disinfectant) Cardboard scrapers Plastic waste bags for clinical and general waste Goggles or face shield Masks Kitty litter or some sort of absorbent material A hazard sign to quarantine area
Cleaning policy for the practice Cleaning policy should included scheduled and unscheduled cleaning Methods and agents used for cleaning Requirements for storage of chemicals Equipment used for cleaning Carpet cleaning Use of Glen 20
Care and use of linen When does linen need to be changed? Consider WHS when dealing with linen Storage of linen Care of contaminated linen
Waste management Practice needs a person responsible for waste management EPA Regulations 2009 Storage of infectious waste Collection of infectious waste Pharmaceutical waste- RUM Program www.returnmed.com.au/
Disease surveillance Education of staff Chief Health Officer Alerts Procedure for reporting notifiable disease Contact tracing Infection prevention and control kit Signage for patients Business Continuity Plan Importance of triage in disease outbreaks New RACGP resource
Summary A whole team approach is required for a infection prevention and control program to be effective Importance of the use Standard Precautions There is a requirement for a practice to develop and review policies and procedures Education and competency of all staff is essential
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