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Infection Control Jodie Burr Infection Control Coordinator Womens and Childrens Hospital.

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Presentation on theme: "Infection Control Jodie Burr Infection Control Coordinator Womens and Childrens Hospital."— Presentation transcript:

1 Infection Control Jodie Burr Infection Control Coordinator Womens and Childrens Hospital

2 Infection Control Unit 24 Hour Infection Control Service 24 Hour Infection Control Service During office hours page 18041* During office hours page 18041* After hours ring 9 for Infectious Disease Consultant on call After hours ring 9 for Infectious Disease Consultant on call Infection Control Team Infection Control Team meet weekly, concerns, enquiry's, issues can be discussed meet weekly, concerns, enquiry's, issues can be discussed

3 Primary Role of Infection Control Prevent nosocomial infections Prevent nosocomial infections Reduce mortality, morbidity, and cost Reduce mortality, morbidity, and cost Educate and advise Educate and advise staff staff patients patients their families their families the community the community Surveillance of nosocomial infections Surveillance of nosocomial infections Policy development, implementation and assessment Policy development, implementation and assessment

4 IC Issues specific to Paediatrics Communicable diseases affect a higher % of paediatric patients than adults Communicable diseases affect a higher % of paediatric patients than adults non-immune - acquire - spread non-immune - acquire - spread paediatric personnel are at a greater risk for exposure to communicable diseases - immune status paediatric personnel are at a greater risk for exposure to communicable diseases - immune status May lack the mental / physical ability to adhere to IC principles May lack the mental / physical ability to adhere to IC principles lack of hygiene lack of hygiene unable to understand / comply with IC principles unable to understand / comply with IC principles

5 IC Issues specific to Paediatrics More likely to have contact with contaminated environmental surfaces and objects More likely to have contact with contaminated environmental surfaces and objects Parents and siblings Parents and siblings may have the same infectious agent may have the same infectious agent involved in patient care - education about transmission and IC principles involved in patient care - education about transmission and IC principles

6 Immunization It is important to know your health and immunization history chicken pox chicken pox measles measles flu vaccination flu vaccination pertussis pertussis For vaccinations contact ICGP or Risk Management For vaccinations contact ICGP or Risk Management

7 IC Link Nurses Educate ward/unit staff Educate ward/unit staff Ensure compliance with infection control guidelines Ensure compliance with infection control guidelines Assist with outbreaks or disease exposures Assist with outbreaks or disease exposures Develop patient & staff information brochures Develop patient & staff information brochures Promote infection control initiatives Promote infection control initiatives

8 Standard + Additional Precautions Standard Precautions all patients all times Additional Precautions some patients some times

9 Standard Precautions Work practices necessary to fulfil basic infection control requirements Work practices necessary to fulfil basic infection control requirements For all patients regardless of diagnosis or presumed infectious status For all patients regardless of diagnosis or presumed infectious status

10 Standard Precautions Apply to: Apply to: Blood Blood All body fluids - excretion and secretions (including sweat) All body fluids - excretion and secretions (including sweat) Non-intact skin Non-intact skin Mucus membranes Mucus membranes Regardless of whether there is visible blood or body fluids Regardless of whether there is visible blood or body fluids

11 Hand Hygiene The single most effective method in the prevention of disease transmission The single most effective method in the prevention of disease transmission 80 % hospital acquired infections are thought to be transmitted by hands 80 % hospital acquired infections are thought to be transmitted by hands Healthcare workers think they wash their hands more than what they do Healthcare workers think they wash their hands more than what they do

12 Hand Hygiene Soap and Water Soap and Water mechanical removal of most transient flora and soil mechanical removal of most transient flora and soil minimal microbial kill minimal microbial kill no sustained activity no sustained activity 15 seconds 15 seconds

13 Hand Hygiene Antimicrobial Soaps Antimicrobial Soaps removes soil, removes transient and reduces resident flora removes soil, removes transient and reduces resident flora may have sustained activity may have sustained activity 15 seconds (antiseptic handwash) 15 seconds (antiseptic handwash) 60 seconds (clinical handwash) 60 seconds (clinical handwash) 2 minutes (surgical scrub) 2 minutes (surgical scrub)

14 Hand Hygiene Alcohol Handrubs / Gels Alcohol Handrubs / Gels very rapid kill very rapid kill destroys transient and reduces resident flora destroys transient and reduces resident flora no residual activity (except with antiseptic) no residual activity (except with antiseptic) will not remove or denature soiling will not remove or denature soiling 15 seconds 15 seconds

15 Areas most frequently missed

16 Personal Protective Equipment Eye and/or facial protection (goggles, face shields) Eye and/or facial protection (goggles, face shields) Gloves Gloves Gowns Gowns Masks Masks Assess the likely hood of contamination and prepare accordingly Assess the likely hood of contamination and prepare accordingly

17 Equipment Reprocessing If it comes into contact with: If it comes into contact with: intact skin = clean intact skin = clean mucous membranes = high level disinfection mucous membranes = high level disinfection sterile site = sterilise sterile site = sterilise All items must be cleaned first All items must be cleaned first Single-use items must not be reused Single-use items must not be reused

18 Environmental Controls Cleaning Cleaning detergent and water is adequate detergent and water is adequate ensure patient care areas are cleaned regularly ensure patient care areas are cleaned regularly minimize clutter minimize clutter Linen and Laundry Linen and Laundry no need to mark infectious no need to mark infectious if the skip is wet then place in a plastic bag if the skip is wet then place in a plastic bag

19 Waste General Waste (Green Bin) General Waste (Green Bin) dressings, bandages, nappies, sanitary pads, flowers, kitchen waste, plastic, paper, empty containers of blood, body fluid, IV lines, urinary catheters dressings, bandages, nappies, sanitary pads, flowers, kitchen waste, plastic, paper, empty containers of blood, body fluid, IV lines, urinary catheters Medical Waste (Yellow Bin) Medical Waste (Yellow Bin) ALL sharps, bags or tubing of blood, human tissue, lab specimens and cultures, cytoxic waste (sealed in purple cytoxic container or bag first) ALL sharps, bags or tubing of blood, human tissue, lab specimens and cultures, cytoxic waste (sealed in purple cytoxic container or bag first)

20 Blood and Body Spills Small spills Small spills wipe up with paper towel wipe up with paper towel detergent and water detergent and water Large spills (easy to clean surface) Large spills (easy to clean surface) wipe up with paper towel wipe up with paper towel detergent and water detergent and water Large spills (difficult to clean surfaces) Large spills (difficult to clean surfaces) wipe up with paper towel wipe up with paper towel detergent and water detergent and water wipe over with Milton (R) wipe over with Milton (R)

21 Assessment of Risk Factors Your knowledge or experience with the situation or procedure Your knowledge or experience with the situation or procedure The likely hood of exposure to blood or body fluids at the time The likely hood of exposure to blood or body fluids at the time The patients ability to cooperate through out the procedure The patients ability to cooperate through out the procedure

22 Additional Precautions Are applied in addition to Standard Precautions Are applied in addition to Standard Precautions Apply with: Apply with: highly transmissible organisms highly transmissible organisms epidemiologically significant organisms epidemiologically significant organisms

23 Additional Precautions May include: May include: Single room accommodation (ensuite for some) Single room accommodation (ensuite for some) Special ventilation (negative, positive pressure) Special ventilation (negative, positive pressure) Special room cleaning Special room cleaning Dedicated patient equipment Dedicated patient equipment Rostering of immune staff Rostering of immune staff Extended sterilization (or use of disposable equipment) Extended sterilization (or use of disposable equipment) Cohorting may be considered Cohorting may be considered

24 Bed Management CATEGORY A Very High Risk of Cross Infection or Adverse Outcome Mandatory Negative pressure single room CATEGORY A Very High Risk of Cross Infection or Adverse Outcome Mandatory Negative pressure single room CATEGORY B High Level of Cross Infection Mandatory Single room or cohort same contagious agent CATEGORY B High Level of Cross Infection Mandatory Single room or cohort same contagious agent CATEGORY C Moderate Risk of Cross Infection Single Room in Selected Circumstances CATEGORY C Moderate Risk of Cross Infection Single Room in Selected Circumstances CATEGORY D High Risk to the Newborn Rooming in not allowed CATEGORY D High Risk to the Newborn Rooming in not allowed CATEGORY E Low risk of Cross Infection No segregation required CATEGORY E Low risk of Cross Infection No segregation required

25

26 Respiratory Syncitial Virus Highly contagious and nosocomial infection common Highly contagious and nosocomial infection common Causes upper and lower respiratory infection Causes upper and lower respiratory infection Usually occurs during winter Usually occurs during winter No vaccine at present No vaccine at present Can be reinfected during the same season Can be reinfected during the same season Transmitted by contact or droplet Transmitted by contact or droplet Can survive for several hours in the environment Can survive for several hours in the environment

27 Rotavirus Highly contagious and nosocomial infection is common Highly contagious and nosocomial infection is common Usually a winter disease but pattern changing Usually a winter disease but pattern changing Onset is sudden and lasts for days Onset is sudden and lasts for days Mainly infants and children up to 3 years affected Mainly infants and children up to 3 years affected Transmitted usually through contact Transmitted usually through contact Can survive in environment for several hours Can survive in environment for several hours

28 Gastrogard-R TM Gastrogard-R TM Hospital Acquired Rotavirus diarrhoea prevention program Eligible if: Eligible if: aged between 0 days and 48 months aged between 0 days and 48 months regardless of whether they already have or develop gastroenteritis regardless of whether they already have or develop gastroenteritis Ineligible if: Ineligible if: cows milk protein intolerant (not lactose intolerant) cows milk protein intolerant (not lactose intolerant) if on a protein restricted diet if on a protein restricted diet fasting fasting breast fed breast fed

29 Varicella Zoster Virus Chicken Pox Highly contagious Highly contagious Most cases in children, over 90% of adult population is immune Most cases in children, over 90% of adult population is immune Transmitted by droplet and contact Transmitted by droplet and contact Infectious 2 days prior and days after rash Infectious 2 days prior and days after rash Now a notifiable disease Now a notifiable disease Vaccination now available Vaccination now available

30 Varicella Zoster Virus Chicken Pox

31 BUG WATCH Infection Control Awareness Program for Visitors


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