Presentation on theme: "Infection Control Induction for departmental staff This is a comprehensive presentation. Presenters are encouraged to tailor the content to suit specific."— Presentation transcript:
Infection Control Induction for departmental staff This is a comprehensive presentation. Presenters are encouraged to tailor the content to suit specific needs while covering relevant content.
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Overview Infection control is important in departmental workplaces. There are specific diseases that can spread easily in our workplaces if controls are not in place. To protect your own health as well as the health of those around you, an understanding of infectious diseases, how they are spread and how to control them is fundamental.
Infectious diseases are diseases you can “catch”. Humans are susceptible to a wide range of diseases that can be contracted from: Other people (e.g. measles) Insects (e.g. mosquitoes) Animals = zoonosis (e.g. bats, horses, cattle) The environment (e.g. contaminated water, waste). Infectious Diseases
Departmental Workplaces Infectious diseases spread easily in our workplaces - why? Groups of people, in close contact, for extended periods & on a daily basis e.g. classrooms Culture of attendance (staff/students/others) Even when sick. Possible contact with asymptomatic carriers e.g. contagious before the symptoms show. Non-vaccinated populations Environmental e.g. Returning to workplaces that may have been flooded, contaminated with waste water/surface water.
Hygiene issues e.g. poor cough & sneeze etiquette, hand washing Workplace activities e.g. contact sports / special education / first aid Work duties e.g. cleaning & maintenance, toileting Community engagement e.g. Visitors & volunteers Curriculum e.g. Handling animals, food preparation and food consumption, science activities. Locations e.g. Mosquito borne diseases (Ross River, Dengue, Japanese Encephalitis) Departmental Workplaces continued…
Contact transmission – direct contact with infectious blood or body substances. Droplet transmission – infectious agent in large droplets (respiratory secretions / splash / splatter). Airborne transmission – infectious agent in aerosols and are inhaled. Food-borne transmission – consumption of contaminated food. Water-borne transmission – consumption of contaminated water. Vector-borne transmission – carried by a vector e.g. mosquito bites etc. How are infectious diseases transmitted – modes of transmission
Airborne/Droplet Transmission Large particles (droplets) can carry viruses and bacteria through the air which can then be deposited onto mucous membranes (eye, nose, mouth) of a susceptible person (e.g. via sneezing, coughing, talking). e.g. whooping cough, rubella, mumps, influenza, meningococcal disease. Small particles (aerosols) that are airborne, may also be deposited on mucous membranes or inhaled directly. e.g. tuberculosis, Q fever, legionella, chicken pox, measles.
Contact Transmission - Direct. Direct contact When blood or bodily substances from a person or animal come in direct contact with another person in such a way that it can enter their body. e.g. Infected blood or other bodily fluid enters another person’s system directly, via a wound or via mucous membrane e.g. needle stick injury, diseases passed from mother to foetus, saliva exchange. e.g. Infected blood or other body fluid from an animal, enters another person’s system via a wound or via mucous membranes e.g. bat lyssavirus (scratch/bite), Ross River virus (mosquito).
Indirect Contact when germs from an infected host or other source are passively transmitted to another person e.g. via an inanimate object. Inanimate objects: e.g. surfaces, keyboards, mouse, telephone, iPad, utensils, cups, toothbrushes, razors, soiled linen, taps and sinks etc. Contact Transmission - Indirect
Controlling infectious diseases requires a “multi-faceted” approach considering: Modes of transmission Evolving diseases and germ resistance People’s behaviour, knowledge & beliefs Environment (where we work, learn & play) Changing circumstances & emergencies Individual requirements & group requirements The department therefore requires a tailored Infection Control Program be implemented Controlling Infectious Diseases
Infection Control Program Key elements of and effective Infection Control Program
–Promote infection control as standard practice –Know the risks in your workplace, how diseases are transmitted and how to implement controls. –Have processes and protocols in place –Have appropriate facilities and consumables (allocate funds) –Signage e.g. correct hand washing technique –Provide and take part in training sessions –Maintain records of training –Promote vaccination –Adopt a risk management approach to infection control How to implement infection control
The Queensland Health “Time Out” poster is an excellent quick reference resource. Download this poster for ready reference. documents/cdb/timeout_poster. pdf documents/cdb/timeout_poster. pdf Teachers/school staff and managers should model the recommended exclusion periods when they are unwell. Potential Infectious Diseases in the workplace
If a staff or student/parent advises of an infectious disease…. 1. Maintain confidentiality, but inform the appropriate person at your location (e.g. school admin/workplace manager) 2. Actions for School Admin/ Management a)Determine the nature of the disease? (measles, chickenpox) b)Confirm diagnosis (i.e. was a the disease diagnosed by a doctor?) c)If confirmed by a doctor, seek relevant information from Qld Health. d) When confirmed, the school / workplace may provide information to staff/school community to be aware of symptoms and recommended actions e.g. using a link to a Qld Health Fact Sheet. Protocol for managing infectious diseases
Schools / workplaces do not notify Qld Health, but can call them for advice if needed. If a prescribed contagious condition has been diagnosed the doctor or laboratory will notify Qld Health. Queensland Health will only notify a school in particular circumstances. e.g. a community cluster/outbreak. Protocol for managing infectious diseases continued:
Hand Washing is one of the most important measures in preventing transmission of infection. Hands should be washed using soap, water and then dried: before –handling, preparing or eating food before and after –assisting students with eating/meals –assisting students with toileting –providing first aid or medication –contact with an ill or injured person after –contact with blood or body fluids –(this includes your own e.g. sneezing/coughing) –removal of protective gloves –using the toilet; and –after contact with animals. Preventing the spread of infection
Vaccination Vaccination not mandatory for staff or students of the department. However where a vaccination exists, this is the highest order of protection from the infectious disease. Vaccination boosts the immune system and creates immunity that protects from an infection without causing the suffering of the disease itself. Most vaccines contain a little bit of the disease germ that is weak or dead. Vaccines do NOT contain the type of germ that makes you sick. Getting the vaccine is a much safer way to make antibodies without having to suffer the disease itself.
Occupation Specific Vaccination Recommended Vaccinations for: Persons who work with children Influenza MMR (measles, mumps, rubella) Pertussis (whooping cough) Varicella (chicken pox) Staff working in early childhood education and care All of the above plus hepatitis A. Source: Australian Immunisation Handbook 10th Edition
Vaccination Funding Staff TypeDiseaseFunding Source School Cleaners School’s Officers Teacher Aides Hepatitis A Hepatitis B Workplace Living and working in outer islands of Torres Strait Japanese EncephalitisWorkplace At risk of acquiring TBTuberculosisWorkplace – check with TB Control unit Ag studies – with risk of exposure to Q fever Q feverWorkplace All staff participating in Annual Flu Program Seasonal InfluenzaFunding determined locally All staffNational Immunisation Program vaccinations/boosters Self funded.
Prescribed Contagious Conditions as defined by Queensland’s Public Health Act Chapter 5 Part 2 chickenpox (varicella) diphtheria enterovirus 71 gastroenteritis german measles (rubella) haemophilus influenzae type b (Hib) hepatitis A influenza measles meningococcal disease (bacterial) poliomyelitis typhoid and paratyphoid tuberculosis whooping cough (pertussis) Fact Sheet for Schools and Education and Care Services Public Health Act 2005 – Contagious Conditions Fact Sheet for Schools and Education and Care Services Information for Schools, Education and Care Services and Child Care Services Prescribed Contagious Conditions
Under the Public Health Act 2005 children with a prescribed contagious condition should not attend school or childcare until well and non-infectious. Unvaccinated children may need to stay away during a measles outbreak if they are at risk of infection or infecting others. following consultation with Qld Health, school Principals can require children to stay away for a specified period if they have or are suspected to have a contagious condition. Staff are expected to model appropriate behaviour and stay away from the workplace if they are unwell or infectious. If a staff member contracts a work caused serious illness as defined by Work Health and Safety Legislation, this is to be notified to Workplace Health and Safety Queensland by the workplace. Protocols for prescribed contagious conditions
Our departmental workplaces have a large number of females on site. Infectious diseases that could impact on pregnancy should be highlighted and precautions noted. Those considering pregnancy or who are pregnant should tell their doctor about their work requirements, seek advise about any recommended vaccinations / precautions and know your immunisation status. –Refer to the procedure Pregnancy in the WorkplacePregnancy in the Workplace –Any issues with regard to work placement or leave should be discussed with your Officer-in- Charge. Diseases related to pregnancy Infectious Diseases that can impact on pregnancy. Measles Mumps Rubella Influenza Chickenpox (Varicella) Cytomegalovirus (CMV) Parvovirus
Know your immunisation status - Review your immunisation records. If you don’t have any, consider a a blood test to confirm your existing immunisation status. You may find you need a “booster”. Keep this information handy. Stay home when unwell - staff are expected to model appropriate behaviour and stay home when they are unwell or infectious. Promote and follow Standard Precautions for Infection Control – good hygiene practices, hand washing, cough and sneeze etiquette etc. What are your key responsibilities?
25 What are your key responsibilities? Prevent the spread of infectious diseases Understand and adhere to procedures Infection Control and the Infection Control GuidelineInfection ControlInfection Control Guideline Understand and adhere to procedure Management of Prescribed Contagious Conditions Implement and follow an Infection Control Program that has been developed for your workplace Seek advice if required.
Pandemic Planning Interdepartmental protocols are in place for managing a pandemic or other health threat. Queensland’s Chief Health Officer establishes a State Health Emergency Coordination Centre. All government departments then take direction from this team. Health threat responses will be tailored to the disease type.
Remember Workplaces may harbour infectious diseases. There is relevant legislation (WHS Act 2011 and Public Health Act 2005) There are Departmental procedures and guidelines to follow: Infection Control Infection Control Management of Prescribed Contagious Conditions Management of Prescribed Contagious Conditions Prevent the spread of infectious disease following an Infection Control Program including Standard Precautions Be aware of your own immunity status to common infectious diseases. Some infectious diseases can be harmful during pregnancy. Seek advice if required. Take Home Message
Queensland Health – Phone: 13HEALTH ( ) Queensland Health Fact Sheets Departmental Policy: Infection Control Departmental Policy: Management of Prescribed Contagious Conditions Infection Control Guideline Creating Healthier Workplaces – Infection Control Regional Senior Health and Safety Consultant Key Health and Safety Tips for Teachers althcommunity%20-%20teacher Local Qld Health Public Health Unit Further Resources
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