1. General Infection Control Employee Education Dr. ihab nada ,m.d. , doe . mskmc

2. Importance of Hand Hygiene
Most important practice to reduce the risk of transmission of bacteria and viruses to our patients
Thousands of bacteria can be on hands after doing simple tasks like:
pulling a patient up in bed
taking a blood pressure or pulse
touching a patient’s hand
rolling patients over in bed
touching the patient’s gown or bed sheets
touching equipment like bedside rails, over bed tables, IV pumps

3. When is hand hygiene recommended?
Upon Entering the patient room
Leaving the patient room
Before Putting gloves on–Touching the patient OR his/her environment
Performing invasive procedures (e.g. inserting IVs, spinal tap)
Eating, drinking or handling food
After Touching the patient OR his/her environment
Removing gloves
Using the restroom

4. Why Are Alcohol Hand Cleaners Recommended?
Improved hand hygiene practices
Convenient
Fast and efficient
Allows for proper hand hygiene when soap and water are not available

5. How to clean your hands withAlcohol Based Hand Sanitizers
Push dispenser lever once and rub hands together
Cover all surfaces of your hands and fingers
webs of fingers
areas around/under fingernails
Thumbs
Rub hands together until alcohol dries thoroughly

6. How to wash your hands effectively
Wet hands first with water
Push soap dispenser once
Rub hands together for at least 15 seconds
Cover all surfaces of the hands and fingers (webs, nails, thumbs)
Rinse hands with water and dry thoroughly
Use paper towel to turn off water faucet

7. Which hand hygiene product should be used?
Use soap and water whenever hands are visibly soiled, contaminated with physical dirt or organic material
Usealcohol based instant hand sanitizers at ALL other times

8. Fingernails are an area of special concern in hand hygiene
Both long natural nails and artificial nails may serve as reservoirs for bacteria and have been associated with outbreaks of infection

9. Equipment needs cleaning too
Shared equipment used frequently should be cleaned before and after every use
Examples:
Blood pressure cuffs
Otoscopes
Ophthalmoscopes

10. Methicillin-resistant Staphylococcus aureus (MRSA)
Lives in the nose
Spread from person-to-person by direct contact
Spread from patient to patient primarily on the hands of health care workers
Important cause of hospital-acquired infections, such as:–Central line-associated bloodstream infections–Ventilator-associated pneumonias

11. Vancomycin-resistant enterococci(VRE)
Found in the gastrointestinal tract
Spread from person-to-person by direct contact or contact with contaminated objects
Cause of hospital-acquired infections, such as:
Urinary tract infections
Surgical site infections
Bloodstream infections

12. Infection and Colonization: What’s the difference?
Colonization:–Presence of bacteria in or on a patient without causing any symptoms or disease
Infection:–Entry of bacteria into a patient leading to local or systemic symptoms

13. Preventing the spread of multi-drug resistant organisms (MDROs)
Maintain good hand hygiene practices
Adhere to Contact Precautions:
Single patient room, if available, or cohort with patient with same MDRO
Hand hygiene and gloves for room entry
Gown for direct patient or environmental contact
Remove all gowns, gloves before leaving room
Use dedicated patient equipment
Narrow antibiotic regimen based on culture results

14. Clostridium difficile (C. diff)
C. diff spores are excreted in stool and can be spread to others on hands, equipment, or room surfaces.
Prevent spread of C. diff to other patients:
Good hand hygiene
Contact precautions

15. Preventing central line-associated bloodstream infections
A Central line insertion checklist reminds you to:
Clean hands before putting on gloves
Apply a sterile, full body drape
Avoid use of femoral vein, if at all possible
Once central line is in place:
Clean ports and hubs with alcohol
Ensure dressing is clean and intact
Remove line as soon as it is no longer needed

16. Preventing surgical site infections
Ask patients to shower with chlorhexidine soap before surgery to reduce bacteria on skin.
Do not use a razor to shave patients at the operative site.  If hair must be removed before surgery, use clippers.
Use appropriate antibiotic prophylaxis:
Shortly before making the surgical incision
Appropriate for the procedure perhospitalprotocol or published guidelines
Of short duration (usually <24 hours after incision)

17. Thank you