WHY SHOULD ALL HC WORKERS BE CONCERNED ABOUT INFECTION CONTROL? BR: 02/02/2016 WHY SHOULD ALL HC WORKERS BE CONCERNED ABOUT INFECTION CONTROL?

How to control Infectious Diseases Hand Washing PPE Cleaning & Disinfecting Sterilization

Which is better? Sanitizer or soap & water GERM EXPERIMENT Glitter Lotion Which is better? Sanitizer or soap & water

Recommendations from the Centers for Disease Control and Prevention Handwashing Recommendations from the Centers for Disease Control and Prevention

In a Healthcare Setting Regular hand washing is the MOST important practice for aseptic technique. Ingredients = plain or antibacterial soap and water Use regular hand washing for routine cleansing and whenever the hands are visibly soiled.

OSHA Occupational Safety and Health Administration (OHSA) sets safety standards for the workplace. OSHA standards include standards that prevent the spread of bloodborne pathogens. Handwashing – an important safety standard. According to the CDC, “Handwashing is a simple thing and it's the best way to prevent infection and illness.”

Antiseptic Handwashing Use an antimicrobial soap and water. Usually used before invasive procedures, in critical care units, or when a patient is on transmission-based precautions. Should antimicrobial handwashing be used more frequently? Why or why not?

Time Spent Cleansing Hands: one nurse per 8 hour shift Hand washing with soap and water: 56 minutes Based on seven (60 second) handwashing episodes per hour Alcohol-based handrub: 18 minutes Based on seven (20 second) handrub episodes per hour The time required for nurses to leave a patient’s bedside, go to a sink, and wash and dry their hands before attending the next patient is a deterrent to frequent handwashing or hand antisepsis. More rapid access to hand hygiene materials could help improve adherence. Alcohol-based handrubs may be a better option than traditional handwashing with plain soap and water or antiseptic handwash because they require less time, act faster, and irritate hands less often. ~ Alcohol-based handrubs reduce time needed for hand disinfection ~ Voss A and Widmer AF, Infect Control Hosp Epidemiol 1997:18;205-208.

When Should You Wash Your Hands? When arriving at and before leaving a healthcare facility. Before and after every patient contact. Before moving from a contaminated body site to a clean body site. Any time hands become contaminated during a procedure. Before applying and immediately after removing gloves.

When Should You Wash Your Hands? Any time gloves are torn or punctured. Before and after handling specimens. After picking up an item off the floor. After personal use of the bathroom. After you cough, sneeze, or use a tissue. Before or after any contact with your mouth or mucous membrane (eating, drinking, inserting contacts, etc.)

Antiseptic Hand Rubs Alcohol-based Use when hands are not visibly soiled

When should you wash your hands while at work?

Group Discussion Do all healthcare workers practice all of these hand washing standards all of the time? Based on what you have learned, would you guess that nosocomial infections are almost always preventable, often preventable, or occasionally preventable? Are some healthcare professionals more likely to wash their hands than others? Why?

How Should You Wash Your Hands? Remove Jewelry Wet your hands with clean running water (warm) and apply a generous amount of soap . Rub your hands together to make a lather and scrub them well (be sure to scrub the backs of your hands, between your fingers, and under your nails) Continue rubbing your hands for at least 20 seconds. (Need a timer? Hum the "Happy Birthday" song from beginning to end twice.) Rinse your hands well under running water. Dry your hands using a clean paper towel. Turn off the faucet with a dry clean paper towel.

For More Information & Learning http://www.cdc.gov/handhygiene/training/interactiveEducation/

Who Am I? I cover and protect your clothes, so that germs & body fluids won’t every impose. Your mouth, your nose, your chin and throat, I may protect if your use of me is correct.

Today’s Focus: PPE Selection & Use 2.7 & 9.2 – Utilize PPE and apply personal safety procedures based on OSHA & CDP standards. 9.1 Define & describe the need for asepsis & infection prevention in the classroom, laboratory and in the HC environment

MEDICAL ASEPSIS What is it? How do you think we could maintain this in all healthcare environments/settings? What would happen in healthcare if we didn’t’ practice medical asepsis?

MEDICAL ASEPSIS What is it? The state of being free from disease – causing pathogens How do you think we could maintain this in all healthcare environments/settings? Hand washing, wearing & using PPE efficiently What would happen in healthcare if we didn’t’ practice medical asepsis? A HORRIBLE MESS!! Sick pts, staff members spreading infections, equipment disgusting

Selecting, Applying & Removing PPE http://www.cdc.gov/HAI/pdfs/ppe/PPEslides6-29-04.pdf CDC.gov

Donning & removing PPE http://www.publichealth.va.gov/flu/materials/videos.asp