1. INFECTION
CONTROL –
IT’S IN YOUR HANDS

2. Infection Prevention & Control
THE BASICS
Respiratory etiquette
achooo!!!
Hand Hygiene
Rub-a Dub Dub
Standard Precautions
wet not yours… take cover
IMMUNIZATION / INJURIES
REACH FOR THE PHONE
Transmission-based PRECAUTIONS
Stop In the name of germs

3. - CLEANSING HANDS - THE MOST IMPORTANT MEANS OF PREVENTING
HAND HYGIENE
- NO ARTIFICIAL NAILS
- CLEANSING HANDS - THE MOST IMPORTANT MEANS OF PREVENTING
THE SPREAD OF INFECTION
No Fungus among us
Germs don’t have a
chance with the proper
use of these weapons.
Alcohol-based hand
hygiene products
Soap / Water

4. Hand Hygiene Speed washing not allowed
Two different ways to keep your hands germ free
Speed washing not allowed
Soap and water for 15 seconds. (Make bubbles while applying friction).
Alcohol hand rub if no visible soiling present on hands.
Hand Hygiene is JCAHO’s # 7 Patient Safety Goal
Speak-up Campaign for Patients
Encouraging patients to ask the Healthcare Worker (HCW) about handwashing!

5. STANDARD PRECAUTIONS
Healthcare workers must treat all blood & body fluids as infectious.
If it is wet and not yours...use a barrier!

6. Standard Precautions also include: • Hand Hygiene
• Personal Protective Equipment (PPE) gloves,gowns,masks,face-shields,goggles
• Anticipate Your Exposure
• Use Sharp-Safety Devices
• Clean Surfaces Regularly
• Appropriate Waste Disposal
(Red bags, regulated medical waste)
REMEMBER YOUR EYES

7. PPEs
Wear them proudly.

8. SPREAD THROUGH CONTACT WITH BLOOD & BODY FLUIDS
BLOODBORNE PATHOGENS
“The Big 3”
HIV, HEPATITIS B AND HEPATITS C
SPREAD THROUGH CONTACT WITH BLOOD & BODY FLUIDS
HIGH RISK BEHAVIORS:
Sharing Needles or other sharp objects Unprotected Sexual Contact
Unclean Tattoo Parlors
       
Accidental puncture from contaminated needles and other sharps
can result in transmission of Bloodborne pathogens.
Safety Needles, Devices and PPEs = Protection.

9. What is the "risk" after an exposure?
Hepatitis B
Vaccinated: If you have received the vaccine (all 3 shots) and
have developed immunity, virtually no risk for infection.
Unvaccinated: Risk from single needlestick or cut 6-30%
Depends on the Hepatitis (antigen of sources blood).
Hepatitis C
Limited studies available but risk seems to be about 1.8%.
HIV
Average risk for HIV infection to develop after needlestick or cut
exposure to HIV blood is 0.3%
Risk after exposure to HIV blood through splashes to eyes, mouth or nose is 0.1%

10. A.K.A. Good Health Manners
RESPIRATORY ETIQUETTE
A.K.A. Good Health Manners
Cover coughs and sneezes with tissue or your upper sleeve, NOT your hand.
Put used tissues in trash ASAP.
Patients who can’t cover their coughs might be asked to wear a mask.
Don’t forget to: wash wash wash
Keep your germs to yourself
Make Respiratory Etiquette your “Modus Operandi.”

11. What Healthcare workers can do:
RESPIRATORY ETIQUETTE
Simple Steps Help Infections
What Healthcare workers can do:
Encourage patients to wash hands
Wear mask/eye protection if close to coughing patient (within 3ft)
Place patient in private room or away from other patients if cough & fever are present and suspect contagious disease
Provide patients with tissues; teach them to cover their coughs

12. Sample Sign
Might see this sign in facilities

13. Lets now put the “Spotlight” on
Tuberculosis (a.k.a. TB)

14. TB is an airborne disease
“ the germ is in the air”

15. Respiratory Etiquette
Certain procedures must be followed when caring for
a patient with known or suspect TB
HCWs wear a N-95mask or PAPR for any room entry
Keep the patient’s room door closed at all times
(special air handling room, negative air pressure)
When in the patient room:
- Encourage patients to Cover Coughs with a tissue
- Encourage patients to wash hands
When patients leave their rooms, make sure they are
wearing a surgical mask (e.g. during any transport)
Respiratory Etiquette

16. After Standard Precautions & Respiratory Etiquette comes,
Transmission-based PRECAUTIONS
Standard Precautions & Respiratory Etiquette use doesn’t control all communicable diseases.
Organisms (a.k.a. germs) can be spread in different ways.
Respiratory droplets: Influenza, Rubella, Bacterial Meningitis
Inhaled airborne: Tuberculosis (TB), Smallpox, Chickenpox
Direct contact: Diarrhea (e.g. C. difficile), skin infections, & multi-drug resistant organisms (e.g. MRSA, VRE)

17. Transmission-based PRECAUTIONS
Always Communicate to others when patients are in isolation
For any room entry don appropriate PPE
Clean ANY shared equipment between Patients
Although Isolation Signs
May Appear Different, ALL
Will Have:
- a STOP Sign
- List of Room Entry PPE
Transmission-based Precautions = isolation.

18. Before Entering & Leaving
STOP
WASH HANDS!
Before Entering & Leaving
 Use Standard Precautions, Cover Cough
GOWN REQUIRED
GLOVES REQUIRED
MASK REQUIRED
___Surgical
___ N-95 or
PAPR

19. ANNUAL TB RISK ASSESSMENT
IMMUNIZATIONS, INJURIES
&
Employee Health
HEPATITIS B VACCINE
ANNUAL TB RISK ASSESSMENT
-Other vaccinations
- REPORT ALL INJURIES

20. If you have a work related injury, including needlestick or blood exposure, immediately notify your supervisor, & report the injury to Employee Health.

21. Most facilities will have the following on their intranet:
Infection Control
Most facilities will have the following on their intranet:
Regional policies & procedures
Facility specific policies & procedures
(Infection Control Manual) 
 Links, Resource Center
 Educational material
 Lots of valuable information

22. Example of a Screen Shot: Infection Control Regional Site.
Links on the left allow user to “check out” their specific facility
Add to “Favorite” web sites folder.

23. Clean hands are beautiful to
the world
INFECTION CONTROL
IT TRULY IS IN YOUR HANDS!
- Compassion
Excellence
Respect
- Justice
Stewardship