1. Orientation to Nursing Skills Lab and Lab Routines and Policies Hand HygieneHand Hygiene Week 1Week 1

2. General Information Who are we?Who are we? What are Nursing Skill Labs?What are Nursing Skill Labs? Uses of sign in sheetUses of sign in sheet Lab Kit to be purchased before week 2 (Jan.20)Lab Kit to be purchased before week 2 (Jan.20) Readings as specified in Student Lab Guide to be completed PRIOR to each labReadings as specified in Student Lab Guide to be completed PRIOR to each lab

3. Lab Format Mini presentation, video and/or actual demonstrationMini presentation, video and/or actual demonstration Student return demonstrationStudent return demonstration Use own checklist form with a peerUse own checklist form with a peer Attendance policy- ALL LABS ARE MANDATORYAttendance policy- ALL LABS ARE MANDATORY Arrangements and fee for make-up labs to be arranged with Lab Coordinator-Leslie GiffordArrangements and fee for make-up labs to be arranged with Lab Coordinator-Leslie Gifford

4. Nursing Lab Policies Dress Code – professional nursing attire- clean full uniform, photo ID, hair off shoulders in a neat and secure fashion, short non-polished fingernailsDress Code – professional nursing attire- clean full uniform, photo ID, hair off shoulders in a neat and secure fashion, short non-polished fingernails NO food or drink in the labNO food or drink in the lab ALL outer clothing and backpacks are to be left in the provided storage units just inside the lab doorsALL outer clothing and backpacks are to be left in the provided storage units just inside the lab doors

5. Lab Policies When using beds for practice, remove shoes, otherwise no sitting on bedsWhen using beds for practice, remove shoes, otherwise no sitting on beds Always leave bedside areas neat and tidy at the completion of your labAlways leave bedside areas neat and tidy at the completion of your lab Lab Peer TutoringLab Peer Tutoring Lab door will be locked when faculty begins lessonLab door will be locked when faculty begins lesson

6. Evaluation It is mandatory to attempt all aspects of this Nursing Skills Lab 1 CourseIt is mandatory to attempt all aspects of this Nursing Skills Lab 1 Course Theory Term Test 1- Week 5- 15%Theory Term Test 1- Week 5- 15% Theory Term Test 2- Week 10- 15%Theory Term Test 2- Week 10- 15% Final Comprehensive Theory Test- Week 13- 20%Final Comprehensive Theory Test- Week 13- 20% Mid-term Practicum Test- Week7-20%Mid-term Practicum Test- Week7-20% Final Practicum Test- Week 15 – 30%Final Practicum Test- Week 15 – 30%

7. Policy for Lab Related Theory and Practicum Tests Mandatory to attempt ALL components of this Nursing Skills Lab Course 1Mandatory to attempt ALL components of this Nursing Skills Lab Course 1 MUST notify Lab Faculty day before written test, describing reason for absence to be eligible for re-testingMUST notify Lab Faculty day before written test, describing reason for absence to be eligible for re-testing Failure to observe this policy may result in a grade of zeroFailure to observe this policy may result in a grade of zero MASK FIT TESTINGMASK FIT TESTING

8. Hand Hygiene Chain of Infection Nosocomial Infections Handwashing

9. Chain of Infection Which factors makes a person susceptible to infection?Which factors makes a person susceptible to infection? What is the best way to reduce transmission of infection?What is the best way to reduce transmission of infection?

10. Chain of Infection

11. Breaking the Chain PERFORM HAND HYGIENE OFTENPERFORM HAND HYGIENE OFTEN Chain can be broken at any ringChain can be broken at any ring Hand Hygiene is most effective way to prevent spread of organismsHand Hygiene is most effective way to prevent spread of organisms 2 Types of bacterial flora normally found on hands2 Types of bacterial flora normally found on hands Transient Transient Resident Resident

12. Transient: loose, under fingernails, grease, dirt, removed fairly easily with good handwashing, can become resident if on hands for longer periods of time, basic soap can removeTransient: loose, under fingernails, grease, dirt, removed fairly easily with good handwashing, can become resident if on hands for longer periods of time, basic soap can remove Resident: creases of skin, harder to remove, needs a brush, always some present, antimicrobial solutions will suppress growthResident: creases of skin, harder to remove, needs a brush, always some present, antimicrobial solutions will suppress growth

13. Hand Hygiene Options: Soap and Water: removes drainage, dirt, perspiration, dried secretions,-adequate soap- rubbing hands together to create friction & lather soapSoap and Water: removes drainage, dirt, perspiration, dried secretions,-adequate soap- rubbing hands together to create friction & lather soap Antimicrobial Soaps: rid hands of some resident bacteria using same technique as soap and waterAntimicrobial Soaps: rid hands of some resident bacteria using same technique as soap and water Alcohol based gels: have germicidal activity, are more available, not for visibly soiled handsAlcohol based gels: have germicidal activity, are more available, not for visibly soiled hands

14. Nosocomial Infections Hospital Acquired InfectionsHospital Acquired Infections Health Care costs: billions per yearHealth Care costs: billions per year Many are preventableMany are preventable Some lead to serious illness and deathSome lead to serious illness and death DO NOT BE A CONTRIBUTER TO THESE INFECTIONSDO NOT BE A CONTRIBUTER TO THESE INFECTIONS

15. To protect you and your patientsTo protect you and your patients Short and clean nails harbour fewer pathogensShort and clean nails harbour fewer pathogens Jewellery is a fabulous reservoir for bugsJewellery is a fabulous reservoir for bugs Hair often carries microorganismsHair often carries microorganisms You don’t want to pass pathogens from patient to patient and you certainly don’t want to bring them home to your family!!You don’t want to pass pathogens from patient to patient and you certainly don’t want to bring them home to your family!! So Why the Dress Code?

16. Week 2Week 2 Routine Practices and Disease Specific PrecautionsRoutine Practices and Disease Specific Precautions Potter and Perry, pp 783-801, 805-813Potter and Perry, pp 783-801, 805-813 Nursing Skills Lab 1 Change Handout