Podcast
Questions and Answers
What is the primary goal of infection control practices in healthcare settings?
What is the primary goal of infection control practices in healthcare settings?
Which strategy is MOST effective in maintaining healthcare environments free from infectious agents?
Which strategy is MOST effective in maintaining healthcare environments free from infectious agents?
What role do standard precautions primarily play in preventing infection transmission?
What role do standard precautions primarily play in preventing infection transmission?
In the context of infection control, what does 'rendering objects free from infectious agents' primarily involve?
In the context of infection control, what does 'rendering objects free from infectious agents' primarily involve?
Signup and view all the answers
Which of the following scenarios represents a situation where strict adherence to infection control protocols is MOST critical?
Which of the following scenarios represents a situation where strict adherence to infection control protocols is MOST critical?
Signup and view all the answers
What is the primary focus of standard infection control precautions regarding waste disposal?
What is the primary focus of standard infection control precautions regarding waste disposal?
Signup and view all the answers
Why is occupational safety, including the management and prevention of exposure to blood and body fluids, a crucial component of standard infection control precautions?
Why is occupational safety, including the management and prevention of exposure to blood and body fluids, a crucial component of standard infection control precautions?
Signup and view all the answers
In the context of standard infection control, what is the most important consideration when managing sharps?
In the context of standard infection control, what is the most important consideration when managing sharps?
Signup and view all the answers
Aside from sharps, what other type of waste requires especially careful handling and disposal procedures under standard infection control precautions?
Aside from sharps, what other type of waste requires especially careful handling and disposal procedures under standard infection control precautions?
Signup and view all the answers
How do standard infection control precautions address the risk of exposure incidents involving blood and body fluids in the workplace?
How do standard infection control precautions address the risk of exposure incidents involving blood and body fluids in the workplace?
Signup and view all the answers
Why is it important to dispose of used tissues promptly into a waste bin after sneezing or coughing?
Why is it important to dispose of used tissues promptly into a waste bin after sneezing or coughing?
Signup and view all the answers
Why is risk assessment important when making patient placement decisions?
Why is risk assessment important when making patient placement decisions?
Signup and view all the answers
In the absence of running water and soap, what is the recommended alternative for hand hygiene after coughing or sneezing?
In the absence of running water and soap, what is the recommended alternative for hand hygiene after coughing or sneezing?
Signup and view all the answers
Why is it recommended to use the crook of the arm when a disposable tissue is not available while coughing or sneezing?
Why is it recommended to use the crook of the arm when a disposable tissue is not available while coughing or sneezing?
Signup and view all the answers
Which of the following symptoms in a patient should immediately raise concerns about cross-infection risk?
Which of the following symptoms in a patient should immediately raise concerns about cross-infection risk?
Signup and view all the answers
What is the primary reason for keeping contaminated hands away from the eyes, nose, and mouth?
What is the primary reason for keeping contaminated hands away from the eyes, nose, and mouth?
Signup and view all the answers
A patient with a history of MRSA is being admitted. What infection control measures are most important?
A patient with a history of MRSA is being admitted. What infection control measures are most important?
Signup and view all the answers
What is the significance of identifying patients who have been recently hospitalized when considering the risk of CPE?
What is the significance of identifying patients who have been recently hospitalized when considering the risk of CPE?
Signup and view all the answers
Why is washing hands with non-antimicrobial liquid soap and warm water recommended over using only water after contact with respiratory secretions?
Why is washing hands with non-antimicrobial liquid soap and warm water recommended over using only water after contact with respiratory secretions?
Signup and view all the answers
What should be the primary focus of infection control measures?
What should be the primary focus of infection control measures?
Signup and view all the answers
What is the most important reason for immediately placing used linen in an impermeable bag at the point of removal?
What is the most important reason for immediately placing used linen in an impermeable bag at the point of removal?
Signup and view all the answers
Why should laundry receptacles not be filled beyond two-thirds capacity?
Why should laundry receptacles not be filled beyond two-thirds capacity?
Signup and view all the answers
What is the primary reason for avoiding rinsing, shaking, or sorting linen immediately after removing it from beds or trolleys?
What is the primary reason for avoiding rinsing, shaking, or sorting linen immediately after removing it from beds or trolleys?
Signup and view all the answers
Which of the following actions is most important when handling used linen to comply with safety protocols?
Which of the following actions is most important when handling used linen to comply with safety protocols?
Signup and view all the answers
Why is it important to avoid placing inappropriate items (e.g., used equipment/needles) in laundry receptacles?
Why is it important to avoid placing inappropriate items (e.g., used equipment/needles) in laundry receptacles?
Signup and view all the answers
Which characteristic is the most critical factor in classifying waste as clinical waste?
Which characteristic is the most critical factor in classifying waste as clinical waste?
Signup and view all the answers
A veterinary clinic generates waste including used bandages, animal blood and urine. What determines if this waste is classified as clinical waste?
A veterinary clinic generates waste including used bandages, animal blood and urine. What determines if this waste is classified as clinical waste?
Signup and view all the answers
A rural clinic disposes of expired vaccines. How should the staff determine if these vaccines are clinical waste?
A rural clinic disposes of expired vaccines. How should the staff determine if these vaccines are clinical waste?
Signup and view all the answers
In a research lab, scientists are working with a novel bacterial strain. What criteria must be met for any waste from this research to be considered clinical waste?
In a research lab, scientists are working with a novel bacterial strain. What criteria must be met for any waste from this research to be considered clinical waste?
Signup and view all the answers
During a medical procedure, a doctor uses a scalpel. When disposing of the used scalpel, what determines whether it is classified as sharps waste or clinical waste, or both?
During a medical procedure, a doctor uses a scalpel. When disposing of the used scalpel, what determines whether it is classified as sharps waste or clinical waste, or both?
Signup and view all the answers
Flashcards
Infection Control
Infection Control
Methods to reduce or prevent the transmission of infectious agents.
Infectious Agents
Infectious Agents
Microorganisms like bacteria or viruses that can cause diseases.
Healthcare Settings
Healthcare Settings
Places where medical care is provided, such as hospitals and clinics.
Decontamination
Decontamination
Signup and view all the flashcards
Sanitization
Sanitization
Signup and view all the flashcards
Safe management of blood and body fluids
Safe management of blood and body fluids
Signup and view all the flashcards
Safe disposal of waste
Safe disposal of waste
Signup and view all the flashcards
Managing prevention of exposure
Managing prevention of exposure
Signup and view all the flashcards
Sharps management
Sharps management
Signup and view all the flashcards
Standard infection control precautions
Standard infection control precautions
Signup and view all the flashcards
Respiratory hygiene
Respiratory hygiene
Signup and view all the flashcards
Cover mouth and nose
Cover mouth and nose
Signup and view all the flashcards
Dispose of tissues
Dispose of tissues
Signup and view all the flashcards
Hand hygiene after contact
Hand hygiene after contact
Signup and view all the flashcards
Use of hand wipes and ABHR
Use of hand wipes and ABHR
Signup and view all the flashcards
Clinical waste
Clinical waste
Signup and view all the flashcards
Viable micro-organisms
Viable micro-organisms
Signup and view all the flashcards
Toxins
Toxins
Signup and view all the flashcards
Sharps waste
Sharps waste
Signup and view all the flashcards
Safe disposal
Safe disposal
Signup and view all the flashcards
Risk Assessment in Care
Risk Assessment in Care
Signup and view all the flashcards
Cross Infection Risks
Cross Infection Risks
Signup and view all the flashcards
Multi-Drug Resistant Organisms (MDRO)
Multi-Drug Resistant Organisms (MDRO)
Signup and view all the flashcards
Epidemiological Link
Epidemiological Link
Signup and view all the flashcards
Do Not Rinse Linen
Do Not Rinse Linen
Signup and view all the flashcards
Avoid Floor Contact
Avoid Floor Contact
Signup and view all the flashcards
No Re-handling Once Bagged
No Re-handling Once Bagged
Signup and view all the flashcards
Laundry Receptacle Limits
Laundry Receptacle Limits
Signup and view all the flashcards
Immediate Linen Disposal
Immediate Linen Disposal
Signup and view all the flashcards
Study Notes
Standard Infection Control Precautions
- Applied Microbiology and Infection Control Practices course, BSN112
- Academic year 2024-2025
- Semester 2, Week 5
Learning Outcomes
- Students will be able to apply principles of infection control precautions
- Students will be able to analyze methods of infection control
- Students will be able to demonstrate proper hand hygiene technique
- Students will be able to explain methods of reducing infection transmission
Topic Outline
- Definition of standard infection control precautions
- Sources of infection
- Elements of standards of infection control precautions
- Patient placement and risk assessment
- Hand hygiene
- Respiratory and cough hygiene
- Safe management of care equipment
- Safe management of the care environment
- Safe management of linen
- Safe management of blood and body spillage
- Safe disposal of waste
Standard Infection Control Precautions (SICPs)
- Basic infection prevention and control measures to reduce the risk of transmitting infectious agents
- Reduce or prevent the transmission of infectious agents
- Maintain objects and healthcare settings free from infectious agents
Standard Infection Control Precautions Application
- SICPs are used by all staff in all care settings at all times
- Used for all patients, regardless of known infection status
Sources of Infection
- Blood and other body fluids
- Secretions or excretions (excluding sweat)
- Non-intact skin or mucous membranes
- Contaminated equipment or items
Sources of Infection (Diagram)
- Infectious agent
- Reservoir
- Susceptible host
- Entry
- Exit
- Transmission method (Contact, Droplet, Airborne)
- Direct/Indirect transmission
- Equipment/environment
- Hands, Injection, Ingestion pathways as points of infection
Application of SICPs
- Application of SICPs determined by;
- Task
- Level of interaction
- Anticipated level of exposure to blood or body fluids (risk assessment and perception)
Elements of SICPs
- 10 elements:
- Patient placement/assessment of infection risk
- Hand hygiene
- Respiratory and cough hygiene
- Personal protective equipment (PPE)
- Safe management of the care environment
- Safe management of care equipment
- Safe management of healthcare linen
- Safe management of blood and body fluids
- Safe disposal of waste (including sharps)
- Occupational safety/managing prevention of exposure (including sharps)
Standard Precautions
- Must be used when caring for all patients, regardless of infection status.
- Includes performing hand hygiene, using personal protective equipment (PPE), routine environmental cleaning, handling and storing waste and linen safely.
Patient Placement & Risk Assessment
- Patients must be assessed for infection risk on arrival and continuously throughout their stay
- Risk assessments inform placement decisions based on clinical/care needs
- Patients with known or suspected infection risk factors (e.g., diarrhea, vomiting, rash, fever, respiratory symptoms, prior multi-drug resistant organism (MDRO) infections like MRSA, or CPE) or prior hospitalization should be considered, and isolation protocols should be addressed
Hand Hygiene
-
Hand hygiene is one of the most important ways to reduce the transmission of infectious agents
-
Clinical hand-wash basins should be used only for hand washing and not for disposal of liquids
-
Basins should have mixer taps, no overflows, and be in good repair, along with liquid soap and paper towel dispensers
-
Instructions for hand hygiene should be available
-
Before performing hand hygiene, expose forearms (bare below the elbow), remove all hand and wrist jewelry, and ensure fingernails are clean and short
-
Wash hands with non-antimicrobial liquid soap and water if visibly soiled or involved in activities with vomiting or diarrhea
-
Use alcohol-based hand rubs (ABHRs) in all other circumstances
-
Dry hands thoroughly using disposable paper towels
-
Use lotions regularly.
Hand Hygiene: Surgical Hand Antisepsis
- Surgical scrubbing/rubbing for invasive procedures
- Remove jewelry
- Use nail picks for visibly dirty nails
- Use soft, non-abrasive, sterile sponges with antimicrobial liquid soap (licensed for surgical use), or licensed ABHR for surgical rubbing
- Use alcohol-based hand rubs (ABHR) between surgical procedures if hands are not visibly soiled
Respiratory and Cough Hygiene
- Cover nose and mouth with a tissue when sneezing, coughing, or blowing nose; use crook of arm if tissue is unavailable
- Dispose used tissues in waste bins
- Wash hands with non-antimicrobial liquid soap and warm water after such activity, using tissues, or contact with respiratory secretions or contaminated objects
- If no running water, use hand wipes with ABHR and wash hands as soon as possible -Keep contaminated hands away from eyes, nose, and mouth
Personal Protective Equipment (PPE)
- Wear PPE that adequately protects against risks associated with the procedure
- PPE must be located close to the point of use
- PPE for healthcare providers providing community and domiciliary care should be transported in clean receptacles
- PPE should be stored in a clean, dry area until required, adhering to expiry dates
- Single-use PPE unless otherwise specified by manufacturer
- Change PPE immediately after each patient and/or after completing each procedure or task
- Dispose of used PPE appropriately in the correct waste stream
- Discard damaged or contaminated PPE
Personal Protective Equipment (PPE) - Gloves
- Wear gloves when exposure to blood and/or other body fluids, non-intact skin, or mucous membranes is anticipated or likely
- Change gloves after each patient and/or after completing a procedure/task even on the same patient
- Change if a perforation or puncture is suspected
- Gloves should be appropriate for use, fit for purpose, and well-fitting
- Never decontaminate with ABHR or soap
- Gloves should pose low risk of causing sensitization
- Gloves should be appropriate for tasks undertaken
Personal Protective Equipment (PPE) - Sterile Gloves
- Sterile gloves should be worn whenever sterility is required during procedures (such as operating theatre, central venous catheter insertion, peripherally inserted central catheter insertion, pulmonary artery catheter insertion, spinal, epidural, and caudal procedures)
- Double gloving is not routinely recommended for clinical care.
Personal Protective Equipment (PPE) - Aprons
- Worn to prevent contamination to uniform or clothing when exposure to patients is anticipated
Personal Protective Equipment (PPE) - Eye/Face Protection
- Worn when anticipated exposure to or likely body fluid contamination of eyes or face
- Must not be impeded by accessories such as piercings or false eyelashes
- Avoid touching while in use
Personal Protective Equipment (PPE) - Fluid Resistant Surgical Masks
- Required during procedures such as surgery
- Prevent patient exposure from wearer
- Protect wearer from splashing or spraying of blood, body fluids, secretions, or excretions onto the respiratory mucosa
- Used as an element of PPE for droplet precautions
Personal Protective Equipment (PPE) - Headwear
- Required in theatres and clean rooms, such as decontamination units
- Covers hair (full coverage)
- Change between procedures or contamination
- Removed before leaving theatre/clean room
Safe Management of Care Equipment
- Equipment contaminated with blood, body fluids, secretions, excretions, and infectious agents
- Single use items are used once and discarded
- Single use items (e.g., nebulizer masks) may require decontamination before reuse with the same patient
- Reusable invasive equipment (e.g., surgical instruments) are used once and decontaminated
- Reusable non-invasive equipment (e.g., commodes, patient transfer trolleys) are decontaminated between each use
Safe Management of Care Equipment- Sterile Equipment
- Check packaging's integrity for damage or contamination
- Check expiry date for validity
- Check sterility indicators are consistent for successful completion
- Proper management needed for decontaminated re-use
Safe Management of Care Equipment- Decontamination of Reusable Non-invasive Equipment
- Decontamination must be undertaken between each use or between patients, after blood or body fluid contamination, and at predefined intervals as part of an equipment cleaning protocol.
- Decontamination must also be undertaken before equipment goes through service or repair
Safe Management of the Care Environment
- Visibly clean, free of non-essential items and equipment to enable effective cleaning
- Well maintained, in good repair, with adequate ventilation
Safe Management of the Care Environment - Routine Cleaning
- Refer to national/institutional cleaning standards
- Use detergent wipes for frequently touched surfaces
- Use fresh solution of general-purpose neutral detergent in warm water for cleaning schedules
- Follow protocols for environmental decontamination
Safe Management of Linen
- Clean linen should be stored in a designated, enclosed area (e.g., cupboard)
- If not in cupboard, use appropriate trolley/receptacle with impervious covering/door
- Used linen should be placed in a labeled, water-soluble bag or receptacle and should be stored in a designated, safe, lockable area
- Do not shake or sort linen when removed from bed/trolleys
- Do not place soiled linen on surfaces such as floor and/or countertops
- Ensure that laundry bags are not overfilled to 2/3 of capacity
- Place used linen (previously known as soiled/fouled linen) in labeled, impermeable bags and receptacle
Safe Management of Blood and Body Fluid Spillages
- Spillages should be treated promptly by trained staff
- Responsibilities for management of blood and body fluid spills should be clear within each area/care unit
Safe Disposal of Waste (Including Sharps)
- Clinical waste includes healthcare and veterinary waste containing living microorganisms/toxins, or biologically active agents like medicine
- Sharps include sharps, body fluids/human tissue
- Sharps containers should have a handle and temporary closure mechanism
- Sharps containers should be labelled and date stamped
- Organizations using reusable sharps containers should have a protocol for assuring safe use and reprocessing
- Sharps should be discarded at the point of use by the user
Occupational Safety: Prevention of Exposure (Including Sharps Injuries)
-
Potential risk of blood-borne viruses from exposure during contact with patients, blood, needles, instruments, and contaminated items
-
Legal requirement to report sharps injuries and near misses to line managers/employers
-
Significant occupational exposure includes percutaneous injuries (e.g., needles), bone fragments/bites breaking the skin, exposure to broken skin and/or mucous membranes
-
Avoid unnecessary use of sharps
-
If use of sharps is unavoidable, use safer sharps
-
Safe procedures for working with and disposal of sharps must be in place (e.g. sticky mats, sharps bins, safety procedures and training)
-
Follow manufacturers' instructions for use and disposal of sharps
-
Needles not to be re-sheathed/recapped/disassembled after use
-
Sharps not passed between people directly
-
Sharps discarded at the point of use by the individual using the sharp
-
Needles and syringes disposed of as one unit
-
If safety device is used, safety mechanisms deployed before disposing
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Explore infection control practices in healthcare, emphasizing strategies for maintaining sterile environments and preventing infectious agent transmission. Learn about standard precautions, waste disposal, and occupational safety measures, including managing sharps and exposure to body fluids. Identify critical scenarios requiring strict adherence to infection control protocols.