Infection Control Slides PDF

102E.2 INFECTION CONTROL Cleaning Disinfection...

102E.2 INFECTION CONTROL Cleaning Disinfection Sterilization Infection Control Procedures 102E.2 Infection Control ©2020 Pivot Point International, Inc. This lesson focuses on Infection Control: Cleaning Disinfection Sterilization Infection Control Procedures 1  EXPLORE Have you ever walked into someone’s home or a place of business and wanted to leave because it was messy or dirty? INSPIRE A clean, healthy salon/spa environment is inviting and safe for you and your clients. 102E.2 Infection Control ©2020 Pivot Point International, Inc. Explore Have you ever walked into someone’s home or a place of business and wanted to leave because it was messy or dirty? Inspire A clean, healthy salon/spa environment is inviting and safe for you and your clients. 2  What will I achieve? Define the term “cleaning” as related to infection control Explain the disinfection method for tools and multi-use supplies Offer examples of various sterilization methods Identify infection control procedures used in the salon/spa 102E.2 Infection Control ©2020 Pivot Point International, Inc. Following this lesson, you’ll be able to: Define the term “cleaning” as related to infection control Explain the disinfection method for tools and multi-use supplies Offer examples of various sterilization methods Identify infection control procedures used in the salon/spa 3  INFECTION CONTROL In the salon/spa, it is important to follow infection control procedures to prevent exposure of infectious materials to the supplies, tools and equipment you will use. 102E.2 Infection Control ©2020 Pivot Point International, Inc. 4  INFECTION CONTROL Infection Control is a term used to describe efforts to prevent the spread of communicable diseases. 102E.2 Infection Control ©2020 Pivot Point International, Inc. Infection Control is a term used to describe efforts to prevent the spread of communicable diseases. 5  INFECTION CONTROL Divided into three methods: 102E.2 Infection Control ©2020 Pivot Point International, Inc. Infection control practices can be divided into three methods: Cleaning – Standards apply to removing dirt, debris and potential pathogens to aid in slowing the growth of pathogens Disinfection – Standards require products to kill certain pathogens (bacteria, viruses and fungi), with the exception of spores Sterilization – Standards state that all microbial life, including spores, must be killed or destroyed 6  CLEANING The removal of dirt, debris and potential pathogens 102E.2 Infection Control ©2020 Pivot Point International, Inc. Cleaning is the removal of surface or visible dirt and potential pathogens using soap, detergent or chemical cleaner, followed by a clean water rinse. Preparation step for nonporous items before disinfection Reduces number and slows growth of pathogens on both porous and nonporous surfaces Performed on non-critical objects (objects that come in contact with unbroken skin) 7  CLEANING Important facts about cleaning: Does not kill pathogens Reduces and slows growth May require scrubbing Alone doesn’t make tools and equipment safe for use 102E.2 Infection Control ©2020 Pivot Point International, Inc. Important facts about cleaning: Does not kill pathogens, but reduces and slows their growth Reduces organic matter that contributes to growth of pathogens May require a scrubbing process that causes pathogens to loosen Alone doesn’t make tools and equipment safe for use 8  CLEANING Sanitizers – Reduce pathogens on surfaces that are nonporous Antiseptics – Applied to skin to reduce pathogens, also called waterless sanitizers 102E.2 Infection Control ©2020 Pivot Point International, Inc. Sanitizers reduce pathogens on surfaces that are nonporous. Antiseptics are applied to the skin to reduce pathogens, also called waterless sanitizers. Can’t replace handwashing Can’t be used to clean tools or equipment Percentage of alcohol that can be used as an antiseptic for the skin is at least 70% alcohol. 9  CLEANING Cleaning Guidelines Esthetician Wash hands with soap and warm water before and after each service Supplies Launder all client gowns and headbands properly before reusing Workplace Use trash containers that have solid sides, a lid and a liner 102E.2 Infection Control ©2020 Pivot Point International, Inc. General Practices for Estheticians: Wash hands with soap and warm water before and after each service Supplies: Launder all client gowns and headbands properly before reusing Workplace: Use trash containers that have solid sides, a lid and a liner Additional cleaning practices for a healthy environment can be found on p. 17- 18 in the Infection Control lesson. Porous – Material that allows liquid or air to pass through Nonporous – Material that has no pores and does not allow liquids to be absorbed or pass through 10  CLEANING VENTILATION GUIDELINES Maintain temperature of about 70°F Supply air Vent air Change filters Provide exhaust ventilation Use powerful fan unit 102E.2 Infection Control ©2020 Pivot Point International, Inc. Ventilation Guidelines Maintain an average room temperature of about 70°F (21°C) Supply air mechanically through vents and air returns Vent air so that it doesn’t have a stale, musty odor or odor of chemical solutions Change air conditioner and forced-air furnace filters as needed Provide local exhaust ventilation for areas in which chemicals are mixed Ensure the fan in the unit is powerful enough to draw or blow away the chemical vapor or dust 11  DISINFECTION Kills certain pathogens 102E.2 Infection Control ©2020 Pivot Point International, Inc. Disinfection – Kills certain pathogens (bacteria, viruses and fungi), with the exception of spores, on nonporous surfaces, tools and multi-use supplies. Disinfectants – Chemical products used to kill certain pathogens (bacteria, viruses and fungi) with the exception of spores on nonporous surfaces. Products can be toxic and harmful to your skin Regulated by law through various governing agencies Contact time – Amount of time a disinfecting product needs to be in direct contact with the item to be disinfected, stay moist and then completely dried to be effective against pathogens is listed on the label Some examples and what they are effective against: Bactericidal (kill bacteria) Fungicidal (kill fungi) Virucidal (kill viruses) 12  DISINFECTION OSHA – Occupational Safety and Health Administration HCS – Hazard Communication Standard SDS – Safety Data Sheet 102E.2 Infection Control ©2020 Pivot Point International, Inc. OSHA – Occupational Safety and Health Administration Enforces safety and health standards in the workplace Regulate Safety Data Sheets (SDS) and Enforces labeling of products HCS – Hazard Communication Standard Requires employees be informed of the dangers of the materials used in the workplace and exposure they might have to toxic substances SDS – Safety Data Sheet Designed to provide key information on a specific product 13  DISINFECTION EFFICACY “Ability to produce results” or “effectiveness” 102E.2 Infection Control ©2020 Pivot Point International, Inc. Efficacy – Means “ability to produce results” or “effectiveness” EPA – Environmental Protection Agency Approves the efficacy of products used for infection control Manufacturer submits a product to this agency for verification of effectiveness Manufacturer lists efficacy on the product label EPA Registration Number Given to the product along with approval of the efficacy claims on the label Ensures the product is verified and filed 14  DISINFECTION EFFICACY Important Terms: Bloodborne pathogens OSHA Bloodborne Pathogen Standard EPA-registered disinfectant 102E.2 Infection Control ©2020 Pivot Point International, Inc. Important Terms Bloodborne pathogens o Infectious micro-organisms in human blood that cause disease OSHA Bloodborne Pathogens Standard o Requires use of an approved EPA-registered bactericidal, virucidal and fungicidal disinfectant labeled as effective against HBV and HIV according to manufacturer’s instructions EPA-registered disinfectant o Chemical products assigned by the EPA as being effective on nonporous surfaces to control the spread of disease 15  DISINFECTION Types of Disinfectants Solution Wipe Spray 102E.2 Infection Control ©2020 Pivot Point International, Inc. EPA approved forms of disinfectants for industry use: Solutions Wipes Sprays (pump or aerosol) When choosing consider one that is effective and quick-acting. Adhering to contact time listed on label is only way to ensure that all pathogens are killed or inactivated. Often complete immersion is required; entire tool should be covered by the liquid disinfectant. 16  DISINFECTION TYPES OF DISINFECTANTS: Solution Use: Various dilutions depending on purpose For nonporous tools, work surfaces, floors Directions: Follow manufacturer’s instructions for dilution, procedure and contact time Hazard: Irritant to skin 102E.2 Infection Control ©2020 Pivot Point International, Inc. Disinfectant solution (concentrate/liquid): Use Various dilutions depending on purpose For nonporous tools, work surfaces, floors Directions Follow manufacturer’s instructions for dilution, procedure and contact time Hazard Irritant to skin 17  DISINFECTION TYPES OF DISINFECTANTS: Wipe Use: Work surfaces, electrical wires and cables Directions: Wipe over the area Hazard: Irritant to skin 102E.2 Infection Control ©2020 Pivot Point International, Inc. Disinfectant wipe: Use Work surfaces, electrical wires and cables Directions Wipe over the area Hazard Irritant to skin 18  DISINFECTION TYPES OF DISINFECTANTS: Spray Use: Work surfaces Directions: Spray and wipe dry Hazard: Inhalation of fumes 102E.2 Infection Control ©2020 Pivot Point International, Inc. Disinfectant spray (pump or aerosol): Use Work surfaces Directions Spray and wipe dry Hazard Inhalation of fumes 19  DISINFECTION When working with disinfectants it’s important to remember: 102E.2 Infection Control ©2020 Pivot Point International, Inc. When working with disinfectants it’s important to remember: Always follow the manufacturer’s instructions and wear appropriate PPE Read instructions carefully and follow recommended safety precautions Always note and follow specific immersion times Preclean tools before immersing them in a disinfectant 20  DISINFECTION TYPES OF DISINFECTANTS: Sample Immersion Disinfection Procedure (Tools) 102E.2 Infection Control ©2020 Pivot Point International, Inc. Sample Immersion Disinfection Procedure (Tools) 1. Wash the tweezers thoroughly with soap and water to remove any dirt, grease or oil. 2. Rinse and dry the tweezers completely before immersing to avoid dilution. 3. Immerse the tweezers completely in disinfectant solution. Follow manufacturer’s guidelines for contact time. 4. Remove the tweezers with forceps, tongs or gloved hands. Follow manufacturer’s instructions for rinsing and drying. 5. Store in a disinfected, dry, covered container or cabinet until needed. 21  DISINFECTION TYPES OF DISINFECTANTS: Disinfectant Products Quaternary Ammonium Compounds – “Quats” Sodium Hypochlorite 5.25% Concentrate – Bleach Accelerated Hydrogen Peroxide Phenolic Disinfectant – Tuberculocidal 102E.2 Infection Control ©2020 Pivot Point International, Inc. Quaternary Ammonium Compounds – Also known as “Quats” Usually able to disinfect within 10 minutes Sodium Hypochlorite 5.25% Concentrate – Also known as bleach Needs to have an EPA-registration number and contain at least 5% sodium hypochlorite, diluted to a 10% solution Needs to contain chlorine bleach to be a disinfectant Store away from heat and light Accelerated Hydrogen Peroxide Needs to be changed every 14 days Nontoxic to skin Available in spray, solution form, wipes Phenolic Disinfectant (Tuberculocidal) Known as a cancer-causing chemical, should only be used with an EPA-approved label when required by your area regulatory agency Alcohol is a poor disinfectant; requires 20 to 30 minutes contact time. 22  DISINFECTION DISINFECTION GUIDELINES: Nonporous Tools and Multi-Use Supplies 102E.2 Infection Control ©2020 Pivot Point International, Inc. Disinfection Guidelines on p. 26 provide an overview of the primary infection control procedures used for disinfection in the salon/spa environment. Disinfect nonporous tools and multi-use supplies after each use. 23  DISINFECTION DISINFECTION GUIDELINES: Electrical Equipment 102E.2 Infection Control ©2020 Pivot Point International, Inc. Always unplug electrical appliances before disinfecting Use an approved EPA-registered disinfectant 24  DISINFECTION DISINFECTION GUIDELINES: Large Surfaces, Such as a Workstation 102E.2 Infection Control ©2020 Pivot Point International, Inc. Disinfecting large surfaces, such as a workstation: Clean surface Apply liquid or spray disinfectant and allow surface to stay moist for contact time listed on manufacturer’s label 25  DISINFECTION Discard? Disinfect? 102E.2 Infection Control ©2020 Pivot Point International, Inc. Single-use or disposable: Porous items Cannot be disinfected Discarded after each use Multi-use or reusable: Nonporous items Can be used again, cleaned and then disinfected with an approved EPA- registered disinfectant All tools or supplies that come in contact with the client during a service must be discarded or disinfected 26  DISINFECTION DISINFECTION PRECAUTIONS: Single-Use Gloves 102E.2 Infection Control ©2020 Pivot Point International, Inc. Single-use gloves are required for waxing or extraction procedures when there is possibility of exposure to blood or body fluids. Most common types of gloves are: Latex Nitrile Vinyl 27  DISINFECTION DISINFECTION PRECAUTIONS: Precautions for Handling Disinfectants Ensure proper storage and labeling Ensure proper use of disinfectants Follow manufacturer’s instructions to mix, use and dispose of disinfectants Follow manufacture’s instructions to dispose of sharp objects and aerosol cans 102E.2 Infection Control ©2020 Pivot Point International, Inc. Precautions for handling disinfectants Ensure proper storage and labeling o Tightly cover and label o Store in an area that is cool and dry o Purchase in small quantities Ensure proper use of disinfectants o Remove items from disinfectant with tongs, gloves, draining basket o Avoid inhaling or spilling o Immediately wipe up spills o After handling, wash hands Follow manufacturer’s instructions to mix, use and dispose of disinfectants o Wear gloves, a protective apron and safety glasses when mixing o Dilute concentrates according to manufacturer’s instructions o As required by EPA, change disinfectant solution daily o Rinse empty chemical containers and place in covered bin Follow manufacturer’s instructions to dispose of sharp objects and aerosol cans o Dispose of sharp objects (razor blades, lancets, insulin needles) in a sealable, puncture-proof sharps container o Do not pierce or burn aerosol cans 28  STERILIZATION Kills or destroys all microbial life, including spores 102E.2 Infection Control ©2020 Pivot Point International, Inc. Sterilization is the most effective level of infection control Procedures kill or destroy all microbial life, including spores Critical-use tools must be disposed of in a puncture-proof container or sterilized Sterilization – eradication of all microbial life, including bacterial spores through the use of heat, steam or chemical sterilants Autoclave is used to sterilize objects using steam at high pressure 29  STERILIZATION PREVENT CROSS-CONTAMINATION 102E.2 Infection Control ©2020 Pivot Point International, Inc. Prevent Cross-Contamination Once a disinfected or sterilized item is touched or exposed to air, its considered contaminated. Aseptic Procedures – Reducing contamination with proper handling of disinfected and sterile tools and equipment Cross-Contamination – Unintentional transfer of harmful bacteria from one person, object or surface to another with harmful effects Decanting – Removing product from its original container into a separate new, clean or sterile container 30  STERILIZATION AUTOCLAVE 102E.2 Infection Control ©2020 Pivot Point International, Inc. Autoclave: Pressurized, steam-heated vessel that sterilizes nonporous tools and equipment with high pressure and heat or pressurized steam Used on critical instruments that are used to penetrate the skin Don’t use on high frequency or galvanic glass electrodes Regular monitoring is important to ensure proper operation o Spore testing is required to ensure functionality through an independent lab every 30 days o Biological monitoring to verify autoclave unit is functioning properly is generally required weekly 31  INFECTION CONTROL PROCEDURES Infection control in the salon/spa can best achieved when all employees follow the same procedure every time. 102E.2 Infection Control ©2020 Pivot Point International, Inc. Infection control in the salon/spa is best achieved when all employees follow the same procedure every time. Here is a quick summary: Sterilization Kills: All pathogens (including bacterial spores) Items: Tools that are used to puncture or invade the skin Procedure: Heat or steam, calibrated to various temperatures or chemical sterilant Disinfection Kills: Certain bacteria, viruses and fungi (except bacterial spores) Items: Nonporous tools and multi-use supplies that have come in contact with blood or body fluids Procedure: EPA-registered bactericidal, virucidal and fungicidal disinfectant labeled as effective against HBV and HIV, according to manufacturer’s instructions Cleaning Removes: Dirt and debris and potential pathogens Items: Countertops, sinks, floors, toilets Procedure: Soap and warm water 32  INFECTION CONTROL PROCEDURES General practices to follow during infection control procedures include handwashing and using personal protective equipment (PPE) Single-use gloves Apron Face mask Safety Glasses 102E.2 Infection Control ©2020 Pivot Point International, Inc. General practices to follow during infection control procedures include handwashing and using personal protective equipment (PPE) Single-use gloves Apron Face mask Safety Glasses 33  INFECTION CONTROL PROCEDURES Basic Handwashing Cleaning and Disinfecting Nonelectrical Tools (Immersion) Disinfecting with Spray and Wipes Aseptic Procedure Sterilization using an Autoclave Blood Exposure Incident 102E.2 Infection Control ©2020 Pivot Point International, Inc. Refer to pp. 34-44 for step-by-step procedures for: Basic Handwashing Cleaning and Disinfecting Nonelectrical Tools (Immersion) Disinfecting with Spray and Wipes Aseptic Procedure Sterilization using an Autoclave Blood Exposure Incident 34  Check What You Know 1. True/False Infection control is the term used to describe efforts to prevent the spread of communicable disease. 2. True/False Infection control practices can be divided into four main methods. 3. The process of scrubbing to remove dirt, debris and potential pathogens to aid in slowing the growth of pathogens is the infection control practice of ________. 4. The infection control procedure that kills certain pathogens (bacteria, viruses and fungi), with the exception of spores, on nonporous surfaces, is referred to as _____________. 5. The regulatory agency under the U.S. Department of Labor that enforces safety and health standards in the workplace is ________. 102E.2 Infection Control ©2020 Pivot Point International, Inc. Check What You Know questions help affirm understanding of key points. 35  Check What You Know 6. The agency that approves the efficacy of products used for infection control is referred to as the ______ ______ ______. 7. Infectious micro-organisms in human blood that can cause disease in humans are called _______ ________. 8. All tools or supplies that come in contact with the client during a service must be discarded or _________. 9. The eradication of all microbial life, including bacterial spores is __________. 10.The unintentional transfer of harmful bacteria from one person, object or surface to another with harmful effects is known as ________- _________. 102E.2 Infection Control ©2020 Pivot Point International, Inc. Check What You Know questions help affirm understanding of key points. 36  Check What You Know 1. True/False Infection control is the term used to describe efforts to prevent the spread of communicable disease. Page 15 2. True/False Infection control practices can be divided into four main methods. Page 16 3. The process of scrubbing to remove dirt, debris and potential pathogens to aid in slowing the growth of pathogens is the infection control practice of cleaning. Page 16 4. The infection control procedure that kills certain pathogens (bacteria, viruses and fungi) with the exception of spores on nonporous surfaces, is referred to as disinfection. Page 20 5. The regulatory agency under the U.S. Department of Labor that enforces safety and health standards in the workplace is OSHA. Page 20 102E.2 Infection Control ©2020 Pivot Point International, Inc. Check What You Know questions help affirm understanding of key points. 37  Check What You Know 6. The agency that approves the efficacy of products used for infection control is referred to as the Environmental Protection Agency. Page 22 7. Infectious micro-organisms in human blood that can cause disease in humans are called bloodborne pathogens. Page 22 8. All tools or supplies that come in contact with the client during a service must be discarded or disinfected. Page 27 9. The eradication of all microbial life, including bacterial spores is sterilization. Page 30 10.The unintentional transfer of harmful bacteria from one person, object or surface to another with harmful effects is known as cross- contamination. Page 31 102E.2 Infection Control ©2020 Pivot Point International, Inc. Check What You Know questions help affirm understanding of key points. 38  102E.2 INFECTION CONTROL REVIEW CLEANING Cleaning standards apply to removing dirt, debris and potential pathogens to aid in slowing the growth of pathogens. 102E.2 Infection Control ©2020 Pivot Point International, Inc. Validate learning by celebrating what has been learned. 39  102E.2 INFECTION CONTROL REVIEW DISINFECTION Nonporous tools and multi-use supplies that have not been in contact with blood or body fluids require the use of an approved EPA-registered disinfectant. Tools that have been in contact with blood or body fluids require the use of an approved EPA- registered bactericidal, virucidal and fungicidal disinfectant labeled as effective against HIV and HBV. 102E.2 Infection Control ©2020 Pivot Point International, Inc. Validate learning by celebrating what has been learned. 40  102E.2 INFECTION CONTROL REVIEW STERILIZATION Sterilization can be achieved by a variety of methods that include heat, steam or chemical sterilant. 102E.2 Infection Control ©2020 Pivot Point International, Inc. Validate learning by celebrating what has been learned. 41  102E.2 INFECTION CONTROL REVIEW INFECTION CONTROL PROCEDURES Infection control procedures used in the salon/spa include basic handwashing, cleaning and disinfecting nonelectrical tools, sterilization using an autoclave, aseptic procedure and blood exposure incident procedure. 102E.2 Infection Control ©2020 Pivot Point International, Inc. Validate learning by celebrating what has been learned. 42  PIVOT POINT FUNDAMENTALS: ESTHETICS ©2020 Pivot Point International, Inc. All Rights Reserved. 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