Infection Control Procedures PDF

Dr.Aeshah Hassan Abduljabbar Outline • Personal Hygiene and Attire • Managing the Central Sterile Supply Department’ Environment Personal Hygiene and Attire CSSD personals must adhere to the PPE as required per OSHA Personal Protective Equipment • Gloves • Masks • Gowns • Face shie...

Dr.Aeshah Hassan Abduljabbar Outline • Personal Hygiene and Attire • Managing the Central Sterile Supply Department’ Environment Personal Hygiene and Attire CSSD personals must adhere to the PPE as required per OSHA Personal Protective Equipment • Gloves • Masks • Gowns • Face shields • Head covers Infection Control Practices PPE Gloves Masks Eye protection Head cover Gowns Always wear PPE if the task might produce splash, spatter or aerosols Hand Hygiene Personal Hygiene and Attire 1- hand hygiene Hand Hygiene a.Handwashing 40- 60 sec b. Hand rub 20-30 sec Personal Hygiene and Attire 2- Head cover a. covers the head and ears PPE ❖ Head covers ❖ Surgical head covers Personal Hygiene and Attire 3- Gloves : approved for the CSSD. b.Must be think with longer cuffs Use gloves for environmental cleaning activities, and handling contaminated reusable medical devices and waste. Wearing gloves does not replace hand washing as gloves may have become damaged during use, or have defects that are not immediately obvious. Gloves sterilized type Utility Gloves Personal Hygiene and Attire 4- Mask : Protect the mouth • Wear fluid repellent masks with visor eye shields to reduce the risk of microbes being transferred to the eyes, nose and mouth. These must be fitted properly and worn to cover eyes, mouth and nose, according to the manufacturer’s IFU. Do not touch the mask or eye shield with your hands while working, remove them immediately if they become moist or visibly soiled, discard them appropriately and replace with • clean equipment. PPE • Mask Medical Mask Surgical Mask N95 Mask Medical Mask with face shield Personal Hygiene and Attire 5- Gown : Fluid resistant gown with long cuffed sleeves that can be tucked inside the gloves during the procedure s thst are likely to generate splashes of blood or body fluids or drting activities that mat contaminate it it with infectious material. Change this gown whenever it becomes visibly soiled or wet and discard after use. Protect the skin PPE ❖ Gowns ❖ When? spatter ❖ When to change ? every patient Personal Hygiene and Attire 5- Goggles/ faceshield : Protect the eyes PPE Dental Goggles Face Shield Personal Hygiene and Attire 6- Long Shoe Covers : . To protect the shoes from contami nation Best practice suggests dedicated shoes or clogs that are worn only in the decontamination zone. Ideally, these should be washable. Disposable shoe covers could also be used to protect regular shoes from becoming wet and contaminated during cleaning procedures however, these puncture easily and may fall off. They must be replaced if there is any sign of damage and the old ones discarded properly in the waste container. Personal Hygiene and Attire • Wash your hands before and after using gloves. • Wear the correct size and appropriate type for the task. They should have long enough cuffs to fit over the cuffs of the gown. • Keep your nails short so you don’t puncture your gloves. • Avoid touching your mask, eyes or face with your gloves once you have started work. • Learn how to remove gloves without contaminating your hands or snapping the gloves which may spread contamination across the room. • Remove used gloves before touching anything that can be contaminated through contact such as surfaces and pens. • Discard the gloves when you are done, or when you suspect the gloves are torn or perforated. Other Workwear Requirements Workwear requirements for CSSD other than the decontamination zone • Uniform/Scrub • Wear a freshly laundered or new, disposable, low-lint “scrub” uniform that minimizes bacterial shedding and is comfortable for you. Changed scrubs daily or whenever they become visibly soiled or wet. • Head/Hair cover • Wear a clean, single use, low lint surgical hat or hood that fully covers and confines your hair. Discard this head covering and replace it with a new one when re-entering the zone. • Footwear • Wear dedicated non-slip enclosed footwear that can protect from injury or contact with accidently dropped sharp objects. Footwear must be appropriate to the area and regularly cleaned and disinfected. • Make-up/Jewelry • Do not wear make-up or jewelry (except a plain wedding band) in CSSD. You may wear stud earrings that are confined within the head cover in case they come loose. Managing the Central Sterile Supply Department’ Environment The important step to maintain the CSSD environment is to control the traffic throw the main three zones and to strictly maintain the proper heating, ventilation, and air conditioning (HVAC) systems. Decontamination Zone Preparation & Packaging Zone Steralization Zone Air pressure Negative pressure (-5 Pascal) -+ 5% Postive pressure (+5 Pascal) -+ 5% Postive pressure (+5 Pascal) -+ 5% Air Changes 10 air changes per hour at least 10 air changes per hour at least 4 air changes per hour at least Temperature 18Oc to 20 oc 20Oc to 23 oc 20Oc to 24 oc Humidity 30% to 70% Relative humidity 30% to 70% Humidity up to 70% -Transmission of pathogens occurring through contact from person to another person is which of the following forms of transmission? Direct -What type of disease transmission refers to the spread of disease through droplets of moisture that contain bacteria or viruses? Airborne transmission