Transcript Infection Prevention Student Module

Kaiser Permanente Panorama City- Specific
Infection Prevention
STUDENT MODULE
Objectives
At the end of this presentation, the student will be able to:
Discuss the importance of Hand Hygiene in the prevention of
disease transmission
Identify Standard Precautions
Identify the transmission and prevention of Tuberculosis
Identify clean versus dirty equipment and the process for
disinfecting equipment
Discuss the prevention of Blood borne Pathogens
2 April 8, 2017
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© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Infection Prevention Department
Panorama City
 Ann Hazard RN IC Manager
818-815-6019 (350)
 Carola Vivian IC Analyst
818-375-3542 (350)
3 April 8, 2017
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© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Infection Prevention (IP) Resources
 IP Policy and Procedure Manual
on the KP Policy Library (KPPL)
webpage
 Contact Infection Prevention
 Immediate Supervisor
Know Your Infection Prevention Team
4 April 8, 2017
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© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Question: How Do I Find Kaiser
Permanente Panorama City Infection
Prevention Policies?
5 April 8, 2017
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© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Answer: Kaiser Permanente
Panorama City Infection
Prevention Policies are located
on KPPL Panorama City intranet
homepage.
6 April 8, 2017
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© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Kaiser Permanente Policy Library
7 April 8, 2017
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© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Importance of Infection Prevention
 Prevention of Healthcare-Acquired
Infections
 Patient Safety and Satisfaction
 Staff Safety
 Regulatory Agency Requirements
8 April 8, 2017
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© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Prevention of Healthcare Acquired Infections
(HAIs)
Strategies to prevent HAIs:
 Hand Hygiene compliance
 Patient notification, education and
documentation
 Environmental cleaning/disinfection
 Healthcare workers (HCW) and Member
vaccination programs
9 April 8, 2017
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© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
What is your role in Infection Prevention?
 Perform hand hygiene
 Stay healthy
 TB screening and current
vaccinations
 Follow Medical Center Wide Policy
and Procedures
10 April 8, 2017
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© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Large Single Point Slide
11 April 8, 2017
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© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Hand Hygiene Principles
Alcohol foam
or
15 seconds to germ-free
12 April 8, 2017
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© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
5 Moments of Hand Hygiene
Hand Hygiene Considerations
 Natural nails should be short.
 Artificial nails, nail tips, gel, and silk wraps are
prohibited for all HCW who provide direct
patient care or touch the patient environment.
 Light or clear polish without chips is acceptable
at the discretion of your instructor.
Efficacy of Hand Hygiene
Preparations in Killing Bacteria
Good
Plain Soap
Better
Antimicrobial
soap
Best
Alcohol-based
handrub
Standard Precautions
Hand Hygiene
 Wash hands for at
least 15 seconds
 Soap and water or
Alcohol Foam
 5 Moments of Hand
Hygiene
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Respiratory
Hygiene/Cough
Etiquette
 Cover your cough
 Offer mask, tissues
and hand sanitizer
 Hand Hygiene
 Wear Personal
Protective Equipment
(PPE)
© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Safe Injection
Practices
 Activate safety
device
 Dispose in proper
sharps container
 Do Not recap
needles
 Always handle
sharps cautiously
and safely
Standard Precautions
Infection prevention practices that are used for ALL patients
 Gloves: Whenever touching blood, body fluids,
mucous membranes.
 Mask: When splashes to mouth or nose is anticipated
and/or performing aseptic procedures such as
Lumbar Puncture, central line insertion
 Goggles or Eye Shield: When splashes to eyes are
anticipated.
 Gown: When soiling of clothing or skin is anticipated.
Sequence for Donning Personal Protective
Equipment (PPE)
Perform Hand Hygiene
Gown
Mask or Respirator
Goggles or Face Shield
Gloves
• Keep hands away from face
• Change gloves when torn or heavily contaminated
Sequence for Removing PPEs
Gloves
Goggles or Face Shield
Gown
Mask or Respirator
Perform Hand Hygiene
• All PPEs are removed at doorway.
• Exception: Respirator is removed in anteroom after closing patient door
Standard Precautions - SIMPLIFIED
FOR EVERY PATIENT CONTACT, EVERY TIME
IF IT’S WET AND NOT YOURS…DO NOT TOUCH IT
And DO NOT LET IT TOUCH YOU WITHOUT PPE
Respiratory Hygiene/Cough Etiquette
Recommended for all individuals with symptoms of
respiratory infection
 Cover the nose/mouth when coughing or sneezing with
a tissue or mask
 Dispose of tissue in a receptacle
 Perform Hand Hygiene
 Encourage coughing persons to sit or stand at least 3
feet away from others in common waiting areas
Tuberculosis (TB)
 Risk factors:
 Recent immigrant
 Immunosuppressed or HIV
 Resident of prison, shelter, Long Term Care (LTC)
facility
 Known exposure or previous positive skin test
 History of TB, did not complete therapy
Tuberculosis (TB)
Latent TB (non-pulmonary) VS.
Active TB (pulmonary)
• Positive skin test
• Positive skin test
• Normal Chest X-Ray (CXR)
• No Clinical Signs or Symptoms
• Abnormal Chest X-Ray (CXR)
• CANNOT spread disease to others
• Treated with INH for prophylaxis
• CAN spread disease to others
• Must be reported to Infection Control
• No isolation
• Must be in isolation
• Clinical Signs and Symptoms
• Must be reported to Infection Control
Equipment Cleaning and Disinfection
Patient Care Equipment
 Clean and disinfect multi-patient use equipment between
patients.
 Discard single use items (i.e. PPE, masks).
 Clean and disinfect the high touch areas (door knobs,
keyboards, countertops, etc)
 Clean and disinfect with hospital approved disinfectant
wipes:
– allow wet surface to air dry according to manufacturer’s guidelines (see
product label)
For use:
– Surfaces
– High touch
areas
– Equipment
– Soiled
areas
25 April 8, 2017
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© 2011 Kaiser Foundation Health Plan, Inc. For internal use only.
Bloodborne Pathogens Exposure Plan
A guideline designed to assist in protecting our health care workers against
occupational transmission of viral Hepatitis B , HIV, Hepatitis C and other
blood borne diseases
Blood borne pathogens are organisms that are transmitted by direct contact with blood and /or body
substances. Needle sticks and other sharp related injuries may expose workers to blood borne
pathogen.
What to do if I have an exposure!
• Cleanse the exposure area immediately
• Report it to your supervisor
• Seek medical evaluation from ER or
Urgent Care
Prevention :
-Activating safety device on needle
-Proper needle disposal
-Contacting Environmental Services (EVS) when
sharps containers are ¾ full
No Food or Drinks in Patient Care Areas
 The OSHA Bloodborne Pathogen Standard prohibits food and drink
in areas where contamination is likely.
 This regulation prohibits the consumption of food and drink in areas in
which work involving exposure or potential exposure to blood or other
potentially infectious material exists, or where the potential for
contamination of work surfaces exists.
 The prohibition against eating and drinking in such work area is
consistent with other OSHA standards and is good industrial hygiene
practice.
Infection Prevention
It’s everyone’s business