INFECTION PREVENTION AND CONTROL

1. INFECTION PREVENTION AND CONTROL In-service Training Guide

2. INFECTION CONTROL What is an infection?

3. DEFINITION • Infection - is the invasion of a host organism's bodilytissuesby disease-causing organisms, their multiplication, and the reaction of host tissues to these organisms and the toxins they produce. - Infections are caused by microorganisms such as viruses, prions, bacteria, and viroids, and larger organisms like macroparasitesand fungi.

4. HOW DO WE STOP IT?

5. THE SIX LINK CHAIN OF INFECTION How a pathogen is transmitted from one person to another

6. LINK 1 • Causative agent – pathogen or infectious microorganism • Bacteria • Viruses • Mold • Fungi

7. LINK 2 • Reservoir – Place where pathogen lives • Lungs • Blood • Digestive Tract • ETC

8. LINK 3 • Portal of Exit – Any body opening on infected person • Nose • Mouth • Eyes • Cut in Skin • Urethra/Anus

9. LINK 4 • Mode of Transmission – How the Pathogen travels from one person to the next • Air • Hands • Other Surfaces

10. LINK 5 • Portal of Entry – Any body opening on uninfected person • Nose • Mouth • Eyes • Cut in Skin • Urethra/Anus

11. LINK 6 • Susceptible Host – an uninfected person

12. STOP THE BUGS • Cleansing • Disinfecting • Sterilizing • No Sharing • Bag Hazardous Waste • Linen Handling

13. LINEN HANDLING • Bag at the point of use • Minimum agitation • Do not sort or pre-rinse in resident care areas • Use PPE when sorting • No damp linen left overnight • Hot water above 160°for 25 minutes

14. HAND HYGIENE: When to Wash • When coming on duty • Before and after direct resident contact • Before and after performing any invasive procedure • Before and after entering isolation precaution settings • Before and after assisting with personal care • Before and after handling peripheral vascular catheters and other invasive devices • Before and after inserting indwelling catheters • Before and after changing a dressing • Upon and after coming in contact with a resident’s intact skin • After blowing or wiping nose • After handling soiled linen • After handling soiled equipment or utensils • After removing gloves or aprons • After completing duty

15. HAND HYGIENE: Use Soap and Water • When hands are visibly soiled • Before and after eating or handling food • Before and after assisting a resident with meals • After personal use of the toilet • After contact with a resident with infectious diarrhea • After performing your personal hygiene

16. HAND HYGIENE: How to wash • Wet hands first with clean, running warm water • Apply the amount of product recommended by the manufacturer to hands • Rub hands together vigorously for a t least 15 seconds covering all surfaces of the hands and fingers • Rinse hands with water • Dry with disposable paper towel • Turn off the faucet with disposable paper towel.

17. STANDARD PRECAUTIONS • Use with everybody • Wear gloves • Handle used equipment with care • Dispose of needles properly • Wear face mask & eye protection when necessary

18. TRANSMISSION BASED PRECAUTIONS • Airborne • Contact • Droplet

19. Infectious DiseasePrevention Strategies • Routinely using barriers (such as gloves and/or goggles) when anticipating contact with blood or body fluids. • Immediately washing hands and other skin surfaces after contact with blood or body fluids. • Carefully handling and disposing of sharp instruments during and after use. Source: CDC: Occupational HIV Transmission and Prevention Among Health Care Workers

20. REMEMBER…. • IF IT’S WET AND NOT YOURS DON’T TOUCH IT!! • WASH YOUR HANDS!! • WASH RESIDENTS’ HANDS!! • BAG IT!! • CLEAN IT!!

21. F441

22. INFECTION CONTROLF441 • ESTABLISH A PROGRAM IN WHICH THE FACILITY – • Investigates, controls, and prevents infections in the facility • Decides what procedures, such as isolation, should be applied to an individual resident; and • Maintains a record of incidents and corrective actions related to infections.

23. INFECTION CONTROLF441 • PREVENTING SPREAD OF INFECTION – • When the Infection Control Program determines that a resident needs isolation to prevent the spread of infection, the facility must isolate the resident. • The facility must prohibit employees with a communicable disease or infected skin lesions from direct contact with residents or their food, if direct contact will transmit the disease. • The facility must require staff to wash their hands after each direct resident contact for which hand washing is indicated by accepted professional practice.

24. INFECTION CONTROLF441 • LINENS • Personnel must handle, store, process and transport linens as to prevent the spread of infection.

25. MORE TO KNOW

26. Remember: According to the Centers for Disease Control and Prevention…… “Clean Hands – Save Lives”

27. YOUR TURN….. Questions? Comments? Concerns?

28. Thank you! For all that you do to prevent the spread of infections in our home.