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Physicians: Infection Prevention is in YOUR Hands

Physicians: Infection Prevention is in YOUR Hands. YOUR responsibility to: Protect YOUR Patients Protect YOURSELF. Chain of Infection. Natural body openings Man-made body openings. YOU. Contact. X. Droplet. PATIENT. MRSA. Airborne. Percutanous. TB. Sputum. Flu. Catheter.

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Physicians: Infection Prevention is in YOUR Hands

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  1. Physicians: Infection Prevention is in YOUR Hands YOURresponsibility to:Protect YOUR Patients Protect YOURSELF

  2. Chain of Infection Natural body openings Man-made body openings YOU Contact X Droplet PATIENT MRSA Airborne Percutanous TB Sputum Flu Catheter HANDS Stool Incision Wounds Mouth Environment Nose

  3. An estimated 1.7 million HAIs each year 1.3 million are non-ICU related 4.5 of every 100 patients acquire ~ 99,000 HAI associated deaths each year Health Care-Associated Infection (HAI) in the USA

  4. MULTI-DRUG RESISTANT ORGANISMS (MDRO) MRSA Acinetobacter Serratia Klebsiella (KPC) VRE Pseudomonas E-coli

  5. PREVENTION of MDROs and HAIs • Antibiotic Stewardship • Clean environment • Communication/Alerting (READ the signs!!) • Hand Hygiene* • Body Substance Precautions* *and remember the “iceberg effect”…

  6. The Iceberg Effect

  7. Clean your hands before touching the patient or any object or furniture in the patient’s immediate surroundings Clean your hands (and before donning gloves) immediately before accessing a critical site with infectious risk for the patient! Clean your hands when leaving the patient’s side, after touching a patient or his/her immediate surroundings Clean your hands as soon as a task involving exposure risk to body fluids has ended (and after glove removal)! Your 5 Moments of Hand Hygiene

  8. https://www.youtube.com/watch?v=MGpevGkaPcY&feature=related

  9. Barrier precautions or Personal Protective Equipment (PPE) for ALL patients when you anticipate contact with body substances or fluids non-intact skin mucous membranes BSP protects YOU against patients with Known diagnosed or suspected infections and diseases Unknown incubating diseases or colonized with infectious organisms Body Substance Precautions (BSP)

  10. Direct and Indirect Contact

  11. Droplets, Splashes

  12. Airborne N95 Respirator: requires fit testing PAPR: Powered Air Purifying Respirator

  13. What’s wrong with this picture??(note, staged scenarios) And where have those gloves been?

  14. What’s wrong with this picture??(note, staged scenarios) Is that chart going back to the rack?

  15. Bloodborne Pathogen Exposure Risks • HBV • 30% from a needle stick (10% chronic infection) • Effective vaccine • Effective post exposure treatment • HCV • 3% from a needle stick (85% chronic infection) • No vaccine • No good post exposure (treat if become infected) • HIV • 0.3% from a needle stick (100% chronic infection) • No vaccine • Effective post exposure treatment (get ASAP!)

  16. Exposure to Blood or Body Fluids • PREVENTION! • BSP, Hand Hygiene, PPE, Vaccination • Go ASAP to the Work Wellness Center (WWC) during open hours, or • ED if WWC closed, then follow up with WWC! • Source patient testing by WWC or Nursing Supervisor • Exposures in Community Clinics/other facilities • most handled onsite, ask your Supervisor • Complete Worker’s Comp form w/ your Supervisor & send to HR • WWC confidentially evaluates & provides free follow-up or Rx based on CDC guidelines

  17. EXTREME Care with all Sharps • The person who uses the sharp • puts it into the sharps container • NEVER recap, break or bend needles BE AWARE OF YOUR ENVIRONMENT

  18. Questions? Call the Infection Prevention and Control Office at 581-2706

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