Infection Control Flashcards
Pain management for lap chole
TAP Block
Infection Control
ONE patient ONE needle ONE syringe ONE single-dose vial ONE TIME
Artificial fingernails
No artificial nails
Rings are a source of contamination
Fomites–>contaminated objects that spread pathogens.
Universal standard precautions
Hand hygiene before and after
Gloves for any patient contact
eye shields
Facemasks
VAP care bundle
NEHCIAA Noninvasive ventilation Extubate ASAP Head of bed 15 deg Inline sublgottic suction cuff 20cm H20 Avoid naso-endotracheal Avoid H2 blockers, PPIs 2nd to aerodigestive bacteria
Regional Anesthesia for reducing skin flora
0.5% chlorhexidine + 70% alcohol skin prep
Do not use Chlorhexidine and alcohol for
lumbar puncture associated with higher concentration and neurotoxicity
Masks during neuraxial blocks: documented
meningitis outbreaks in parturients
Double glove remove outer
to adjust gas after intubation and instrumentation
Superior to providine-iodine in reducing skin flora
0.5% Chlorhexidine and 70% alcohol skin prpr
When to remove epidural catheters
Remove within 48 hours, decrease infection risk
Disconnected catheter
static fluid
has moved>5 in, remove catheter
STatic fluids soaked catheter in providine iodine x 3 min
Maintain steriel field, let dry
Cut catheter with sterile instrument 10 inches from end, with sterile connector.
A line insertion first step
First cleanse and infiltrate site with LA
A-line choose seit
SNF
Subclavian>neck> femoral .
Full sterile barrier: Gown, gloves cap and mask
Wide draping
Central line dressing,
Clear transparent adhesie
Avoid ointment except for dialysis
ScRuB ThE hub
Ampule and aseptic
Cleanse ampule with alcohol before cracking
DO not do this with IV bag
draw any fluid out of patient bag, use individually wrapped saline
Players in the safe injection practices issue
Patients Vulnerable high expectations
Providers endless education and blame
Administrators pressure to cut costs
Drug manufacturers: shortage
Why do outbreak continue?
SDVs sizes are too large
SDS use for multiple patient
Pharmacies unable to prepare drugs under hood
Only SDV only
one time for one patient
Disinfection and sterilizaton
Remove visible contaminants first
Infection laryngoscope
Keep store laryngoscope blades covered NOT OPEN in drawer
Keep material for next case in
clean place, confined and covered
Anesthesia machine cleaning
Clean between cases with EPA approve low or intermediat disinfectant
Heat moisture exchangers
may not have filters to prevent infection
Reprocessed LMAs difficult to
Remove all protein
Items labeled singl use
when reused impose liability on the individual and institution for proper function
PPE
Eye protection Gowns Gloves Masks, Hats OR Scrubs
Needles
Double gloving decreases risk of needle stick injuries
No recapping
