Infection prevention and control SOP Flashcards
Outline the contents of the Infection, Prevention and Control SOP
Standard IPC Precautions
Hand hygiene
PPE
ASNTT
Sharps management
EPPs
Cleaning and decontamination
Waste management
Bodily fluids management
Care equipment
Linen and laundry
Uniforms
Food in vehicles
Outbreak management
What are the ten elements of standard infection control precautions?
- Patient placement/assessment of risk
- Hand hygiene
- Respiratory/cough hygiene
- PPE
- Safe management of environment
- Safe management of equipment
- Safe management of linen
- Safe management of Bodily fluids
- Safe disposal of waste
- Prevention of exposure
Outline the hand hygiene section of the Infection Prevention and Control SOP
Hand washing technique
Alcohol gel technique
5 moments of hand hygiene
Hand washing facilities
Skin care
BBE
What are the 5 moments of hand hygiene?
- Before patient contact
- Before aseptic task
- After body fluid exposure risk
- After patient contact
- After contact with patient environment
To which areas should you pay particular attention when washing your hands?
Fingertips
Thumbs
In between fingers
Wrists
What PPE should be available on all vehicles?
Gloves
Aprons
Sleeve protectors
Coveralls
Surgical masks
Eye protection
FFP3 Hoods
What PPE should be worn for a procedure with a high risk of splashing?
Gloves
Apron
Sleeves
Eye/mouth/nose protection
What are the indications for ASNTT?
Routine IV/IO insertion
Wounds healing by primary intention
Intubation
Accessing invasive devices
Outline the contents of the safe management of sharps section of the IPC SOP
Prevention
Use of Sharps bins
Management of injury
Immediate actions
Follow-up
Injury to the public
Describe the dynamic risk assessment for the selection of PPE
If no exposure to bodily fluids - no protective clothing required
If exposure to bodily fluids but low risk of splashing - gloves and aprons
If exposure with high risk of splashing - gloves, aprons, sleeves, eye/mouth/nose protection
How can sharps injuries be prevented?
Needle safe cannula
Safe storage
Immediate disposal
No passing hand to hand
No modification of sharps
No re-sheathing
Special care during procedures
Check for loose sharps
Dynamic risk assessment with agitated patients
How do you define an inoculation injury?
Sharp
Contamination of broken skin
Mucous membrane
Swallowing
Bites/scratches
Describe the immediate action post sharps injury
Wash with copious amounts of water and cover with dressing
Report to person in charge and complete form
Medium/high risk - GP or A+E with written account for blood samples +/- prophylaxis
Low risk - no further action
Complete datix
Describe the follow-up post a sharps injury
Contact LNAA Occupational health
If closed attend nearest ED/MIU
Bloods from donor by third party
Consider PEP ASAP
What four factors are associated with occupationally acquired HIV infection?
- Deep penetrating injury
- Blood on device
- Hollow bore instrument
Terminal HIV related illness in donor
What action should be taken if a member of the public sustains a sharp injury?
First aid
Go to ED for risk assessment +/- PEP
GP/GUM f/u
LNAA datix if related to assisting
What is defined as an exposure prone procedure?
Procedure where there is risk that an injury to a worker may result in exposure to the patients open tissue
Outline the cleaning and decontamination section of the IPC SOP
All staff have responsibility
Colour coding - don’t transfer mops between areas
Mop heads - single use, dispose immediately if used for bodily fluids
Cleaning using detergent
Cleaning using disinfectant - after detergent, deteriorate after dilution
Summarise the waste management section of the IPC SOP
Waste needs to be effectively segregated into streams
Always use PPE
Covers all colours of bags
What type of waste can go into a yellow bag?
Anatomical clinical infectious waste which requires incineration
What type of waste can go into an orange bag?
Waste which may need to be treated - potentially infectious
What type of waste can go into a purple bag?
Cytotoxic/cytostatic waste
What type of waste can go into a bag with black/yellow stripes?
Offensive waste
What type of waste can go into a black bag?
Domestic waste
What type of waste can go into a white bag?
Amalgam waste
List the seven waste streams
Yellow - anatomical clinical
Orange - infectious
Purple - cytotoxic
Black/yellow stripes - offensive
Black - domestic
White - amalgam
Recycling
Describe the method of cleaning blood/bodily fluid spills on flat/vertical surfaces
Don PPE
Use the bodily fluids spill kit
Leave for no more than 2 minutes
Discard kit and contents
Remove PPE and decontaminate hands
Describe the method of cleaning faecal matter
Don PPE
Remove faeces and discard in appropriate clinical waste
Clean area using peracetic acid wipes and discard
Remove PPE and decontaminate hands
Describe the four types of care equipment with regards to the IPC SOP
Single use
Single patient use (may need to be decontaminated in between)
Reusable invasive equipment (eg surgical equipment)
Reusable non-invasive equipment (eg NIBP cuff)
Describe the risk assessment model to aid in identifying the most appropriate method of decontamination
Minimal (not in contact with patient) - clean and dry
Low (items that contact healthy skin) - clean and dry, or disinfect if in contact with bodily fluids
Medium (in contact with mucous membranes) - disinfect or single use
High (breaks skin or mucous membrane) - sterilise or single use
Outline the content of the linen section of the IPC SOP
- All linen must be clean and undamaged
- Clean linin should be freshly laundered (available on ambulances)
- Used linen (white bag) or infectious linen (alginate bag)
- Remember to wear PPE
- Look out for sharps
Summarise the management and care of uniforms section of the IPC SOP
- All staff need at least two clean sets of uniform
- Wear a coverall if contamination may be extensive or foreseeable
- If uniform becomes contaminated (report to EOC, return to base, put in alginate bag, wash boots with soap and water)
- Wash with detergent at 60 or above (40 for high vis)
- May be so contaminated it needs to be disposed of
Summarise the transportation and consumption of food on vehicles section of the IPC SOP
- Transport food in designated areas in intact containers
- Use an ice block and cool box
- Don’t eat/drink while driving
- Don’t eat/drink in the clinical areas of vehicles
- Hand hygiene before eating/drinking
List the reportable infections as per the IPC SOP
Diarrhoea/vomiting
Scabies
Pertussis
Chicken pox
Mumps
Measles
Scarlet fever
Inform the IPC Lead if there are two or more cases of any of the above infections
