Purpose of Infection Prevention & Control Program
- Promote a healthy and safe environment for anyone
- Identify and reduce risks of infection
- Coordinate efforts to reduce infection
- Provide scientific evidence-based recommendations
Goals of infection control program
- Protect patients and staff
- Improve clinical outcomes
- Reduce preventable health - care associated infections
How can organisms be transmitted?
- Air
- Droplets
- Contact
How are organisms transmitted by air?
They are dispersed by air currents and remain in the air for long periods of time
How are organisms transmitted by droplets?
By coughing, sneezing, by procedures
Which transmission is most common?
Droplets
How are organisms transmitted by contact?
Via people and environment
How do we break the chain?
○ Hand hygiene
○ Transmission-based precautions ○ Vaccination
○ Clean patient
○ Clean the environment
○ Education
Respiratory etiquette
Cover your mouth and nose with a tissue
Cough or sneeze into your seleve
How long do you han hygiene
15-20 seconds or sing happy birthday
Refers to protective clothing/ equipment (aprons, gloves, etc.) designed to protect the user against health and safety risk at work
Personal Protective Equipment (PPE)
Sequencing of PPE
- Gown
- Mask/Respirator
- Gloves
Sequencing of removing PPE
- Gloves
- Face shield/gloves
- Gown
- Mask/ respirator
SEVEN-STEP CLEANING PROCESS:
- Remove trash from the room
- High dusting
- Damp wiping
- Dry mopping
- Restroom cleaning
- Wet mopping
- Inspection
PATIENT ZONE MICROBIOME
- Solid surfaces: bedside tables and bed
rails - Moveable equipment that remains in
room for entire patient stay: IV poles
and pumps - Soft surfaces: gowns, bedsheets,
privacy curtains, uniforms, lab coats - Hand-held: cellphones
Excessive and inappropriate use of antimicrobial agents (including broad-spectrum ABX)
Practices that promote resistance
MOST COMMON SOURCES OF MDRO:
- Urine
- Wounds
- Blood
- Respiratory secretions: Sputum
- Others: stool
