Workplace/Infection Control Flashcards
Buckets of Risk
Task bucket
Self bucket
Context bucket
Task Bucket
What are you trying to do?
Self Bucket
Capabilities to perform task
Context bucket
Environment’s effect
Multi-Facet Approach to Injury Reduction
Ergonomic
Engineering controls
Standardized protocols
Algorithms
Ergonomic Assessment
“Proper” way to do it
Ensuring task/provider fit to prevent injury
Redesign task or environment of care to minimize risk
Engineering Controls
Change task to make it as safe as possible
Standardized Protocols
Set policies
Algorithms
Determine what is most compatible for specific patient/circumstances
Outsourcing Strategy
Seeing additional help
Shifting workload
Preventative Strategy
Aid and equipment to east stress
Pauses and changes in posture
Warm up period
Reactive Strategies
Substituting rx modality
Change in technique
Healthcare-Associated Infections
Acquired during admission in HC setting
No evidence that infections were present or incubating at time of admission
Factors Leading to Infections
Hand Hygiene is #1 Patient Technology Health care workers Hospital
Patient (Leading to Infection)
Severity of illness
Immune statur
Length of stay
Prior colonization
Technology (Leading to Infection)
Invasive procedures
Indwelling devices
Antibiotic use and prophylaxis
HCW (Leading to Infection)
Hand hygiene
Aseptic/surgical technique
Hospital (Leading to Infection)
Ventilation/water system
Staffing ratios
Equipment sterilization
Layout
ICU Infections
Highest risk of acquisition partially due to invasive devices
Highest ratio of invasive devices
Contaminated hands of HCWs transfer organisms
Normal respiratory and GI flora replaced within hours of admission by nosocomial pathogens
Standard Precautions
Assume very patient is contagious
Represents minimum measure that apply to all patient care
Standard Precautions inclue
Hand hygiene PPE Respiratory hygiene/cough etiquette Safe injection practice Safe handling of contaminated equipment surfaces
Blood Borne Pathogens
HIV
Hep B and C
Blood Borne Transmission
Depends on severity of injury, quantity of fluid and number of viral particles in body fluid
Airborne Precautions
Special room ventilation with negative airflow
Wear Powered Air Purifying Respirator and surgical mask our of room
TB Signs
Productive, prolonged cough Fever Chills Chest pain Appetite loss Coughing blood
Droplet Precautions
Generate large particles when patient coughs, sneezes, speaks or is suctioned
Required PPE - mask and gloves
Contact Precautions
PPE - gloves and gowns
Airborne Examples
TB
Chickenpox
Measles
SARS
Droplet Examples
Influenza
Mumps
Meningococcal
Whooping cough
Contact Examples
Antibiotic resistance such as VRE and MRSA
Infectious diarrhea
RSV
Lice
