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INFECTION PREVENTION AND CONTROL In-service Training Guide INFECTION PREVENTION AND CONTROL In-service Training Guide

INFECTION CONTROL What is an infection? INFECTION CONTROL What is an infection?

DEFINITION • Infection - is the invasion of a host organism's bodily tissues by DEFINITION • Infection - is the invasion of a host organism's bodily tissues by disease-causing organisms, their multiplication, and the reaction of host tissues to these organisms and the toxins they produce. - Infections are caused by microorganisms such as viruses, prions, bacteria, and viroids, and larger organisms like macroparasites and fungi.

HOW DO WE STOP IT? HOW DO WE STOP IT?

THE SIX LINK CHAIN OF INFECTION How a pathogen is transmitted from one person THE SIX LINK CHAIN OF INFECTION How a pathogen is transmitted from one person to another

LINK 1 § Causative agent – pathogen or infectious microorganism • Bacteria • Viruses LINK 1 § Causative agent – pathogen or infectious microorganism • Bacteria • Viruses • Mold • Fungi

LINK 2 § Reservoir – Place where pathogen lives • Lungs • Blood • LINK 2 § Reservoir – Place where pathogen lives • Lungs • Blood • Digestive Tract • ETC

LINK 3 § Portal of Exit – Any body opening on infected person • LINK 3 § Portal of Exit – Any body opening on infected person • Nose • Mouth • Eyes • Cut in Skin • Urethra/Anus

LINK 4 § Mode of Transmission – How the Pathogen travels from one person LINK 4 § Mode of Transmission – How the Pathogen travels from one person to the next • Air • Hands • Other Surfaces

LINK 5 § Portal of Entry – Any body opening on uninfected person • LINK 5 § Portal of Entry – Any body opening on uninfected person • Nose • Mouth • Eyes • Cut in Skin • Urethra/Anus

LINK 6 § Susceptible Host – an uninfected person LINK 6 § Susceptible Host – an uninfected person

STOP THE BUGS • Cleansing • Disinfecting • Sterilizing § No Sharing § Bag STOP THE BUGS • Cleansing • Disinfecting • Sterilizing § No Sharing § Bag Hazardous Waste § Linen Handling

LINEN HANDLING • Bag at the point of use • Minimum agitation • Do LINEN HANDLING • Bag at the point of use • Minimum agitation • Do not sort or prerinse in resident care areas • Use PPE when sorting § No damp linen left overnight § Hot water above 160°for 25 minutes

HAND HYGIENE: When to Wash • When coming on duty • Before and after HAND HYGIENE: When to Wash • When coming on duty • Before and after direct resident contact • Before and after performing any invasive procedure • Before and after entering isolation precaution settings • Before and after assisting with personal care • Before and after handling peripheral vascular catheters and other invasive devices • Before and after inserting indwelling catheters § Before and after changing a dressing § Upon and after coming in contact with a resident’s intact skin § After blowing or wiping nose § After handling soiled linen § After handling soiled equipment or utensils § After removing gloves or aprons § After completing duty

HAND HYGIENE: Use Soap and Water • • • When hands are visibly soiled HAND HYGIENE: Use Soap and Water • • • When hands are visibly soiled Before and after eating or handling food Before and after assisting a resident with meals After personal use of the toilet After contact with a resident with infectious diarrhea After performing your personal hygiene

HAND HYGIENE: How to wash • Wet hands first with clean, running warm water HAND HYGIENE: How to wash • Wet hands first with clean, running warm water • Apply the amount of product recommended by the manufacturer to hands • Rub hands together vigorously for a t least 15 seconds covering all surfaces of the hands and fingers • Rinse hands with water • Dry with disposable paper towel • Turn off the faucet with disposable paper towel.

STANDARD PRECAUTIONS üUse with everybody üWear gloves üHandle used equipment with care üDispose of STANDARD PRECAUTIONS üUse with everybody üWear gloves üHandle used equipment with care üDispose of needles properly üWear face mask & eye protection when necessary

TRANSMISSION BASED PRECAUTIONS • Airborne • Contact • Droplet TRANSMISSION BASED PRECAUTIONS • Airborne • Contact • Droplet

Infectious Disease Prevention Strategies § Routinely using barriers (such as gloves and/or goggles) when Infectious Disease Prevention Strategies § Routinely using barriers (such as gloves and/or goggles) when anticipating contact with blood or body fluids. § Immediately washing hands and other skin surfaces after contact with blood or body fluids. § Carefully handling and disposing of sharp instruments during and after use. Source: CDC: Occupational HIV Transmission and Prevention Among Health Care Workers

REMEMBER…. § IF IT’S WET AND NOT YOURS DON’T TOUCH IT!! § WASH YOUR REMEMBER…. § IF IT’S WET AND NOT YOURS DON’T TOUCH IT!! § WASH YOUR HANDS!! § WASH RESIDENTS’ HANDS!! § BAG IT!! § CLEAN IT!!

F 441 F 441

INFECTION CONTROL F 441 § ESTABLISH A PROGRAM IN WHICH THE FACILITY – • INFECTION CONTROL F 441 § ESTABLISH A PROGRAM IN WHICH THE FACILITY – • Investigates, controls, and prevents infections in the facility • Decides what procedures, such as isolation, should be applied to an individual resident; and • Maintains a record of incidents and corrective actions related to infections.

INFECTION CONTROL F 441 § PREVENTING SPREAD OF INFECTION – • When the Infection INFECTION CONTROL F 441 § PREVENTING SPREAD OF INFECTION – • When the Infection Control Program determines that a resident needs isolation to prevent the spread of infection, the facility must isolate the resident. • The facility must prohibit employees with a communicable disease or infected skin lesions from direct contact with residents or their food, if direct contact will transmit the disease. • The facility must require staff to wash their hands after each direct resident contact for which hand washing is indicated by accepted professional practice.

INFECTION CONTROL F 441 § LINENS • Personnel must handle, store, process and transport INFECTION CONTROL F 441 § LINENS • Personnel must handle, store, process and transport linens as to prevent the spread of infection.

MORE TO KNOW MORE TO KNOW

Remember: According to the Centers for Disease Control and Prevention…… “Clean Hands – Save Remember: According to the Centers for Disease Control and Prevention…… “Clean Hands – Save Lives”

YOUR TURN…. . Questions? Comments? Concerns? YOUR TURN…. . Questions? Comments? Concerns?

Thank you! For all that you do to prevent the spread of infections in Thank you! For all that you do to prevent the spread of infections in our home. Arkansas Innovative Performance Program (AIPP) 1020 W 4 th Street, Suite 430 • Little Rock, AR 72201 877 -375 -5700 • (Fax) 501 -375 -5926 [email protected] org • aipp. afmc. org arkansasculturechange. com nhqualitycampaign. org THIS MATERIAL WAS PREPARED BY THE ARKANSAS FOUNDATION FOR MEDICAL CARE INC. (AFMC) UNDER CONTRACT WITH THE ARKANSAS DEPARTMENT OF HUMAN SERVICES, DIVISION OF MEDICAL SERVICES. THE CONTENTS PRESENTED DO NOT NECESSARILY REFLECT ARKANSAS DHS POLICY. THE ARKANSAS DEPARTMENT OF HUMAN SERVICES IS IN COMPLIANCE WITH TITLES VI AND VII OF THE CIVIL RIGHTS ACT.