Infection prevention

& control2016

Acknowledgment

This webinar has been developed by Eastern Melbourne PHN on behalf of the Victorian PHN Alliance, which is the collective platform for the six PHNs in Victoria.

Eastern Melbourne PHN does not take responsibility arising from the use of, or reliance on, this webinar by a third party. Any such use or reliance is the sole responsibility of that party. This webinar does not constitute medical advice. If you require medical advice, please consult an appropriate medical professional.

Objectives

• Explain the principles of infection control and chain of infection

• Define standard and transmission-based precautions and their use in general practice

• Recognise the importance of the use of personal protective equipment in prevention of transmission of infection

• Describe the role of hand hygiene, cleaning of the environment, sharps and spills management and staff immunisation in an infection prevention and control program.

Content

• What is infection control?

• What’s in the new Standards?

• Infection prevention and control principles

• Protecting the health of staff and managing the practice physical environment Staff immunisation

Safe sharps management

Managing blood and body fluid exposure and spills

Cleaning policy for the practice

Care and use of linen

Waste management

Disease surveillance & outbreak management

What is infection control and what’s new?

New wording Focus on risk

analysis

Designated person

Staff need to be educated

and competent

Disease surveillance

Safe working environment

Infection prevention and control principles

Infection control

principles

Practice team

Hand hygiene

How microorganisms grow and mode of transmission

Precautions

PPE

Principle 1: Infection prevention and

control and the practice team

• All practice members are involved in the

practice’s program

• Designated person

• Risk assessment

• Education and training

• Protecting the practice team and patients

from infection

Principle 2: How microorganisms are

acquired and grow

Modes of transmission

• Contact- direct or indirect

• Droplet

• Airborne

• Vehicle

• Vector

Principle 3: Hand hygiene

Principle 4: Precautions

• Standard precautions

• Transmission based precautions

Contact

Droplet

Airborne

Principle 5: Personal Protective

Equipment (PPE)

Infection control policies and procedures

in your practice

• Staff immunisation

• Safe sharps management

• Managing blood and body fluid exposure and spills

• Cleaning policy for the practice

• Use and care of linen

• Waste management

• Disease surveillance

Staff immunisation

• What vaccines staff should be offered?

• Immunisation history of staff members

• Encouraging patients to be immunised

Safe sharps management

• What is a sharp?

• Correct storage of sharps

• Who is responsible for sharps

disposal?

Managing blood and body fluid exposure

Written policies and procedures

How to prevent exposure

Immediate treatment

How to report exposure

Documentation

Managing blood and body fluid spills

• Staff must receive regular training and education

• Protocol should be available and included in spills kit

Managing blood and body fluid spills

Contents of spills kit• Laminated guide with list of contents and protocol

• Non-sterile utility gloves

• Disposable aprons

• Absorbent paper towel

• Detergent to clean or detergent wipes (+/- Disinfectant)

• Cardboard scrapers

• Plastic waste bags for clinical and general waste

• Goggles or face shield

• Masks

• Kitty litter or some sort of absorbent material

• A hazard sign to quarantine area

Cleaning policy for the practice

• Cleaning policy should included scheduled and unscheduled cleaning

• Methods and agents used for cleaning

• Requirements for storage of chemicals

• Equipment used for cleaning

• Carpet cleaning

• Use of Glen 20

Care and use of linen

• When does linen need to be changed?

• Consider WHS when dealing with linen

• Storage of linen

• Care of contaminated linen

Waste management

• Practice needs a person responsible for waste

management

• EPA Regulations 2009

• Storage of infectious waste

• Collection of infectious waste

• Pharmaceutical waste- RUM Program– www.returnmed.com.au/

Disease surveillance

• Education of staff

• Chief Health Officer Alerts

• Procedure for reporting notifiable disease

• Contact tracing

• Infection prevention and control kit

• Signage for patients

• Business Continuity Plan

• Importance of triage in disease outbreaks

• New RACGP resource

Summary

• A whole team approach is required for a

infection prevention and control program to be

effective

• Importance of the use Standard Precautions

• There is a requirement for a practice to develop

and review policies and procedures

• Education and competency of all staff is

essential

Thank you for watching