& control - vphnavphna.org.au/.../2017/12/vphna_infection-prevention-and-control.pdf · content...
TRANSCRIPT
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Infection prevention
& control2016
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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.
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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.
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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
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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
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Infection prevention and control principles
Infection control
principles
Practice team
Hand hygiene
How microorganisms grow and mode of transmission
Precautions
PPE
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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
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Principle 2: How microorganisms are
acquired and grow
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Modes of transmission
• Contact- direct or indirect
• Droplet
• Airborne
• Vehicle
• Vector
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Principle 3: Hand hygiene
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Principle 4: Precautions
• Standard precautions
• Transmission based precautions
Contact
Droplet
Airborne
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Principle 5: Personal Protective
Equipment (PPE)
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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
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Staff immunisation
• What vaccines staff should be offered?
• Immunisation history of staff members
• Encouraging patients to be immunised
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Safe sharps management
• What is a sharp?
• Correct storage of sharps
• Who is responsible for sharps
disposal?
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Managing blood and body fluid exposure
Written policies and procedures
How to prevent exposure
Immediate treatment
How to report exposure
Documentation
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Managing blood and body fluid spills
• Staff must receive regular training and education
• Protocol should be available and included in spills kit
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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
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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
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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
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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/
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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
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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
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Thank you for watching