Download - Annual ed infection control.09
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ANNUAL UPDATEANNUAL UPDATE
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Chain of InfectionCausative Agent
Reservoir
Porta
l
of e
xit
Mode of Transmission
Mode of
entry
Susceptible
Host
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Standard Precautions• Hand washing• PPE• Safety-engineered Sharps• Sharps disposal• Biohazardous waste
disposal• Appropriate workplace
behaviors• Patient Placement
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The most important thing we can do to stop the spread of infection.
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between each patient contactbefore and after eatingafter going to the restroombefore donning gloves after taking gloves offfirst thing at start of shiftlast thing before you leave
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Personal Protective Equipment
• Gloves
• Gowns
• Eye protection
• Masks
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Other Essential Components
• Safety Engineered Sharps
• Waste stream management
• Appropriate behaviors in the workplace
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Transmission Based Precautions
• Always use Standard Precautions!
• Plus extra precautions for:
Airborne
Droplet
Contact
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Airborne• Indications
• Required PPE
• Special Precautions
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USED FOR:
• TBChickenpoxDisseminated Herpes ZosterMeaslesSmall PoxSARS
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Airborne
• Negative Pressure Rooms
• N95 Mask for staff• Surgical mask for
patient if transport out of room required
• Duckbill masks for visitors
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Droplet
• Indications
• Required PPE
• Special Precautions
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Droplet
• Used for Bacterial Meningitis , Mumps, Influenza, Pneumonia, Pertussis
• Private room• Surgical mask
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Droplet Precautions
• Private room preferred or cohort
• Surgical mask required for staff and visitors
• Surgical mask for patient if transport out of room required
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Contact
• Indications
• Required PPE
• Special Precautions
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Contact Precautions
• Used for MRSA, VRE, C Diff, Lice, Scabies
• Private room preferred• Gowns, gloves
required
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OSHA RegulationsBloodborne Pathogens Exposure Control Plan
&
Tuberculosis Control Plan
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Bloodborne Pathogens Exposure Control Plan
• PPE• Waste Stream
Management• Hepatitis B
Vaccination Program
• Safety Engineered Sharps Devices
• Sharps Injuries
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Tuberculosis Control Plan
• Annual TB Screening
• Fit testing program• Air handling
systems• Facility Risk
Assessment• Signs/symptoms