Post on 15-Jul-2015
transcript
Infection Prevention Presentation
Barley Chironda RPN, CIC
Manager IPAC and MDRD
St Joseph Health Center
Toronto
@barleychironda
Objectives
1. To provide understanding about IPAC
2. To review your current infection control
knowledge
3. Share Challenges related to IPAC
4. To inspire you to want to work in IPAC
Role of an ICP
Educator
Friend
Surveillance
Detective
Problem Solver
Comedian
Sales Person
Infection Prevention and Control Department
Infectious Disease Physicians
Infection Control Practitioner
Data Analysis
Admin Support
Manager
Public Health Liaison
IPAC Toolboxes
Routine Practice
Handwashing
Cleaning
Surveillance
Risk Assessment
PPE
Additional Precautions
Routine Practices
Are meant for all patients all the time
regardless of diagnosis
–Hand Hygiene
–Cleaning equipment
–Patient Risk Assessment
–PPE
4 Moments
Routine Practices
Disinfecting equipment
Risk Assessment
Higher Risk:
• Incontinent of stool or Loose Stool
• Draining skin lesions or wounds
• Copious uncontrolled respiratory secretions
• ICU setting (extensive hands on care)
• Patient has many invasive devices
• Patients has poor hygienic practices (disoriented )
PPE
• Better SAFE than SORRY: PPE is used to protect health care workers from exposure to microorganisms that affect our patients
• Whether patient is on isolation precautions or not, PPE use is based on the behavior of the patient and the task to be performed
– Gown and/or gloves for wound examination or dressing changes
– Mask & eye protection when in close proximity to a coughing patient
– Gown, glove and mask use all appropriate when performing a task that may generate aerosols (e.g. intubation, suctioning) or may result in contact with blood or body fluid
– Glove use is based on the task and the extent of anticipated contact with the patient or patient’s environment
• Dispose of PPE prior to leaving patient care area
Additional Precautions
1. Contact
2. Droplet
3. Airborne
Rules of Additional Precautions
1. Additional Precautions can be
started by anyone
2. Can only be discontinued by an ICP
or IPAC Officer.
Stay Home if SICK
Please do NOT come to Volunteer if you
are sick.
Especially if you have fever, rash,
nausea, vomiting or diarrhea.
Stay up to date on Vaccines
Cover your cough
Our Goal is ZERO Infections!
Befriend staff
Be available
Involve the staff
t The Superbugs
MRSA and VRE
Contact Precautions
Reassessment after a
month.
Needs 3 swabs to clear
taken a week apart
CPE
Contact
Precautions
Maintain
Isolation for
hospitalization
Cdiff or Acute Loose stool
Contact
Precautions
Maintain
Isolation until
48 hrs after
treatment and
formed stool
TB
Airborne
Precautions
Maintain
Isolation until
ICP review
Acute Febrile illness
New onset cough
and fever. Nurse
to inform ICP
Maintain droplet
Isolation until ICP
review
Lice and Scabies
Contact
Precautions
Await
effective
treatment and
advise ICP
When to call IPAC
To reassess isolation status
Microbiology report that may change
the isolation status
Symptoms of concern
Need in-service on IPAC
Great Idea on how to improve
Fighting Antibiotic
Resistance
What is ASP?
Why IPAC is for you
Monday to Friday
Fun
Its interesting
Its cool
Position Title: Infection Control Practitioner
Department: Infection Prevention &Control
Job Type: Full Time
Compensatio
n: $35.970 - $49.311 per hour
Quiz
Which of the following equipment must be
cleaned and disinfected between use with
patients?
a.Blood pressure cuff
b.Wheelchair
c.Glucometer
d.Stethoscope
e. All of the above
Quiz
What does Routine Practices mean?
a. Wear a mask if a patient is coughing in
their room
b. Wash hands after removing gloves
c. Wear a gown if soiling of clothing is
likely
d. All of the above
e. None of the above
Contact Me
Barley Chironda Manager of Infection Control and Medical Device Reprocessing Department St Joseph's Health Centre email: chirob@stjoe.on.ca Phone: 416-530-6000 ext 4581 Mobile: 647-539-8043 Twitter: @barleychironda
Questions