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