Infection Prevention & Control

An introduction for new employees

Clinical Nurse Specialist CDHB Infection Prevention & Control

Service

Aim of Infection Prevention & Control

• The primary aim of infection prevention & control is to prevent patients, staff and visitors from acquiring an infection while in our healthcare facilities.

Achieving the Aim

• If you always use Standard and Transmission-based Precautions appropriately and correctly, you will keep yourself and your patients safe from acquiring infection while in the healthcare setting.

Infection Prevention

• Standard Precautions• Personal Protective Equipment (PPE)• Transmission-based Precautions

– Contact Precautions– Droplet Precautions– Airborne Precautions

• Multi Drug Resistant Organisms (MDRO)• A safe environment

– Cleaning and disinfection– Blood and body fluid exposures (BBFE)

Personal Protective Equipment (PPE)

PPE is defined as...

“Specialised clothing or equipment worn by an employee for protection against infectious materials”

(OSHA) Centres for Disease Control and prevention web site.

Types of PPE used in healthcare settings

• Gloves - protect hands• Gown/aprons - protect

skin and or clothing• Masks - protect

mouth/nose• Goggles - protect eyes• Visors/visor masks -

protect face, mouth, nose and eyes

N95 Masks

Transmission-based Precautions

(Isolation Precautions)

• When Standard Precautions are not quite enough

ContactDropletAirborne

• Used IN ADDITION TO Standard Precautions

Contact Precautions

Used when in direct contact with patient or their environment

e.g. Scabies, MRSA, diarrhoea

Droplet Precautions

Used for diseases which generate large droplets which travel approx. 1 - 2m then fall to the floor

e.g. Influenza

Airborne Precautions

Used for diseases which are carried on small droplet nuclei suspended in the air e.g. Pulmonary TB, Chickenpox,Measles

New Posters and Other updates available

Multi drug resistant organisms (MDRO)

• ESBL-producing enterobacteriaceae E. Coli and Klebsiella

pneumoniae most common

• VRE Vancomycin-resistant E.

faecium & E. faecalis

• MRSAMethicillin-resistant

Staphylococcus aureus

• MDR-GNB MDR Acinetobacter baumanii

Cleaning & Disinfection

Know what you are using!

Sharps Safety

Blood and Body Fluid Exposures (BBFE)

• Report all BBFE• BBFE packs in

clinical areas• Pink reporting form!!!• Hepatitis B

immunisation

Achieving Infection Prevention….

If you always use Standard and Transmission-based Precautions appropriately and correctly, you will keep yourself and your patients safe from acquiring infection while in the healthcare setting.

And finally…