CITCM Student Clinic
Infection Control
January 2014
General Infection Control
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Break the Chain
Wear PPE when required
Be aware of your movement patterns
Clean, clean, disinfect
Respiratory etiquette
Routine Practices
 Foundation of Infection Control in Canada
 Procedures that apply at all times with all
patients.
 Based on assumption that all patients are
potential sources of infection.
 Routine practices control transmission of
infectious microorganisms (patient-topatient, practitioner-to-patient, patient-topractitioner)
Breaking the Chain of Infection
 Vulnerable Host – immunization,
treatment
 Infectious Agent –clean/disinfect
 Reservoir – people, water, equipment
 Portal of Exit – droplet secretions
 Transmission –contact (direct,
indirect, droplet, airborne)
 Portal of Entry – wound care, gloves
Handwashing
 http://www.toronto.ca/health/cdc/res
ources/pdf/handwashing_poster.pdf
 Alcohol rubs can be used if hands are
not visibly soiled and hand washing
access is not immediately available.
 Barrier protection
Personal Protective Equipment
 Gloves (Donning and Doffing)
wear if you or the patient has open
wounds
 Masks
 Glasses
 Lab Coats
Cup
Cleaning
Work Surfaces
 Counters, table tops, massage tables
 Clean when: visibly soiled, after each
treatment; after contact with
contaminated material
Sharps Disposal
 Ensure cover is kept at the minimum
sized opening.
 Is locked and sealed at ¾ full.
Replaced with a new one
 Sharps check, floors and other
surfaces. (pick up with needle locking
forceps)
 Offsite, wiped down and stored
separately
Waste Disposal (blood contact)
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Waste contaminated by blood
Excerpts form the Guidelines for Biomedical Waste in Canada
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Section 1.1
These guidelines apply to but are not limited to the following facilities:
hospitals;
nursing homes and extended care facilities;
public health units;
physicians’ offices/clinics;
veterinarians’ offices/clinics
veterinary research, teaching and health care facilities;
medical research and teaching establishments;
health care teaching establishments;
clinical testing or research laboratories;
facilities involved in the production or testing of vaccines;
mortuaries and funeral homes;
coroner’s offices;
nursing offices; and
blood banks and blood collection centres.
Waste disposal continued
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Section 2.1 Defining Biomedical waste
“While any item that has had contact with blood exudates or secretions may pose a
hazard, it is not usually considered practical or necessary to treat all such waste as
biomedical waste. Thus the following items should be considered general waste: soiled
dressings; sponges; surgery drapes; lavage tubes; casts, catheters, disposable pads;
disposable gloves; specimen containers; lab coats and aprons; and dialysis wastes,
such as tubing, filters, towels and disposable sheets.”
Therefore, blood waste generated during TCM and acupuncture treatments falls
into the category of general waste. However, to promote safe handling and the
protection of waste management workers:
Gloves;
Gauze;
Cotton swabs;
Sponges;
Clean field drapes; or
Any product contaminated with blood that is not a sharp;
should be contained within a secondary bag prior to disposal in general waste.
Any worker who handles waste in a health care environment should be offered the
Hepatitis B vaccine.
Laundry
 Quick wash cycle; calculates time
based on load.
 Soap dispenser, ½ fill
 Bleach dispenser; fill to max line
 Don’t overload the dryer.
 Folded linens go in the supply room
Clinic Dress Code
Males: Wear collared shirts
Females: No workout wear and leggings
Everyone in professional attire.
Clean Labcoat
No Jeans
No Boots
No hats, scarves, or loose fitting garments
Safety Committee
 This semester will be starting safety
committee.
 Representatives and Alternates
Conclusion
 Be respectful
 Be professional
 Be safe
 Questions??