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 Contact Droplet Airborne • 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 • MRSA Methicillin-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…