Infection Control Orientation Outline
I.
General Infection Prevention Principles
A.
Handwashing and Hand Hygiene
1.
2.
B.
Employee Health
1.
2.
3.
4.
C.
Work restrictions for communicable diseases
Reporting of exposures to infectious diseases
Vaccines
TB skin tests
Patient Infections
1.
2.
II.
Washing with soap and water
Use of alcohol handrubs
Prevention of infections
Recognition and reporting
a.
Definitions of infection
b.
Post op complication communication form
c.
Verbal reports to Quality/Infection control nurse
d.
Documentation of signs and symptoms of infection
Standard Precautions and other barrier precautions
A.
Reasons for Standard Precautions
1.
2.
3.
Employee protection against bloodborne diseases
OSHA regulations
CDC recommendations
B.
Standard Precautions Policy
C.
Components of Standard Precautions
1.
Barriers for protection
a.
Gowns
b.
Gloves
c.
Masks
d.
Eye protection
e.
Ambu bags or CPR devices
2.
3.
4.
D.
Safer sharps devices
Biomedical waste
Linen handling
Transmission-Based Precautions
1.
2.
3.
E.
Airborne
Droplet
Contact
Additional Infection Concepts:
1.
Standard precautions/transmission-based precautions protect employees
from acquiring transmissible diseases from the patient.
Principles of asepsis are designed to protect the patient from
microorganisms from the equipment/environment/caregiver.
a.
Clean technique – refers to practices that reduce the numbers of
microorganisms to prevent or reduce transmission.
b.
Sterile technique – refers to practices designed to render and
maintain areas and equipment maximally free from
microorganisms.
Patients are increasingly immune-compromised and require diligent
protection from microorganisms due to increased risk and susceptibility.
Separation of clean and dirty procedures is paramount to the prevention of
spread of microorganisms.
2.
3.
4.
F.
Compliance Monitoring
1.
2.
Staff self-evaluations
Observation of practices
OSHA Bloodborne Pathogens Standard
Physician Information Outline

History of the Standard
o Hepatitis B
o HIV/AIDS
o CDC Recommendations
o OSHA Standard

Bloodborne Diseases
o Hepatitis B


Epidemiology
Transmission
 Symptoms
o Hepatitis C
 Epidemiology
 Transmission
 Symptoms
o HIV Infection

 Epidemiology
 Transmission
 Symptoms
Exposure Control Plan
o Review of each element
o Exposure determination: recognition of tasks requiring occupation exposure
o Application to specific audience
o Location of Exposure Control Plan

Personal Protective Equipment
o
o
o
o
o
o
o
o

Types
Use
Location
Selection
Removal
Handling
Decontamination
Disposal
Work Practice and Engineering Controls
o Environmental Modifications
o Work Practices

o Handwashing/hand hygiene
o Safer Sharps and Sharps Handling
Standard Precautions
o Overview
o Policy Review

Hepatitis B Immunization
o Who is at risk?
o Benefits of Immunization
o Method of Administration
 Dose
 Schedule
 Site
o Side Effects
o Consent Form
o Declination

Exposure Incident
o Definition
o Reporting
o Follow-up

Biohazard Signs
o Labels
o Color coding
Infection Control Education Checklist for Physicians
General
Handwashing/hand hygiene
General Health
Work restrictions
Reporting exposures
Immunizations
Influenza
Hepatitis B
Tuberculin skin testing
Information of Patient SSI
Prevention
Recognition
Reporting
Personal Protective Equipment
Gloves
Gowns
Masks, face and eye protection
Bloodborne Pathogens
Overview HBV, HCV, HIV
Exposure Control Plan
Information
Presented
Verbalizes
Understanding
Yes
Yes
No
No
Comments
Safer Sharps
Sharps Disposal
Biomedical Waste
Linen Handling
Are there any areas of infection control where you need further detail?
Yes
No
If yes, please list:
_______________________
Physician
Date
__________
__________________
Date Information given
Source: Sandy Berreth, Brainerd Lakes Surgery Center. Adapted and reprinted with permission.