Infection Control Standard Precautions Prepared by NSW Infection

Infection Control Standard Precautions Prepared by NSW Infection Control Resource Centre, NSW Health [Insert name of presenter] [Insert title] February 2007

Introduction § This Power. Point presentation is designed to provide the viewer with current information to assist them apply Infection Control Precautions. The information covered in this presentation includes § A definition and overview of Infection Control Precautions & the twotiered approach § Definition of Standard Precautions § Standard Precautions – Application - example of poster – Application – When to apply? – Personal Protective Equipment (PPE) § Additional resources for information § Points to remember This presentation is part of a series and should be used in conjunction with the other components of the module and series. 1

Infection Control Process. The two-tiered approach § NSW Health endorse a two-tiered approach to infection control § The first tier includes those precautions designed for the care of all patients, regardless of their diagnosis or presumed infection status § These precautions are known as Standard Precautions and constitute the minimum acceptable level of practice in infection control. § The second tier includes precautions that are applicable only for the care of specified patients and are known as Additional (Transmission Based) Precautions. 2

Standard Precautions. Tier one (1) These are the minimum standard of precautions to be applied to all people accessing health care services regardless of their diagnosis or presumed infectious status, there-by reducing the risk of transmission of organisms from both recognised and unrecognised sources. § These precautions apply to § blood and all body substances (except sweat) § acutely or chronically non-intact skin and § mucous membranes including eyes 3

You must use Standard Precautions when: Handling blood or body substances There is risk of splash to mucous membranes 4

You must use Standard Precautions when: Providing care which induces coughing Performing invasive procedures such as cannulation and catheterisations 5

You must use Standard Precautions when: There is risk of hands being contaminated with blood or body substances Before and after patient contact, perform hand hygiene 6

The use of Standard Precautions includes: Hand hygiene practices including washing of hands before and after each patient contact Cover any cuts before commencing work 7

The use of Standard Precautions includes: Using PPE for risk of splash to clothes with blood and body substances Safe handling and disposal of sharps 8

The use of Standard Precautions also includes: § The use of aseptic technique § Getting vaccinated and check your immunity to vaccine preventable diseases § Reporting all occupational exposures § Keeping a clean environment 9

Standard Precautions - Tier 1 Example of the poster. Standard Precautions 10

Recommendations for use of personal protective equipment (PPE) Prepared by [Insertname of presenter] [Insert title] [Insert Branch name] February 2005 3/5/2021 11

Standard Precautions-PPE § Assumes all blood and body fluids as Potentially infectious § Involves the use of protective barriers and safe work practices § PPE choice designed to minimise contact with potentially Infectious blood and body fluids 12

PPE for Standard Precautions (1) § GLOVES - must be worn on both hands and must be used in situations where the health care worker is potentially exposed to blood and/or body substances § GOWNS - A fluid-resistant gown/apron, made of impervious material must be worn during any procedure where there is a likelihood of splashes or contamination with blood or other body substances 13

PPE for Standard Precautions (2) § MASK AND PROTECTIVE EYEWEAR OR A FACE SHIELD: must be worn while performing any procedure where there is a likelihood of splashing or splattering of blood or body substances. 14

What type of PPE would you wear? 1. Showering or bathing a patient? 2. Suctioning oral or tracheal secretions? 3. Transporting a patient in a wheelchair? 4. Responding to a dislodged chest drain where visible blood is spurting out? 5. During venepuncture? 6. Cleaning a patient incontinent of diarrhoea? 7. Irrigating a wound? 8. Taking vital signs? ? 15

Where do I go for more information? § Check local Infection Control Policy Manual § Check with facility or Area Infection Control Nurse § NSW Health Website http: //www. health. nsw. gov. au/quality/hai/ 16