Torrance Memorial Medical Center Student Orientation Infection Control

Torrance Memorial Medical Center Student Orientation Infection Control

Infection Control Principles • Hand Hygiene (Policy IC. E. 05) • Hand hygiene is to be performed: • • • Upon entry and exit from patient room or space “Foam in – Foam out” Between patients Immediately before and after glove use Before invasive procedures: ex) Inserting a Foley, an IV, suctioning Before touching any equipment at the bedside After contact with bodily fluids • Indications for hand washing with soap and water: • If hands are visibly soiled or contaminated with blood or other body fluids • Before eating and after using a restroom • If exposed to potential anthrax or Enterovirus – D 68 • Indications for hand sanitizer: • If hands are not visibly soiled

Infection Control Principles • Standard Precautions • Treat all blood and body fluids as potentially infectious (Policy IC. E. 02) • Cleaning of reusable equipment • Clean equipment between patient use • Examples: glucose meters, blood pressure cuffs, IV pumps and poles, vital sign machines, computer keyboards, stethoscopes Wet contact time: 5 Minutes (let dry/stay on surface for 5 minutes!)

Infection Control Principles • Medical Waste • Medical waste is not based on patient’s diagnosis • What goes into a red bag? • Recognizable fluid blood • Containers with fluid blood (ex. suction canisters) • Dressing saturated with blood • What does not go into a red bag? • Gloves with dried blood • Sanitary napkins • Empty urine containers • How do I transport (to soiled utility room) red bag waste generated at bedside? • In a rigid container with lid labeled “biohazard” • Pharmaceutical Waste • See reference guide on how/where to dispose each type of pharmaceutical waste • Available inside each medication room

OSHA Guidelines • Safe Work Practices • Proper use of sharps containers • No eating or drinking in patient care areas • Use of personal protective equipment (PPE) • Gloves (wash hands before and after glove use) • Gown • Mask/face shield/eyewear • Exposure Control Plan (Policy IC. E. 21) • Blood/Body fluid, aerosol transmissible diseases, needle sticks • Post exposure • After a needle stick/exposure, always follow up with your instructor

Bloodborne Pathogens (HIV, HBV, HCV) • Transmission • Sharing needles and syringes to inject drugs • Infected pregnant woman to her baby • Sexual contact • Isolation → Standard Precautions only • Occupational Risks • Injury from needles, scalpels, broken glass • Prevention • Safe work practices • Hepatitis B vaccination

Tuberculosis (TB) • Transmission • Airborne (Coughing, Sneezing, Speaking, Singing) • Isolation → Airborne Precautions • PAPR or fit-tested to N 95 mask prior to entering room • Negative air pressure room required • Keep doors closed • Occupational Risks • Bronchoscopy • Sputum induction • Tracheostomy care

Influenza • Transmission • Respiratory secretions • Isolation →Droplet precautions (mask) • • • Protect yourself and others Get the flu vaccine in the Fall Avoid touching your eyes, nose, or mouth Cover mouth and nose with a tissue when coughing or sneezing Dispose of used tissue in the proper waste container Perform hand hygiene with alcohol gel or soap and water

Methicillin Resistant Staph Aureus (MRSA) • Transmission • Direct and indirect contact with infected or colonized patients • Isolation → Contact precautions for MRSA infected patients and r/o MRSA patients (gown, gloves, mask if suctioning) → Standard precautions for MRSA colonized patients • All MRSA patients (infected or colonized) will receive DAILY chlorhexidine gluconate (CHG) baths during their hospital stay • In the ICU, ALL patients (regardless of their MRSA status) will receive DAILY CHG baths

Clostridium Difficile (C. Diff) • Transmission • Feces. Any surface, device, or material (ex. commodes, glucose meters) that becomes contaminated with feces may serve as a reservoir for C. Diff spores. • Isolation → Contact Precautions (gown, gloves) • SPECIAL WIPES: Use SANI-CLOTH BLEACH WIPES on ALL reusable patient care equipment • Wet Contact Time: 5 Minutes • Use gloves when handling wipes • Avoid contact with eyes, skin, and clothing

Vancomycin Resistant Enterococcus (VRE) • Transmission • Feces, abdominal wounds, bandages from infected wounds. Any surface, device, or material (ex. commodes, glucose meters) that becomes contaminated with feces may serve as a reservoir • Isolation → Contact Precautions (gown, gloves)

Scabies • Transmission • Extensive skin-to-skin contact with infested person or with items such as bedding and clothing used by infested person • Isolation → Contact Precautions (gowns, gloves) for 24 hours after start of effective therapy

Patient Isolation Signs and Isolation Equipment Closets in the Lundquist Tower • Where do I look for patient isolation signs? • In plastic holders above the room number • Where do I find Personal Protective Equipment (PPE) such as gowns & masks? • Small closet next to most rooms

Patient Isolation Signs and Isolation Carts in the Central Tower • Where do I look for patient isolation signs? • Door or door frame • Where do I find PPE? • Inside yellow isolation carts

Where do I find policies? c c l i c l k i c k •

Questions? ? • Please call Infection Control Department at x 2057 if you have any questions

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