infection control and prevention · one bacterium divides into two in a process called binary...
TRANSCRIPT
01Identify the legislation and
local and national policies
associated with infection control
Describe employer and
employee responsibilities
Explain the causes of infection,
and the methods of control
Explain safe practice, and the
use of PPE and personal hygiene
Learning Outcomes
02
03 04
Understand the principles of risk
assessment in infection control05
Sources / transmission of infection
Essential KnowledgeUnderstanding to manage risk
Assumption of risk
Personal hygiene practices
Food preparation Occupational exposure
Standards of cleanliness in the workplace
Dealing with body fluids
Handling needles and sharps
Dealing with infectious waste
Sources of help in different circumstances
Systemic Infection
A systemic infection and often the symptoms that it
causes, are spread throughout the systems of the body
Localised Infection
Localised means the infection is restricted to one area
only
Colonisation
The presence of an organism on our body, but without
causing illness
Infestation
The state of being invaded or overrun by pests or
parasites and also refers to the actual organisms living
on or within a host
Infection and Colonisation
01 Sneezing
Coughing
Sources:
02
01 Bacteria
02 Fungi
Causes:
03 Talking, kissing
Sexually transmitted04Contaminated food and water05
03 Viruses
04 Parasites
Tuberculosis (TB)
Bacteria need food, moisture, warmth and time to grow.
One bacterium divides into two in a process called binary fission.
Bacteria can be harmful, in which case they are often known as
‘germs’ or ‘pathogenic’
Tetanus
Whooping Cough
Gastro-enteritis
Food Poisoning
e.g. Salmonella, E-coli, Listeria
Urinary Tract Infection (UTI)
Septicaemia
Some diseases caused by bacteria:
Bacteria
Virus
HIV
Mumps
Measles
Hepatitis
Common cold
Virus enter cells of other living
beings and reproduce
Some diseases caused by viruses:
Fungi
Thrush
Ringworm
Athletes Foot
Fungi enter cells of other living
beings and reproduce
Some diseases caused by viruses:
An adequate food source
To
g
ro
w
an
d
mu
lt
ip
ly
,
th
ey
n
ee
d:
Warmth
Moisture
Time
Some need oxygen
Some need shielding from direct sunlight
G r o w t h o f M i c r o
O r g a n i s m s
Micro-organisms are
living things
Disease is caused by a micro-organism (bacteria, viruses, fungi, etc.) which may cause
impairment to health
A disease that is usually transmitted through person to person contact, shared use of
contaminated instruments / materials
c
C Diff - Clostridium Difficile - a spore forming bacteria
Infectious Diseases
Scabies - disease of the skin caused by a mite
MRSA - Methicillin-Resistant Staphylococcus Aureus – a bacterium that has developed
antibiotic resistance
Norovirus - main symptoms are diarrhoea and vomiting.
Some people also experience fever, headache, stomach cramps or aching limbs
HIV - Human Immunodeficiency Virus, leading to Acquired Immune Deficiency Syndrome -
AIDS
A Associated with contaminated food and water
Hepatitis
Can be found in blood and body fluids
Can be found in the blood and body fluids
B
C
Robust procedures
Up-to-date policies
Good and effective infection control measures and practices
Prevention of Healthcare
Associated Infections
Training, awareness and education
Good communication i.e. reporting and recording
Clean environment including equipment
01 Low immunity, or defective immunity
02 Long term antibiotic therapy
Poor hygiene
Proximity to others, equipment or laundry
Contact with body fluids
The very sick and those who have had surgery
03
04
05
06
07 The very young and the very old
Factors That
Increase
Infection
A pathogenic micro-organism that is capable of producing
infection and infectious disease
The way in which the infection leaves the reservoir
Chain of Infection
Area where an infectious agent may spread to cause disease
The means by which the infection is transferred from the
reservoir i.e. ‘direct’ / ‘indirect’ contact
A person that can be infected by a communicable disease
Chain of Infection
Area where an infectious agent may spread to cause disease
‘Standard Precautions’
Prevention of Infection:
Public Health England (PHE)
Health Protection Units (HPU)
Organisations involved in infection control:
Disease specific precautions
Immunisation
Screening
Risk assessment
Management of Health and Safety at Work Regulations 1999
Health and Safety at Work Act 1974
Control of Substances Hazardous to Health - COSHH 2002
Food Hygiene (England) Regulations 2013
The Environmental Protection Regulations 2003
Health Protection Agency Act 2008
Hazardous Waste (England & Wales) (Amendment) Regulations 2016…(April 1st)
Reporting of Injuries, Diseases and Dangerous Occurrences - RIDDOR 2013
Health and Social Care Act 2008
Care Act 2014
That all staff receive training in ‘Standard Infection Control
Precautions’ on induction and ongoing
Employer Responsibility
That all staff have access to appropriate protective clothing - PPE
To ensure that all employees, have access to materials that will
allow effective hand hygiene to take place
Employee Responsibility:
Check the infection control risk assessment regularly
Use the appropriate protective clothing – PPE and
examine before use and report problems if
necessary i.e. quality of PPE
Apply ‘Standard Infection Control Precautions’
Cover breaks in skin with a waterproof dressing
Attend infection control training
Know their vaccination status
Report any incidents involving infection control
01The Health and Social Care Act 2008 sets out thelegal framework for the prevention and control of‘Healthcare Associated Infection - HCAI in the NHS
Organisations will have their own policies forprevention, detection and control of infection
Staff should check their local policies
Policies
02
03
The owner of a care home is responsible under health and
safety legislation for maintaining a safe environment.
Procedures for control of infection will form part of the
health and safety requirements.
The safe disposal of all waste is covered by legislation.
Responsibilities
Identify the hazards e.g. blood borne viruses, gastrointestinal viruses
Decide who might be harmed and how
Evaluate the risks and decide on precautions
Record the findings / communicate and implement them
Review the assessment and update if necessary
Risk Assessment
Group Activity
1 2
When should we ALWAYS
wash out hands?
What equipment is required
for effective hand hygiene?
One to three shots of alcohol gel
Alcohol Hand Cleaning
Visibly clean dry hands
Do not apply any water
Rub alcohol hand gel over the hands until
your skin feels dry
Not to be used with ‘Norovirus’ or diarrhoea
c
Training – on induction and ongoing
Safe Practice and Personal Safety
Posters and bulletins
Supervision
Follow guidelines
Correct equipment
Training
For effective cleaning:
Employers should provide:
It is essential for all staff to have high personal
hygiene standards themselves in order to be
able to support individuals with theirs
Standards of
Support Staff
Having a clean and respectableappearance is important andpromotes self-esteem
Standards
Hygiene and cleanliness is seenas a key indicator of standardswithin any care/support setting
A clean environment is essentialas good practice
Reduces risk to the supportedindividual
Standard
Precautions
Awareness
There are 4 key elements to ‘Standard Precautions’
Cleaning Hand
Washing
Protective
Barriers
PPE
Hand hygiene
Safe Practice and Personal Safety
Safe handling and disposal of sharps and waste
‘ S t a n d a r d P r e c a u t i o n s ’ I n c l u d e :
Managing blood and bodily fluids
Decontaminating equipment
Managing accidents
Training/education
Wearing rings other than wedding bands
Poor Practice
Painted nails and nail extensions
Failure to observe isolation precautions
No personal protective equipment
Poor cleaning of equipment
Failure to wash hands or changegloves/aprons between contact
Personal Protective Equipment - PPE is worn by staff, in addition to
their normal clothing, to protect both the patient and the health care
worker from the potential risks of transmission of infection.
The type of PPE worn, must suit the task e.g. gloves and aprons for
personal care
PPE
Organisations should have a written PPE policy
PPE
Gloves
Disposable aprons
Gowns
Full protective suits
Glasses
Boots/shoes
Masks
Is used for individuals who are infected with, or are colonized
by, infectious agents that require additional precautions
Is when an infection can be dealt with using existing resources
Infection Outbreaks and Incidents
Is where action requires greater resources and is likely to
disrupt the running of the home or hospital
cSharps box is not overfull
Sharps
Lid fits properly
Follow organisational policies
Use a designated sharps bin:
Placed in a safe and suitable location
Label on box is completed
Always hold pointing downwards
DO NOT re-sheath sharp
Needle Stick Injuries:
Squeeze wound but do not suck
Clean under running water
Cover injury with waterproof dressing
Report and record injury immediately
Seek medical advice
Use appropriate laundry trolleys, baskets etc.
Linen and Laundry
Handle with care and wear PPE
Use specific ‘sluice’ bags for heavily soiled items
Do not place soiled linen on inappropriate
surfaces e.g. floor, bed etc.
A 65°temperature hold for a minimum of 10
minutes within the wash cycle or 71°for not less than 3 minutes
T h e n a t u r e o f l a u n d r y s o i l i n g d e p e n d s
o n t h e s o u r c e , i t m a y i n c l u d e b l o o d ,
s a l i v a , s w e a t , u r i n e , v o m i t a n d f a e c e s
Decontamination
Cleaning
Ensure individual’s dignity is respected when carrying out decontaminating of a
personal nature
Disinfection Sterilisation
The physical removal
of dirt and organic matter
Removal and destruction of
adequate numbers of potentially
harmful micro-organisms to allow
the item to be handled safely
The total destruction and removal
of all micro- organisms including
spores
01 Clean with substances as indicated in infection control policy
Ensure substances are diluted as per instructions
Body Fluid Spillages
02
03
04
05
Wear gloves and apron
Discard in clinical waste bags
Adhere to health and safety i.e. yellow boards
What are the 3
stages of
decontamination?Cleaning, sterilizing and deep clean
Cleaning, disinfecting and sterlising
Disinfecting, keeping the area clean
and tidy and sterilising
Cleaning, disinfecting and hoovering
A
B
C
D
The best method to
prevent the spread of
infectious illness is
by…Being aware of safe practice
at all times
All of the above
Washing your hands correctly
when contaminated
Using hand sanitizer after
you sneeze
A
B
C
D
The correct method
of washing your
hands is to:With a wet wipe, disposing
of it correctly
Wet hands, lather with soap,
rinse in warm water, dry
thoroughly
Wet hands, rinse, dry
Wet hands with a damp,
soapy cloth
A
B
C
D
What does RIDDOR stand for?
Reporting of Injuries, Diseases and
Deliberate Occurrence Regulations
Removing of Injuries, Diseases and
Dangerous Occurrence Regulations
Reporting of Injuries, Diets and
Dangerous Occurrence Regulations
Reporting of Injuries, Diseases
and Dangerous Occurrence RegulationsA
B
C
D
How can Hepatitis B
be passed on?By sneezing, coughing and not
washing hands
Eating contaminated food
Using the same toilet as someone
with Hep. B
Through blood and bodily fluidsA
B
C
D
What are some
methods of safe
practice?Not follow infection control
policies
Correct hand washing and use of
PPE and follow all training
Wash hands when you have time
and report anyone who does not
do so
Only carry out safe practice when
the manager is on dutyA
B
C
D
When should we
clean up body fluids? When you have time
Promptly – as soon as it happens,
using correct equipment etc.
When someone has some time
We don’t need to bother as we
have domestic staff A
B
C
D
Under H&S
legislation the
employer has to…Provide inadequate training
Provide: specific policies, incl.
risk assessments, PPE, suitable
training
Not pass on information about
infection control
Provide refreshments such as
tea and coffeeA
B
C
D
Hazardous infectious
waste should be
disposed of into
which colour bin?
Yellow
Green
Blue
BlackA
B
C
D
What are the stages
of the ‘Chain of
Infection’? All of these
Infectious agent and reservoir
Means of transmission and
susceptible host
Portal of entry and exitA
B
C
D
If you have a sharps injury first you should…
Suck out the infection immediately
Panic and tell everyone what
has happened
Nothing because it is not that
serious
Make the wound bleed by
running under clean waterA
B
C
D
What are some
routes of infection?Breaks in the skin and nose
Ears and absorption through the
skin
All of the above
Eyes and mouthA
B
C
D
01Identify the legislation and
local and national policies
associated with infection control
Describe employer and
employee responsibilities
Explain the causes of infection,
and the methods of control
Explain safe practice, and the
use of PPE and personal hygiene
Learning Outcomes
02
03 04
Understand the principles of risk
assessment in infection control05