Infection Control

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					Infection Control

            Infection
          Control Nurses
            To be discussed
•   Changing frameworks
•   HAI and implications of HAI
•   Standard Precautions
•   MRSA
•   C. difficile
         Changing frameworks: 1980s
                         Alert: new disease AIDS
                                 No significant resistant
                                       organisms




Average stay 5-7
 Changing frameworks: 1990scoliforms
                         MRSA, VRE,
                       resistant
                                  VISA,
                         HIV, HCV, HBV, etc., etc.,
                         Experiencing interference




                              DAY WARD




Average stay 1-2
                           We got Gram negatives
                            resistant to everything.
Changing frameworks: 2000s      We got VRSA.
                           And the public know we
                                 don’t do hand
                               hygiene properly


                                                  ACAD



                                                       +
                     HSE   QIS              EHO




  Average stay 1-2
   Healthcare Acquired
     Infection (HAI)
Definition:
Not present or incubating on admission.

10 % of all patients admitted to hospital
will develop a healthcare acquired
infection.
Implications of
HAI’s
Standard precautions is the
minimal level of infection
control precautions that apply to
all patients at all times in all
situations.
                                       Clean
      Hand
                                       environment
      Hygiene        PPE

           There are 9 elements to
           Standard Precautions        Clinical
                                       waste

Accommodation

                 Body fluid
                 spills

  Preventing                   linen   Patient care
  exposure                             equipment
Hand Hygiene
Clinical waste
Body fluid spills
                  Preventing
                  exposure

 Cover any cuts or abrasions with waterproof
  dressings
 Vaccinate against Hep B
Who is responsible for
implementing Standard
Precautions?
   We all are.

All Employees must follow
the Standard
Precautions Policy.
                                       If patient has diarrhoea send a sample
     Clostridium                       and isolate. Clearance criteria 48 hours of
     difficile                          no symptoms.

 Some strains produce toxins.
 Can cause mild diarrhoea or
 severe disease, e.g. toxic
 mega colon leading to death.                  Hands implicated

          Relapses/reinfections           Follow careplan and give patient
          are common (20-30%).            Information leaflets.

Faeces has a characteristic odour
(horse manure) blood, mucous or
watery green diarrhoea.             Can survive normal cleaning
                                    and chemical disinfection because it forms
                                    spores. Cleaning is therefore vital.
                 Staphylococcus aureus and
                 MRSA
                        Spreads via direct contact e.g. hands, indirect contact
                        e.g. equipment, airborne e.g during
                        bed-making & dressing changes
Many different
                        as skin scales are dispersed
strains, some
                        through the air.
resistant to
methicillin.
                            Can survive in dry
  30-50% of humans          conditions for
  carry S. aureus in        months.
  their nose.
                                                          Hands implicated.
Causes a variety of
infections e.g.wound         Standard disinfection
and chest infections.        satisfactory.
                                                 Follow MRSA policy, use careplan
                                                 and MRSA leaflets.
We are here to help and support
all staff, so please use us!

If you suspect there is something
wrong with a patient or a procedure,
don’t wait, tell us so that we can help
you to prevent further problems.
    One last thing
 What have you just done?
 What are you about to do?

Remember your hand hygiene!

				
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