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INFECTION CONTROL ORIENTATION TRAINING 2009

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Page 1: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

INFECTION CONTROLORIENTATION TRAINING 2009

Page 2: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

STANDARD PRECAUTIONSSTANDARD PRECAUTIONS

BASICALLY….

If it’s WET and NOT YOURS,don’t get any on you !!

PPE And Safety Devices AreProvided !! Use them correctly toprotect yourself !!

Page 3: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

STANDARD PRECAUTIONS

Wash hands before & after examiningpatients or contact with blood, bodyfluids or contaminated items

Wear gloves when contact with blood,body fluids, mucous membrane andbroken skin

Wear mask, eye protection, gown ifsplashes/sprays are expected

Page 4: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

INFECTION CONTROL: COST

$4.5 BILLION PER YEAR (1996)

88,000 DEATHS PER YEAR

Page 5: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

What are the 10 most commoncauses of infection?

Your fingers!Your fingers!

Page 6: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Wash your handsbefore & after touching patients

or contaminated material

Page 7: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

The Gap Between Perception and Reality

2848/173Observed rate

5163/123Estimate ofco-workers’ rates

85105/123Self-reported rate

% complianceHandwashingafter patient

Contact/n

CDC Emerging Infectious Diseases Vol. 7, No. 2, Mar-Apr 2001: Robert A Weinstein Controlling AntimicrobialResistance in Hospitals

Page 8: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

CDC Guidelines for Hand Hygiene

HANDWASHING WHEN HANDS VISIBLY SOILED(at least 15 seconds)

Alcohol hand rinse if not visibly soiled Decontaminate hands before patient contact Decontaminate hands before donning sterile gloves Decontaminate hands before patient care procedures Decontaminate hands after patient contact Decontaminate hands if moving from contaminated site

to clean site during patient care Decontaminate hands after contact with equipment Decontaminate hands after removing gloves Decontaminate hands before eating and after using

restroom

Page 9: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Hand Hygiene by S&W Employees

2006 (YTD)

Handwashing Compliance by Group

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

RN LVN Aide student MD Other

compliance rate Overall Rate

Page 10: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Hand Hygiene

Compliance Rates by Hospital Unit

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

7SOUTH

7EAST

7WES

T6S

OUTH

6EAST

6WES

T5S

OUTH

5WES

T4S

OUTH

4WES

T3S

OUTH

NURSERY

L&D

STC

2STC

3STC

4STC

5CIC

U

SIC

U

PIC

UM

ICU ED

STC

1SF2

NSF3

NSF3

S

2006 OVERALL UNIT RATE S&W 2004 OVERALL HOSPITAL RESULTS

S&W 2006 OVERALL HOSPITAL RESULTS S&W 2005 OVERALL HOSPITAL RESULTS

Page 11: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

HAND HYGIENERECOMMENDATIONS

All health care providers will perform handhygiene before and after all patientencounters.

Use of the alcohol hand rinse is anacceptable alternative to soap and waterwhen hands are not visibly soiled.

Soap and water must be used afterpotential exposure to Clostridium difficile.

• S&W Quality Council 2006

Page 12: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

IT’S ALL IN YOUR HANDS

WASH THEM

USE ALCOHOLHANDRINSE

Page 13: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Proper Glove RemovalProper Glove RemovalContain theContain theContaminationContamination

Page 14: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Do Not Wear Artificial Nails

"No artificial nailsor nail polish fordirect patient careproviders“ whichincludes theresidents andfellows.

Page 15: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

SOURCES OF NOSOCOMIALINFECTION

STETHOSCOPES &BP Cuffs

– Staph epi - 100%

– Staph aureus- 38%

– Pseudomonas →

• ARCH. INTERNMED. 1997;157:786-790

Page 16: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior
Page 17: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Clean stethoscope’s diaphrambetween patients

Even with isopropylalcohol, which is aneffective cleanser,you must payattention to theedges of thestethoscope’sdiaphram

Page 18: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

OTHER SOURCES OF NOSOCOMIAL INFECTION

Page 19: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Same Room, More contaminationSame Room, More contamination

After pulling up the bed rail, theHCP checked the IV bag beforeturning to wash his/her hands

IV bagbed rail IV Site

Page 20: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

“Computer KeyboardsSpread More Than Words”

Reinberg, S. April 2005. HealthDay Reporter.Reinberg, S. April 2005. HealthDay Reporter. http://www.medicinenet.comhttp://www.medicinenet.com accessed April 3, 2006.accessed April 3, 2006.

VREVRE

MRSAMRSA

PSAEPSAE

Page 21: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

CONTACT ISOLATION

– Direct Contact Transmission Issues:

• Wound/Dressing Isolation– Standard precautions if not draining

– Contact precautions if draining

• Resistant Organism Isolation– Isolate new positive cultures

– Isolate with history of infection or colonization

– Isolate on readmission unless documentation forremoval has been met

ISOLATION CATEGORIES

Page 22: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

ISOLATION CATEGORIES

CONTACT ISOLATION– MRSA

– Diarrhea – enteric pathogens• Rotavirus

• C. Difficile

– VRE

– Hepatitis A

– RSV

– Chickenpox (along with airborne isolation)

– Viral Meningitis (only if stool incontinent)

Page 23: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior
Page 24: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

MODIFIED CONTACT PRECAUTIONSMODIFIED CONTACT PRECAUTIONS

VRE Infections(Vancomycin Resistant Enterococcus)

* Commonly found in the GI tract* Easily transmitted by HCP’s on

hands and clothing* MUST wear gown and gloves !!

Page 25: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior
Page 26: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

EXTENDED CONTACT PRECAUTIONSEXTENDED CONTACT PRECAUTIONS

C DIFF INFECTIOUS DIARRHEA(Clostridium Difficile)

* Spore forming bacteria* ONLY washed off with soap and water

!!* Alcohol NOT effective against C Diff

Page 27: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior
Page 28: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

ISOLATION CATEGORIES

DROPLET ISOLATION

– MENINGITIS (Bacterial)– Meningococcal

– Haemophilus influenzae

– INFLUENZA

– PERTUSSIS

– RUBELLA (German measles)

Page 29: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

STOP

DROPLET PRECAUTIONSDROPLET PRECAUTIONS

HAND HYGIENEHAND HYGIENEBefore EnteringBefore Entering

RoomRoom

Surgical Mask

REQUIREDTo Enter Room

HAND HYGIENEHAND HYGIENEAfter ExitingAfter Exiting

RoomRoom

Page 30: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Isolation CategoriesIsolation Categories

Airborne Isolation

TUBERCULOSIS – Active or Rule Out

MEASLES

**CHICKEN POX

**Zoster (Shingles)In An Immune Compromised Patient

**Contact Precautions in addition, if there are any lesions thathave not ruptured and crusted over.

Page 31: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Nutrition & Food Service Employees: May NOTEnter

STOP

HAND HYGIENEHAND HYGIENEBefore EnteringBefore Entering

RoomRoom

N95 or HEPARespirator Mask

REQUIREDTo Enter Room

Negative Air Pressure

REQUIREDKeep Door Closed

HAND HYGIENEHAND HYGIENEAfter ExitingAfter Exiting

RoomRoom

AIRBORNE PRECAUTIONSAIRBORNE PRECAUTIONS

Page 32: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

MUST BE FIT TESTEDMUST BE FIT TESTED BEFOREBEFORE ENTERINGENTERINGAN AIRBORNE PRECAUTION ROOM !!AN AIRBORNE PRECAUTION ROOM !!

Page 33: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior
Page 34: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

All Precaution SignsAll Precaution Signs

Page 35: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

CONTACT PRECAUTIONS

Place appropriate precaution bracelet on patient when Precautions are ordered orare deemed necessary. Refer to Infection Control Policies located on the Intranet

for specific Precaution procedures.

Precautions ArmbandsPrecautions Armbands

DROPLET PRECAUTIONS

AIRBORNE PRECAUTIONS

EXTENDED CONTACTPRECAUTIONS

MODIFIED CONTACTPRECAUTIONS

Page 36: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior
Page 37: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Target MDROsTarget MDROs

Microorganisms resistantto one or more classes ofantimicrobials

– Vancomycin-resistantEnterococcus (VRE)

– Methicillin-resistantStaphylococcus aureus (MRSA)

– Vancomycin-intermediateStaphylococcus aureus (VISA)

– Vancomycin-resistantStaphylococcus aureus (VRSA)

– Multidrug-resistant Gram-negativeBacilli (MDR-GNB)

– Multidrug-resistant Streptococcuspneumoniae (MDRSP)

– Clostridium difficile (C. diff)

Page 38: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Not The Same Old BugsNot The Same Old Bugs

Provided with global transportation

Continuously adapting to newconditions– New hosts – rat to man; bird to man; cow

to man– New drugs – selection of survivor

pathogens: resistance

Page 39: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Methods to prevent transmission ofMethods to prevent transmission ofMDROsMDROs

Standard precautions

Contact precautions

– criteria for initiation

– criteria for discontinuation

– modifications for various patient caresettings

– patient and visitor fact sheets

HealthcareTransmission

Page 40: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Methods to prevent transmissionMethods to prevent transmissionofof MDROsMDROs Explicit instruction for cleaning

environmental surfaces Assessing cleaning adequacy via

environmental culturing Capturing the need for isolation prior to

admission on Hospital Bed Request Notification of healthcare facilities and

personnel prior to transfer ofcolonized/infected MDRO patients withinor between facilities

Page 41: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

INFECTION CONTROL

To remove patients from resistant organism isolation

– Maintain Standard Precautions

– MRSA

• Negative culture from original site

• No current infection or treatment

– VRE

• 3 negative rectal swab cultures over 3 weeks

• Negative original source

• No current infection or treatment

Page 42: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior
Page 43: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

INFECTION CONTROL PLAN

http://www.insite

– CDC Isolations recommendations

– Isolations Quick Reference

– TB Control Plan

– OSHA Exposure Control Plan

– Clinic plan/ambulatory care Plan

Page 44: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

INFECTION CONTROL

WASTE MANAGEMENT

– Proper disposal of contaminated materials

• All medical waste – Autoclave bags

• Sharps waste – needle boxes

• All soiled linen – considered contaminated– USE blue plastic bags at S&W

– USE pink bags with white liners at VAMC

Page 45: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

INFECTION CONTROL

EMPLOYEE HEALTH ISSUES– TB skin testing – on employment, post-

exposure, and as requested

– N-95 RESPIRATOR fit testing onemployment, annually as necessary

– Hepatitis B vaccine – complete series

– Immunization Documentation up to date• VARICELLA - history of chickenpox or complete

series

– Follow up contaminated exposures• Employee health x 45520

Page 46: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Exposure means any Exposure to Blood or Body FluidsExposure means any Exposure to Blood or Body Fluidsmeans any Exposure to Blood or Body Fluids

Active acne

Atopic dermatitis

Bug bites

Burns

Cuts, scratches, abrasions

Chapped skin

Dermatitis/rash

Eczema

Fresh shave (razor burn)

Hang nails

Psoriasis

Needle stick

Splash

Page 47: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Personal Protective EquipmentPersonal Protective Equipment -- PPEPPE

Don PPE before contact with the patient,generally before entering the room

Use carefully – don’t spread contamination

Remove and discard carefully, either at thedoorway or immediately outside patientroom; remove respirator outside room

Immediately perform hand hygiene

PPE Use in Healthcare Settings

Page 48: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Sequence* for Donning PPESequence* for Donning PPE

Gown first

Mask or respirator

Goggles or face shield

Gloves

*Combination of PPE will affect sequence – bepractical

PPE Use in Healthcare Settings

Page 49: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

““Contaminated” and “Clean” AreasContaminated” and “Clean” Areasof PPEof PPE Contaminated – outside front

• Areas of PPE that have or are likely to havebeen in contact with body sites, materials,or environmental surfaces where theinfectious organism may reside

Clean – inside, outside back, ties onhead and back

• Areas of PPE that are not likely to havebeen in contact with the infectiousorganism

PPE Use in Healthcare Settings

Page 50: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Sequence for Removing PPESequence for Removing PPE

Gloves

Face shield or goggles

Gown

Mask or respirator

PPE Use in Healthcare Settings

Page 51: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

“Do not eat, drink, smoke,apply cosmetics or lip balm,shave, or handle contactlenses in any area wherethere is a reasonablepotential for pathogen orbody fluid exposure.

Eating and/or drinking islimited to private offices,staff break rooms,conference rooms, thecafeteria, and designatedoutside picnic areas.”

NONO Eating in Patient Care AreasEating in Patient Care Areas

And Yes…ThisIncludes BottledDrinks At Nurses’Stations…………………

Page 52: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

S&W’S IC OFFICER IS:

John Loden Carpenter, MD

Hospital Epidemiologist, Chairman of Infection Control

INFECTION CONTROL DEPARTMENTINFECTION CONTROL DEPARTMENT

DIRECTOR:Shirley Jeandron, MSN, MBA

Phone: 4-6455Pager: 762-0941

IC PRACTITIONERS:

Karen Yates Callie Wilde Martha LandExt. 4-3241 Ext. 4-4917 Ext 4-4917Pager: 762-0926 Pager: 762-0082 Ext. 762-0925

FOR MORE INFORMATION ABOUT INFECTION CONTROL, CONTACT:

Dept. Ext. 724-4009 or E-mail: infectioncontrol @swmail.sw.org

Page 53: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Isolation Signs VAMCAcute care

Page 54: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

STOPSTOPWash Hands onEntering andLeaving Room

GownFor Contact with

Patient, EnvironmentalSurfaces or Items in

Room

GlovesTo Enter the Room

Visitors: Report to Nurses’ Station Before Entering Room

Visitantes: Favor de Presentarse a La Sala De Enfermeras antes de Entraral Cuarto

Nutrition & Food Service Employees: May EnterEnter

CONTACT ISOLATION

Page 55: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

N95 or HEPARespirator

to Enter

Negative Air Pressure

Keep Door Closed

Wash Hands onEntering andLeaving Room

STOPSTOP

Visitors: Report to Nurses’ Station Before Entering Room

Visitantes: Favor de Presentarse a La Sala De Enfermeras antes de Entrar

al Cuarto

Nutrition & Food Service Employees: May NOTNOT enter

AIRBORNE ISOLATION

Page 56: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

STOPSTOPWash Hands on

Entering andLeaving Room

Mask to Enter Room

Visitors: Report to Nurses’ Station Before Entering Room

Visitantes: Favor de Presentarse a La Sala De Enfermeras antes de Entraral Cuarto

Nutrition & Food Service Employees: May NOTNOT enter

DROPLET ISOLATION

Page 57: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Isolation Signs

Central Texas Veterans

Health Care System

Long Term Care

and

Nursing Home Care Units

Page 58: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

DROPLET ISOLATION

Use in Long Term Care & NursingHome Care Units

Mask is required to enter

– The Red Dot is to alert Nutrition and FoodService staff not to enter the patient’sroom…

– Nursing will take the food tray to the patient

Page 59: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Before Entering RoomBefore Entering RoomStaffStaff && VisitorsVisitors: Report to Nurses’ StationReport to Nurses’ Station for Instructionsfor Instructions

ALTO!ALTO! Antes de Entrar al CuartoVisitantes: Favor de Presentarse a La Sala de EnfermerasFavor de Presentarse a La Sala de Enfermeras

Nutrition & Food Service Employees: May NotNot enterenter

Page 60: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

CONTACT ISOLATION

Use in Long Term Care & NursingHome Care Units

The Green Dot is to inform Nutrition andThe Green Dot is to inform Nutrition andFood Service employee it isFood Service employee it is OKOK totodeliver the food tray to the patient’sdeliver the food tray to the patient’sroomroom

Page 61: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Before Entering RoomBefore Entering Room

All Staff & VisitorsAll Staff & Visitors: Report to Nurses’ StationReport to Nurses’ Station for Instructionsfor Instructions

ALTOALTO! Antes de Entrar al CuartoAntes de Entrar al Cuarto

VisitantesVisitantes: Favor de Presentarse a La Sala de EnfermerasFavor de Presentarse a La Sala de Enfermeras

Nutrition & Food Service Employees:Nutrition & Food Service Employees: MayMay EnterEnter

Page 62: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

The End

Proceed to the Post Test

Down load the Post Test

Complete the Post Test

Return the post test to:

– Dr. Sandra Oliver

– 407i TAMUII

Page 63: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Post test Question 1

What is the single most importantthing that you can do to prevent thespread of infection?

__________________________

Page 64: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Post Test Question 2Post Test Question 2

The CDC recommends that if a non-immune healthcare worker may takecare of an isolated patient withChicken Pox as long as a surgicalmask is worn by the healthcareworker.

True ____

False ____

Page 65: INFECTION CONTROL ORIENTATION TRAINING 2009 · Capturing the need for isolation prior to admission on Hospital Bed Request Notification of healthcare facilities and personnel prior

Post Test Question 3

What is a common organism thatrequires contact isolation

A. TB

B. VRE

C. Bacterial Meningitis

D. Measles


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