infection prevention & control for patient transporters

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Infection Prevention & Control for Patient Transporters. Vydia Nankoosingh Kyla Van Dusen Infection Prevention & Control October 5, 2010. Outline. Chain of infection Routine practices & additional precautions Corporate policy change Transporting a patient. Chain of Infection. - PowerPoint PPT Presentation

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  • Infection Prevention & Control for Patient Transporters Vydia NankoosinghKyla Van DusenInfection Prevention & ControlOctober 5, 2010

  • OutlineChain of infection

    Routine practices & additional precautions

    Corporate policy change

    Transporting a patient

  • Chain of InfectionRoutine Practices & Additional Precautions In All Health Care Settings. PIDAC Aug 2009

  • Chain of InfectionVREGI TRACTSTOOLCONTACTMUCOUS MEMBRANESHOSPITALIZED PERSON

  • Break the Chain

    Routine Practices:Hand hygienePersonal Protective EquipmentEnvironmental cleaning & disinfecting

  • Routine PracticesInfection prevention and control practices that are to be followed with all patients, all the time, regardless of diagnosis to prevent and control transmission of infections.

    Elements of routine practices that apply to transport staff are hand hygiene , use of personal protective equipment and cleaning of multi-use equipment between patients.

  • Hand HygieneSingle most important practice for preventing the transmission of infectionResponsibility of all individuals involved in health careThere are two methods of killing/removing microorganisms on hands:Alcohol based hand rubWashing with soap & water

  • When do I clean my hands?Before and after contact with any patient, their body substances or items contaminated by them Before putting on glovesAfter taking off gloves After using the washroom After sneezing, coughing or blowing your nose Any time hands are dirty

  • Routine Practices:Personal Protective EquipmentWould you wear PPE?

  • Routine Practices:Personal Protective EquipmentAssess the risk of exposure and protect yourself with:GownGlovesHand hygiene

  • Routine Practices:Personal Protective EquipmentWear gloves to handle soiled linen and bags of linenRemove gloves, perform hand hygiene before pushing cart throughout the hospital

  • Do you wear PPE to push the cart?

  • Do you wear PPE to push the cart?The preferred method is to use hand hygieneHand hygiene kills 99.9% of germs in 15 secondsHand hygiene protects you while also protecting others

  • Routine Practices:Disinfecting Equipment

    Hospital approved disinfectant is Virox wipesWear gloves as per label

    Multi-use equipment must be cleaned and disinfected between each patientStretcher, wheelchairHigh touch surfaces

  • Can you tell which patient has an infection?

  • Additional PrecautionsUsed in addition to routine practices when a patient has a suspected or definite diagnosis of infection ContactDroplet/ContactAirborne

  • Additional PrecautionsA patients isolation status could change at any timeMicrobiology resultsSymptoms of concernContact with a positive patient

  • Additional Precautions:Disinfecting Equipment

    Hospital approved disinfectant is Virox wipesWear gloves as per label

    Multi-use equipment must be cleaned and disinfected between each patientStretcher, wheelchairHigh touch surfaces

  • Iceberg EffectThe tip of the iceber g is the patients with known infections

    The bottom represents the patients with infections that have not been identified yet

    The patients in the bottom of the iceberg are a source of transmission to others

  • Corporate Policy ChangeGoal: Consistent and appropriate cleaning and disinfecting of all shared patient equipment

    A high level of clean on a routine basis decreases the risk of transmission of infection in unidentified patients

    Eliminates dirty equipment being left in halls or being used accidentally by other staff/patients/visitors

  • Corporate Policy Change

    Shared equipment are cleaned and disinfected by all staff between use with patientsTransport staff will clean all high touch surfaces of the stretcher/wheelchair with virox wipesDesignated clean holding areas identified on unit Visibly soiled transport equipment will be cleaned by housekeeping as appropriatePorter to notify HK by using the bed tracking systemPorter to identify equipment as dirty by using signage

  • Sanitation StationsAssigned location on all units

    Porters to use for cleaning/disinfecting of high touch surfaces

  • High Touch Surfaces-StretcherHandlesSide railsIntravenous poleBumper

  • High Touch Surfaces-WheelchairHandlesSeatBack restArm rests Intravenous poleWheel lock handles and leg calf support

  • Clean Equipment Holding AreasDesignated areas on all units

    Separate wheelchair & stretcher holding areas

    Signage on wall and tape outline on the floor

    Clean Stretcher Holding Area

  • What do you think about this?

  • Mode of Transmission?Not always this visible that a piece of equipment is dirty or has not been cleaned

  • Clean or Dirty?

  • Clean or Dirty?Just because it looks clean it does not mean it is clean

    Some bacteria and viruses survive for weeks or months on dry surfaces

  • Is this Okay?

  • Is this Okay?

    Wear gloves for as short a time as possible Do not walk from room to room and other areas of the hospital wearing the same pair of glovesHands are often contaminated in the process of glove removalAlways perform hand hygiene before & after removal of glovesDoes not replace hand hygiene

  • Is this Okay?Gloves worn in common areas contaminate the environmentPuts patients/visitors/staff at riskHand hygiene kills 99.9% of germs in 15 secondsHand hygiene protect s you while also protecting others

  • Moving a patient on Routine PracticesPerform hand hygieneAssist patient onto clean wheelchair or stretcher in the patient's roomIf any PPE was worn to move the patient, remove it all and perform hand hygienePPE, including gloves should NOT be worn while transporting patientsIf the patient is coughing/sneezing, the nurse will provide them with a surgical mask, the transporter does not need to wear onePractice good hand hygiene

  • Moving a patient on Additional PrecautionsPerform hand hygieneWear the appropriate PPE while assisting patient to a clean wheelchair or stretcher in the patient's roomRemove all PPE apparel, including gloves and perform hand hygiene after moving the patient and prior to transportPPE, including gloves should NOT be worn while transporting patientsIf the patient is coughing/sneezing, the nurse will provide them with a surgical mask, the transporter does not need to wear one (exception: airborne isolation)Practice good hand hygiene

  • Moving a patient from ICUPatients are moved in their hospital bedsPerform hand hygieneWear the appropriate PPE while in the patients room to prepare them for transferWipe down all high touch surfaces of the hospital bed with a virox wipe before leaving the unitRemove all PPE apparel, including gloves and perform hand hygiene prior to transportThe nurse may wear PPE during transport due to the possibility that they may need to intervene quickly (code blue situation)

  • Contact PrecautionsNo PPE for transporterNo PPE for patientPorter to carry chart or put it in a plastic bag on patients lapHand hygiene

  • Droplet/Contact PrecautionsNo PPE for transporterPatient to wear surgical maskPorter to carry chart or put it in a plastic bag on patients lapHand hygiene

  • Airborne PrecautionsPorter to wear N95 maskPatient to wear surgical maskPorter to carry chart or put it in a plastic bag on patients lapHand hygiene

  • Dont be a risk!Use PPE appropriately

    Protect yourself

    Protect others

    Dont forget to perform hand hygiene!

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