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Infection prevention and Control
Transcript of Infection prevention and Control
foundation in nursing care 1
Name : nS. Dame Elysabeth Tuty Arna Uly Tarihoran, m.kEP.,SP.KEP.MB
Birth : Dumai 24 November 1982
Status : Married, 2 children (Catherine & cesko)
Education : D3 (AKPER rumah sakit PGI CIKINI JAKARTA)
S1 (UNIVERSITAS PADJADJARAN BANDUNG)
S2 (UNIVERSITAS INDONESIA)
Specialist (Medsurg Nursing-Neurology) (UNIVERSITAS INDONESIA)
wORKING EXPR : Rumah Sakit PGI CIKINI JAKARTA (2002-2007)
CLINICAL EDUCATOR Faculty of nursing UPH (2007- 2011)
lecturer, head of nursing laboratory uph (2011-2012)
lecturer, heAD OF CLINICAL PRACTICE (2012-2014)
lECTURER, DEAN OF FACULTY OF NURSING UPH (2015-NOW)
ORGANIZATION : SIGMA THETA TAU INTERNATIONAL STTI
NORTH AMERICAN NURSING DIAGNOSIS ASSOCIATION (NANDA I)
persatuan perawat nasional indonesia (PPNI)
HIMPUNAN PERAWAT NEUROSAINS INDONESIA (HIPENI)
persekutuan perawat kristen indonesia (PERWAKIN)
research & teaching interests: evidence-based practice
neurosciences: stroke, sPINAL cORD iNJURY
infection prevention and control
11 FUNCTIONAL HEALTH PATTERN
Ns. Dame Elysabeth Tarihoran, M.Kep., Sp.Kep.MB
1. pENJELASAN cOURSE OUTLINE
2. INFECTION PREVENTION AND CONTROL
1. Ns. Juniarta, MSc
2. Ns. Alice Pangemanan, M.Kep
3. Christine Diane Dien, BSN, MSN
4. Ns. Evanny Indah, S.Kep
5. Ns. Haidy C. Anesta, S.Kep
6. Ns. Yenny Ade Bintang, S.Kep
7. Ns. Shinta Yuliana Hasibuan, S.Kep
8. Ns. Prisca Adipertiwi, S.Kep
9. Ns. Maria Maxmila Yoche, S.Kep
10. Ns. Peggy Sara Tahulending, S.Kep
11. Ns. Triulan Agustina, S.Kep
1. ns. dame elysabeth t a tarihoran, m.kep., sp.kep.mb
2. Ns. Juhdeliena, M.Kep., Sp.Kep.MB
3. Ns. Siti Komariah, SKep., MARS
Objective structured clinical examination
Disease process or Treatments or conditions that compromise the immune response
Factors influencing infection prevention and control:
a. Infants have immature defenses, breastfed babies have greater immunity, viruses are common in middle-aged adults, older adult cellmediated
A reduction in the intake of protein, carbohydrates, and fats reduces the body’s defenses and impairs wound healing
c. Basal metabolic rate increases; increase serum glucose levels and decrease anti-inflammatory responses with elevated cortisone level
d. People with diseases of the immune system (leukemia, AIDS) and chronic diseases (AODM) have weakened defenses against infection
You are caring for a patient who underwent surgery 48 hours ago. On physical assessment, you notice that the wound looks red and swollen. The patient’s WBCs are elevated. You should
A. Start antibiotics.
B. Notify the physician.
C. Document the findings and reassess in 2 hours.
D. Place the patient on isolation precautions.
See through the patient’s eyes.
Status of defense mechanisms
Signs and symptoms of infection
Risk for infection
Imbalanced nutrition: less than body requirements
Impaired oral mucous membrane
Risk for impaired skin integrity
Impaired tissue integrity
Readiness for enhanced immunization status
Asepsis = Absence of pathogenic (disease-producing) microorganisms.
Aseptic technique = Practices/ procedures that assist in reducing the risk for infection.
Medical asepsis, or clean technique, includes procedures for reducing the number of organisms present and preventing the transfer of organisms.
Surgical asepsis or sterile technique prevents contamination of an open wound, serves to isolate the operative area from the unsterile environment, and maintains a sterile field for surgery.
Standard precautions prevent and control infection and its spread.
Apply to contact with blood, body fluid, nonintact skin, and mucous membranes from all patients.
Hand hygiene includes using an instant alcohol hand antiseptic before and after providing patient care, washing hands with soap and water when they are visibly soiled, and performing a surgical scrub.
Handwashing is the act of washing hands with soap and water, followed by rinsing under a stream of water for 15 seconds.
Separate personal care items
Handling solid and fluid waste
Isolation and isolation precautions
Infection Prevention and Control
1. A sterile object remains sterile only when touched by another sterile object.
2. Only sterile objects may be placed on a sterile field.
3. A sterile object or field out of the range of vision or an object held below a person’s waist is contaminated.
4. A sterile object or field becomes contaminated by prolonged exposure to air.
5. When a sterile surface comes in contact with a wet, contaminated surface, the sterile object or field becomes contaminated by capillary action.
6. Fluid flows in the direction of gravity.
7. The edges of a sterile field or container are considered to be contaminated.
Principles of Surgical Asepsis
Mrs. Eldredge is a 63-year-old woman who underwent a total hip replacement. Kathy Jackson is a nursing student caring for Mrs. Eldredge on her home health clinical rotation. Two weeks after surgery, Mrs. Eldredge complains to Kathy that she has increased pain in her hip and low-grade fever. Kathy observes the incision and notes that it is red, swollen, and warm
some common waste materials that are considered Infectious
some ways the nurse can monitor the patient
a. Monitor patients postoperatively, including
surgical sites, invasive sites, the respiratory tract,
and the urinary tract.
b. Examine all invasive and surgical sites for
swelling, erythema, or purulent drainage.
c. Monitor breath sounds.
d. Review laboratory results
the rational for the following personal protective equipment
during contact with patients.
A mask should be worn when you anticipate
splashing or spraying
of blood or bloody fluid into your face and to satisfy droplet or airborne precautions.
Protective eyewear should be worn for procedures that generate
splashes or splatters.
prevent the transmission
of pathogens by direct and indirect contact
Mrs. Eldredge’s wound was infected. She was admitted and received IV antibiotics and wound irrigation. She was discharged on day 4.
At present, the wound remains open, but it is healing with new granulation tissue that is healthy.
Universal Precaution (Kewaspadaan Universal) didefinisikan sebagai upaya pengendalian infeksi yang dilakukan oleh seluruh tenaga kesehatan untuk
mengurangi resiko penyebaran infeksi,
baik yang berasal dari pasien kepada petugas kesehatan, maupun sebaliknya, yang disebabkan
oleh patogen yang ditularkan melalui darah dan cairan tubuh lainnya.
Proteksi pajanan langsung pada kulit terbuka
Pelaksanaan “5 moment” cuci tangan
Pemakaian alat pelindung diri
Pengelolaan jarum dan alat tajam
Pengelolaan alat kesehatan dan lingkungan
Kewaspadaan universal ini meliputi:
(Pedoman Pelaksanaan Kewaspadaan Universal di Pelayanan Kesehatan, DEPKES RI, 2013).