Transcript: Disinfectant Safety Objectives Disinfection Procedures Any Questions? Summary and Review Growth and Reproduction Infection Control Principles & Practices Dr. Wayne W. Dyer QUATS Phenolics Alcohols Professional Responsibility Whirlpool Foot Spas Wear gloves and safety glasses Add disinfectant to water Use tongs, gloves, or draining basket Keep away from children Empty waste receptacles Mark containers Never place tools in mouth Disinfect tools Properly store tools Choosing a Disinfectant Types of Disinfectants Viruses Unbroken skin Body secretions White blood cells Antitoxins OSHA Occupational Safety and Health Administration MSDS Product content, associated hazards, combustion levels, storage requirements Laws Rules State Regulatory Agencies Bloodborne Pathogens Stop and clean area Wear gloves Apply antiseptic Bandage cut Clean workstation Discard contaminated objects Disinfect tools Remove gloves and wash hands Sanitation: removing visible dirt and debris Disinfection: controls microorganisms on nonporous surfaces Universal Precautions Summary and Review Live by penetrating cells Resistant to antibiotics Prevented by vaccination Transmitted by unprotected sexual contact, needle-sharing, and accidents with needles, and through cuts and sores Not transmitted by hand holding, hugging, kissing, or sharing food or household items Principles of Prevention Procedure after each use Procedure at the end of each day Procedure performed weekly Sterilization: destroys all microbial life including bacterial spores Staphylococci Local infection General infection Contagious or communicable Correct efficacy (effectiveness against bacteria, fungi, and viruses) Hospital-level disinfectant (EPA registered for blood spills) How do you know if an item is disinfectable? Can porous items be disinfected? What is an MSDS and where can it be obtained? Cocci Bacilli and spirilla Summary and Review Disinfectant Safety Natural immunity Acquired immunity Human disease carrier Bacterial Infections Summary and Review Don’t touch face, mouth, eyes Clean work surfaces Use clean linens Use exhaust systems Keep restrooms clean Supply restrooms Do not use as living quarters Store foods separate from products Control eating, drinking, smoking List steps for cleaning and disinfecting pedicure equipment How the Body Fights Infection Immunity What is a contagious or communicable disease? How often should disinfectant solutions be changed? Describe the procedure for taking care of blood or body fluid in the salon Principles of Infection Preclean Rinse and dry Completely immerse Remove with tongs, basket, gloves Rinse, air dry Store properly Use on precleaned surfaces Dilute per directions Contact time per directions Spray on contact time per directions No spray if immersion required Use only as directed EPA-registered disinfectant in foot spas EPA Registration number, labeling State agencies Active Warm, moist, dirty environment; takes 20-30 minutes; cell division called mitosis Inactive Spore-forming, allowing dormant bacteria to withstand long periods without food Protect client’s safety Never take shortcuts in sanitation and disinfection Bacteria Non-pathogenic Pathogenic “A non-doer is very often a critic…that is, someone who sits back and watches doers and then waxes philosophically about how the doers are doing. It’s easy to be a critic, but being a doer requires effort, risk, and change” Clean and Immerse Classifications of Pathogenic Bacteria Hepatitis Hepatitis A Hepatitis B (HBV) Hepatitis C (HCV) Summary and Review Objectives Vegetable Animal Types of Disinfectants What is an exposure incident? List the steps for cleaning and disinfecting electrical equipment List the three types of microorganisms that are important to cosmetology What is complete immersion? Is HIV a risk in the salon? Why or why not? Parasites The Professional Salon Image Keep floors clean Keep trash contained Control dust, hair, and other debris Clean fans, ventilation systems Keep all work areas well-lit Movement of Bacteria HIV / AIDS Regulations Contamination: pollution, soiling with infectious matter Contaminate: to make impure; to taint or pollute Contaminant: any substance that causes contamination Understand state laws and rules List the types and classifications of bacteria List types of disinfection and how they are used Define hepatitis and HIV and explain how they are transmitted Describe how to safely sanitize and disinfect various salon tools and surfaces Proper Use of Disinfectants Disinfection Information Linens and capes Work surfaces Individual client packs Detergents and soaps Additives, powders, tablets Disinfection Information The Professional Salon Image Handling disposables Washing hands Waterless hand sanitizers Material Safety Data Sheet Multiuse Nippers, shears, combs, pushers Single-use Orangewood sticks, cotton balls, tissue Porous Towels, chamois, some files and buffers The Professional Salon Image The Professional Salon Image
Transcript: Infection Control... Who wants to be a millionaire!!! £100 - HCAIs are infections that spread in.... £ A. Hospitals and nursing homes B. Playgrounds C. Shopping centres D. Schools and daycare centres A. Hospitals and nursing homes - They are health care associated infections so are spread in clinical or care environments. £1000 - Some common HCAIs include... A. MRSA (Meticillin resistant staphylococcus aureus) B. c.difficile (clostridium difficile) C. E.Coli (Echerichia Coli) D. All of the above D. All of the above £10,000 - What is the biggest problem caused by MRSA? A. It causes a cold. B. It causes premature balding. C. It is resistant to common antibiotics. D. It has a long name. C. It is resistant to common antibiotics - over time the strain has become stronger and no longer responds to penicillin based antibiotics, £100,000 - What symptoms does c.difficile cause? A. Diarrhoea and colitis. B. Headaches. C. Joint Pains. D. Falling over. A. diarrhoea and colitis (colitis is ulceration, bleeding and damaging of the colon). £250,000 - How is E.Coli spread? A. Sneezing/Coughing/Breathing B. Faeces. C. Sharing drink/food. D. Kissing. B. Faeces -E. Coli is normally found in the intestines but can be harmless when transferred to other places in the body. £500,000 - What is HPA? A. Health protection agency. B. Harry Potter Academy. C. Horse Pony Adoption. D. Health Professionals Authority. A. Health Protection Agency £100,000 for each correct answer.... Name 5 management strategies to reduce the incidence of HCAIs - Preoperative patient screening for MRSA - Regular staff screening for pathogens - Improved hygeine standards - Alcohol hand gel to use in hospitals - Isolation nursing - Specific policies developed - Monitoring of MRSA cases - Guidance for prescribing antibiotics
Transcript: 10 NSQHS Standards Purpose of the Standard: * Maintain & improve the reliability and quality of patient care and outcomes. Australian Commisison on Safety and Quality of Health (2012 Environmental Cleaning and Disinfection Standard Infection Control Precaution access continuind education. _mode of transmission (2012) Castlebeck. (2012). Complaints staff [image]. Accessed on August 19, 2013. Retrieved from http://www.castlebeck.com/resources/pdfs/CB_ER_Lets_think_about_making_a_complaint.pdf Chain of Infection [image] (2005). Accessed on August 8, 2013. Retrieved from Leeds, Grenville and lanark District Health Unit website http://www.healthunit.org/reportpub/ann_report/ann_report_2005/an_dcw_2005.htm Contact standard precaution.[Image].(2012).Retrieved from http://www.safetyandquality.gov.au/wp-content/uploads/2012/02/Approach-1-Contact-Standard-Precautions-Photo-PDF-550KB2.pdf Craig, U., Rajender,K., & Patrick,P. (2010) Updating the guideline development methodology of the healthcare infection control practise advisory. American Journal of Infection Control, 38(4),264-273. Retrieved from: www.sciencedirect.com Cruickshank M & Ferguson J (eds) (2008) Reducing Harm to patients from Health care Associated Infection: The Role of Surveillance. Australian Commission for Safety and Quality in Health Care. Retrieved from: http://www.nhmrc.gov.au/book/australian-guidelines-prevention-and-control-infection-healthcare-2010 Droplet standard precaution.[Image].(2012).Retrieved from http://www.safetyandquality.gov.au/wp-content/uploads/2012/02/Approach-1-Droplet-Standard-Precautions-Photo-PDF-790KB2.pdf National Health and Medical Research Council. (2010). Australian Guidelines for the Prevention and Control of Infection in Healthcare. Accessed on 19 August 2013. Retrieved from http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/cd33_complete.pdf National Safety and Quality Health Service. Standards. Accessed on August 8, 2013. Retrieved from Australian Commission on Safety and Quality in Health Care website http://www.safetyandquality.gov.au/our-work/accreditation/nsqhss/ People Management Skills: The Power of Clarity [image] (2010) Accessed on August 19, 2013. Retrieved from Joan Henshaw website http://managing-employee-performance.com/a-z-of-people-management-skills-%E2%80%98c%E2%80%99-for-clarity/ University of Nebraska Medical Center. (2012). Donning and Doffing PPE [Image]. Accessed on 19 August 2013. Retrieved from https://app1.unmc.edu/nursing/heroes/pdf/heroesDonningDoffingYourHospitalPPE-Poster2012.pdf *Incidents and complaints management * Clinical Practice *Patient's Rights & Engagement Governance for Safety and Quality in Health Service Organisations Standard Criteria Governance for Safety and Quality in Health Service Organisations Breaking the_chain (2011) References 1. Governance for Safety and Quality in Health Service Organisations 2. Partnering with Consumers 3. Preventing and Controlling Healthcare Associated Infections 4. Medication Safety 5. Patient Identification and Procedure Matching 6. Clinical Handover 7. Blood and Blood Products 8.Preventing and Managing Pressure Injuries 9. Recognising and Responding to Clinical Deterioration in Acute Health Care 10. Preventing Falls and Harm from Falls The photo "Enhancing patient care" (2010) Infection Control * Performance and Skills Management * Governance and quality improvement systems Castlebeck (2012) having-your-say Standard precautions apply for ALL work practices to prevent the likelihood of transmission of infection (National Health and Medical Research Council, 2010). Hand hygiene + PPE Background .There are around 200,000 healthcare associated infections (HAI) in Australian acute healthcare facilities each year (Cruickshank & Fegurson, 2008) . Healthcare-associated infection is a potentially preventable adverse event rather than an unpredictable complication (Craig, Rajender, & Patric, 2010) .HAIs cause patients pain and suffering, prolonging hospital stays and increasing costs to the healthcare system (NHMRC 2010) Rationale .To reduce the spreading of infection in the clinical setting. . To improve patients’ health outcomes in clinical setting. . The minimum level of infection control required in the treatment and care of all patients to prevent transmission of blood-borne infections including HIV, HBV and HCC . .To minimize the risk of norovirus outbreaks caused by person-to-person transmission in any institution or group setting. .To assist departmental schools or other departmental workplace develop practices that prevent or minimize the risk of infection, illness and disease to staff, students and others. a-z of people management clarity image (2012) Mode of Transmission Personal protective equipment (PPE) variety of barriers, used alone or in combination, to protect mucous membranes, airways, skin, and clothing from contact with infectious agents (National Health and Medical Research Council, 2010). Australian Commisison on
Transcript: Example of a Jeopardy Template By: Laken Feeser and Rachel Chapman When creating without a template... http://www.edtechnetwork.com/powerpoint.html https://www.thebalance.com/free-family-feud-powerpoint-templates-1358184 Example of a Deal or No Deal Template PowerPoint Game Templates There are free templates for games such as jeopardy, wheel of fortune, and cash cab that can be downloaded online. However, some templates may cost more money depending on the complexity of the game. Classroom Games that Make Test Review and Memorization Fun! (n.d.). Retrieved February 17, 2017, from http://people.uncw.edu/ertzbergerj/msgames.htm Fisher, S. (n.d.). Customize a PowerPoint Game for Your Class with These Free Templates. Retrieved February 17, 2017, from https://www.thebalance.com/free-powerpoint-games-for-teachers-1358169 1. Users will begin with a lot of slides all with the same basic graphic design. 2. The, decide and create a series of questions that are to be asked during the game. 3. By hyper linking certain answers to different slides, the game jumps from slide to slide while playing the game. 4. This kind of setup is normally seen as a simple quiz show game. Example of a Wheel of Fortune Template https://www.teacherspayteachers.com/Product/Wheel-of-Riches-PowerPoint-Template-Plays-Just-Like-Wheel-of-Fortune-383606 Games can be made in order to make a fun and easy way to learn. Popular game templates include: Family Feud Millionaire Jeopardy and other quiz shows. http://www.free-power-point-templates.com/deal-powerpoint-template/ Quick video on template "Millionaire" PowerPoint Games Some games are easier to make compared to others If users are unsure whether or not downloading certain templates is safe, you can actually make your own game by just simply using PowerPoint. add logo here References Example of a Family Feud Template PowerPoint Games are a great way to introduce new concepts and ideas You can create a fun, competitive atmosphere with the use of different templates You can change and rearrange information to correlate with the topic or idea being discussed. Great with students, workers, family, etc. For example: With games like Jeopardy and Family Feud, players can pick practically any answers. The person who is running the game will have to have all of the answers in order to determine if players are correct or not. However, with a game like Who Wants to be a Millionaire, the players only have a choice between answers, A, B, C, or D. Therefore, when the player decides their answer, the person running the game clicks it, and the game will tell them whether they are right or wrong.
Transcript: Infection Control by Caitlin Koek • X-ray machine. When setting up the x-ray machine, always make sure that all surfaces have been wiped down thoroughly and that any areas that will be touched are covered with either blue wrap or clear wrap. The surfaces that should be covered are the tube head, position indicator device or PID, control panel, and the exposure button. This will prevent any cross contamination from the previous patient to the current patient sitting in the dental chair. • Lead apron Even tho the lead apron seems like just a heavy jacket, it does lie over the top of every patient and that can be a cause of cross contamination. You wouldn’t like to wear a jacket that a hundred people have worn before you. So you should assume that the patient wouldn’t either. You should always treat the patient the way that u would want to be treated. After each use it should just be wiped over with a cloth with mediclean just to disinfect it and get rid of any bacteria. • Dental chair When it comes to the dental chair, everything, including the arms of the chair, the head rest, and the head rest adjustment controls, should all be covered with a protective covering or disinfected after each patient. • Work area The work area where the x-ray film and film holders are placed during exposure should be disinfected. Then a barrier, such as a plastic cover, paper sheet, or paper towel should be placed before the x-rays are placed down. This will help try to prevent cross contamination. Equipment and supplies Before beginning the procedure, gather all necessary supplies to decrease the chance of cross contamination. For example think about what type of film holding devices, cotton rolls, and bitewing tabs that you might need. • Film Once films are removed from the mouth they are obviously contaminated and should be handled only with gloved hands. There are many types of techniques that you can use to prevent cross contamination. One technique that can be used to minimize contamination of the film from saliva is to place a clear plastic barrier envelope over the film packet. Some films are available already enclosed in the clear plastic barrier packet. These would be a safer and better option than to get the open film packets which you cover yourself. The barriers are contaminated and you must remove them carefully without touching the inner packet, so that the packet can be handled with bare hands. • Film holding devices Film holding instruments and bite blocks that are placed into the patient’s mouth are semi critical item that should be sterilized before reuse. The other option is to use disposable film holders and discard them after a single use. Sterilised film-holding devices should remain packaged until the patient is seated and can view the opening of the package. Patients appreciate knowing that they are being taken care of by us using proper infection control procedures throughout the surgery. • Operator preparation Always wear gloves and protective clothing such as enclosed shoes and gown, while exposing radiographs and handling contaminated films. You should also wear a mask and eyewear is there is any chance that blood saliva or any other fluid may splatter. You should also wear a mask if the patient or yourself is sick and is coughing. After putting gloves on, be careful not to touch any surface that is not disinfected or covered. The best way is to develop a sequence in which you touch as few surfaces as possible. • Drying of exposed film The contaminated film packet is a major source of cross contamination during the process of taking and developing x-rays. When you remove the film packet from the patients mouth, it is coated with saliva and sometimes while have blood on it as well. For this reason you must always wear gloves when removing it from the patient’s mouth and when handling it. After you remove each exposed film packet from the patient’s mouth, you should wipe it with either a cloth or a piece of gauze to remove any saliva or blood from the film. Do not try to sterilize the film packet. This will ruin the film. Some films are allowed to be lightly sprayed with disinfectant spray but this could result in damaging the film if it it’s not completely covered. • Collection of contaminated films There are many different ways to transport the film from the surgery to the darkroom. 1. One way is to place the films into a plastic cup or container with the patients name on it to try to prevent it touching anything. 2. Another way is to carefully hold the x-rays and to make sure that the film packet is not opened at all. When u are placing the x-ray in the darkroom make sure that if you have to do a job or something else that you do not place the x-ray into a room where another x-ray is being taken. This will cause the x-rays to fog due to the additional radiation in the air. Exposed films should never be placed in to you pockets or lab coat or uniform. • Film holding devices During exposure, take the
Transcript: Disposable gloves Gown Mask Protective eyewear Age: either very old or very young Drug use The degree and nature of the illness The status of the immune system. The patient’s general health in the hospital affects the chances of acquiring an infection. Underlying diseases have the potential to change the status of the body and make it a potential host for infection. Sooo with that said Use common sense when working in the lab Don't be "Stupid" Treat every new patient as if they have an infectious disease such as: HIV, Hepatitis A, B, C, D, and E, or a STD Caution those around you if needed. Take pride in what you do and be safe!!! Infection Control Think about it Knowing the correct way to wear, put on and remove these items are extremely important. The steps for putting the items on is not the same for removal. Mode of transmission Other ways to reduce the risk of transmitting infections include: not drinking eating chewing gum smoking applying cosmetics handling contact lenses in work areas where there is exposure to blood or body fluids. What is that? Source Break the chain Source Mode of transmission Susceptible host. Use of proper PPE Prevents germs from spreading. Allows patients to see you value your health and those around Can end contamination if blood comes in contact with skin Its the more professional thing to do "The goal of infection control for health care facilities is to provide a biologically safe environment for the patients, visitors, and health care providers." Simply preventing injury that can lead to illness in a healthcare setting. Inanimate objects, as well as people. Human hands "Laboratory coats, scrub suits, or other clothing that comes in contact with infectious agents and is then worn around other patients is another potential source of infection." Tourniquets should only be used once. Susceptible host How is it broken? The Chain.. Handwashing procedures for sterile technique, proper waste disposal, laundry services, and housekeeping are ways of controlling the sources. Isolation, control of insects and rodents, and use of disposable equipment help interrupt the modes of transmission. Host susceptibility is controlled by a patient's speedy recovery. Please... Wash your hands 1. Direct contact 2. Air 3. Medical instruments 4. Other objects 5. Other vectors
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