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Infection Control in MOT

20.10.2012 in-service
by

Muzayyanah M.Shah

on 19 October 2012

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Transcript of Infection Control in MOT

Pre-Op & Intra-Op Practices. Listed as last case
Surgeon indicates on OT list and chit the infectious status
Reception nurse hangs orange flower tag on patient’s trolley so as to alert all OT personnel Minimize contact, “no visitors”
“Infectious case” signage to be displayed
AU nurse to assign a “runner” to get CD drugs and get unexpected airway devices etc. Remove any unrequested equipment
Cover any unmovable equipment with drapes/ plastic sheet
Prepare disposable airway devices and equipment e.g. Disposable BP cuff, SPO2 probe.
Non-scrub team wear PPE .
e.g. PTB
N 95 mask
Use disposable airway devices
Notify recovery when sending patient out
Nurse patient in Isolation cubicles Cleaning of theaters. Question Time The British Journal of Nursing states that hand-washing, the removal of wrist jewelery, wearing the hair pulled away from the face and keeping fingernails short to reduce the spread of micro-organisms are other basic measures for preventing infection (Aziz, 2010).
Hand-washing
Hand-rubbing Hand Hygiene SSN Lu Ruli
SSN Muzayyanah Mohd Shah Infection Control
In AU Importance of Infection Control
Proper Theater Attire
Hand Hygiene
Personal Protective Equipment (PPE)
PAPR
Types of Infectious Cases
Listing of a known Infectious case
Recommended Disinfectant
Sharps
Wastes disposal Outlines Transmission of infection requires a series of events to occur; prevention occurs when there is a break in the series. (Bowlers, 2006).
The National Institute for Health and Clinical Excellence (NICE), 2003 states that good infection control is central to achieving higher standards of clinical practice. Importance of Infection Control Listing of a known infectious case. Cap Name-tag OT Scrubs
Suit Recommended Footwear Mask Proper Theater Attire Demonstrate the 8 steps hand washing technique. How do you remove PPE? Personal Protective Equipment Gloves Mask&Goggles/ Face-shield Gown Shoes cover Horizontal
Transfer of a pathogen from an infected person to a susceptible person, independent of the parental relationship of those individuals.

Vertical
Transfer of a pathogen from a parent to the off springs through reproduction. Route of transmission Horizontal transmission Transmission cycle http://www.ent.mrt.ac.lk/~040192/Control_of_Communicable_Diseases.html
Droplet transmission occurs when large-particle droplets (5 microns in diameter) from an infectious patient make contact with the mucus membranes of the nose, mouth, or conjunctiva of a susceptible client or other. Airborne Droplets Contact e.g. MRSA, Scabies, Herpes Zoster, Clostridium Difficile, VRE
Precautions:
Hand washing
Full PPE when in contact with patient.
. eg. Bacterial Meningitis, Chicken Pox, Whooping cough
Precautions:
Surgical mask for those symptoms
Healthcare workers to don on goggles when handling with patient's airway. VRE Post-Op Practices. Recovering of patient. Dispose all surgical and anesthetic consumables into bio hazard bags
Place all linens in orange plastic bag No recapping of instruments/needles
Clear the suction tubing of any remaining blood and with the properly capped suction liner, and discard into bio hazard bag Write OR number, scrub nurse name and paste a patient's sticker on the instrument format
Place instrument formats in a clean plastic bag to prevent wetting
Bag and seal used utensils properly and label utensil bag with theater number, infectious disease, date and CSSD
Trolleys are placed in washer-sterilizer before sending back to holding bay via lift 8
Dispose all contaminated and used consumables into bio hazard bag
Thoroughly clean anesthetic machine, monitors, injection trolley with hospital approved disinfectant twice.
Call TSSU staff @2038
Send down used non-disposable procedure sets, e.g. GA tray to TSSU Patients with VRE are to be recovered in OR with a recovery nurse/anesthetist
Upon discharged by the anesthetist, the patient is to be sent directly to the ward by the shuttling nurse to minimize contamination
Trolley to be stripped down and clean with hospital approved disinfectant. Close OR for thorough decontamination and washing by ancillary staff and supervised by nurses
Require a minimum of 1/2 to 1 hour for decontamination before re-activation of OR
Disinfect all equipment used e.g. OT table, anesthetic machine with hospital approved disinfectant Machine scrub and mop all the rooms e.g. Prep room, scrub room, induction room
Decontaminate scrubber pad by soaking in hospital approved disinfectant for 30 minutes, rinse thoroughly and hang to dry
Drain and wash scrubber machine before keeping in cleaner room
Wash mop pail clean and dry
Bag mop heads in orange bag and send for decontamination
Air dry OR Summary References Recommended Disinfectant Infection control is the utmost importance to health care professionals
Patients have a right to expect that theater staff adopt best practice
Infection Control protocols need to be followed if we are to get it right every time, for every patient Most common form of transmitting diseases and virus
Direct contact:
occurs when there is physical contact between an infected person and a susceptible person
Indirect contact:
occurs when there is no direct human-to-human contact. Involves contact of susceptible person (host) with a contaminated intermediate object
e.g. Dressings, gloves or unwashed hands Waste Disposal Sharps Spillage List the different types of waste. Aziz, A. (2010). Cannulae and infection control in theatre. British Journal of Nursing, 14.

Dalin, M. G., Danielson, J. S.,& Sinclair, E. H.(2008). Infection control practice at the Singapore General Hospital: from a Swedish point of view. Annals Academy of Medicine,(37), 10.

Gould, D., Moralejo, D., Grey, N., & Cludleigh, J. (2011). Interventions to improve hand hygiene compliance in patient care (Review). The Cochrane Collaboration.

Siegel, J.D., Rhinehart, E., Jackson, M., & Chiarello, L.( 2007). 2007 guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings.

Smiddy, M. ( 2011). Introduction to standard precautions and transmission-based precautions. Safe patient care seminar 2011. PAPR Powered-Air Purifying Respirator
Located at platform
20units in total
Weekly cleaning every Saturday done by at least 2 staff from different disciplines
Full transcript