Professional Documents
Culture Documents
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J Neurophysiol. 2008 November; 100(5): 29482955. Published online 2008 September 10.
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Nurse aides
have a responsibility to
understand and follow the
facilitys infection control
The
Bottom
Line
GERMS
make people
sick!
BAD
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SOOOOO
GERM
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SPREAD!
MICROORGANISMS
Can only be
seen by using
a microscope
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MICROORGANISMS
Can Be
GOOD
OR
Can Be
BAD
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MICROORGANISMS
Can Be
BAD
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May cause
illness
infection
disease
Nursing Fundamentals 7243
MICROORGANISMS
Can Be
BAD
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PATHOGENS
Nursing Fundamentals 7243
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Infection
invasion of the body by microorganisms
invading microorganisms:
use the hosts resources to multiply
interfere with normal function
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INFECTION
LOCAL
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SYSTEMIC
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Local infection
only a specific portion of the body is
infected
pain
redness
heat at the site
swelling
pus
foul smelling drainage
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Systemic infection
affects the entire body
fever
aches
chills
nausea
vomiting
weakness
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Residents with
systemic infection may
become confused or
exhibit behavioral
changes.
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MICROORGANISMS
Benefit us by
maintaining a
balance in
our
environment
and in our
body
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Can Be
GOOD
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MICROORGANISMS
Require certain elements to
survive:
oxygen aerobic
no oxygen anaerobic
warm temperatures
moisture
dark area to grow
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MICROORGANISMS
Require certain elements to
survive:
(CONT.)
food
dead tissue saprophytes
living tissue parasites
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MICROORGANISMS
Internal defenses:
Phagocytes
Inflammation
Fever
Immune response 3.01
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Human Body
Defenses
can only do so
much!
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SOOOOO
GERM
SPREAD!
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Chain of Infection
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Causative Agent
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Bacteria
Viruses
Fungi
Protozoa
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Mode of Transmission
Contact
direct person to
person
indirect fomite to
person
droplet common cold
Common vehicle
salmonella in food
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Mode of Transmission
(continued)
Airborne
tuberculosis
Vectorborne
mosquito harbors
malaria parasite
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Host
Individual who
harbors the
infectious
organisms
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Host
Susceptibility
may be caused
by poor diet,
fatigue,
inadequate rest,
stress, or poor
health
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Elderly are at a
higher risk for
infection!
The elderly have a higher risk for
infection because of:
weakened immune systems
decreased circulation
slow wound healing
malnutrition
dehydration
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Nursing Fundamentals 7243
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Aseptic Control
35
Aseptic Control
Antisepsis
effective in preventing or
inhibiting the growth of
pathogenic organisms, but not
spores or viruses
safe to be used on skin
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Aseptic Control
Disinfection
destroys pathogenic organisms that are
already present
not effective against spores or viruses
chemicals are used
NOT used on skin
Used on THINGS
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Aseptic Control
Sterilization
kills all microorganisms, including spores
and viruses
methods
38
MEDICAL ASEPSIS
The practice used to remove
or destroy pathogens and to
prevent their spread from one
person or place to another
person or place; clean
technique
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Cleanest
to the
Most
soiled
area
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MEDICAL ASEPSIS
Is accomplished by using
ASEPTIC
TECHNIQUE
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ASEPTIC TECHNIQUE
Includes:
1.
2.
3.
4.
5.
6.
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Aseptic Technique #1
Hand
Hygiene
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Hand
Hygiene
HandWASH
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HandRUB
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Wash the
residents
hands before
meals
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SKILL 3.01A
Wash Hands
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HandRUB
The following slides
outline the steps (learning
targets) for hand hygiene
using handrub products.
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SKILL 3.01B
Handrub
http://www.who.int/gpsc/5may/How_To_HandRub_Poster.pdf
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Aseptic
Technique #2
Bathe, wash
hair and brush
your teeth on a
regular basis
Wear clean
uniform
Stay well!
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Come to
work
clean,
neat, and
well.
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Aseptic
Technique #3
Proper
handling of all
equipment
and supplies
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equipment
1.
2.
3.
4.
5.
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Wash cooking
and eating
utensils with
soap and water
after each use.
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DO NOT REUSE
DISPOSIBLE ITEMS!
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Aseptic
Technique
#4
Use proper
cleaning
solutions
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Aseptic
Sterile
Technique
Procedure
#5
The Nurse Aide I does not
perform sterile procedures
but should be able to avoid
contamination of a sterile
field or procedure.
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Aseptic
Technique
#6
2007 CDC
Guidelines
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Standard
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Standard Precautions
Transmission
Based
Standard
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Standard Precautions
Used on
ALL patients
Includes:
Hand washing
Personal Protective
Equipment (PPE)
Gloves
Gowns
Masks and eye
protection
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Standard
Precaution
a newer
component
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Tuberculosis Standard
OSHA Standard to
reduce occupationally
transmitted/acquired
TB
Standard
Precaution
a newer
component
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TST
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Standard Precautions
Hand
Hygiene
HandWASH
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HandRUB
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Standard Precautions
Personal
Protective
Equipment
(PPE)
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1.Gloves
2.Gown
3.Masks and
eye
protection
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Standard Precautions
GLOVES
Wear gloves (clean, nonsterile
gloves) when:
touching blood, body fluids,
secretions, excretions, and
contaminated items
before touching mucous
membranes and non-intact skin
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Sterile gloves
are more
expensive and
NOT needed for
routine resident
care.
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Standard Precautions
GOWN
Wear a gown:
during procedures and
resident care activities that
are likely to generate
splashes of blood, body fluids,
secretions or excretions
remove soiled gown as soon
as possible and wash hands
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Standard Precautions
MASK, EYE PROTECTION,
FACE SHIELD
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Standard Precautions
MASK, EYE PROTECTION,
FACE SHIELD
(continued)
82
Standard Precautions
~PPE Summary~
Personal
Protection
Equipment
(PPE)
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1.Gloves
2.Gown
3.Masks and
eye
protection
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Standard Precautions
Needlestick
safety
Sharps
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Report to your
supervisor if
sharps are found in
the resident's bed.
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Standard Precautions
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When pouring
contaminated liquids
into sinks or toilets; do
not splash.
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Cleaning Spills
Many facilities
use special
clean-up kits for
spills. Follow
manufacture
directions when
using these kits.
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Guidelines: Cleaning
Spills involving Blood,
Body Fluids, or Glass
G Apply gloves before starting. In
some cases, industrial-strength
gloves are best.
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minutes
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Standard Precautions
Resuscitation devices
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MUST
BE
SINGLE
USE
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Standard Precautions
Waste and linen disposal
DETERMINE IF
CONTAMINATED
WITH BLOOD OR
BODY FLUIDS
THAT CONTAIN
BLOOD. IF SO,
HANDLE AS
BIOHAZARDOUS
MATERIAL.
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Standard Precautions
LINEN
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Hold linens
away from
uniform.
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Standard Precautions
LINEN
(continued)
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Standard Precautions
RESIDENT PLACEMENT
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Standard Precautions
RESIDENT PLACEMENT
(continued)
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Standard Precautions
TRANSPORT OF INFECTED
RESIDENTS
Appropriate barriers
(masks, impervious
dressings) are worn
Personnel in area to
which resident is taken
are notified of arrival
and precautions to take
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Standard Precautions
TRANSPORT OF INFECTED
RESIDENTS
(continued)
Inform residents
in ways they can
assist in
prevention of
transmission
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Standard Precautions
Injuries
1. Wash the area
immediately
2. Complete a facility
incident report
3. Follow procedures for
testing and treatment
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PATHOGENS
found in the
BLOOD
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BLOODBORNE
PATHOGENS:
Human Immunodeficiency Virus (HIV)
Hepatitis B Virus (HBV)
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Bloodborne Pathogens
Modes of Transmission
Sexual contact
Sharing contaminated needles
Receiving blood transfusions
Pregnant mother to unborn
baby
Nursing mother to baby
through breast milk (for HIV,
not HBV)
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Bloodborne Pathogens
Modes of Transmission
(continued)
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Nurse Aide
has
possible
exposure
to blood or
fluids
containing
BLOOD
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Bloodborne Pathogens
Exposure Control Plan
Post-exposure evaluation
and follow-up
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Bloodborne Pathogens
Exposure Control Plan
Copy must be
available at workplace
Mandated by OSHA
Identifies employees
at risk of exposure by
tasks performed
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Bloodborne Pathogens
Exposure Control Plan
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Standard Precautions
~Summary~
Used on ALL patients
Includes:
Hand washing
Personal Protective
Equipment (PPE)
Gloves
Gowns
Masks and eye
protection
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Skills related to
Standard
Precautions
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SKILL 3.01C
Don & Remove
Complete PPE
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Transmission
Based
Standard
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Standard Precautions
PLUS
aka
Transmission
based precautions
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Airborne Precautions
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RESIDENT PLACEMENT:
Private room. Negative air
pressure in relation to the
surrounding areas. Keep
doors closed at all times
and resident in room.
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Droplet Precautions
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Droplet precautions
Used when large-particle
droplets are expelled during
coughing, sneezing, talking or
laughing
Specific PPEs mask if working within
3 feet of patient
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HANDWASHING:
Hands must be washed
before gloving and after
gloves are removed.
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RESIDENT-CARE EQUIPMENT:
When using common equipment
or items, they must be
adequately cleaned and
disinfected.
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Contact Precautions
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RESIDENT-CARE
EQUIPMENT: When
possible, dedicate the
use of non-critical
resident care equipment
to a single resident.
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NEVER ISOLATE A
RESIDENT
EMOTIONALLY!
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SKILL 3.01D
Disposition of equipment from
resident unit using Transmission
based precautions.
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SKILL 3.01E
Collect specimen from resident using
Transmission based precautions.
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How do nursing
facilities control
infection
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END
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