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RUSMAWATI KHOSIM

(INFECTION CONTROL NURSE)


INSTITUT JANTUNG NEGARA
Your Heart…Our Passion
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National Heart Institute
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National Heart Institute
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National Heart Institute
INFECTION
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National Heart Institute

All clinical area Out patient and Engineering and


(ward, ICU, emergency Facilities
CCU, Renal unit) department department

Non Invasive
Pharmacy Laboratory Cardiac Lab and
ICL

OT CSSD Kitchen

Mortuary
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HEALTH to edit
CARE Master title INFECTION
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National Heart Institute

Blood
stream
Infection

Surgical Site Healthcare


Associated Pneumonia
Infection Infection

Urinary
Tract
Infection
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National Heart Institute

INFECTION CONTROL
AND
CSSD
CENTRAL STERILE
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Master DEPARTMENT
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National Heart Institute

X
Instrument
Processing

Prolong Increased
Cause
hospital Hospital
death
Stay cost
CHAIN
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Infectious
Agent

Susceptible
Reservoir
host

Portal Mode
of of
entry escape

Mode of
transmission
CHAIN
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Infectious agent

Prion Parasite Bacteria Virus Fungi


CHAIN
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Reservoir
Places where the micro organism able to multiply
CHAIN
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Mode of escape/Portal of entry


microorganism leave the reservoir, commonly by
respiratory, genitourinary, skin or mucous
membrane
CHAIN
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Mode of transmission

Contact/hands Airborne Vector


CHAIN
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Portal of entry

Digestion Wound Suction Lines


CHAIN
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Immune
Invasive Non intact
suppress
procedure skin
patient

Susceptible host
BREAKING
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Leadership

Accountability Evidence based Continuous Training


guidelines and
regulation
incorporated into
policies and
procedures
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National Heart Institute

OR
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X
Infectious
Agent

Susceptible
host X
Reservoir

Portal Mode
of of
entry escape

Mode of
X
transmission
Packaging
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Packaging
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Inspection
Packaging
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Packing
Packaging
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FIFO
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X
Infectious
Agent

Susceptible
host X
Reservoir

Portal Mode
of of
entry escape

Mode of
X
transmission
Sterilizer: Daily
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Autoclave:

Every morning
Before first
load/test
Sterilization: Monitoring
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Sterilization
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X
Infectious
Agent

Susceptible
host X
Reservoir

Portal Mode
of of
entry escape

Mode of
X
transmission
ClickCDC reported…..
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Disinfection and
Surgical site sterilization- surgical
infections are the and medical
most common instruments do not
adverse event for transmit infectious
surgical patients pathogens to
patients

CDC
ACCREDITATION
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Training Staffing

Standardization

Safety Environment
ACCREDITATION
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Training
Orientation, training and competency of the HCW who
process medical equipment, devices and supplies
ACCREDITATION
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Staffing
Levels of staffing and supervision of HCW who process
medical equipment, devices and supplies
ACCREDITATION
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Standardization
Standardization of the process regardless of whether
it is centralized or decentralized
ACCREDITATION
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Safety
•Continuous nursing education of the CSSD staff :
•Hand hygiene
•Personal Protective Equipment
•Spillage, waste, linen and needle stick
ACCREDITATION
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Environment
Recording of the temperature and humidity in sterile store t
o ensure the sets are kept at the recommended level
Air sampling report after changing of hepa filter in
sterile store
OurMaster
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National Heart Institute

• To ensure the nurses are following


the procedure of receiving and
returning the dirty sets to CSSD
Decontamination • Cleaning of used equipment are not
allowed to be done in the ward
(centralized cleaning in CSSD)

• To ensure the CSSD sets are


arranged according to FIFO
• Education on the importance of
Sterile Store hand hygiene before handling the
sterile sets.
OurMaster
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• Regular audit in the wards on the


storage of CSSD sets
• To ensure the sterile CSSD set are
Ward kept properly in the ward in a
dedicated cupboard

• Air sampling in CSSD sterile store


every time the hepa filter is changed.
• Regular audit on the environmental
Environment cleanliness of the CSSD working area
by CSSD Infection Control Link Nurse
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National Heart Institute
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National Heart Institute
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JCI
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INSTITUT JANTUNG NEGARA
National Heart Institute
JCI
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INSTITUT JANTUNG NEGARA
National Heart Institute
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….THANK YOU

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