Infection Control Orientation Outline
I. General Infection Prevention Principles
A. Handwashing and Hand Hygiene
1. Washing with soap and water
2. Use of alcohol handrubs
B. Employee Health
1. Work restrictions for communicable diseases
2. Reporting of exposures to infectious diseases
3. Vaccines
4. TB skin tests
C. Patient Infections
1. Prevention of infections
2. Recognition and reporting
a. Definitions of infection
b. Post op complication communication form
c. Verbal reports to Quality/Infection control nurse
d. Documentation of signs and symptoms of infection
II. Standard Precautions and other barrier precautions
A. Reasons for Standard Precautions
1. Employee protection against bloodborne diseases
2. OSHA regulations
3. CDC recommendations
B. Standard Precautions Policy
C. Components of Standard Precautions
1. Barriers for protection
a. Gowns
b. Gloves
c. Masks
d. Eye protection
e. Ambu bags or CPR devices
2. Safer sharps devices
3. Biomedical waste
4. Linen handling
D. Transmission-Based Precautions
1. Airborne
2. Droplet
3. Contact
E. Additional Infection Concepts:
1. Standard precautions/transmission-based precautions protect employees from acquiring transmissible diseases from the patient.
2. Principles of asepsis are designed to protect the patient from microorganisms from the equipment/environment/caregiver.
a. Clean technique – refers to practices that reduce the numbers of microorganisms to prevent or reduce transmission.
b. Sterile technique – refers to practices designed to render and maintain areas and equipment maximally free from microorganisms.
3. Patients are increasingly immune-compromised and require diligent protection from microorganisms due to increased risk and susceptibility.
4. Separation of clean and dirty procedures is paramount to the prevention of spread of microorganisms.
F. Compliance Monitoring
1. Staff self-evaluations
2. Observation of practices
OSHA Bloodborne Pathogens Standard
Physician Information Outline
· History of the Standard
o Hepatitis B
o HIV/AIDS
o CDC Recommendations
o OSHA Standard
· Bloodborne Diseases
o Hepatitis B
§ Epidemiology
§ Transmission
§ Symptoms
o Hepatitis C
§ Epidemiology
§ Transmission
§ Symptoms
o HIV Infection
§ Epidemiology
§ Transmission
§ Symptoms
· Exposure Control Plan
o Review of each element
o Exposure determination: recognition of tasks requiring occupation exposure
o Application to specific audience
o Location of Exposure Control Plan
· Personal Protective Equipment
o Types
o Use
o Location
o Selection
o Removal
o Handling
o Decontamination
o Disposal
· Work Practice and Engineering Controls
o Environmental Modifications
o Work Practices
o Handwashing/hand hygiene
o Safer Sharps and Sharps Handling
· Standard Precautions
o Overview
o Policy Review
· Hepatitis B Immunization
o Who is at risk?
o Benefits of Immunization
o Method of Administration
§ Dose
§ Schedule
§ Site
o Side Effects
o Consent Form
o Declination
· Exposure Incident
o Definition
o Reporting
o Follow-up
· Biohazard Signs
o Labels
o Color coding
Infection Control Education Checklist for Physicians
Information Presented / Verbalizes Understanding / CommentsYes / No / Yes / No
General
Handwashing/hand hygiene
General Health
Work restrictions
Reporting exposures
Immunizations
Influenza
Hepatitis B
Tuberculin skin testing
Information of Patient SSI
Prevention
Recognition
Reporting
Personal Protective Equipment
Gloves
Gowns
Masks, face and eye protection
Bloodborne Pathogens
Overview HBV, HCV, HIV
Exposure Control Plan
Safer Sharps
Sharps Disposal
Biomedical Waste
Linen Handling
Are there any areas of infection control where you need further detail? / Yes / No
If yes, please list:
______
Physician Date / ______
Date Information given
Source: Sandy Berreth, Brainerd Lakes Surgery Center. Adapted and reprinted with permission.