What are Standard Precautions?

Basic infection prevention practices to prevent transmission of disease from one person to another developed by the CDC

Used to create a barrier between you and the patient

How are needles and sharps disposed of?

In an approved sharps container

PPE and Precautions

7.015 Hand Hygiene: Practice observation of hand hygiene compliance via the use of a hand hygiene survey tool to be reviewed quarterly at the QAPI committee. (Chapter 10.14 Handwashing & Surgical Antisepsis) Continue infection control education through ongoing orientation to center staff routinely and annual mandatory in-service. Continue to promote hand hygiene awareness for patients and staff by means of educational materials placed throughout the center which references the CDC/WHO guidelines. Needle-stick Injuries: (Refer to Exposure Control Plan) Use of designated safety engineered needles for injections (safety glide needles for injection and autoguard IV catheters) and blood draw. New employee and annual clinical competency for injections will be provided to all staff. The staff will be trained yearly on OSHA, blood borne pathogens and PPE. 7.016 Hand Hygiene Quality in the ASCs: based on AORN (Association of periOperative Registered Nurses) Standards and guidelines Policy: All ASC staff, including physicians, nurses, and other healthcare workers, are required to perform hand hygiene before and after any direct contact with patients, before and after any procedure, and after any contact with potentially contaminated items or surfaces. Hand hygiene must be performed using either an alcohol-based hand rub or soap and water. The alcohol-based hand rub must contain at least 60% alcohol. Staff members must ensure that their hands are free of debris and visible dirt before performing hand hygiene. Hand hygiene must be performed for a minimum of 20 seconds, and hands must be dried thoroughly after washing. Staff members must be trained on proper hand hygiene techniques and will be educated on a regular basis to ensure compliance with this policy. All staff members must comply with this policy and demonstrate compliance during inspections by ASC management and regulatory agencies. Any staff member who fails to comply with this policy will be subject to disciplinary action. ASC management will monitor compliance with this policy through regular inspections and audits and will take appropriate action to address any noncompliance issues. The ASC will maintain records of staff compliance with this policy as part of its infection control program. The ASC will review and update this policy on an annual basis or more frequently as needed to ensure that it remains current with the latest guidelines and standards for hand hygiene quality.

NCFE CACH L2 - PPE in health and social care

Kindly create a 30 items multiple choice test from this laboratory activity entitled laboratory do's and donts: LABORATORY SAFETY Dos: Wear Appropriate Attire: Wear lab coats, safety goggles, gloves, and any other required personal protective equipment (PPE) at all times in the lab. Follow Protocols: Adhere strictly to established protocols and procedures for all experiments and tasks. Label Everything: Clearly label all containers, tubes, vials, and equipment with relevant information, including date, contents, and your initials. Calibrate Instruments: Regularly calibrate and maintain all lab equipment according to manufacturer guidelines to ensure accurate measurements. Keep Workspace Organized: Maintain a clean and organized workspace to prevent contamination and ensure efficient work. Dispose of Waste Properly: Follow the correct disposal procedures for hazardous waste, sharps, and non-hazardous materials in accordance with local regulations. Use Pipette Aids: Always use pipette aids or bulb fillers to avoid mouth pipetting and potential exposure to hazardous substances. Record Observations: Keep detailed and accurate records of your experiments, observations, procedures, and results. Label Samples Clearly: Label all samples with accurate and descriptive information to avoid mix-ups and confusion. Communicate: Maintain clear communication with colleagues and supervisors about your work, findings, and any potential issues. Follow Safety Guidelines: Adhere to all safety guidelines, emergency procedures, and evacuation plans in case of accidents or incidents. Report Accidents and Incidents: Report any accidents, spills, or incidents to your supervisor immediately, no matter how minor they may seem. Don'ts: Don't Eat, Drink, or Smoke: Never consume food, drinks, or smoke inside the laboratory to prevent contamination and chemical exposure. Don't Pipette by Mouth: Avoid mouth pipetting to prevent the risk of inhaling or ingesting hazardous substances. Don't Use Chipped Glassware: Do not use chipped, cracked, or compromised glassware, as they can lead to leaks and contamination. Don't Work Alone: Avoid working in the lab alone, especially with hazardous materials or equipment. Don't Ignore Safety Procedures: Never disregard safety procedures or skip steps, even if you're experienced with a particular task. Don't Contaminate Reagents: Avoid contaminating reagents by using clean tools, pipettes, and containers. Don't Rush: Take your time and follow protocols accurately. Rushing can lead to mistakes and unsafe conditions. Don't Block Emergency Equipment: Keep emergency equipment, such as eyewash stations, fire extinguishers, and safety showers, unobstructed and easily accessible. Don't Pour Chemicals into Sinks: Do not pour chemicals down sinks unless you are certain they are safe to do so, as this can lead to environmental contamination. Don't Use Unlabeled Chemicals: Never use unlabeled or improperly labeled chemicals. Always know what you're working with. Don't Wear Loose Clothing or Jewelry: Avoid wearing loose clothing, open-toed shoes, and excessive jewelry that could get caught in equipment or chemicals. Don't Assume, Ask: If you're unsure about something, never assume. Always ask for guidance from your supervisor or colleague

7.018 Safe Injection Practices (Refer to 7.07 Safe Injection Policy) Environment of Care: Active participation with all identified projects to assess compliance with infection control standards. . Surveillance, Control, and Reporting includes: Baseline information about the frequency and type of nosocomial infections. Identification of patients and/or staff with communicable or potentially communicable infections. Patients identified with a communicable disease will be isolated from other patients in the facility or, if this is not possible, they will be transferred to a local hospital for care or rescheduled. Identification of clusters of microorganisms or significant deviations from endemic level. Reporting to committees and outside agencies, when required. Investigation of infections as needed. Immediate implementation of corrective and preventive measures that result in improvements. The Infection Control nurse or designated staff member will perform facility audits and report results to the QI committee and Board of Managers. EVALUATION Evaluation and improvement of the infection prevention and control activities are important steps in the Center’s efforts to control and prevent infection. Infection prevention and control practices should become a routine part of the care, treatment, or services the center provides to patients. Patients expect and deserve hygienic and safe care even if their contact with the Center does not extend beyond a single visit. Continuous review of the goals, activities, and outcomes of the Center’s initiative are therefore followed by improvement activities that are realistic in expectation and, above all, effective. Evaluation of the plan shall include but not be limited to: Evaluation of the infection prevention and control activities annually and whenever risks significantly change. The evaluation includes a review of the following: The infection prevention and control prioritized risks The infection prevention and control goals. Implementation of infection prevention and control Outcomes of infection prevention and control activities. Findings from the evaluation are communicated at least annually to the Quality Management Committee References: http://oneandonlycampaign.org/content/what-are-they-why-follow-them. Centers for Disease Control and Prevention (CDC). (2004). Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings. Retrieved January 29, 2015 from www.cdc.gov/niosh/topics/bbp/sharps.html. Centers for Disease Control and Prevention (CDC). (2003). Guidelines for Environmental Infection Control in Health-Care Facilities 52(RR10);1-42. Retrieved January 29, 2015 from http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5210a1.htm. Centers for Disease Control and Prevention (CDC). (2002). Guideline for Hand Hygiene in Health-Care Settings: Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. MMWR. 51(RR-16). Retrieved January 29, 2015 from http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5116a1.htm. Centers for Disease Control and Prevention (CDC). (2008). Sharps Safety Workbook. Retrieved April 24 2014 from http://www.cdc.gov/sharpssafety/pdf/workbookcomplete.pdf. Guideline for Infection Control in Healthcare Personnnel available at: Guideline for Infection Control in Healthcare Personnel available at: http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf Immunization of HealthCare Personnel, guidance available at: http://www.cdc.gov/vaccines/spec-grps/hcw.htm Occupational Safety & Health Administration (OSHA) Bloodborne Pathogens and Needlestick Prevention Standards available at: http://www.osha.gov/SLTC/bloodbornepathogens/index.html Sax H, et al. (2007). My five moments for hand hygiene: A user-centered design approach to understand, train, monitor and report hand hygiene. For the World Health Organization. J Hosp Infect 67(1):9–21. World Health Organization (WHO). (2005). World Alliance for Patient Safety. WHO Guidelines on Hand Hygiene in Health Care. Retrieved January 29 , 2015 from http://www.who.int/patientsafety/events/05/HH_en.pdf.

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