Infection Prevention Protocols in the CVM (not done)

What is a major cause of infection spreading?

Cross-contamination

How do infections spread?

Hands

Surface

Air

What is the primary vector of infection spreading?

Hands

What are the top 6 behaviors that drive infection risk?

Hand hygiene

No food/drink in clinical areas

Clinical attire

Phones and personal items

Equipment hygiene

Avoiding shortcuts

When should you wash hands?

Before and after every patient

After contact with environment

T/F gloves are the same as clean hands?

False

Why do we not want food or drink in clinical areas?

Direct ingestion of pathogens

Cross-contamination from hands and surfaces

Zoonotic risk

Were does a white coat need to be worn?

Clinical areas

Why do we need to wear a white coat?

Protects your personal clothing

T/F a white coat becomes contaminated during use?

True

T/F a white coat is part of the clinical environment?

True

When should you remove your white coat?

Before leaving clinical areas

When should you change out your white coat?

If visibly contaminated

Also need to regularly wash it

When should you wear scrubs?

During direct patient care due to high exposure

T/F scrubs do not become contaminated throughuot the day?

False

What can transfer pathogens outside of the hospital?

Scrubs

When should you change scrubs?

After work or when soiled

Should not be worn outside

Why are phones and personal items high contaminated?

They are frequently touched and rarely cleaned or disinfected

This can transfer pathogens around patients and areas

When should you avoid using phones and other personal items?

During patient care

What are some personal items other than phones?

Badges, pens, watches, earbuds, notebooks

What is the problem with shared equipment like tables, thermometers, stethoscopes?

High fomite risk and easily contaminated during routine use

What is a major source of indirect transmission?

Shared equipment

When do you need to clean equipment?

Between patients

What is the responsibility of cleaning equipment on?

Ever user

What do shortcuts cause?

Infection control to fail

T/F protocols are known but not always followed?

True

What leads to shortcuts?

Time pressure, saying just this once and then it is routine

Consistency is important

When does most disease transmission occur?

During routine tasks

Why is consistency so important?

Infection prevents starts with simple actions but depends on you doing them ever time

You are not just treating patients you are shaping the hospital environment

When should you change into your scrubs?

Once you get to work

Where can we leave water bottles and coffee cups?

In breakrooms and conference rooms

What the risk of bringing drinks into a clinical setting?

Patients can have zoonotic pathogens that spread by fluids and aerosol and contaminated hands

Can also take the cups out of these spaces and spread to other people or pets at home

What is a very common route of spread of disease?

Hand-to-mouth and mouth-to-hand

What should you do every time you leave a treatment room and enter a breakroom or conference room?

Clean your hands and stethoscope

What should you do before putting gloves on?

Proper hand hygiene because if you do not the inside of the box will be very dirty

When do we use soap and water?

Hands are visibly soiled

Before eating and after restroom

If you suspect bacterial spores, nonenvelped viruses (parvo, calici, panleuk, noro), or protozoa

How do you properly use soap and water?

Wet hands

Rub soap on all surfaces for 20 seconds

Rinse

Dry with paper towel

When is sanitzer good?

If hands are visibly clean

What % aclohol do you need for sanitizer?

60%

How do you use sanitizer?

Apply gel to hands

Cover all surfaces of hands

Rub until dry

What should you do if you have an infectious patient?

Minimize rooms, cages, people and cross-contamination

Wear PPE, write cage number, careful when movement around hospital, use clean multi-use equipment and surfaces, disinfect anything that has been contaminated, wash hands

Where should you puts donuts if you bring them for your team?

Conference or break room

What is the goal of sanitary practices?

Control of transmission NOT elimination

What leads to multi-drug resistant organisms?

Poor practices creating selective pressure

What is a secondary issue of something like MRSA?

Once established pathogens like that are difficult to eliminate