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Direct contact transmission
Physical transfer of pathogens directly from one person to another
indirect contact transmission
• A contaminated individual touches an object/person and passes pathogens
• A person then becomes contaminated by touching the object/person
Droplet transmission
• Large pathogenic particles encountering the host's conjunctivae or the mucous membrane of the nose or mouth
• These are generated by coughing, sneezing, talking, or procedures, travel through the air a short distance (<3feet), and then fall on a surface
- human hair is considered a droplet
Airborne Transmission
• Dissemination of small residue particles containing infectious agents that are inhaled or deposited on a host
• These small particles may remain suspended in the air for along time
hand, reservoir, sick, practice, policies
Personal commitment:
• Most health care-associated infections are preventable through good _________ hygiene
• Anything on your body can be a ______________ of pathogens
• Avoiding direct patient care when you are ________/wearing a face mask
• Encouraging patient, family, and visitors to _______________ good hygiene
• Stay current with your facility’s infection prevention ________________
clean techniques
efforts to reduce the number of infectious organisms in the clinical setting
sterile techniques
a specialized process designed to eliminate pathogens from medical equipment, surfaces, and environments
Standard precautions
- these are required when working with all clients/patients
-Hand hygiene
-respiratory hygiene
-PPE
Hand rubbing (hand sanitizer)
- 20-30 seconds
- having frequent sanitizer available increases frequency of use
hand hygiene
the cleaning/antimicrobial action on the hands
hand washing (soap and water)
- 40-60 seconds
-When organic matter is visible (blood, dirt, etc)
- In the presence of enteric infections
- After multiple applications of hand rubbing (>10 uses)
cupped, palm, dorsum, interlaced, interlaced, Backs, right, left, clasped, dry
Hand rubbing steps:
1. Apply a palmful of the product in a __________________ hand and cover all surfaces
2. Rub hands palm to _________
3. Right palm over left ____________ with fingers interlaced
4. Left palm over right dorsum with fingers ________________
5. Palm to palm with fingers ____________________
6. ___________ of fingers to opposing palms with fingers interlocked
7. Rotational rubbing of left thumb clasped in ________ palm
8. Rotational rubbing of right thumb clasped in _______ palm
9. Rotational rubbing backwards and forwards with ____________ fingers of right hand in left palm and vice versa
10. Wait until ______
Wet, surfaces, water, single, off
Hand washing steps:
1.________ hands with water
2.Apply enough soap to cover all hand _______________
3.Rub hands palm to palm
4.Right palm over left dorsum w/ fingers interlaced
5.Left palm over right dorsum w/ fingers interlaced
6.Palm to palm with fingers interlaced
7.Backs of fingers to opposing palms w/ fingers interlocked
8.Rotational rubbing of left thumb clasped in right palm
9.Rotational rubbing of right thumb clasped in left palm
10.Rotational rubbing backwards and forwards w/clasped fingers of right hand in left palm and vice versa
11.Rinse hands with _________
12.Rinse thoroughly with a ____________ use towel
13.Use towel to turn ______ faucet
patient, clean, exposure, After, surroundings
5 Moments for Hand Hygiene:
1. before touching a ___________
2. before __________/Aseptic procedure
3. After body fluid ______________ risk
4. ___________ touching a patient
5. After touching patient _____________________
respiratory hygiene
• Covering your mouth or nose with a tissue or upper sleeve when you cough or sneeze
• Hand hygiene following hand contact of respiratory secretions
• >3 feet of separation
• Wearing a face mask if increased production of respiratory secretions
PPE (personal protective equipment)
• Protects the skin, mucous membranes, and clothing
• Gloves, gowns, face masks, eye coverings
• Choice of this is determined by the likelihood of encountering body fluids and contaminated areas and by how known or suspected pathogens are transmitted
nonporous, 4, Enteric, Not
Bleach-based Avert Sporicidal disinfecting wipes clean and disinfect hard, ________________ surfaces with no rinsing required. A minimum _____ minute contact time is needed.
reusable patientcare equipment in ALL Contact Special _____________ Isolation
- ______for use on computer or phone screens!
- Keep lid closed
- Dispose of in waste - NOT flushable
nonporous, 1, Safe
Hydrogen peroxide based Oxivir® bactericidal, virucidal, tuberculocidal, and fungicidal disinfecting wipes disinfect hard ___________________ surfaces with no rinsing required. A minimum of ___ minute contact time is needed for bacteria and viruses
- Use for general cleaning and disinfection of ALL hard, non-porous surfaces and reusable patient care equipment
- ________for phones, computer screens, keyboards and mouse
- Keep lid closed
- Dispose of in waste - NOT flushable