Ch+3+-+Infection+Control,+Safety+and+Personal+-+8th+Edition+
Chapter 3: Infection Control, Safety, First Aid, and Personal Wellness
Objectives
Infection Control: Understand terminology, precautions, procedures, practices, and programs. Identify relevant agencies.
OSHA Bloodborne Pathogens Standard: Understand key elements and agencies involved.
Laboratory Safety: Identify general safety rules applicable in laboratories, patient rooms, and other patient areas.
Hazards and Safety Rules: Recognize hazards related to biological, chemical, electrical, fire, and radiation safety, and discuss response actions for hazardous incidents.
First Aid Recognition: Recognize symptoms needing first aid and summarize AHA CPR and ECC guidelines.
Personal Wellness: Describe the importance of personal wellness focusing on nutrition, rest, exercise, stress management, and back protection.
Infection Control
Infection Definition: Condition from a microbe invading, multiplying, and causing injury or disease.
Microbes: Includes bacteria, fungi, protozoa, and viruses.
Pathogen: A microbe causing disease.
Communicable Infections: Spread from person to person.
CDC's Role: Investigate and control diseases.
Types of Diseases
Endemic: Diseases regularly found among particular people or in a certain area.
Outbreak: Sudden increase beyond expected cases, leading to possible epidemic.
Epidemic: Rapid spreading disease affecting many in a defined area.
Pandemic: An epidemic that has spread across multiple countries or continents.
Healthcare-Associated Infections (HAIs)
Nosocomial Infections: Infections acquired in hospitals.
Statistics: 1 in 31 hospital patients in the U.S. has at least one HAI.
Causes of HAIs: Infected personnel, patients, visitors, food, drugs, or equipment.
Antibiotic-Resistant Infections
Key Examples:
Clostridioides difficile
MRSA
Carbapenem-resistant Enterobacteriaceae (CRE)
Chain of Infection
Infectious Agent: Pathogenic microbe causing infection.
Reservoir: Where the microbe survives (humans, animals, equipment).
Exit Pathway: Route escaping the reservoir (secretion, blood).
Means of Transmission: Includes airborne, contact (direct/indirect), droplet, vector, and vehicle.
Entry Pathway: How the agent enters a susceptible host (skin, mucous membranes).
Susceptible Host: Individual with weakened ability to resist infection (affected by age, health).
Breaking the Chain of Infection
Hand Hygiene: Essential for preventing infection spread.
Immunization: Protect individuals and communities from infectious diseases.
Personal Protective Equipment (PPE): Use gloves, gowns, masks to prevent exposure.
Isolation Procedures: Maintain separation of patients with communicable infections.
Infection Control Programs
Goals: Protect everyone; break the chain of infection; monitor data on infections.
Components: Employee screening, immunization, evaluation, surveillance.
Infection Control Practices
Hand Hygiene: Use of alcohol antiseptics or proper handwashing techniques.
PPE: Utilizing gloves, gowns, masks, and respirators for protection.
Glove Removal: Requires immediate hand sanitization post-removal.
Aseptic Techniques
Asepsis: Being free of disease-causing microbes.
Techniques for Blood Collection: Proper hygiene, material management, disposal of contaminated equipment.
Isolation Procedures
Purpose: Protect vulnerable patients and prevent infection spread.
Types of Precautions: Universal precautions for all patients, transmission-based for specific infections.
Safety Protocols
Biosafety: Understanding biohazard materials and safety symbols.
Chemical Safety: Guidelines for handling chemicals safely (PPE, labeling).
Fire Safety: Procedures for emergencies; understanding types of fires and appropriate extinguishing methods.
Radiation Safety: Knowledge of exposure principles - distance, shielding, time.
First Aid
External Hemorrhage: Apply direct pressure; tourniquet as last resort.
Shock: Recognize symptoms; maintain airway and control bleeding.
Stroke Recognition: Use FAST (Face drooping, Arm weakness, Speech difficulty, Time to call 911).
CPR Guidelines: AHA recommendations; importance of immediate action to improve survival chances.
Personal Wellness
Holistic Approach: Incorporating physical, emotional, social, spiritual, and economic needs.
Nutrition: Emphasize a plant-based diet, avoiding processed foods.
Rest and Exercise: Importance of adequate sleep and fitness for overall health.
Stress Management: Address chronic stress and its implications on health.