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

  1. Infectious Agent: Pathogenic microbe causing infection.

  2. Reservoir: Where the microbe survives (humans, animals, equipment).

  3. Exit Pathway: Route escaping the reservoir (secretion, blood).

  4. Means of Transmission: Includes airborne, contact (direct/indirect), droplet, vector, and vehicle.

  5. Entry Pathway: How the agent enters a susceptible host (skin, mucous membranes).

  6. 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.