Care Of Ear Cleaning Equipment Powerpoint
Care of Ear Cleaning EquipmentBest Practice RecommendationsFor more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 2Why is ear cleaning done? Removal of impacted cerumen can improve hearing and relievesymptoms– Cerumen impaction can cause symptoms such as itching andpain in the ear, discharge from the ear canal, ear fullness, cough,hearing loss, and tinnitus.– Elderly patients, young children, and the cognitively impairedare at high risk for cerumen impaction and may be unaware of itor unable to express the symptoms associated with cerumenimpaction.– Hearing loss, associated with cerumen impaction may furtherimpair cognitive function.Source: Roland PS., Smith TL., Schwartz SR. et al. 2008. Clinical practice guideline: Cerumen impaction.Otolaryngology -- Head and Neck Surgery 2008 139: S1 http://oto.sagepub.com/content/139/3 suppl 1/S1For more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 3What is cerumen? Cerumen is a mixture of secretions and sloughed epithelial cells,and is a normal substance present in the external auditory canal.Cerumen may mix with hair and other particulate matter. Cerumen impaction is an accumulation of cerumen that causessymptoms, prevents a needed assessment of the earcanal/tympanic membrane or audiovestibular system, or both.Source: Roland PS., Smith TL., Schwartz SR. et al. 2008. Clinical practice guideline: Cerumen impaction. Otolaryngology -- Head andNeck Surgery 2008 139: S1 http://oto.sagepub.com/content/139/3 suppl 1/S1 Cerumen is potentially contaminated with blood, blood by-products,mucous, and ear drainageSource: Burco A., Washington University School of Medicine. Independent studies and capstones. Program in Audiology andCommunication Sciences. Current infection control trends in audiology. Page 2, 3, 6 and cgi?article 1277&context pacs capstones.For more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 4Is there an infection risk? Bruins et. al, in the Netherlands investigated cases ofPseudomonas aeruginosa causing otitis media to determine if thecases were related to ear cleaning equipment and found:– contamination of ear syringe with P.aeruginosa– transmission of P. aeruginosa from ear cleaning equipmentresulting in otitis externa Further transmission was prevented when they worked withInfection Prevention and Control (IPC) to developrecommendations for the appropriate cleaning, disinfection andstorage of re-usable ear cleaning instrumentsBruins MJ, Wijshake D, de Vries-van Rossum SV, et al. Otitis externa following aural irrigation linked to instrumentscontaminated with Pseudomonas aeruginosa. Abstract available at:http://www.ncbi.nlm.nih.gov/pubmed/23764317For more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 5BPR on care of ear cleaning equipmentPurpose: Describe Alberta’s approach for the care of ear cleaningequipment Minimize the risk of exposure or injury, and to preventtransmission of micro-organisms to patients andpersonnelFor more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 6Key messages Use routine practices for all patients at all times Ear syringe nozzles/tips are classified as semi-critical– Disposable/single-use tips are discarded after use– Reusable ear syringe nozzles or tips are cleanedand high-level disinfected (HLD) or sterilized betweenpatients Other reusable ear cleaning equipment components arenon-critical and are, at minimum, cleaned and low-leveldisinfected (LLD) between patients Ear cleaning equipment is either single-use, dedicated to asingle-patient, patient-owned or multi-patient reusableFor more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 7Ear cleaning equipment algorithmEar CleaningEquipmentSingle-use [(e.g. Tips(Elephant EarWasher tips ,Otoclear tips)],Syringes)Use once and thendiscardPatient owned ordedicated to asingle patient (e.g.Elephant EarWasher orRhino EarWasher )Multi-patientreusableDoes Equipment havevalidated MIFU?Clean between usesaccording to MIFU,or Section 3 andstore in a mannerthat protects fromcontaminationNoYes(e.g. metal earsyringe)MIFU requires toclean and sterilizebetween usesFor more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health Services(e.g. Elephant EarWasher , RhinoEar Washer )Clean and low leveldisinfect (LLD)according to currentaccepted protocolOriginal date: August 25, 2015Revised date: May 2020(e.g reusableear syringenozzles ortips) Cleanand highleveldisinfect orsterilize
Care of Ear Cleaning Equipment 8Routine practices Routine practices are infection prevention and controlmeasures healthcare providers perform for all patientsat all times to reduce the risk of infection. Routinepractices include:– Hand hygiene– Point-of-Care-Risk Assessment (PCRA)– Personal Protective Equipment (PPE)– Handling patient care items and equipmentFor more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 9AHS 4 Moments of Hand Hygiene The AHS Hand Hygiene Policy and Hand HygieneProcedure describe 4 Moments during patient/patientcare when HH must be performed:– before contact with patient or patient environment– before clean or aseptic procedures– after exposure to blood or body fluids– after contact with patient and patient environmentFor more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 10Point-of-Care Risk Assessment (PCRA) Before providing care to any patient, assess the risk ofspreading infection:– Note any possible contact you may have with bloodor body fluids, e.g., coughing, bleeding, runny nose,or soiled clothing, equipment or environment;– Put on appropriate personal protective equipment(PPE) before providing care. See PCRA Flowchart for further information.For more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 11Personal Protective Equipment (PPE)Select and use Personal Protective Equipment (PPE) tominimize the risk of exposure to infectious agents andappropriate PPE for the task. For example, wear: gloves, gown, mask and eye protection when neededto prevent contact with blood, body fluids, excretions,secretions, mucous membranes or non-intact skin; chemical and puncture resistant gloves, eyeprotection, procedure mask, and protective gown forreprocessing equipment.For more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 12Handling patient care items andequipment Ear syringe nozzles/tips are semi-critical:– Discard disposable/single-use tips after use– Clean and high-level disinfect (HLD) or sterilizereusable ear syringe nozzles or tips betweenpatients Other reusable ear cleaning equipment componentsare non-critical and must be, at minimum, cleaned andlow-level disinfected (LLD) between patientsFor more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 13Commonly used ear cleaning equipmentFor more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 14IPC issues – improper cleaningUsed tip?EarwaxFor more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 15IPC issues – ear cleaning equipment leftfull of solutions between usesFor more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 16IPC issues – improper storage of earcleaning equipmentFor more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 17Cleaning Some components such as narrow tubing and thetrigger spray are difficult to clean and dry. Care must be taken to thoroughly clean, disinfect, rinseand dry ear cleaning equipment. Solution bottles must be completely emptied, cleanedand allowed to dry after use. Ensure solution bottle, trigger spray and tubing is drybefore storing. Never refill or top up ear syringe solutions.For more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 18Storage Once dry, label ear cleaning equipment asclean/disinfected and store in a clean, dry,protected area until use. For example, store in a clean utility roomenclosed in a clear plastic bag labelledClean/Disinfected.For more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 19Training AHS training materials for staff include:– Annual Continuing Education Infection Preventionand Control module available on Insite– Medical Device Training VideosFor more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 20Summary Ear cleaning equipment is single-use, single-patient use orreusable depending on MIFU for the component/device Discard single-use equipment, e.g., plastic leur lock syringe,tips, after use Clean and disinfect/sterilize reusable ear cleaningequipment before use on another patient Use routine practices for all patients at all times Follow the Best Practice Recommendations for Care of EarCleaning Equipment to minimize the risk of exposure orinjury, and prevent transmission of micro-organisms topatients and personnelFor more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 21Questions?If you have any questions or comments regarding thisinformation, please contact Infection Prevention and Controlat ipcsurvstdadmin@ahs.ca.For more information contact ipcsurvstdadmin@ahs.ca 2020 Alberta Health ServicesOriginal date: August 25, 2015Revised date: May 2020
Care of Ear Cleaning Equipment 7. Ear Cleaning Equipment Single-use [(e.g. Tips (Elephant Ear Washer tips , Otoclear tips)], Syringes) Multi-patient reusable Patient owned or dedicated to a single patient (e.g. Elephant Ear Washer or Rhino Ear Washer ) (e.g. Elephant Ear Washer , Rhi
Furuncle of external ear. H60.00 Abscess of external ear, unspecified ear. H60.01 Abscess of right external ear. H60.02 Abscess of left external ear. H60.03 Abscess of external ear, bilateral. H60.1 Cellulitis of external ear. Cellulitis of auricle Cellulitis of external auditory canal. H60.10 Cellulitis of external ear, unspecified ear
H53.10 Unspecified subjective visual disturbances H53.1 1 Day blindness Ear Diseases H61 .20 Impacfed cerumen, unspecified ear H61 .2t Impacted cerumen, right ear H6t 22 Impacted cerumen left ear H61 23 Impacted cerumen bilatera H60.00 Abscess of external ear, unspecified ear H60.01 Abscess of right external ear
whole middle ear space is the ear drum and the tympanic membrane the drum skin. 2.2.2. The Middle Ear The middle ear is an air filled space connected to the back of the nose by a long, thin tube called the Eustachian tube. The middle ear space houses three little bones, the hammer, anvil and
1. The ear is the sense organ that is sensitive to sound stimuli produced by vibrating object. 2. A human ear has three main part. i. the outer ear, filled with air. ii. The middle ear, filled with air. iii. The inner ear, filled with liquid Draw figure 1.15, page 14 3. Function of the different parts of the human ear. Salin table 1.4, page 15
Massachusetts Eye and Ear (Mass. Eye and Ear) is a specialty hospital dedicated to excellence in the care of disorders that affect the eye, ear, nose, throat, and adjacent regions of the head and neck. Mass. Eye and Ear also provides primary care and serves as a referral center for outpatient and inpatient medical and surgical care.
Cleaning: How To Do It 1. Include step-by-step procedures for precleaning, cleaning during the job, and daily and final cleanings in project design or specifications. 2. Assign responsibilities to specific workers for cleaning and for maintaining cleaning equipment. 3. Have sufficient cleaning equipment and supplies before beginning work. 4.
The following topics in the Introduction to Green Cleaning and Green Cleaning Programs training manual were covered: § New York State Green Cleaning Product Mandates and products currently covered under the mandates; § Reasons for creating the green cleaning mandates; § A description of green cleaning;
words, an asset management company’s present value of fee income equals its current assets under management. Of course, realistic active investment strategies (i.e. those that deviate from market weights) will exhibit capacity limits. If too many investors follow a given strategy, returns will decline and clients will eventually leave. Infinite growth is clearly unrealistic, and models built .
