Module 7 Infection Control And Prevention FINAL - NCDHHS

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Modules 7 10/29/2021 NC Department of Health and Human Services NC Home Care Aide Curriculum Module 7 – Infection Control and Prevention July 2021 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 1 1 OBJECTIVES (1) 1. Define vocabulary words related to infection control 2. Describe the history of infection control 3. Discuss the importance of infection control measures, such as hand washing and good personal hygiene 4. Demonstrate good hand washing technique 5. Demonstrate proper use of alcoholbased hand rub NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 2 2 OBJECTIVES (2) 6. Recognize how germs spread 7. Describe each link in the chain of infection 8. Relate the chain of infection to the work of home care aides 9. Describe the signs and symptoms of infection to report to the nurse 10. Compare standard precautions and transmission-based precautions NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 3 3 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 1

Modules 7 10/29/2021 INFECTIONS INTERESTING FACTS More than 1 to 3 million infections occur in health care settings each year. The leading cause of death in nursing homes is infection. Infection is also the most frequent reason a person is moved from a nursing home to a hospital for care. Patients in their homes are safer from infections than if they were in a facility. NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 4 4 MORE INTERESTING FACTS (1) Childbed fever was a streptococcal infection. Washing hands could have prevented many mothers and babies from dying of infections. NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 5 5 HANDOUT #1/ACTIVITY #1 Infection Control Vocabulary List Fictional Obituary NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 6 6 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 2

Modules 7 10/29/2021 PERSONAL HYGIENE 7 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 7 PERSONAL HYGIENE HABITS DO DO NOT practice good personal grooming – bathe, brush teeth, etc. wear clean, unwrinkled clothes cover your mouth and nose when coughing & sneezing wash hands frequently wear your uniform that you have worked in around your own home take personal belongings into a patient’s home eat or drink after other people NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 8 8 Class Discussion - Optional Discuss the importance of good hygiene. Discuss what the class thinks is good personal hygiene. NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 9 9 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 3

Modules 7 10/29/2021 HAND HYGIENE NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 10 10 HANDOUT #2 Hand Hygiene Guidelines Fact Sheet NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 11 11 HANDOUT #3 – ACTIVITY Proper Technique – Instructor demonstration on proper technique – Students critique each other on technique NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 12 12 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 4

Modules 7 10/29/2021 How Germs Spread NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 13 13 HANDOUT #4 Confidential self-assessment NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 14 14 HANDOUT #5 Optional – Glitter Bug or Glo Germ Activity NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 15 15 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 5

Modules 7 10/29/2021 CHAIN OF INFECTION INFECTIOUS AGENT NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 16 16 CHAIN OF INFECTION RESERVOIR NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 17 17 CHAIN OF INFECTION PORTAL OF EXIT NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 18 18 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 6

Modules 7 10/29/2021 CHAIN OF INFECTION MODE OF TRANSMISSION NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 19 19 CHAIN OF INFECTION PORTAL OF ENTRY NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 20 20 CHAIN OF INFECTION SUSCEPTIBLE HOST NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 21 21 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 7

Modules 7 10/29/2021 HANDOUT #6 Chain of Infection Activity Match each word in the middle of the chain of infection to its corresponding link. NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 22 22 CHAIN OF INFECTION - ANSWERS Infectious Agents 1. Staph 2. MRSA 3. E. coli 4. TB 5. Hepatitis NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 23 23 CHAIN OF INFECTION - ANSWERS Reservoir 1. Blood 2. Potato Salad 3. Soil 4. Raw Meat 5. Ticks NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 24 24 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 8

Modules 7 10/29/2021 CHAIN OF INFECTION - ANSWERS Portal of Exit 1. Tears from tear ducts 2. Drainage from wound 3. Feces through GI tract 4. Blood through skin cut 5. Nose through sneezing NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 25 25 CHAIN OF INFECTION - ANSWERS Mode of Transmission 1. Doorknobs 2. Soiled sheets 3. Unwashed hands 4. Overbed table 5. Used tissue NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 26 26 CHAIN OF INFECTION - ANSWERS Portal of Entry 1. Skin tear 2. Mouth 3. Surgical incision 4. Skin puncture 5. Eyes NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 27 27 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 9

Modules 7 10/29/2021 CHAIN OF INFECTION - ANSWERS Susceptible Host 1. Person with diabetes 2. Frail older adult 3. Person who has had surgery 4. Person with catheter 5. Person with poor nutrition NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 28 28 HANDOUT #7 Breaking the Chain of Infectious Activity Match each word in the middle to its corresponding link to show where to break the chain of infection. NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 29 29 BREAKING THE CHAIN OF INFECTION Answers Infectious Agents 1. Antibiotics 2. Immunizations NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 30 30 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 10

Modules 7 10/29/2021 BREAKING THE CHAIN OF INFECTION Answers Reservoir 1. Clean dish towels every day 2. Staying home when sick 3. Bathing daily 4. Wearing clean uniforms every day 5. Hand washing NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 31 31 BREAKING THE CHAIN OF INFECTION Answers Portal of Exit 1. Hand washing 2. Clean dressing over wound 3. Cover mouth & nose when sneezing 4. Proper waste & trash disposal NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 32 32 BREAKING THE CHAIN OF INFECTION Answers Mode of Transmission 1. 2. 3. 4. 5. 6. 7. 8. 9. Alcohol based hand rubs New toothbrush every few months No artificial nails Wiping doorknobs with antiseptic solution Clean gloves Safe food handling No soiled linen touching uniform No jewelry Hand washing NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 33 33 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 11

Modules 7 10/29/2021 BREAKING THE CHAIN OF INFECTION Answers Portal of Entry 1. Catheter care 2. Unbroken skin NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 34 34 BREAKING THE CHAIN OF INFECTION Answers Susceptible Host 1. Proper diet 2. Exercise 3. Strong immune system NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 35 35 WHEN INFECTION OCCURS 1. The body takes steps to fight off infections 2. These steps trigger various signs and symptoms associated with infection NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 36 36 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 12

Modules 7 10/29/2021 CLASS DISCUSSION Name signs and symptoms of infections that you have known, seen, or even experienced. 37 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 37 BLOODBORNE PATHOGENS A classification of microorganisms that cause disease Found in various fluids within the body Employers should have an occupational exposure plan in place for all employees NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 38 38 HIV/AIDS HIV: Human Immunodeficiency Virus HIV causes AIDS: Acquired ImmunoDeficiency Syndrome NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 39 39 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 13

Modules 7 10/29/2021 HIV/AIDS CAN get HIV/AIDS from Blood Semen Vaginal fluid Breast milk Sharing needles or syringes with an HIV positive individual CANNOT get HIV/AIDS from Feces Urine Saliva Nasal fluid Sweat Tears Vomit NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 40 40 PRECAUTIONS In 1985, the CDC released Universal Precautions Standard Precautions replaced Universal Precautions in 1996 and Transmission Based Precautions were added Droplet Precautions Contact Precautions Airborne Precautions NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 41 41 HANDOUT #8 Standard Precautions and Transmission Based Precautions Chart NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 42 42 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 14

Modules 7 10/29/2021 HANDOUT #9 Which Precaution Would You Use? NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 43 43 OPTIONAL – CLASS DISCUSSION Give examples of work experiences where you had to take care of a patient with a possible infectious disease. How did you protect yourself? NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 44 44 OPTIONAL – ACTIVITY Practice putting on and taking off/disposing of gloves, masks, and gowns. NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 45 45 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 15

Modules 7 10/29/2021 Coronavirus and COVID-19 Symptoms Severity Transmission How to protect yourself and your patient NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 46 46 INFLUENZA Symptoms Severity Transmission How to protect yourself and your patient NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 47 47 MRSA Methycillin Resistant Staphylococcus Aureus NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 48 48 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 16

Modules 7 10/29/2021 SCABIES Scabies are microscopic mites that burrow into skin, where they live, lay eggs, and greatly irritate their host. Scabies is a common, worldwide condition. It affects people from all social classes and does not reflect on someone’s cleanliness. NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 49 49 HOW TO KILL GERMS Disinfection Sterilization Incineration NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 50 50 BAG TECHNIQUE There are important safety precautions regarding proper bag technique Make sure the bag you have has easily accessible, open outside pockets, and a large, zipper closed section as well Learn your agency’s bag technique as each agency may have specific guidelines Effective bag technique ensures that you are doing your part to reduce the risk of spreading germs to patients and families NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 51 51 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 17

Modules 7 10/29/2021 ACTIVITY Instructor demonstration of proper bag technique NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 52 52 RODENTS AND OTHER PESTS Some rodents, ticks, and pests can carry diseases that could be harmful to the patient’s health Look for telltale signs of rodents or pests Signs or findings should be reported to your supervisor NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 53 53 Employer’s Role In Infection Control Inform Provide, maintain, replace Train For more information, go to: https://www.osha.gov/ NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 54 54 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 18

NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 1 NCDHHS/DHSR/HCPEC Module 7 Infection Control and Prevention July 2021 1 . 1.Define vocabulary words related to infection control 2.Describe the history of infection control 3.Discuss the importance of infection control measures, such as hand

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