GMP Training Program Module 6 INFECTION CONTROL PROGRAM

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GMP Training Program Module 6INFECTION
CONTROL PROGRAM
Healthy employees are more productive employees.
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Infection Control Program

• GMPs Infection Control Program is designed to
• Minimize the risk of infections to patients and
  staff,
• Limit unprotected exposure,
• Provide training, and
• Meet government and Joint Commission regulations
  and standards.

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Infection Control Program

• The Program includes
• Identification of GMP Infection Risks
• Infection Prevention Intervention
• Infection Control Intervention
• Infection Surveillance and Reporting
• Patients
• Staff

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GMP Patients at High Risk for Acquiring or
Transmitting Infections

• Wound Care Patients
• End of Life Patients

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GMP Infectious Risks

• Blood borne Pathogens (HIV, Hepatitis)
• Airborne Pathogens such as TB
• MRSA (A type of staph infection)
• Respiratory Infections (flu)

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Blood Borne Pathogens

• Health care workers are at risk of exposure to
  bloodborne pathogens such as human
  immunodeficiency virus (HIV the virus that
  causes AIDS), the hepatitis B virus (HBV), and
  the hepatitis C virus (HCV)
• OSHAs Bloodborne Pathogens standard prescribes
  safeguards to protect you against the health
  hazards from exposure to blood and other
  potentially infectious materials, and to reduce
  your risk from this exposure

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Blood Borne Pathogens Cont.

• Treat all human blood and certain body fluids as
  if they are infectious
• Universal Precautions MUST be observed in all
  situations where there is a potential for contact
  with blood
• GMP staff having direct contact with patients
  and/or with returned equipment can be exposed.

This topic will be covered more fully in a
separate OSHA slide presentation.
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Airborne Pathogens

• Tuberculosis Transmission
• Spreads when droplet nuclei is expelled from a
  person with infectious TB
• Coughs, sneezes, speaks, or sings
• People in close contact such as medical workers
  are at highest risk of becoming infected

This topic will be covered more fully in a
separate OSHA slide presentation.
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Tuberculosis Transmission

• When droplet nuclei is expelled from an infected
  person you can breath in the infection.

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MRSA (Methicillin-Resistant Staphylococcus
Aureus)

• Is one of the most prevalent drug resistant
  organisms in the U.S. today.
• Until recently found mostly in hospitals
• Today affects many large institutions such as
  schools.
• Major mode of transmission - HANDS!
• Especially healthcare workers hands
• Also contaminated surfaces

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MRSA Standard Precautions

• Infection Control Procedures
• Hand Hygiene
• PPE
• Gloving, mouth, nose, eye protection, gowning
• Appropriate handling and cleaning of patient
  equipment
• Appropriate handling of laundry

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Respiratory Infections

• Influenza or The flu
• It is a contagious respiratory illness caused by
  influenza viruses.
• It can cause mild to severe illness, and at times
  can lead to death.
• The best way to prevent the flu is by getting a
  flu vaccination each year.
• GMP staff having direct contact with patients are
  at greatest risk of contracting and/or spreading
  The Flu.

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Flu Standard Precautions

• Avoid close contact
• Stay at home or take respiratory precautions when
  you have the flu (wear a mask)
• Cover your mouth and nose when you cough or
  sneeze
• Keep your hands clean and avoid touching your
  eyes, nose or mouth

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Infection Identification

• When accepting a referral always ask if an
  infectious disease exists.
• Make notation on the Intake Form
• During a home visit if a patient exhibits basic
  symptoms of a service related infectious disease
  make a notation on the POC and inform the
  Operations Manager.

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Basic Service Related Symptoms

• Generalized Rash or Skin Lesions
• Jaundice
• Illnesses that do no resolve within a designated
  period such as
• A persistent cough
• Gastrointestinal illness
• Febrile illness with fever greater than 103o
  lasting more than two days.

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Universal Signs of Potential Infectious Disease

• Presence of any body fluids such as
• Urine
• Feces
• Mucous
• Blood
• Vomit

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Infection Prevention Universal Precautions

• Universal Precautions is an approach to
  infection control where all human blood and
  certain body fluids are treated as if known to be
  infectious.
• Universal Precautions MUST be observed in all
  situations where there is a potential for contact
  with blood, other body fluids or potentially
  infectious materials.

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Universal Precautions Cont.

• Hand Hygiene
• Wash Hands, Wash Hands, Wash Hands
• Between every patient contact and after coming in
  contact with contaminated equipment.
• Before putting gloves on and after their removal.
  
• Study Hand Hygiene Procedures

This topic covered more fully in a separate CDC
slide presentation.
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Universal Precautions Cont.

• Wear Protective Barriers (Personal Protective
  Equipment -PPE) such as
• Gloves when in a patients home or handling dirty
  equipment.
• Goggles when cleaning equipment
• Gown or aprons when body fluids are present or
  when cleaning equipment.
• HEPA facemask when patient has a respiratory
  infection such as TB.
• Study Personal Protective Equipment (PPE)
  Procedures.

This topic covered more fully in a separate CDC
slide presentation.
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Universal Precautions Cont.

• Respiratory Hygiene/Cough Etiquette
• Cover the nose/mouth when coughing or sneezing
• Use tissues to contain respiratory secretions
• Dispose of tissue immediately after use.
• Wash hands

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Infection Prevention, Cont.

• Follow Dirty/Contaminated Equipment Handling
  Procedures !
• Procedures posted in Warehouse and Delivery
  Vehicles
• Patient Education
• Hand Washing, Cough Etiquette
• Cleaning and disinfections of sheets and covers.
• Basic equipment cleaning and upkeep procedures

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Infection Monitoring

• Any infectious condition shall be noted on the
  following forms to alert GMP staff.
• Intake Form
• POC Form
• Delivery Ticket
• Pick-up/Service Ticket
• Bonafide System under patient record
• Delivery and cleaning staff should use universal
  precautions and follow GMP procedures when
  servicing patients identified with an infectious
  condition.

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Infection Reporting

• The Operations Manager is to be notified
  immediately whenever an actual or suspected
  infectious condition exist.
• Any incident involving the patient and/or staff
  member contracting an infectious condition
  traceable to the other shall be reported
  immediately.
• To the Operations Manager
• GMP Accident/Incident Report Form

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Infection Control

• Staff Immunization
• GMP identification of high risk population.
• Patient and Staff Education on Infection
  Prevention and Control.
• Infection Control Procedures such as Contaminated
  Equipment Handling

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Infection Control, Cont.

• Identification of infectious condition prior
  acceptance of referral and/or home visit.
• GMP staff identification of basic symptoms during
  equipment set-up or follow-up visit.
• Emergency Exposure Procedures

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Dirty/Contaminated Equipment Handling Procedures

• All GMP vehicles are to be inspected prior to
  departure for appropriate curbside disinfecting
  supplies.
• Prior to entering a patients home take universal
  precautions. (wear your gloves)
• All equipment being removed from a suspected
  contaminated environment shall be subjected to
  curbside disinfections.

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Contaminated Equipment Handling Procedures
Cont.

• All single use or disposable items are to be
  disposed of as hazardous waste.
• All contaminated equipment returned to GMP
  facilities are to be Red Tagged as dirty
  equipment even if a curb side cleaning has taken
  place.
• All GMP staff should wash or sanitize their hands
  before entering and when leaving a patients
  home.

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Exposure Procedures

• Staff who have been exposed to an infectious
  disease or who have been diagnosed as having an
  infectious disease must
• Report to the Operations Manager as soon as
  possible.
• If the exposure is work related, an
  Accident/Incident Report must be completed.
• See next slide

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Most Common Infectious Conditions

• Influenza
• Measles, Chickenpox
• Conjunctivitis
• Diphtheria
• Gastroeneritis
• Hepatitis A,B,C
• Human Immuno-deficiency virus
• Herpes simplex virus

• Meningococcal Disease
• Pertussis
• Polio
• Rabies
• Scabies and Pediculosis
• Staphylococca
• TB

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Exposure Procedures, cont.

• The Operations Manager will follow CDC guidelines
  in determining the appropriate work restrictions,
  if any.
• GMP must receive a medical report from your
  doctor related to any infectious condition
  contracted by Staff.
• Staff who knowingly compromise the health and
  safety of other staff or patients by not
  reporting a contracted infectious condition are
  subject to disciplinary action.

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Infection Control Training

• New employees must demonstrate proficiency in
  Infection Control and Prevention before having
  contact with patients or handling equipment.
• Annual, documented training and competence
  testing as required by OSHA and other agencies on
  the following Infection Control topics
• Infectious Disease Prevention and Control
• Bloodborne Pathogen and Bio-Hazardous Waste
• Tuberculosis Symptoms and Precautions

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CDC
Joint Commission
OSHA
FDA
GMP
There are lots of people we have to satisfy.
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Summary

• The Infection Control Program is located in the
  GMP Policy and Procedure Manual. It establishes
  policies and procedures to assure the safety of
  all GMP staff and patients from contracting an
  infectious disease.
• All GMP staff having contact with patients or
  returning equipment must demonstrate competency
  in Infection Control topics.

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Where to Get More Information

• GMP Policy and Procedure Manual
• The Infection Control Program Handout
• Your supervisor
• Annual retraining sessions
• In-Service
• Articles and electronic resources from the GMP
  Resource Library