You are on page 1of 44

RUSMAWATI KHOSIM

(INFECTION CONTROL NURSE)


INSTITUT JANTUNG NEGARA
Your Heart…Our Passion
Click to edit Master
(IPSG 5)title style INSTITUT JANTUNG NEGARA
National Heart Institute
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute
INFECTION
Click to editCONTROL UNIT
Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

All clinical area Out patient and Engineering and


(ward, ICU, emergency Facilities
CCU, Renal unit) department department

Non Invasive
Pharmacy Laboratory Cardiac Lab and
ICL

OT CSSD Kitchen

Mortuary
Click
HEALTH to edit
CARE Master title INFECTION
ASSOCIATED style INSTITUT JANTUNG NEGARA
National Heart Institute

Blood
stream
Infection

Surgical Site Healthcare


Associated Pneumonia
Infection Infection

Urinary
Tract
Infection
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

INFECTION CONTROL
AND
CSSD
CENTRAL STERILE
Click to editSUPPLY
Master DEPARTMENT
title style INSTITUT JANTUNG NEGARA
National Heart Institute

X
Instrument
Processing

Prolong Increased
Cause
hospital Hospital
death
Stay cost
CHAIN
Click OFMaster
to edit INFECTION
title style INSTITUT JANTUNG NEGARA
National Heart Institute

Infectious
Agent

Susceptible
Reservoir
host

Portal Mode
of of
entry escape

Mode of
transmission
CHAIN
Click OFMaster
to edit INFECTION
title style INSTITUT JANTUNG NEGARA
National Heart Institute

Infectious agent

Prion Parasite Bacteria Virus Fungi


CHAIN
Click OFMaster
to edit INFECTION
title style INSTITUT JANTUNG NEGARA
National Heart Institute

Reservoir
Places where the micro organism able to multiply
CHAIN
Click OF INFECTION
to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

Mode of escape/Portal of entry


microorganism leave the reservoir, commonly by
respiratory, genitourinary, skin or mucous
membrane
CHAIN
Click OFMaster
to edit INFECTION
title style INSTITUT JANTUNG NEGARA
National Heart Institute

Mode of transmission

Contact/hands Airborne Vector


CHAIN
Click OFMaster
to edit INFECTION
title style INSTITUT JANTUNG NEGARA
National Heart Institute

Portal of entry

Digestion Wound Suction Lines


CHAIN
Click OFMaster
to edit INFECTION
title style INSTITUT JANTUNG NEGARA
National Heart Institute

Immune
Invasive Non intact
suppress
procedure skin
patient

Susceptible host
BREAKING
Click THE CHAIN
to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

Leadership

Accountability Evidence based Continuous Training


guidelines and
regulation
incorporated into
policies and
procedures
ClickDecontamination
to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

OR
ClickDecontamination
to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

X
Infectious
Agent

Susceptible
host X
Reservoir

Portal Mode
of of
entry escape

Mode of
X
transmission
Packaging
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute
Packaging
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

Inspection
Packaging
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

Packing
Packaging
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

FIFO
Click to edit Packaging
Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

X
Infectious
Agent

Susceptible
host X
Reservoir

Portal Mode
of of
entry escape

Mode of
X
transmission
Sterilizer: Daily
Click to edit Maintenance
Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

Autoclave:

Every morning
Before first
load/test
Sterilization: Monitoring
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute
Sterilization
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

X
Infectious
Agent

Susceptible
host X
Reservoir

Portal Mode
of of
entry escape

Mode of
X
transmission
ClickCDC reported…..
to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

Disinfection and
Surgical site sterilization- surgical
infections are the and medical
most common instruments do not
adverse event for transmit infectious
surgical patients pathogens to
patients

CDC
ACCREDITATION
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

Training Staffing

Standardization

Safety Environment
ACCREDITATION
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

Training
Orientation, training and competency of the HCW who
process medical equipment, devices and supplies
ACCREDITATION
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

Staffing
Levels of staffing and supervision of HCW who process
medical equipment, devices and supplies
ACCREDITATION
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

Standardization
Standardization of the process regardless of whether
it is centralized or decentralized
ACCREDITATION
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

Safety
•Continuous nursing education of the CSSD staff :
•Hand hygiene
•Personal Protective Equipment
•Spillage, waste, linen and needle stick
ACCREDITATION
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

Environment
Recording of the temperature and humidity in sterile store t
o ensure the sets are kept at the recommended level
Air sampling report after changing of hepa filter in
sterile store
OurMaster
Click to edit Role title style INSTITUT JANTUNG NEGARA
National Heart Institute

• To ensure the nurses are following


the procedure of receiving and
returning the dirty sets to CSSD
Decontamination • Cleaning of used equipment are not
allowed to be done in the ward
(centralized cleaning in CSSD)

• To ensure the CSSD sets are


arranged according to FIFO
• Education on the importance of
Sterile Store hand hygiene before handling the
sterile sets.
OurMaster
Click to edit Role title style INSTITUT JANTUNG NEGARA
National Heart Institute

• Regular audit in the wards on the


storage of CSSD sets
• To ensure the sterile CSSD set are
Ward kept properly in the ward in a
dedicated cupboard

• Air sampling in CSSD sterile store


every time the hepa filter is changed.
• Regular audit on the environmental
Environment cleanliness of the CSSD working area
by CSSD Infection Control Link Nurse
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute
JCI
ClickACCREDITATIONS
to edit Master title style
INSTITUT JANTUNG NEGARA
National Heart Institute
JCI
ClickACCREDITATIONS
to edit Master title style
INSTITUT JANTUNG NEGARA
National Heart Institute
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute
Click to edit Master title style INSTITUT JANTUNG NEGARA
National Heart Institute

….THANK YOU