ENVIRONMENTAL AND PATIENT/THERAPIST SAFETY
Jan 20, 2016
ENVIRONMENTAL AND
PATIENT/THERAPIST SAFETY
Preparation for Patient Care
• Preparing clear patient care environment/ room
• Preparation of the treatment area for the next patient at the end of each patient treatment
• Risk Management• Maintenance of the treatment area• Prior to patient treatment
Aseptic Techniques
• CDC guidelines (Center for Disease Control and Prevention)
• Microorganism transmission barriers/isolation • Transmission-based precautions• Modes of transmission
• Contact transmission• Droplet transmission• Airborne transmission• Common vehicle transmission• Vectorborne transmission.
Precautions
• Isolation precaution• administrative controls
• Education• Adherence to precautions
• Standard Precautions (prevents clinician to become a vectorborne)• Universal precaution + body substance isolation + all
body fluids may contain transmissible infectious agents.• Includes: hand hygiene, gloves, gown, mask, eye
protection/face shield and safe injection practices.
New elements of standard precautions
• Respiratory hygiene/cough etiquette• Cover mouth and nose with tissue when
sneezing/coughing• Safe injection practices
• Proper disposal of needles in the sharp containers and disinfected needle sites
• Use of masks for insertion of catheters or injection of material into spinal or epidural spaces via lumbar puncture procedures
Standard Precautions • Hand Hygiene
• Hand wash• rubbed vigorously during 20 seconds with
special attention paid to the backs of the hands, wrists, between the fingers, and under fingernails.
• Rinse the hands well while leaving the water running as well as drying with a single-use towel
• Turn off the water with a paper towel and prevent re-contamination
Personal Protective equipment (PPE)
• Where to wear and where to discard it• Gloves
• sterile techniques • nonsterile techniques
• Gowns (prevent splash and soil clothing)
When in direct contact with patients• Mask/goggles/face shields
Personal Protective equipment (PPE) – cont.
• Patient-care equipment and instruments/devices• Handling and transporting to follow the facilities’ P&P.• Wear PPE to clean an used or contaminated equipment.
• Care of the environment• To follow facilities’ P&P• Clean and disinfect surfaces that are likely to be
contaminated. In case of doubt, consider it contaminated.
• Textiles and laundry• Avoid agitation to prevent airborne contamination
Precautions Protocols
• For safety, we consider all patients are contaminated until proof the opposite. Therefore use standard precautions
• Contact – gowns and gloves done prior to enter the patient’s room and doff before exiting patient’s room.
• Patient transport – acute hospitals, LTAC, ECF
• Sterile Techniques.
Draping
• Covering a patient appropriately • Edge of sheets and towels must be secured • Hospital gowns, towels and bed sheets or
appropriate attire• Safety measures • Follow the specific policies of each facility• Transportation equipment
Case study 2
• This is Tom who was diagnosed with lymphedema to his LLE.
• Take his Vital Sign• Setup his intermittent
compression pump
• Preparation for Patient Care1
• Positioning/Draping2
Today’s Overview
Summary
• Take full advantage of your open labs and your instructor’s time
• Set realistic expectation• All competency exams are timed and
cues will be given for those who ask.• Practice, Practice, Practice
QUESTIONS?