Infection Control in
Clinical Settings
1.
Students
and faculty will treat contact with tissues, blood and other body fluids
(e.g., semen, vaginal /rectal secretions, respiratory secretions,
cerebrospinal fluid, synovial fluid, pleural fluid,
periorbital fluid, peritoneal fluid, amniotic
fluid) from ALL clients as potentially infective.
2.
Faculty
will be knowledgeable of infection control policies of agencies in which they
supervise students and will monitor compliance with these policies by
students. Protection for students will include the following Universal
Precautions.
1.
Washing
hands before and after
contact with clients. Hands should be washed even if
gloves are used. If hands or other body areas come into
contact with tissues, blood or other body fluids, they should
immediately be washed with soap and water.
2.
Gloves (non sterile) - to be worn
to avoid direct contact with tissues, blood or other body fluids.
3.
Gowns or
Plastic Aprons -
recommended if blood or body fluid contact is anticipated.
4.
Masks
and Protective Goggles - should be worn when having contact with clients who are
coughing extensively or requiring suctioning, such as tracheal or via endotracheal tubes, wound irrigation, and postmortem
examination or whenever splashes, sprays, spatter or droplets of body fluids
are likely.
3.
Life
Threatening Conditions - acute respiratory distress or cardiopulmonary
arrest; with oral airway in place, client should be aerated with an Ambu-Bag or pocketbooks.
4.
Care of
Equipment/Specimens:
1.
Needles
and Syringes - should be
disposable and disposed of in a rigid, puncture resistant container. Needles should not be recapped, purposely bent, broken or cut.
These precautions are to prevent needle sticks.
2.
Blood
and Other Specimens -
should be obtained and handled in accordance with
the procedure established for blood and body fluid precautions (Hepatitis B)
within the health care facility. Contaminated specimen containers and
specimen spills should be disinfected according to the Center for Disease
Control guidelines for Hepatitis B/AIDS precautions; sodium hydrochloride
(household bleach) and water, dilution 1:10.
3.
Soiled
Linens - laundry and nondisposable articles contaminated with blood or body
fluids should be handled according to the procedure
established for blood and body fluid precautions (Hepatitis B/AIDS) within
the health care facility.
4.
Dishes/Silverware - for reusable items, no precautions are necessary.
Institutional dishwashing is sufficient.
5.
Surgical
and Invasive Client Care Equipment - if not disposable, should be sterilized before reuse.
6.
Gloves - when worn, should be
changed between clients. Health care workers should not reuse gloves.
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