Hospital IPC commitee ppt.pp tx

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1. HOSPITAL INFECTION PREVENTION & CONTROL COMMITTEES    IPC Focal Person

2. Presentation outline Objective of Facility IPC program Scenarios where there is no IPC program Composition of IPC committees Roles of IPC committee T ools for IPC committee: Review of select tools for IPC implementation in facilities Practicum/group works on: Filling of the IPC PPE compliance monitoring tool Filling of IPC measures daily checklist Performing IPC Risk assessment/Audit Formulation of IPC work plan Implementation of IPC measures in HC settings Scenarios where IPC program is working

3. Objectives of Facility IPC program Support HCWs Learn key concepts on: Infection Prevention and control measures in view of COVID 19 disease How to limit germs entry into the Healthcare settings. How to apply the IPC measures in the various settings Personal protection as a healthcare worker Put in measures to monitor and track compliance to IPC protocols in Health care settings

4. Scenarios in Facilities without IPC program

5. Scenarios in Facilities without IPC program

6. Composition of IPC committee Membership will vary depending on the level of HFs The following officers will generally suffice for most HFs: Medical officer/Clinician(from TB clinic) Medical officer/Clinician(from OPD) Nurse Laboratory officer Public health officer Pharmacist/Pharm tech Waste handler/Support staff The facility in charge or the committee will elect one of the members to be the Facility IPC focal person

7. Routine Roles of the IPC committee Constitute/Reconstitute IPC committee Convene monthly IPC meetings Perform IPC Risk assessment/audit Based on the Risk audit findings, formulate IPC work plan Based on Risk assessment findings, institute QI projects to improve IPC Capacity building of HCWs on IPC protocols: CMEs Didactic trainings Perform regular audits on adherence/compliance to IPC measures/protocols Based on outcomes of IPC audits, institute corrective measures Work with facility I/Cs to streamline the patient flow that ensures all patients walk through the screening/triage Track inventory of IPC commodities/PPEs-use stock cards, issue forms Support the HCWs to undertake Risk assessment for COVID 19 exposure and confidentially keep the forms

8. T ools for implementing & tracking IPC measures IPC meeting minutes template: 2. Risk assessment/audit tool: 3. PPE Compliance monitoring tool(Hand hygiene/Masks use): 4. IPC measures daily checklist: 5. HCWs Risk assessment form:

9. Customising IPC measures in the HC settings 9 Key concepts in this guidance will help:  Limit how germs enter the facility.  Isolate symptomatic patients as soon as possible .  Protect health care personnel.

10. Customizing IPC measures in the HC settings 10 Setting Target personnel or patients Activity Type of PPE or procedure Screening Health care workers Preliminary screening not involving direct contact Use physical barriers( e.g. glass/plastic windows) Maintain spatial distance of at least 2m Don Surgical masks Use gloves as appropriate If the 2 m requirement is not possible provide a surgical mask to the patient Avail handwashing basins and soap Avail sanitizers Place IEC materials on prevention messages( eg Hand hygiene & coughing etiquette) Disinfectant( eg 0.5% bleach) prepared daily Make a routine disinfection schedule of all the surfaces( eg morning at start of work, afternoon, and evening at end of work) Disinfection should also be done any time there is reasonable feeling that the surfaces have come into contact with patients or equipment Patients without respiratory symptoms. Patients should be encouraged to put on home made masks Maintain spatial distance of at least 2 m Guided to observe hand hygiene, cough etiquette, and social distance

11. Customizing IPC measures in the HC settings 11 Setting Target personnel or patients Activity Type of PPE or procedure Triage Patients(with or without respiratory symptoms Seeking health services Patients should be encouraged to put on home made masks Maintain spatial distance of at least 2 m Guided to observe hand hygiene, cough etiquette, and social distance HCWs Triaging Maintain spatial distance of at least 2m Don Surgical masks Use gloves as appropriate If the 2 m requirement is not possible provide a surgical mask to the patient Avail handwashing basins and soap: Practice regular handwashing . Avail sanitizers Place IEC materials on prevention messages( eg Hand hygiene & coughing etiquette) Disinfectant( eg 0.5% bleach) prepared daily Make a routine disinfection schedule of all the surfaces( eg morning at start of work, afternoon, and evening at end of work) Disinfection should also be done any time there is reasonable feeling that the surfaces have come into contact with patients, equipment or spills Cleaners After and between consultations with patients with respiratory symptoms. Surgical mask Gown and Aprons Heavy duty gloves Eye protection (if risk of splash of organic mrl or chemical). Boots or closed work shoes

12. Customizing IPC measures in the HC settings 12 Setting Target personnel or patients Activity Type of PPE or procedure Outpatient/CCC Health care workers Consultations/Clinical examinations Maintain spatial distance of at least 2m Don Surgical masks Use gloves as appropriate If the 2 m requirement is not possible provide surgical mask to the patient Ensure room is adequate with enough ventilation Avail handwashing basins/stations and soap: Practice regular handwashing . Avail sanitizers Place IEC materials on prevention messages( eg Hand hygiene & coughing etiquette) Disinfectant( eg 0.5% bleach) prepared daily Make a routine disinfection schedule of all the surfaces( eg morning at start of work, afternoon, and evening at end of work) Disinfection should also be done any time there is reasonable feeling that the surfaces have come into contact with patients, equipment or spills Patients with or without respiratory symptoms. Seeking health services Patients should be encouraged to put on home made masks Maintain spatial distance of at least 2 m Guided to observe hand hygiene, cough etiquette, and social distance

13. Customizing IPC measures in the HC settings 13 Setting Target personnel or patients Activity Type of PPE or procedure Laboratory: Reception/Sample collection room Patients(with or without respiratory symptoms Seeking lab services Patients should be encouraged to put on home made masks Sitting arrangement for waiting patients should be pre marked at a distance of at least 2m Lab officers/Phlebotomists Sample collection Don Surgical masks Use Gloves: I glove per patient Avail handwashing basins/stations and soap: Practice regular handwashing & after attending to every patient. Avail sanitizers Place IEC materials on prevention messages( eg Hand hygiene & coughing etiquette) Disinfectant( eg 0.5% bleach) prepared daily Make a routine disinfection schedule of all the surfaces( eg morning at start of work, afternoon, and evening at end of work) Disinfection should also be done any time there is reasonable feeling that the surfaces have come into contact with patients, equipment or spills GeneXpert and AFB microscopy assays Don: N95 masks; 2. Gloves; 3. Gown; 4. Eye googles Cleaners Surgical mask Gown and Aprons Heavy duty gloves Eye protection (if risk of splash of organic mrl or chemical). Boots or closed work shoes

14. Scenarios in Facilities where IPC program is working

15. Scenarios in Facilities where IPC program is working A working waste management program in a HF Tracking of hand hygiene adherence/compliance by cadre

16. Available resources and references Ministry of health, Kenya: Interim Infection Prevention and Control Recommendations for Coronavirus Disease 2019 (COVID-19) in Health Care Settings (27 th March 2020) Interim guidelines on management of COVID-19 in Kenya : Infection Prevention and Control (IPC) and Case Management (26 th March 2020) COVID-19 consolidated training package for HCWs https ://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novel-coronavirus-(ncov)-infection-is-suspected-20200125 https ://apps.who.int/iris/bitstream/handle/10665/331215/WHO-2019-nCov-IPCPPE_use-2020.1-eng.pdf Centers for Disease Control and Prevention. ‘2019 Novel coronavirus, Wuhan, China. Information for Healthcare Professionals.’ https://www.cdc.gov/Coronavirus/2019- nCoV /hcp/index.html Ministry of Health Kenya. ‘Press statement on the update of Coronavirus in the Country at 29 th March, 2020.’ http:// www.health.go.ke WHO. ‘WHO Director Generals opening remarks at a media briefing on COVID 19 on 11 th March 2020.’ https:// www.who.int/dg/speeches/detail/who-director-general-s- WHO. ‘WHO Director Generals opening remarks at a media briefing on COVID 19 on 11 th March 2020.’ https://www.who.int/dg/speeches/detail/who-director-general-s- opening-remarks-at-the-media-briefing-on-covid-19 11-march-2020 WHO. ‘Situation report - https://www.who.int/emergencies/diseases/novel-coronavirus- 2019 . WHO. ‘Coronavirus disease 19 (COVID 19) Situation Report 64’ https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200324- sitrep-64-covid-19.pdf?sfvrsn=703b2c40_2 16