Respiratory hygienecough etiquette: Instruct symptomatic persons and health

Policies and Procedures on Infection Control Ministry of Health Malaysia 16 Gown As per standard precautions For proceduresactivities likely to generate splashessprays of blood, body fluids, secretions and excretions Patient Transport Limit the movement and transport of the patient from the room to essential purposes only. If transport or movement is necessary, minimize patient dispersal of droplet nuclei by placing a surgical mask on the patient. Droplet Precautions Designed to prevent the transmission of diseases by large particle droplet particles 5 μm or dust particles containing the infectious agent. Unlike droplet nuclei, droplets are larger, do not remain suspended in the air, and do not travel long distances. They are produced when the infected patient talks, coughs, or sneezes, and during some procedures e.g., suctioning and bronchoscopy. A susceptible host may become infected if the infectious droplets land on the mucosal surfaces of the nose, mouth, or eye. Patient Placement No special air handling or ventilation required In descending order of preference; 1. Single room with en-suite bath 2. Single room 3. Cohort – place the patient in a room with a patients who has active infection with the same microorganism but with no other infection. 4. In the general ward, but maintain a spatial separation of at least 3 feet between infected patient and other patients and visitors. Place an isolation trolleytray at the entrance of the isolation zone. Respiratory protection Wear mask when working within 3 feet of the patient. If placed in a single room, wear mask before entering the room. Face shieldeye As per standard precautions protection For proceduresactivities likely to generate splashessprays of blood, body fluids, secretions and excretions Gloves and Hand As per standard precautions washing When touching blood, body fluids secretions, excretions, contaminated items, mucous membranes, non intact skin Policies and Procedures on Infection Control Ministry of Health Malaysia 17 Gown As per standard precautions For proceduresactivities likely to generate splashessprays of blood, body fluids, secretions and excretions Patient Transport Limit the movement and transport of the patient from the room to essential purposes only. If transport or movement is necessary, minimize patient dispersal of droplet nuclei by placing a surgical mask on the patient. Contact Precautions Used to prevent the transmission of epidemiologically important organisms from an infected or colonized patient through direct touching the patient or indirect touching contaminated objects or surfaces in the patient’s environment contact. Patient Placement In descending order of preference; 1. Single room with en-suite bath 2. Single room 3. Cohort – place the patient in a room with a patients who has active infection with the same micro organism but with no other infection. 4. In the general ward with an isolation traytrolley beside the bed. Respiratory protection As per standard precautions For proceduresactivities likely to generate splashessprays of blood, body fluids, secretions and excretions Face shieldeye As per standard precautions protection For proceduresactivities likely to generate splashessprays of blood, body fluids, secretions and excretions Gloves and Hand In addition to Standard Precautions, wear gloves clean, non- sterile gloves are adequate when entering the room. During the course of providing care for a patient, change gloves after having contact with infective material that may contain high concentrations of microorganisms fecal material and wound drainage. Remove gloves before leaving the patient’s environment and wash hands immediately with soap or a waterless antiseptic agent. washing