{"id":1553,"date":"2024-09-26T18:28:52","date_gmt":"2024-09-26T22:28:52","guid":{"rendered":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/chapter\/infection-prevention-and-control-practices-2\/"},"modified":"2024-09-26T19:41:40","modified_gmt":"2024-09-26T23:41:40","slug":"infection-prevention-and-control-practices","status":"publish","type":"chapter","link":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/chapter\/infection-prevention-and-control-practices\/","title":{"raw":"2.3 Infection Prevention and Control Practices","rendered":"2.3 Infection Prevention and Control Practices"},"content":{"raw":"<span lang=\"EN-US\">[pb_glossary id=\"531\"]Infection prevention and control (IPAC)[\/pb_glossary] <\/span><span lang=\"EN-US\">practices are evidence-based procedures and practices that can prevent and reduce disease transmission, and eliminate sources of potential infections (PIDAC, 2012). When used consistently, IPAC practices will prevent the t<\/span><span lang=\"EN-US\">ransfer of <\/span><span lang=\"EN-US\">[pb_glossary id=\"580\"]health care associated infections (HAIs)[\/pb_glossary] <\/span><span lang=\"EN-US\">in all health care settings. HAIs, previously called nosocomial infections, are infections that occur <\/span><span lang=\"EN-US\">in any health care setting as a result of contact with a pathogen that was not present at the time the person infected was admitted (World Health Organization, 2009a).<\/span>\r\n\r\n<span lang=\"EN-US\">Two types of techniques are used to prevent infection in the hospital setting. The first, <\/span><span lang=\"EN-US\">[pb_glossary id=\"537\"]medical asepsis[\/pb_glossary]<\/span><span lang=\"EN-US\">\u00a0or clean technique, has been used in the past to describe measures for reducing and preventing the spread of organisms (Perry, Potter &amp; Ostendorf, 2014). The second, <\/span><span lang=\"EN-US\">[pb_glossary id=\"535\"]sterilization[\/pb_glossary]<\/span><span lang=\"EN-US\">, also known as sterile asepsis, is a strict technique to eliminate all microorganisms from an area (Perry et al., 2014). When a patient\/client is suspected of having or is confirmed to have certain pathogens or clinical presentations, additional precautions are implemented by the health care worker in addition to routine practices (PIDAC, 2012). These additional precautions are based on how an infection is transmitted, such as by contact, droplet, or air.<\/span>\r\n\r\n<span lang=\"EN-US\">Additional precautions use <\/span><span lang=\"EN-US\">[pb_glossary id=\"579\"]personal protective equipment (PPE)[\/pb_glossary]<\/span><span lang=\"EN-US\">, such as gowns, eyewear, face shields, and masks, along with environmental controls to prevent transmission of infection. To reduce and prevent the spread of HAIs, a system of recommended IPAC routine practices are to be used consistently with all patients\/clients at all times in all health care settings (Public Health Agency of Canada, 2012b). The principles of routine practices are based on the premise that all patients\/clients are potentially infectious, even when asymptomatic, and IPAC routine practices should be used to prevent exposure to blood, body fluids, secretions, excretions, mucous membranes, non-intact skin, or soiled items (PIDAC, 2012).\u00a0<\/span>\r\n<h1>Principles of\u00a0Asepsis<\/h1>\r\n<p style=\"font-weight: 400; text-align: justify;\">When providing care and even cleaning, the Health Care Assistant should always work from clean to dirty to prevent the spread of microorganisms. For example, in bathrooms clean the toilet last. If the toilet is cleaned first, microorganisms will spread over everything else in the room that the cleaning cloth or hands touch. Cleaning should also progress from far to near and\/or top to bottom to prevent the spread of microorganisms. These same principles apply to the personal care provided to clients. As an example, if you are washing a client's face, start with the inner of the eye farthest away from you.<\/p>\r\n\r\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">Key Takeaways \u2014 Principles of Asepsis<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<p style=\"text-align: left;\">When providing care, follow the principle of asepsis and work from:<\/p>\r\n\r\n<ul>\r\n \t<li style=\"text-align: left;\"><strong>Clean to dirty. <\/strong>Start with the cleanest parts first.<\/li>\r\n \t<li style=\"text-align: left;\"><strong>Far to near. <\/strong>Start from part farthest away from you.<\/li>\r\n \t<li style=\"text-align: left;\"><strong>Top to bottom. <\/strong>Start at the head and work down.<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>","rendered":"<p><span lang=\"EN-US\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_1553_531\">Infection prevention and control (IPAC)<\/a> <\/span><span lang=\"EN-US\">practices are evidence-based procedures and practices that can prevent and reduce disease transmission, and eliminate sources of potential infections (PIDAC, 2012). When used consistently, IPAC practices will prevent the t<\/span><span lang=\"EN-US\">ransfer of <\/span><span lang=\"EN-US\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_1553_580\">health care associated infections (HAIs)<\/a> <\/span><span lang=\"EN-US\">in all health care settings. HAIs, previously called nosocomial infections, are infections that occur <\/span><span lang=\"EN-US\">in any health care setting as a result of contact with a pathogen that was not present at the time the person infected was admitted (World Health Organization, 2009a).<\/span><\/p>\n<p><span lang=\"EN-US\">Two types of techniques are used to prevent infection in the hospital setting. The first, <\/span><span lang=\"EN-US\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_1553_537\">medical asepsis<\/a><\/span><span lang=\"EN-US\">\u00a0or clean technique, has been used in the past to describe measures for reducing and preventing the spread of organisms (Perry, Potter &amp; Ostendorf, 2014). The second, <\/span><span lang=\"EN-US\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_1553_535\">sterilization<\/a><\/span><span lang=\"EN-US\">, also known as sterile asepsis, is a strict technique to eliminate all microorganisms from an area (Perry et al., 2014). When a patient\/client is suspected of having or is confirmed to have certain pathogens or clinical presentations, additional precautions are implemented by the health care worker in addition to routine practices (PIDAC, 2012). These additional precautions are based on how an infection is transmitted, such as by contact, droplet, or air.<\/span><\/p>\n<p><span lang=\"EN-US\">Additional precautions use <\/span><span lang=\"EN-US\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_1553_579\">personal protective equipment (PPE)<\/a><\/span><span lang=\"EN-US\">, such as gowns, eyewear, face shields, and masks, along with environmental controls to prevent transmission of infection. To reduce and prevent the spread of HAIs, a system of recommended IPAC routine practices are to be used consistently with all patients\/clients at all times in all health care settings (Public Health Agency of Canada, 2012b). The principles of routine practices are based on the premise that all patients\/clients are potentially infectious, even when asymptomatic, and IPAC routine practices should be used to prevent exposure to blood, body fluids, secretions, excretions, mucous membranes, non-intact skin, or soiled items (PIDAC, 2012).\u00a0<\/span><\/p>\n<h1>Principles of\u00a0Asepsis<\/h1>\n<p style=\"font-weight: 400; text-align: justify;\">When providing care and even cleaning, the Health Care Assistant should always work from clean to dirty to prevent the spread of microorganisms. For example, in bathrooms clean the toilet last. If the toilet is cleaned first, microorganisms will spread over everything else in the room that the cleaning cloth or hands touch. Cleaning should also progress from far to near and\/or top to bottom to prevent the spread of microorganisms. These same principles apply to the personal care provided to clients. As an example, if you are washing a client&#8217;s face, start with the inner of the eye farthest away from you.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">Key Takeaways \u2014 Principles of Asepsis<\/p>\n<\/header>\n<div class=\"textbox__content\">\n<p style=\"text-align: left;\">When providing care, follow the principle of asepsis and work from:<\/p>\n<ul>\n<li style=\"text-align: left;\"><strong>Clean to dirty. <\/strong>Start with the cleanest parts first.<\/li>\n<li style=\"text-align: left;\"><strong>Far to near. <\/strong>Start from part farthest away from you.<\/li>\n<li style=\"text-align: left;\"><strong>Top to bottom. <\/strong>Start at the head and work down.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_1553_531\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_1553_531\"><div tabindex=\"-1\"><p>Evidence-based procedures and practices that, when used consistently in a health care setting, can prevent and reduce disease transmission, eliminate sources of potential infections, and prevent the transfer of pathogens from one person to another.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_1553_580\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_1553_580\"><div tabindex=\"-1\"><p>Infections that develop as a result of contact with a pathogen in the health care setting or from a health care worker, that was not present at the time of admission. Also known as a nosocomial infection.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_1553_537\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_1553_537\"><div tabindex=\"-1\"><p>The procedures to reduce the number of microorganisms and prevent their spread. Also known as clean technique.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_1553_535\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_1553_535\"><div tabindex=\"-1\"><p>A process that destroys or eliminates all forms of microbial life and is carried out in health care facilities by physical or chemical methods. It includes a set of specific practices and procedures performed to make equipment and areas free from all microorganisms and to maintain that sterility. Also known as sterile asepsis.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_1553_579\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_1553_579\"><div tabindex=\"-1\"><p>Clothing or equipment worn to protect against hazards.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":123,"menu_order":3,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[50],"contributor":[],"license":[],"class_list":["post-1553","chapter","type-chapter","status-publish","hentry","chapter-type-numberless"],"part":43,"_links":{"self":[{"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/chapters\/1553","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/wp\/v2\/users\/123"}],"version-history":[{"count":3,"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/chapters\/1553\/revisions"}],"predecessor-version":[{"id":1867,"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/chapters\/1553\/revisions\/1867"}],"part":[{"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/parts\/43"}],"metadata":[{"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/chapters\/1553\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/wp\/v2\/media?parent=1553"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/pressbooks\/v2\/chapter-type?post=1553"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/wp\/v2\/contributor?post=1553"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/opentextbc.ca\/hcalabtheoryandpractice\/wp-json\/wp\/v2\/license?post=1553"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}