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Ask an IPLearning and Communication SeriesSession 3-Core IP PracticesWednesday June 23rd, 2021Acute Communicable Disease Control ProgramLos Angeles County Department of Public Health
DisclosuresThere is no commercial support for today’s callNeither the speakers nor planners for today’s callhave disclosed any financial interests related to thecontent of the meetingThis call is meant for healthcare facilities and is offthe record and reporters should log off now1
DPH Infection Prevention TeamKiran Bhurtyal MD, MPHWalteena Brooks, LVNRachel Gibbs, RN, BSNLaurie Hensley-Wojcieszyn, MHA, CPHQ, LSSGGMarco Marquez, MPHHarriett Pitt, MS, RNAlisa Ritea, RN, BSNKrystal Smith, MScContact Us: LACSNF@ph.lacounty.gov2
Objectives Review the chain of infection and infection control concepts Describe the core infection prevention practices that must beused in all care settings, all the time Foster discussion among LA County Skilled Nursing Facilitiesabout infection control practices3
Chain of InfectionReference: ing/cna/infection-control/module2/Module 2 Chain of Infection4
Colonization and Infection Colonization presence of microorganisms on or in the body but without clinicalsigns or symptoms- does not need treatment Eg. Methicillin-Resistant Staphylococcus aureus (MRSA) in naresand wounds, C. difficile in GI tract, Candida auris in axilla/groin Infection characterized by isolation of microorganisms with clinicalexpression of diseases such as pneumonia, bloodstreaminfections, gastrointestinal infections, skin infections etc.- needtreatment. For IPC purposes, follow the same practices for colonizationand -conditions/health-care-associated-infections/ ro.pdf5
Core Infection Prevention s/CHCQ/HAI/CDPH%20Document%20Library/2019 2 CoreInfectionPreventionPractices Approved02.22.19.pdf (Slide 9)6
Infectious Agents (Pathogens) Bacteria Virus Fungi Parasites Protozoa Helminths 7
ReservoirI.Human May/may not show symptoms Measles, Mumps, Hepatitis B, Salmonella typhi etc.II. Animal Rabies (Bats, dogs), Anthrax (Sheep), Plague (Rodents), Ebola (Bats)III. Environmental Soil, Water, Plants Histoplasma (soil), Legionella (cooling units), Clostridium tetani (soil)Reference: on/8
Portal of Exit Open wounds/skinBody FluidsAerosolsMucous on/9
Mode of Transmission Direct Direct contact (skin to skin, kissing, sexual contact etc.) Droplet spread (Meningococcal infection, COVID-19 etc.) Indirect Airborne (Measles) Vehicle borne (through food, water, fomites etc.) Vector borne Flea (Yersinia pestis- Plague), Mosquito (Plasmodium - Malaria)Reference: tion10.html10
Portal of Entry Broken skin/incisionsRespiratory tractMucous membranesCatheters and tubing (invasive n/11
Susceptible HostAny person, including your residents, your visitors, on/12
Adherence Monitoring What isadherencemonitoring? Why should weuse adherencemonitoring? Why isadherencemonitoringimportant?1.: ocument%20Library/2019 2 CoreInfectionPreventionPractices Approved02.22.19.pdf13
What it takes? Infection Prevention training– CDPH - Infection Preventionist Training for Skilled Nursing Facilities OnlineCourse(free!) https://www.cdph.ca.gov/Programs/CHCQ/HAI/Pages/IP TrainingForSNFs OnlineCourse.aspx– CDC –Nursing Home Infection Preventionist Training Course tml Leadership1.: ocument%20Library/2019 2 CoreInfectionPreventionPractices Approved02.22.19.pdf14
Summary (Review)1.: ocument%20Library/2019 2 CoreInfectionPreventionPractices Approved02.22.19.pdf15
ProgrammingSessionDateCovered TopicsWeek 1Wednesday, June 9thProgram OverviewWeek 2Wednesday, June 16thOffice HoursWeek 3 (Today!)Wednesday, June 23rdCore IP PracticesWeek 4Wednesday, June 30thAPIC Annual Meeting (off)Week 5Wednesday, July 7thStandard and EnhancedPrecautionsWeek 6Wednesday, July 14thOffice HoursWeek 7Wednesday, July 21stContact and Contact SporeWeek 8Wednesday, July 28thOffice HoursWeek 9Wednesday, August 4th Droplet, AB, Novel RespiratoryWeek 10Wednesday,August 11thOffice Hours16
Questions17
Rachel Gibbs, RN, BSN Laurie Hensley-Wojcieszyn, MHA, CPHQ, LSSGG Marco Marquez, MPH. Harriett Pitt, MS, RN. Alisa Ritea, RN, BSN. Krystal Smith, MSc. Contact Us: LACSNF@ph.lacounty.gov 2. Objectives Review the chain of infection and infection control concepts Describe the core infection prevention practices that must be
