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INFECTION PREVENTION ANDCONTROLPRACTICE HANDBOOKNot controlled if printed – Last updated January 2020
Clinical Excellence Commission 2020All rights are reserved. In keeping with the NSW Government's commitment to encouraging the availability, dissemination andexchange of information (and subject to the operation of the Copyright Act 1968), you are welcome to reproduce theinformation which appears in this publication, as long as the user of the information agrees to: use the document for information only save or print a single copy for personal use only and not to reproduce any major extract or the entire document except aspermitted under Copyright Act 1968 (as amended) without the prior written permission of the State of New South Wales acknowledge the source of any selected passage, table diagram or other extract reproduced not make any charge for providing the Information to another person or organisation without the prior written consent of theState of New South Wales and payment of an agreed copyright fee not modify the Information without the express prior written permission of the State of New South Wales include thiscopyright notice in any copy made: - Copyright – Clinical Excellence Commission for and on behalf of the Crown in right of the State of New South Wales.National Library of Australia Cataloguing-in Publication entryTitle: Infection prevention and control practice handbookISBN: 978-1-76000-381-4SHPN: (CEC) 160031Suggested citationClinical Excellence Commission, 2020, Infection prevention and control practice handbook. Clinical Excellence Commission, Sydney,Australia.Any enquiries about or comments on this publication should be directed to:Clinical Excellence CommissionLocked Bag 8Haymarket NSW 1240Phone: (02) 9269 5500Email: CEC-HAI@health.nsw.gov.auNot controlled if printed – Last updated January 2020
ACKNOWLEDGEMENTSInitial ContributorsJan Gralton, Iain Crawford, Dr Kate Clezy Evette Buono, Kate Callaghan, Ronald Govers, Nina Muscillo, AnneAxam, Paul Smollen, Paul Curtis - Clinical Excellence CommissionJane Rothman - HAI Steering Committee, Clinical Excellence CommissionCatriona Furlong - Health Protection NSWAmanda Elliott - Health and Education Training InstituteNicky Gilroy - Agency for Clinical Innovation (BMT Network)Kate Hipsley - NSW AmbulanceBruce Sanderson - Central Coast LHDWendy Hamilton - Justice Health and Forensic Mental Health NetworkLouise Bright, Alison Shoobert, John Ferguson - Hunter New England LHDBeth Bint, Annmaree Wilson - Illawarra Shoalhaven LHDChris Fraser - Nepean Blue Mountains LHDLeigh Boivin, Julie Hunt, Shayne Larymore - Northern Sydney LHDMelainie Ison, Barbara May, Poonam Nagrani, Lindy Ryan - Mid North Coast LHDSharon Maher - Murrumbidgee LHDMargaret Evans, Fiona Law, Kate Clezy- South Eastern Sydney LHDGenevieve Maguire - Southern NSW LHDHelen McCarthy, Jennifer Morrison, Donna Schmidt, Ravi Srinivas - South Western Sydney LHDMargaret Barker, Marilyn Harris, Jeana Nurmeiyati, Helen Parker- Sydney LHDDianne Dalton - Sydney Children’s Hospitals NetworkMeegan Connors - Western NSW LHDKathy Dempsey, Jo Tallon, Tracey Worthington, Lyn Gilbert - Western Sydney LHDOngoing update contributions provided by Joe-Anne Bendall, Amy Bisson, Kathy Dempsey, Carolyn Ellis, AndieLee, Susan Jain and subject matter experts from local health districts/specialty health networks and approvalprovided by the NSW Healthcare Associated Infection Expert Advisory Committee.iIPC Practice Handbook v3 – Update January 2020Not controlled if printed
CONTENTSINTRODUCTIONINITIAL CONTRIBUTORS. ICONTENTS . IIINTRODUCTION . 1PURPOSE . 1RELEVANT POLICIES . 1DEFINITIONS AND ABBREVIATIONS. 2MENTAL HEALTH, DRUG AND ALCOHOL . 71.1 THE RISK OF HEALTHCARE ASSOCIATED INFECTIONS . 131.2 MODES AND ROUTES OF TRANSMISSION . 151.2.1 CONTACT TRANSMISSION ROUTES. 151.2.2 DROPLET TRANSMISSION ROUTE . 151.2.3 AIRBORNE TRANSMISSION ROUTE. 161.3 COLONISATION . 161.4 INFECTION . 162.1 NATIONAL STANDARDS. 182.2 RISK MANAGEMENT FRAMEWORK . 19FIGURE 1. STEPS OF RISK MANAGEMENT, BASED ON THE NSW HEALTH RISK MANAGEMENT FRAMEWORK . 202.3 INFECTION PREVENTION AND CONTROL PROGRAM. 22TABLE 3. IPC CORE COMPONENTS . 222.3.1 ROLES AND RESPONSIBILITIES OF THE HEALTH WORKER (HW) . 232.4 PREVENTATIVE MAINTENANCE AND ASSET MANAGEMENT . 242.4.1 PURCHASING NEW EQUIPMENT. 242.4.2 REVIEW AND MAINTENANCE OF EXISTING EQUIPMENT. 252.4.3 DEMOLITION, REFURBISHMENT AND CONSTRUCTION . 25TABLE 4. IPC CONSTRUCTION CHECKLIST EXAMPLE . 262.5 STAFF HEALTH AND HAI RISK . 262.5.1 RISK ASSESSING HWS. 272.5.2 MANAGING HWS . 282.5.3 EXPOSURE PRONE PROCEDURES (EPPS) . 292.5.4 HW SCREENING AND VACCINATION . 292.5.5 HWS WITH CYSTIC FIBROSIS . 302.5.6 HWS WITH HERPES SIMPLEX VIRUS . 302.6 HEALTHCARE WORKER EDUCATION . 312.6.1 MANDATORY REQUIREMENTS. 312.6.2 LOCAL EDUCATION AND TRAINING. 312.7 CONSUMER/PATIENT/CARER EDUCATION . 312.7.1 EVALUATING THE DELIVERY OF INFORMATION TO CONSUMERS . 342.8 COMMUNICATION BETWEEN PROVIDERS . 343 RISK IDENTIFICATION OF HAIS. 363.1 RISK ASSESSING THE PATIENT. 37iiIPC Practice Handbook v3 – Update January 2020Not controlled if printed
3.2 RISK ASSESSING THE FUNCTIONAL AREA. 383.2.1 COMMUNITY SETTINGS. 383.2.2 AMBULANCE SETTINGS . 413.2.3 PATIENT TRANSPORT SETTINGS . 413.3 RISK ASSESSING VISITORS . 414 STANDARD PRECAUTIONS . 434.1 HAND HYGIENE . 454.1.1 HAND HYGIENE PRINCIPLES. 454.1.2 HAND WASH BASIN. 464.1.3 HAND HYGIENE PRODUCT SELECTION . 47TABLE 5. HAND HYGIENE PROCEDURES . 484.1.4 JEWELLERY AND ACCESS TO FOREARMS. 504.1.5 FINGERNAILS. 504.1.6 HAND CARE AND SKIN INTEGRITY . 504.1.7 HAND HYGIENE IN ORAL HEALTH SETTINGS . 514.1.8 HAND HYGIENE IN COMMUNITY AND HOME SETTINGS . 514.1.9 HAND HYGIENE IN JUSTICE HEALTH AND FORENSIC MENTAL HEALTH NETWORK SETTINGS . 514.1.10 PATIENT AND VISITOR HAND HYGIENE . 514.2 RESPIRATORY HYGIENE AND COUGH ETIQUETTE . 51TABLE 6. INDIVIDUAL AND HO RESPONSIBILITIES FOR RESPIRATORY HYGIENE AND COUGH ETIQUETTE. 524.3 PERSONAL PROTECTIVE EQUIPMENT . 534.3.1 GLOVES . 55TABLE 7. GLOVE SELECTION GUIDE FOR INFECTION PREVENTION AND CONTROL . 564.3.2 FACIAL PROTECTION . 57TABLE 8 TYPE OF FACE PROTECTION AND RECOMMENDED USE . 58TABLE 9 AS 4381: 2015 SINGLE USE SURGICAL FACE MASK STANDARD . 584.3.3 GOWNS AND APRONS . 59TABLE 10 PLASTIC APRONS/GOWNS RECOMMENDED USE AND CHARACTERISTICS . 60TABLE 11 AAMI LEVEL STANDARDS FOR GOWNS .
i IPC Practice Handbook v3 – Update January 2020 Not controlled if printed ACKNOWLEDGEMENTS Initial Contributors Jan Gralton, Iain Crawford, Dr Kate Clezy Evette Buono, Kate Callaghan, Ronald Govers, Nina Muscillo, Anne
