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Infection Control In Home Care And Hospice / Edition 2
     

Infection Control In Home Care And Hospice / Edition 2

by Emily Rhinehart, Mary McGoldrick [Friedman]
 

ISBN-10: 0763740160

ISBN-13: 9780763740160

Pub. Date: 09/14/2005

Publisher: Jones & Bartlett Learning

An official publication of the Association for Professionals in Infection Control and Epidemiology, Inc. (APIC), the highly successful Infection Control in Home Care and Hospice helps home care providers assess the infection control needs of their organization, and develop home care infection and surveillance programs. The Second Edition has been thoroughly updated

Overview

An official publication of the Association for Professionals in Infection Control and Epidemiology, Inc. (APIC), the highly successful Infection Control in Home Care and Hospice helps home care providers assess the infection control needs of their organization, and develop home care infection and surveillance programs. The Second Edition has been thoroughly updated and revised with the latest CDC Guidelines on infection control in home care, including Hand Hygiene, Prevention of IV-related Infections, and the 2004 Isolation Guideline.

Product Details

ISBN-13:
9780763740160
Publisher:
Jones & Bartlett Learning
Publication date:
09/14/2005
Edition description:
2E
Pages:
245
Product dimensions:
8.40(w) x 10.80(h) x 0.60(d)

Table of Contents

Dedicationix
About the Authorsxi
Forewordxiii
Prefacexv
Chapter 1Infection Control as a Health Care Discipline1
Historical Perspective1
Infection Control Programs in the United States1
Epidemiology of Nosocomial Infection2
Status of Infection Control in Home Care and Hospice3
References5
Chapter 2The Infectious Disease Process7
Agent, Host, and Environment7
Types of Infection7
Normal Flora7
Chain of Infection8
Causative Agent8
Reservoir of Infection9
Portal of Exit11
Portal of Entry11
Mode of Transmission11
Contact Transmission11
Airborne Transmission12
Vehicle Transmission12
Vector Transmission12
Reducing the Risk of Infection12
Susceptible Host12
Intrinsic Risk Factors12
Extrinsic Risk Factors13
Impact of Home Care and Hospice Staff14
References14
Chapter 3Patient Care Practices15
Hand Hygiene15
Resident and Transient Microorganisms15
Hand Hygiene Terminology16
Indications for Handwashing and Hand Antisepsis17
When to Use Plain Soaps Versus Antiseptic Agents for Hand Hygiene17
Bar Soap Versus Liquid Soap18
Hand Hygiene Facilities18
Side Effects of Hand Hygiene19
Considerations When Purchasing Hand Hygiene Products19
Other Hand Hygiene Considerations19
Behavioral Aspects of Hand Hygiene19
Hand Hygiene Supplies Needed by Home Care Staff20
Using the Patient's Hand Hygiene Supplies20
Antiseptic Hand Rub20
Fire Hazards and Storage of Alcohol-Based Hand Rubs21
Assessment of the Patient and Home Environment22
Wound Care22
Clean Technique Versus Sterile Technique23
Selecting the "Right" Technique23
Wound Care Procedures24
Irrigating Solution Maintenance25
Preparing Irrigation Solutions in the Home25
Patient Education Related to Wound Care26
Reusing Equipment in the Home26
Urinary Tract Care26
Condom Catheter Drainage27
Indwelling Catheter Insertion and Replacement Frequency27
Catheter Maintenance28
Meatal Care28
Indwelling Catheter Irrigation28
Suprapubic Catheters28
Intermittent Catheterization29
Cleaning and Disinfecting Intermittent Urethral Catheters29
Cleaning and Disinfecting Urine Collection Tubing and Bags29
Specimen Collection29
Patient Education for Prevention of Urinary Tract Infection29
Respiratory Therapy and Infection Control30
Prevention of Health Care-Associated Bacterial Pneumonia30
Breathing Circuits30
Suctioning of Respiratory Tract Secretions30
Cleaning and Disinfecting Tracheal Suction Catheters31
Cleaning and Disinfecting the Inner Tracheal Cannula31
Cleaning and Disinfecting Respiratory Equipment and Supplies32
Other Measures to Prevent Respiratory Infection32
Preventing Aspiration33
Patient Education for the Prevention of a Respiratory Tract Infection33
Prevention and Control of Influenza33
Modifying the Host Risk for Infection Through Vaccination33
Enteral Therapy34
Cleaning Enteral Feeding Equipment and Supplies34
Patient Education Related to Enteral Therapy34
Post-Mortem Care34
Precautions for Handling the Deceased Body34
References35
Chapter 4Infection Control in Home Infusion Therapy37
Overview37
Causes of IV Central Line-Associated Infections38
Types of IV Catheters and Devices38
Peripheral Venous Catheters38
Midline Catheter39
Central Venous Catheters39
Hemodialysis Catheters40
Preventing Central Line-Associated Infections41
Selecting an Appropriate Catheter Insertion Site41
Peripheral Venous Access Site Selection41
Midline Venous Access and PICC Site Selection42
Selecting an Appropriate Type of Catheter42
Catheter Insertion43
Replacing IV Access Devices43
Removing IV Access Devices44
Replacing Administration Sets44
Needleless Intravascular Devices44
Replacing IV Solutions44
Catheter Site Care45
Skin Preparation45
Midline and Central Venous Catheter Dressing Changes45
Injection Cap Changes46
Filters46
Flushing the Catheter47
Culturing for Suspected Infusion-Related Infections47
TPN Administration48
Pediatric Patients48
Nonvascular Access Devices48
Epidural Catheter, Port, or Pump49
Intrathecal Catheter, Port, or Pump49
Blood Storage for Home Transfusions49
Blood Storage During Transport49
Blood Storage in the Patient's Home50
Infection Control in Pharmaceutical Services50
Pharmacy Sterile Compounding Requirements50
Medication Storage52
Storage and Transport of Parenteral Medications52
Medication Storage in the Patient's Home52
Preparation of Parenteral Medication in the Home52
Multidose Vials53
Nursing Care and Administration of Parenteral medications53
Patient and Caregiver Education53
References54
Appendix 4-ASummary of the USP-NF Chapter <797>57
Appendix 4-BSummary of the CDC's Guidelines for the Prevention of IV Access Device-Related Infections61
Chapter 5Infection Control in Pediatrics, Pets, and Preparation of Food65
Infection Control in Caring for Pediatric Patients65
Diapering a Child65
Cleaning and Disinfecting Diaper Changing Areas66
Cleaning and Disinfecting Clothing and Linen66
Cleaning and Disinfecting "Potty Training" Equipment66
Washing and Disinfecting Toys66
Preparing Infants' Bottles66
Preparing Infant Formula67
Animal-Assisted Activities and Animal-Assisted Therapy68
Animal-Assisted Activities68
Animal-Assisted Therapy68
Difference Between Animal-Assisted Activities and Animal-Assisted Therapy69
Transmission of Zoonotic Diseases69
Preparing the Patient's Meals71
Overview of Foodborne Illnesses71
Shopping for the Patient71
Food Storage in the Patient's Home76
Preparing the Patient's Food76
Cooking and Serving the Patient's Food77
Microwaving the Patient's Food77
What If the Patient's Power Goes Out?77
Immunocompromised Patients77
Health Department Warnings78
References78
Chapter 6Personal Protective Equipment and Staff Supplies79
Use of Personal Protective Equipment79
Needlestick Prevention Equipment79
Gloves79
Types of Gloves80
When to Wear Gloves80
When Gloves Should Be Changed or Removed80
Latex Allergies80
Preventing Allergic Reactions to Latex in the Workplace81
Masks, Respiratory Protection, Eye Protection, and Face Shields82
When to Wear a Mask82
Gowns82
Donning and Removing Personal Protective Equipment82
Resuscitation Equipment85
Patient Transport Outside the Home85
Staff Member Access to Personal Protective Equipment85
Training85
Nursing Supply Bag85
"Bag Technique"86
Bag Contents87
Infection Control Supplies87
References88
Chapter 7Multidrug-Resistant Organisms89
Basic Science: Bugs Versus Drugs89
How Are MDROs Acquired or Developed?90
Epidemiology of MDROs91
Identifying Patients with MDROs92
Managing Patients with MDROs in Home Care94
Education of Home Care and Hospice Staff96
References96
Chapter 8Isolation Precautions in Home Care99
Isolation Guidelines100
Standard Precautions100
Transmission-Based Precautions100
Airborne Isolation101
Droplet Precautions102
Contact Precautions104
Initial Assessment and Implementation of Precautions105
Informing Others of Isolation Precautions While Maintaining Patient Confidentiality106
Patient and Family Education Related to Isolation Precautions107
References107
Appendix 8-AType and Duration of Precautions for Selected Infections and Conditions109
Chapter 9Guidelines for Cleaning and Disinfection121
Spaulding's Scheme121
Definition of Terms121
Levels of Disinfection123
Governmental Oversight123
Cleaning and Disinfecting Patient Care Equipment124
How to Prepare a Bleach Disinfecting Solution125
Bleach Disinfecting Solution Storage125
Noncritical Item Disinfection Guidelines125
Disinfecting Guidelines for Cleaning Semicritical Items126
Disinfecting Guidelines for Critical Items126
Cleaning and Disinfecting Other Items in the Home128
Environmental Surfaces128
Linens and Laundry128
Dishes, Glasses, Cups, and Eating Utensils129
Storage of Medical Equipment and Supplies in the Home Care or Hospice Organization's Facility129
Storage of Medical Equipment and Supplies During Transport to and from the Patient's Home129
Storage of Medical Equipment and Supplies in the Patient's Home130
References130
Chapter 10Medical Waste Management131
Needle Stick Safety and Prevention Act131
Modifications to the Bloodborne Pathogen Standard131
Devices with Engineered Sharps Injury Protection Features132
Definitions134
Segregation of Waste135
General Waste135
Medical Waste135
Sharps136
Waste Storage During Transport to the Home Care or Hospice Organization138
Separating Waste from Clean Equipment and Supplies138
Medical Waste Storage in the Home Care or Hospice Organization138
Medical Waste Transport139
Department of Transportation139
United States Postal Service139
OSHA Labeling Requirements139
Blood Spills in the Home140
Blood Spills on Carpeted Surfaces140
References141
Appendix 10-ANeedle Disposal143
Appendix 10-BStaff Education149
Appendix 10-CLancet Disposal153
Chapter 11Surveillance of Home Care-Acquired Infections163
Infection Surveillance163
Why Study Home Care-Acquired Infections?164
Assessment of the Population168
Selection of Outcomes or Processes for Measurement169
Developing Definitions for Home Care-Acquired Infections171
Data Collection Methods173
Period of Surveillance174
Defining Denominators174
Retrospective Versus Concurrent Data Collection174
Identifying Home Care-Acquired Infections177
Aggregation and Analysis of Infection Data177
Use of Data for Improvement of Patient Care183
Ongoing Measurement183
Validating Surveillance Data183
Use of Software for Surveillance184
Getting Started184
References184
Chapter 12Outbreak Investigations187
What Is an O

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