Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,slide,*,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,PART B,Physical,Barrier Protection,Personal Protective Equipment(PPE):,is,important and includes,Gloves,Masks,Eyewear,Gowns,1,GLOVES,Types,Clinical and Non-Clinical use,Types for clinical use,Sterile,single use for surgical procedures.,Non-sterile,single use;to protect the hands from contact with blood,saliva and body fluids.,Use,Change after each patient procedure,OR,during multiple procedures on same patient,2,Gloves,Types for non-clinical use,Reusable:,Latex,Non-latex(Nitrile,Neoprene),Use,Whilst reprocessing equipment and for housekeeping,cleaning chair,surfaces if contaminated by blood or body fluid,3,Single use Gloves,Examination gloves should be checked when donned,Changed when holed or torn,Hands must be washed or decontaminated when gloves removed,4,Single use Gloves,5,Single use,Latex,examination gloves,Advantages,of Latex gloves:,Economical,Flexible and elastic,easy to don and remove,Can double glove if required,6,Single use Latex surgical gloves,Excellent quality control,Can be worn for long periods of time,60 minutes or more before glove integrity is potentially changed,7,Single use,Non-latex,examination glovesNitrile examination gloves,Indications,Latex sensitivity for HCWs OR patient.,8,Single use,Non-latex examination glovesNeoprene examination gloves,Indications,Latex sensitivity for health care worker and patient,9,Single use Non latex surgical gloves-Neoprene gloves,Advantages,More elasticity than nitrile gloves,Excellent quality control,Easy to wear,Durable for long procedures,But,more expensive than nitrile gloves,10,Polyethylene“overgloves”,11,MASKS,Surgical mask.,Particulate filter N95,for airborne diseases.,A must,when a possibility of splashing or splattering of blood or other body fluids to the face.,Protection from Aerosol contamination.,12,Masks,Masks should be used to reduce the amount of droplets that will be inhaled during the operative procedure.,Masks should be replaced after each patient or at least every 30 minutes after donning to ensure the protective mechanism of the mask is not compromised.,13,MASKS DO,S&DONTS,DO:,Fit and wear according to manufacturer,s instructions,Cover both the mouth and nose,Remove ASAP if moist or soiled,Remove and discarded as soon as practicable after use,DON,T:,Touch the mask once on,Hang around neck,14,EYE PROTECTION,Optically clear and anti-fog,Close fitting,Shielded at the sides,15,GOWNS AND PLASTIC APRONS,Impermeable,water repellent gowns and/or plastic aprons protect the worker from contamination with blood and body substances.,Use for specific activity(do not leave on all day!).,Remove as soon as possible after contamination or use.,Bag for laundering or disposal.,16,17,Principles of infection control:Standard Precautions,Barrier Protection:,Environmental barriers,Clinical area should be clearly divided into,clean,clerical and dirty areas,.,Environmental barriers may be more effective than manual decontamination(cleaning),Environmental barriers can save time by,decreasing“change-over time”between patients.,Some viruses can survive in saline solution for as long as six days,18,Barriers on surfaces,What can be caught from a surface?,Head lice,Fungal organisms,SARS,MRSA,methicillin resistant staphylococcus aureus,19,When to use barriers on surfaces,Areas in the zone of contamination.,Difficult to clean areas.,20,Plastic bag,21,22,Barriers on surfaces,Difficult to clean areas,Spittoons can be difficult to clean,Patients often miss the spittoon and spit on floor or surrounding environment,especially if numb,Young children find it difficult to rinse and spit,23,Barriers on surfaces,Difficult to clean areas,Alternatives to a spittoon include:,Denture cup,A Funnel attached to the suction whereby the funnel can be removed after each patient,cleaned and sterilised,No rinsing,lavage with triple syringe and remove water with suction,24,Environmental cleaning,Foot controls,use limit contamination.,Floors should be easily washed,and made of impermeable material.,Carpet,should not,be used in a treatment area.,Neutral detergent,should be used for environmental cleaning;,Doesnt smear,Doesnt corrode equipment,25,THANK YOU,26,