Infection control in home care and hospice /
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| Author / Creator: | Rhinehart, Emily. |
|---|---|
| Edition: | 2nd ed. |
| Imprint: | Sudbury, Mass. : Jones and Bartlett Publishers, c2006. |
| Description: | xvii, 245 p. : ill. ; 28 cm. |
| Language: | English |
| Subject: | |
| Format: | Print Book |
| URL for this record: | http://pi.lib.uchicago.edu/1001/cat/bib/5987845 |
Table of Contents:
- Dedication
- About the Authors
- Foreword
- Preface
- Chapter 1. Infection Control as a Health Care Discipline
- Historical Perspective
- Infection Control Programs in the United States
- Epidemiology of Nosocomial Infection
- Status of Infection Control in Home Care and Hospice
- References
- Chapter 2. The Infectious Disease Process
- Agent, Host, and Environment
- Types of Infection
- Normal Flora
- Chain of Infection
- Causative Agent
- Reservoir of Infection
- Portal of Exit
- Portal of Entry
- Mode of Transmission
- Contact Transmission
- Airborne Transmission
- Vehicle Transmission
- Vector Transmission
- Reducing the Risk of Infection
- Susceptible Host
- Intrinsic Risk Factors
- Extrinsic Risk Factors
- Impact of Home Care and Hospice Staff
- References
- Chapter 3. Patient Care Practices
- Hand Hygiene
- Resident and Transient Microorganisms
- Hand Hygiene Terminology
- Indications for Handwashing and Hand Antisepsis
- When to Use Plain Soaps Versus Antiseptic Agents for Hand Hygiene
- Bar Soap Versus Liquid Soap
- Hand Hygiene Facilities
- Side Effects of Hand Hygiene
- Considerations When Purchasing Hand Hygiene Products
- Other Hand Hygiene Considerations
- Behavioral Aspects of Hand Hygiene
- Hand Hygiene Supplies Needed by Home Care Staff
- Using the Patient's Hand Hygiene Supplies
- Antiseptic Hand Rub
- Fire Hazards and Storage of Alcohol-Based Hand Rubs
- Assessment of the Patient and Home Environment
- Wound Care
- Clean Technique Versus Sterile Technique
- Selecting the "Right" Technique
- Wound Care Procedures
- Irrigating Solution Maintenance
- Preparing Irrigation Solutions in the Home
- Patient Education Related to Wound Care
- Reusing Equipment in the Home
- Urinary Tract Care
- Condom Catheter Drainage
- Indwelling Catheter Insertion and Replacement Frequency
- Catheter Maintenance
- Meatal Care
- Indwelling Catheter Irrigation
- Suprapubic Catheters
- Intermittent Catheterization
- Cleaning and Disinfecting Intermittent Urethral Catheters
- Cleaning and Disinfecting Urine Collection Tubing and Bags
- Specimen Collection
- Patient Education for Prevention of Urinary Tract Infection
- Respiratory Therapy and Infection Control
- Prevention of Health Care-Associated Bacterial Pneumonia
- Breathing Circuits
- Suctioning of Respiratory Tract Secretions
- Cleaning and Disinfecting Tracheal Suction Catheters
- Cleaning and Disinfecting the Inner Tracheal Cannula
- Cleaning and Disinfecting Respiratory Equipment and Supplies
- Other Measures to Prevent Respiratory Infection
- Preventing Aspiration
- Patient Education for the Prevention of a Respiratory Tract Infection
- Prevention and Control of Influenza
- Modifying the Host Risk for Infection Through Vaccination
- Enteral Therapy
- Cleaning Enteral Feeding Equipment and Supplies
- Patient Education Related to Enteral Therapy
- Post-Mortem Care
- Precautions for Handling the Deceased Body
- References
- Chapter 4. Infection Control in Home Infusion Therapy
- Overview
- Causes of IV Central Line-Associated Infections
- Types of IV Catheters and Devices
- Peripheral Venous Catheters
- Midline Catheter
- Central Venous Catheters
- Hemodialysis Catheters
- Preventing Central Line-Associated Infections
- Selecting an Appropriate Catheter Insertion Site
- Peripheral Venous Access Site Selection
- Midline Venous Access and PICC Site Selection
- Selecting an Appropriate Type of Catheter
- Catheter Insertion
- Replacing IV Access Devices
- Removing IV Access Devices
- Replacing Administration Sets
- Needleless Intravascular Devices
- Replacing IV Solutions
- Catheter Site Care
- Skin Preparation
- Midline and Central Venous Catheter Dressing Changes
- Injection Cap Changes
- Filters
- Flushing the Catheter
- Culturing for Suspected Infusion-Related Infections
- TPN Administration
- Pediatric Patients
- Nonvascular Access Devices
- Epidural Catheter, Port, or Pump
- Intrathecal Catheter, Port, or Pump
- Blood Storage for Home Transfusions
- Blood Storage During Transport
- Blood Storage in the Patient's Home
- Infection Control in Pharmaceutical Services
- Pharmacy Sterile Compounding Requirements
- Medication Storage
- Storage and Transport of Parenteral Medications
- Medication Storage in the Patient's Home
- Preparation of Parenteral Medication in the Home
- Multidose Vials
- Nursing Care and Administration of Parenteral medications
- Patient and Caregiver Education
- References
- Appendix 4-A. Summary of the USP-NF Chapter
- Appendix 4-B. Summary of the CDC's Guidelines for the Prevention of IV Access Device-Related Infections
- Chapter 5. Infection Control in Pediatrics, Pets, and Preparation of Food
- Infection Control in Caring for Pediatric Patients
- Diapering a Child
- Cleaning and Disinfecting Diaper Changing Areas
- Cleaning and Disinfecting Clothing and Linen
- Cleaning and Disinfecting "Potty Training" Equipment
- Washing and Disinfecting Toys
- Preparing Infants' Bottles
- Preparing Infant Formula
- Animal-Assisted Activities and Animal-Assisted Therapy
- Animal-Assisted Activities
- Animal-Assisted Therapy
- Difference Between Animal-Assisted Activities and Animal-Assisted Therapy
- Transmission of Zoonotic Diseases
- Preparing the Patient's Meals
- Overview of Foodborne Illnesses
- Shopping for the Patient
- Food Storage in the Patient's Home
- Preparing the Patient's Food
- Cooking and Serving the Patient's Food
- Microwaving the Patient's Food
- What If the Patient's Power Goes Out?
- Immunocompromised Patients
- Health Department Warnings
- References
- Chapter 6. Personal Protective Equipment and Staff Supplies
- Use of Personal Protective Equipment
- Needlestick Prevention Equipment
- Gloves
- Types of Gloves
- When to Wear Gloves
- When Gloves Should Be Changed or Removed
- Latex Allergies
- Preventing Allergic Reactions to Latex in the Workplace
- Masks, Respiratory Protection, Eye Protection, and Face Shields
- When to Wear a Mask
- Gowns
- Donning and Removing Personal Protective Equipment
- Resuscitation Equipment
- Patient Transport Outside the Home
- Staff Member Access to Personal Protective Equipment
- Training
- Nursing Supply Bag
- "Bag Technique"
- Bag Contents
- Infection Control Supplies
- References
- Chapter 7. Multidrug-Resistant Organisms
- Basic Science: Bugs Versus Drugs
- How Are MDROs Acquired or Developed?
- Epidemiology of MDROs
- Identifying Patients with MDROs
- Managing Patients with MDROs in Home Care
- Education of Home Care and Hospice Staff
- References
- Chapter 8. Isolation Precautions in Home Care
- Isolation Guidelines
- Standard Precautions
- Transmission-Based Precautions
- Airborne Isolation
- Droplet Precautions
- Contact Precautions
- Initial Assessment and Implementation of Precautions
- Informing Others of Isolation Precautions While Maintaining Patient Confidentiality
- Patient and Family Education Related to Isolation Precautions
- References
- Appendix 8-A. Type and Duration of Precautions for Selected Infections and Conditions
- Chapter 9. Guidelines for Cleaning and Disinfection
- Spaulding's Scheme
- Definition of Terms
- Levels of Disinfection
- Governmental Oversight
- Cleaning and Disinfecting Patient Care Equipment
- How to Prepare a Bleach Disinfecting Solution
- Bleach Disinfecting Solution Storage
- Noncritical Item Disinfection Guidelines
- Disinfecting Guidelines for Cleaning Semicritical Items
- Disinfecting Guidelines for Critical Items
- Cleaning and Disinfecting Other Items in the Home
- Environmental Surfaces
- Linens and Laundry
- Dishes, Glasses, Cups, and Eating Utensils
- Storage of Medical Equipment and Supplies in the Home Care or Hospice Organization's Facility
- Storage of Medical Equipment and Supplies During Transport to and from the Patient's Home
- Storage of Medical Equipment and Supplies in the Patient's Home
- References
- Chapter 10. Medical Waste Management
- Needle Stick Safety and Prevention Act
- Modifications to the Bloodborne Pathogen Standard
- Devices with Engineered Sharps Injury Protection Features
- Definitions
- Segregation of Waste
- General Waste
- Medical Waste
- Sharps
- Waste Storage During Transport to the Home Care or Hospice Organization
- Separating Waste from Clean Equipment and Supplies
- Medical Waste Storage in the Home Care or Hospice Organization
- Medical Waste Transport
- Department of Transportation
- United States Postal Service
- OSHA Labeling Requirements
- Blood Spills in the Home
- Blood Spills on Carpeted Surfaces
- References
- Appendix 10-A. Needle Disposal
- Appendix 10-B. Staff Education
- Appendix 10-C. Lancet Disposal
- Chapter 11. Surveillance of Home Care-Acquired Infections
- Infection Surveillance
- Why Study Home Care-Acquired Infections?
- Assessment of the Population
- Selection of Outcomes or Processes for Measurement
- Developing Definitions for Home Care-Acquired Infections
- Data Collection Methods
- Period of Surveillance
- Defining Denominators
- Retrospective Versus Concurrent Data Collection
- Identifying Home Care-Acquired Infections
- Aggregation and Analysis of Infection Data
- Use of Data for Improvement of Patient Care
- Ongoing Measurement
- Validating Surveillance Data
- Use of Software for Surveillance
- Getting Started
- References
- Chapter 12. Outbreak Investigations
- What Is an Outbreak?
- Why Outbreaks Should Be Investigated and Reported
- Identifying the Cause of an Outbreak
- Steps in an Outbreak Investigation
- Control of an Outbreak
- Documentation of an Outbreak Investigation
- External Assistance
- Communication to Staff and Patients
- References
- Chapter 13. Planning for Occupational Health
- Recordkeeping
- Health Assessment and Immunizations
- Vaccine-Preventable Diseases
- Varicella
- Measles
- Rubella
- Diphtheria, Pertussis, and Tetanus
- Polio
- HBV Testing and Vaccination
- Assessment for Tuberculosis
- PPD Skin Testing
- Two-Step Testing
- Annual TB Skin Testing
- Influenza Vaccine
- Defining and Managing Exposures
- Varicella
- Measles, Rubella, Pertussis, Meningitis, and Hepatitis A
- Tuberculosis
- Agents of Bioterrorism
- Bloodborne Pathogens
- Work Restrictions
- Pregnant Staff Members
- References
- Appendix 13-A. CDC Recommendations for HIV Postexposure Prophylaxis
- Chapter 14. Developing and Maintaining an Infection Control Program
- Defining the Infection Control Program
- Designation of an Infection Control Program Manager
- JCAHO Accreditation and Infection Control
- Maintaining and Advancing the Infection Control Program
- References
- Index
