RUSMAWATI KHOSIM

(INFECTION CONTROL NURSE)

INSTITUT JANTUNG NEGARA
Your Heart…Our Passion
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(IPSG 5)title style INSTITUT JANTUNG NEGARA
National Heart Institute
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National Heart Institute
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National Heart Institute
INFECTION
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National Heart Institute

All clinical area Out patient and Engineering and

(ward, ICU, emergency Facilities
CCU, Renal unit) department department

Non Invasive
Pharmacy Laboratory Cardiac Lab and
ICL

OT CSSD Kitchen

Mortuary
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HEALTH to edit
CARE Master title INFECTION
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National Heart Institute

Blood
stream
Infection

Surgical Site Healthcare

Associated Pneumonia
Infection Infection

Urinary
Tract
Infection
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National Heart Institute

INFECTION CONTROL
AND
CSSD
CENTRAL STERILE
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Master DEPARTMENT
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National Heart Institute

X
Instrument
Processing

Prolong Increased
Cause
hospital Hospital
death
Stay cost
 CHAIN
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National Heart Institute

Infectious
Agent

Susceptible
Reservoir
host

Portal Mode
of of
entry escape

Mode of
transmission
 CHAIN
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Infectious agent

Prion Parasite Bacteria Virus Fungi

 CHAIN
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Reservoir
Places where the micro organism able to multiply
 CHAIN
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Mode of escape/Portal of entry

microorganism leave the reservoir, commonly by
respiratory, genitourinary, skin or mucous
membrane
 CHAIN
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National Heart Institute

Mode of transmission

Contact/hands Airborne Vector

 CHAIN
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National Heart Institute

Portal of entry

Digestion Wound Suction Lines

 CHAIN
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Immune
Invasive Non intact
suppress
procedure skin
patient

Susceptible host
 BREAKING
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Leadership

Accountability Evidence based Continuous Training

guidelines and
regulation
incorporated into
policies and
procedures
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National Heart Institute

OR
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X
Infectious
Agent

Susceptible
host X
Reservoir

Portal Mode
of of
entry escape

Mode of
X
transmission
 Packaging
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National Heart Institute
 Packaging
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National Heart Institute

Inspection
 Packaging
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Packing
 Packaging
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FIFO
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X
Infectious
Agent

Susceptible
host X
Reservoir

Portal Mode
of of
entry escape

Mode of
X
transmission
Sterilizer: Daily
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Autoclave:

Every morning
Before first
load/test
Sterilization: Monitoring
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 Sterilization
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X
Infectious
Agent

Susceptible
host X
Reservoir

Portal Mode
of of
entry escape

Mode of
X
transmission
ClickCDC reported…..
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National Heart Institute

Disinfection and
Surgical site sterilization- surgical
infections are the and medical
most common instruments do not
adverse event for transmit infectious
surgical patients pathogens to
patients

CDC
 ACCREDITATION
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Training Staffing

Standardization

Safety Environment
 ACCREDITATION
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Training
Orientation, training and competency of the HCW who
process medical equipment, devices and supplies
 ACCREDITATION
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National Heart Institute

Staffing
Levels of staffing and supervision of HCW who process
medical equipment, devices and supplies
 ACCREDITATION
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Standardization
Standardization of the process regardless of whether
it is centralized or decentralized
 ACCREDITATION
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Safety
•Continuous nursing education of the CSSD staff :
•Hand hygiene
•Personal Protective Equipment
•Spillage, waste, linen and needle stick
 ACCREDITATION
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National Heart Institute

Environment
Recording of the temperature and humidity in sterile store t
o ensure the sets are kept at the recommended level
Air sampling report after changing of hepa filter in
sterile store
 OurMaster
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National Heart Institute

• To ensure the nurses are following

the procedure of receiving and
returning the dirty sets to CSSD
Decontamination • Cleaning of used equipment are not
allowed to be done in the ward
(centralized cleaning in CSSD)

• To ensure the CSSD sets are

arranged according to FIFO
• Education on the importance of
Sterile Store hand hygiene before handling the
sterile sets.
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National Heart Institute

• Regular audit in the wards on the

storage of CSSD sets
• To ensure the sterile CSSD set are
Ward kept properly in the ward in a
dedicated cupboard

• Air sampling in CSSD sterile store

every time the hepa filter is changed.
• Regular audit on the environmental
Environment cleanliness of the CSSD working area
by CSSD Infection Control Link Nurse
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National Heart Institute
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National Heart Institute
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National Heart Institute
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National Heart Institute
JCI
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INSTITUT JANTUNG NEGARA
National Heart Institute
JCI
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INSTITUT JANTUNG NEGARA
National Heart Institute
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National Heart Institute
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National Heart Institute

….THANK YOU