Transcript Document

Seasonal Influenza
2009-2010
and
Hand Hygiene Modules
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Why should I be concerned about influenza?
 I work with cancer patients.
 I care about people.
 My patients, my family, my co-workers can get the flu
from me if I am not vaccinated.
 Working with people with illness puts me at higher
risk for infection.
 Preventing influenza can save lives.
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What is Influenza?
 Influenza, also known as the flu, is a contagious viral
illness that targets the respiratory tract (nose, throat,
airways & lungs).
 Influenza can cause serious complications, including
pneumonia and death.
 The flu is the most frequent cause of vaccinepreventable death in the US.
Causes 36,000 deaths per year and 200,000
hospitalizations per year
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How do I know it is the Influenza?
 Infection usually has a sudden onset, lasting about a
week, and may cause some of the following
symptoms:
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fever
headache
aching muscles & physical discomfort
dry cough
sore throat
runny nose
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“I think I just have a cold”
Symptoms
Common Cold
Influenza
Fever
Not typical
Common; may be high
Body Aches
Mild
Common; may be severe
Headache
Not typical
Common
Fatigue/weakness
Mild
Common
Stuffy nose/ sneezing
Common
Sometimes
Sore Throat
Common
Sometimes
Cough
Mild to moderate
Common; may be severe
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How is influenza spread?
 The virus is easily spread from one person to another
through droplets formed when coughing or sneezing.
 It can also be spread from hand to hand contact or by
touching a surface that might be contaminated with
infected droplets.
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When is someone contagious?
 Persons with the flu should be considered contagious
for up to seven days after symptoms start.
 In some cases, it may be possible for flu to be
transmitted even the day before symptoms are
noticed.
No
Symptoms/
Contagious
Monday
Sick/
Contagious
Tuesday
Sick/
Contagious
Wednesday
Sick/
Contagious
Thursday
Sick/
Contagious
Friday
Sick/
Contagious
Saturday
Sick/
Contagious
Sunday
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Flu Prevention at Work & Home
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Get vaccinated (flu shot)
Clean your hands frequently
Avoid touching your eyes, nose & mouth
Keep surfaces disinfected
 Wipe down keyboards, telephones, doorknobs & other
shared surfaces with antiseptic wipes
 Respiratory Etiquette: Cover your mouth & nose when you
cough or sneeze
 Cough or sneeze into a tissue
 No tissue??? Cough or sneeze
into your sleeve
 Now clean your hands
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What is the “Flu Shot” and “Who
should get it?”
 Inactivated (not live) virus is injected, usually in the upper
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arm.
ALL PERSONS WORKING IN HEALTH CARE SETTINGS
Children between 6 mos. and 19 yrs of age
People over 50 yrs of age
People with certain chronic health conditions
Family members caring for someone at risk
of complications from the flu
Pregnant women
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Is the Flu Shot Effective?
 Yes!! the effectiveness of the annual flu shot has
been scientifically established.
 Effectiveness depends on the match between the
vaccine and which strain of virus circulates during the
flu season.
 Even when the match is not optimal, the flu shot is
still effective in preventing illness.
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How does the influenza vaccine work?
 Within 2 weeks, your body’s defenses produce
antibodies against the influenza virus.
 If you get the flu, you are far less likely to become
infected, and if infected, would experience milder
symptoms.
Monday
Tuesday
FLU SHOT
Monday
Wednesday
IMMUNITY
Tuesday
Wednesday
IMMUNITY
Thursday
Friday
Saturday
Sunday
Saturday
Sunday
DEVELOPING
Thursday
Friday
DEVELOPING
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When should I get vaccinated?
 The best time to get
vaccinated is October or
November.
 But even later in the
October
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Sat
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season, the vaccine still
provides protection.
November
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Reminding our Visitors
 Keeping our patients safe also means reminding
our visitors about signs and symptoms of the flu.
 There is signage posted at the entrance of all
inpatient units and in Ambulatory waiting rooms.
 The reminder tells visitors to postpone their visit
if they have flu-like symptoms
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Hand Hygiene Stands…
New At Karmanos
•Are located at main
entrance, Ambulatory
waiting rooms, Infusion
Center and Farmington
Hills location
•The new stands
promote Flu Prevention
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Flu Myth #1
 The flu is no worse than a bad cold
FALSE
 Influenza is more severe and dangerous than the
common cold. The flu can lead to pneumonia and
death.
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Flu Myth #2
 The flu shot can give you the flu
FALSE
 The vaccine contains inactivated influenza, and cannot
cause the flu.
 It is possible to experience certain uncomfortable side
effects such as soreness at the site of injection, mild fever,
body aches or headache.
 If these side effects do occur, they are mild and short-lived
in comparison with the actual flu, and are NOT
contagious.
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Flu Myth #3
 Only old people & those who are sick need a flu
shot
FALSE
 Anyone who cannot afford to get sick from the flu, and
anyone who is in contact with people that might be
harmed by the flu should get vaccinated.
 This includes healthy adults, children and all persons
working in health care.
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HAND HYGIENE
is so IMPORTANT that…
• It is a Joint Commission National Patient Safety Goal
• Staff compliance to hand hygiene is measured
monthly and reported monthly to the units
• Patients and families are encouraged to ask us
to clean our hands
• Every Karmanos health care worker should remind
each other to clean hands appropriately
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Healthcare workers’
hands can also
become contaminated
by contact with the
patient care
environment…
not just the patient!!!
In this study, each X shows where bacteria
were cultured in a room that had been
occupied by a patient with an infection.
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Every year 5 to 10 percent of inpatients develop
infections resulting in 98,000 deaths nationally.
98,000 deaths equals:
• More deaths than those caused by breast cancer,
colon cancer and stroke combined
• Equivalent to a 747 plane crash killing all
passengers/crew every other day
• One death every 6 minutes
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Healthcare workers should perform hand hygiene:
• before and after direct contact with patients
• before and after removing gloves
• before handling an invasive device for patient care
• after contact with blood, body fluids or excretions,
mucous membranes, or wound dressings
• after contact with contaminated items, such as medical
equipment, medical waste, soiled linen
• after contact with objects in the immediate vicinity of
the patient, such as bedside trays, bedrails, phone, etc.
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Health care workers should perform hand hygiene:
• after sneezing or coughing, or disposing of tissues
• before and after handling medication
• before and after preparing food
• before and after using the restroom
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Alcohol Hand Rubs
Alcohol hand rubs
have been shown to:
• Be more effective in reducing
bacteria on hands than soap and
water
• Require less time to use
• Reduce hand irritation and
dryness with repeated use
Rub a sufficient amount of alcohol
foam over entire surface of hands
until completely dry
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Soap and Water Wash
Handwashing with soap
and water is required
when hands are visibly dirty
or visibly soiled with
blood or other body fluids.
Wash with soap and warm
water for at least 15 seconds.
Rinse with warm
water and turn off faucet
with paper towel.
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Hand Hygiene Score Card
How often do healthcare
workers
REALLY clean their hands
between patients?
Many observation studies
show that HCW use
proper hand hygiene only
of the time!
THIS ISN’T GOOD ENOUGH! WE MUST BE 100%!!
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Use ONLY Karmanos-approved hand
soaps, alcohol rubs, and lotions:
•
Lotions from home are not approved for
use in hospitals because:
1. They can damage the gloves you
wear and cause leaks
2. They easily become contaminated
and actually put more bacteria on
your skin
3. They interfere with the antiseptic
soaps
Karmanos-approved hand lotion
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Artificial nails hide dangerous
germs and increase the risk of
spreading bacteria between
healthcare workers and patients!
This fashion statement
can harm patients!
Karmanos policy regarding
fingernails:
• Artificial nails (including gels and
wraps) are not allowed.
• All nails should be nicely trimmed
and should not be more than
¼ inch long
• Nail polish should not be chipped
• Jewels or ornaments should not be
attached to the nails
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Summary
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