Infection Prevention and Control- Process

Erin Sharp
Erin Sharp
Last updated 
Processes for preventing infection, and/or controlling and reducing the incidence of infections

Purpose
Processes for Preventing and Controlling Infections.

Scope: All HWH employees

Process

Hand Hygiene
The most essential factor in preventing infection. Wash your hands with soap and water for at least 20 seconds.
  • Before and after glove use
  • Before touching or handling food
  • After toilet use, breaks, or contact with waste/linen/animals
  • When hands are visibly dirty
If water is unavailable, use a hand sanitiser with at least 60% alcohol. 
Personal Protective Equipment (PPE)
PPE must be used according to the task and the assessed risk of exposure.
Gloves
Gloves must be worn:
  • During procedures with a risk of exposure to blood or body substances (e.g., toileting, urinary catheter care, wound dressing).
  • When touching or cleaning equipment or surfaces that may come into contact with blood or body substances.
  • When performing blood glucose monitoring or oral suctioning.
  • When caring for clients with infections spread by contact, i.e. shingles
  • If the support worker has broken skin.
Gowns and Aprons
  • Waterproof gowns/aprons protect clothing and skin from splashes of blood or body fluids.
  • Perform hand hygiene before and after use.
  • Gowns must cover the torso, arms, and wrap adequately around the back.
  • Remove and dispose of gowns/aprons after completing care.
Face Masks
  • Protect against droplet or airborne infections and splashes.
  • Use for clients who cough, sneeze, or when performing procedures with risk of exposure.
  • Check manufacturer instructions, avoid touching the front of the mask, use for one client only, and discard after use.
Protective Eyewear
  • Protects eyes from droplets, aerosols, and splashes.
  • Remove by headband/earpieces, clean reusable eyewear after each use, dispose of single-use eyewear after care.
Handling Medical Devices
  • Perform hand hygiene before contact with devices (e.g., catheters, tracheostomies).
  • Wear gloves at a minimum. May require the wearing of an apron. Refer to client care plans for PPE requirements.
Respiratory Hygiene
  • Cover mouth and nose with a tissue when coughing or sneezing.
  • If no tissue is available, cough/sneeze into the elbow.
  • Encourage clients to do the same.
  • Dispose of tissues promptly and encourage hand hygiene.
Cleaning
  • Clean surfaces according to the risk of contamination using warm water and detergent.
  • Use disinfectants when infection is known or suspected.
Handling Linen
  • Place soiled linen directly into a laundry basket and place it in the client's laundry
  • Wear gloves and a disposable gown/apron when handling linen from infected clients.
  • Perform hand hygiene after handling linen.
  • Store clean linen separately from used linen.
Spills:
  • Select appropriate PPE.
  • Wipe small spills immediately; cover larger spills with absorbent material.
  • Dispose of contaminated materials and clean with detergent, followed by disinfectant if needed.
  • Perform hand hygiene afterwards.
  • For clients receiving cytotoxic therapy, refer to the Cytotoxic Therapy Administration process on how to manage body fluid spills. 
Exposure to Blood or Body Fluids
  •  Flush the affected area with running water and wash with soap.
  • Report the incident to the Care Manager and complete an Incident Report.
  • Seek medical advice.
  • Contaminated clothing should be rinsed, soaked in bleach, and washed separately with hot water and detergent.
  • Double-bag contaminated waste before placing it in the client's general waste bins.
Food Handling and Preparation
  • Perform hand hygiene before handling food.
  • Use of gloves: The NSW Food Authority does not require food handlers to use gloves.
    • Even when wearing gloves, in many situations it may be preferable to use utensils such as tongs or spoons. 
  • Gloves must be removed, discarded and replaced with a new pair in the following circumstances: 
    • before handling food 
    • before handling ready-to-eat food and after handling raw food 
    • after using the toilet
    • coughing
    • sneezing
    • using a handkerchief
    • eating, drinking, or 
    • touching the hair, scalp or body. 
Food Preparation
  • Keep hot food hot and cold food cold
  • Use separate storage, utensils and preparation surfaces for cooked and uncooked foods
  • Wash all utensils and preparation surfaces thoroughly with hot water and detergent.
When handling food, you must:
Advise the client's Care Manager: 
  • If you are suffering from diarrhoea, vomiting, fever, sore throat with fever or jaundice, seek medical advice and do not return to work until free of symptoms for 48 hours
  • You have infected skin lesions (e.g. infected skin sore, boil, acne or abrasion, or any discharges from the ears, nose or eyes) and seek medical advice
  • If you believe any food is unsafe to eat