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.
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:
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