Infection Prevention/Control
Infection prevention and control (IPC) is critical in post-acute and long-term care (PALTC) environments. These settings, which provide care to the most vulnerable in our communities, demand robust IPC measures to prevent outbreaks, reduce morbidity and mortality, and sustain a high standard of patient care.
Foundations of Effective IPC
- Surveillance: Continual monitoring for infections helps in early detection, facilitating timely interventions and containing potential outbreaks. Instituting surveillance systems, from electronic health records to manual logging, ensures comprehensive tracking.
- Hand Hygiene: Often hailed as the cornerstone of IPC, frequent and thorough hand washing, combined with the appropriate use of hand sanitizers, curbs the spread of infectious agents.
- Use of Personal Protective Equipment (PPE): Proper usage and disposal of masks, gloves, gowns, and shields are vital, especially during procedures or when attending to patients with transmissible infections.
- Environmental Cleaning and Disinfection: Regular cleaning with approved disinfectants of both surfaces and equipment, particularly in high-touch areas, is critical.
- Antibiotic Stewardship: Overuse and misuse of antibiotics contribute to antibiotic resistance. A dedicated stewardship program ensures antibiotics are prescribed judiciously, maintaining their efficacy.
- Vaccination: Regular immunizations for both staff and residents against influenza, pneumococcal disease, COVID-19, and other pertinent diseases provide a vital shield against outbreaks.
- Isolation Protocols: Patients showing symptoms of contagious diseases should be isolated promptly. Equally essential is the staff's training in donning and doffing PPE and managing patients in isolation.
- Training and Education: Regular IPC training sessions for staff, coupled with patient and visitor education, cultivates a culture of prevention.
- Communication: Clear channels for reporting potential infections, updating on evolving guidelines, and sharing best practices should be established and maintained.
- Audit and Feedback: Periodic assessments of IPC measures, followed by constructive feedback, foster continual improvement.