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PARTB

PhysicalBarrierProtectionPersonalProtectiveEquipment(PPE):isimportantandincludes

GlovesMasksEyewearGownsGLOVESTypesClinicalandNon-ClinicaluseTypesforclinicaluseSterile,singleuseforsurgicalprocedures.Non-sterile,singleuse;toprotectthehandsfromcontactwithblood,salivaandbodyfluids.UseChangeaftereachpatientprocedureORduringmultipleproceduresonsamepatientGlovesTypesfornon-clinicaluseReusable:LatexNon-latex(Nitrile,Neoprene)Use Whilstreprocessingequipmentandforhousekeeping,cleaningchair,surfacesifcontaminatedbybloodorbodyfluidSingleuseGlovesExaminationglovesshouldbecheckedwhendonnedChangedwhenholedortornHandsmustbewashedordecontaminatedwhenglovesremovedSingleuseGlovesSingleuse

LatexexaminationglovesAdvantagesofLatexgloves:EconomicalFlexibleandelastic,easytodonandremoveCandoublegloveifrequiredSingleuse

LatexsurgicalglovesExcellentqualitycontrolCanbewornforlongperiodsoftime,60minutesormorebeforegloveintegrityispotentiallychangedSingleuseNon-latexexaminationgloves

NitrileexaminationglovesIndicationsLatexsensitivityforHCWsORpatient.Singleuse

Non-latexexaminationgloves

NeopreneexaminationglovesIndicationsLatexsensitivityforhealthcareworkerandpatient

SingleuseNonlatexsurgicalgloves-NeopreneglovesAdvantagesMoreelasticitythannitrileglovesExcellentqualitycontrolEasytowearDurableforlongproceduresBut,moreexpensivethannitrileglovesPolyethylene““overgloves””MASKSSurgicalmask.Particulatefilter[N95],forairbornediseases.Amustwhenapossibilityofsplashingorsplatteringofbloodorotherbodyfluidstotheface.ProtectionfromAerosolcontamination.MasksMasksshouldbeusedtoreducetheamountofdropletsthatwillbeinhaledduringtheoperativeprocedure.Masksshouldbereplacedaftereachpatientoratleastevery30minutesafterdonningtoensuretheprotectivemechanismofthemaskisnotcompromised.MASKSDO’S&DON'TSDO:Fitandwearaccordingtomanufacturer’sinstructionsCoverboththemouthandnoseRemoveASAPifmoistorsoiledRemoveanddiscardedassoonaspracticableafteruseDON’T:TouchthemaskonceonHangaroundneckEYEPROTECTIONOpticallyclearandanti-fogClosefittingShieldedatthesidesGOWNSANDPLASTICAPRONSImpermeable,waterrepellentgownsand/orplasticapronsprotecttheworkerfromcontaminationwithbloodandbodysubstances.Useforspecificactivity(donotleaveonallday!).Removeassoonaspossibleaftercontaminationoruse.Bagforlaunderingordisposal.Principlesofinfectioncontrol:StandardPrecautionsBarrierProtection:EnvironmentalbarriersClinicalareashouldbeclearlydividedintoclean,clericalanddirtyareas.Environmentalbarriersmaybemoreeffectivethanmanualdecontamination(cleaning)Environmentalbarrierscansavetimebydecreasing““change-overtime”betweenpatients.SomevirusescansurviveinsalinesolutionforaslongassixdaysBarriersonsurfacesWhatcanbecaughtfromasurface?HeadliceFungalorganismsSARSMRSA[methicillinresistantstaphylococcusaureus]WhentousebarriersonsurfacesAreasinthezoneofcontamination.Difficulttocleanareas.PlasticbagBarriersonsurfacesDifficulttocleanareasSpittoonscanbedifficulttocleanPatientsoftenmissthespittoonandspitonfloororsurroundingenvironment,especiallyifnumbYoungchildrenfinditdifficulttorinseandspitBarriersonsurfacesDifficulttocleanareasAlternativestoaspittooninclude:DenturecupAFunnelattachedtothesuctionwherebythefunnelcanberemovedaftereachpatient,cleanedandsterilisedNorinsing,lavagewithtriplesyringeandremovewaterwithsuctionEnvironmentalcleaningFootcontrolsuselimitcontamination.Floorsshouldbeeasilywashedandmadeofimpermeablematerial.Carpetshouldnotbeusedinatreatmentarea.Neutraldetergentshouldbeusedforenvironmental

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