RUB HANDS FOR HAND HYGIENE WASH HANDS WHEN VISIBLY SOILED - PDF document

1 RUB HANDS FOR HAND HYGIENE! WASH HANDS W
RUB HANDS FOR HAND HYGIENE! WASH HANDS WHEN VISIBLY SOILED Apply a palmful of the product in a cupped hand, covering all surfaces;Rub hands palm to palm;Palm to palm with fingers interlaced;Backs of fingers to opposing palms Rotational rubbing, backwards and forwards with clasped fingers of right Once dry, your hands are safe. Duration of the entire procedure: a b AllreasonableprecautionshavebeentakenbytheWorldHealthOrganizationtoverifytheinformationcontainedinthisdocument.However,thepublishedmaterialisbeingdistributedwithoutwarrantyofanykind,either expressedorimplied.Theresponsibility fortheinterpretationanduseofthemateriallieswiththereader.Inno eventshalltheWorldHealthOrganizationbeliable fordamagesarisingfromitsuse. AllreasonableprecautionshavebeentakenbytheWorldHealthOrganizationtoverifytheinformationcontainedinthisdocument.However,thepublishedmaterialisbeingdistributedwithoutwarrantyofanykind,either expressedorimplied.Theresponsibility fortheinterpretationanduseofthemateriallieswiththereader.Inno eventshalltheWorldHealthOrganizationbeliable fordamagesarisingfromitsuse. South Sudan WASH HANDS WHEN VISIBLY SOILED! OTHERWISE, USE HANDRUB Duration of the entire procedure: Wet hands with water;Palm to palm with fingers interlaced;Backs of fingers to opposing palm

2 s Rotational rubbing, backwards and forw
s Rotational rubbing, backwards and forwards with clasped fingers of right Your hands are now safe.Use towel to turn off faucet;Dry hands thoroughly AllreasonableprecautionshavebeentakenbytheWorldHealthOrganizationtoverifytheinformationcontainedinthisdocument.However,thepublishedmaterialisbeingdistributedwithoutwarrantyofanykind,either expressedorimplied.Theresponsibility fortheinterpretationanduseofthemateriallieswiththereader.Inno eventshalltheWorldHealthOrganizationbeliable fordamagesarisingfromitsuse. May 2009 AllreasonableprecautionshavebeentakenbytheWorldHealthOrganizationtoverifytheinformationcontainedinthisdocument.However,thepublishedmaterialisbeingdistributedwithoutwarrantyofanykind,either expressedorimplied.Theresponsibility fortheinterpretationanduseofthemateriallieswiththereader.Inno eventshalltheWorldHealthOrganizationbeliable fordamagesarisingfromitsuse. AllreasonableprecautionshavebeentakenbytheWorldHealthOrganizationtoverifytheinformationcontainedinthisdocument.However,thepublishedmaterialisbeingdistributedwithoutwarrantyofanykind,either expressedorimplied.Theresponsibility fortheinterpretationanduseofthemateriallieswiththereader.Inno eventshalltheWorldHealthOrganizationbeliable fordamagesarisingfromitsuse. South Sudan Steps to put onpersonal prot

3 ective equipment (PPE)includingcoverall
ective equipment (PPE)includingcoverall All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publicamaterial is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretatreader. In no event shall the World Health Organization be liable for damages arising from its use. (jewelry, Undertake thesupervision of a trained observer Put on gloves(examination,nitrile gloves). 8Put on coverall. Put on scrub suitand rubber boots1the changing room. 9Put on face mask. Put on disposablewaterproof heavy duty, reusable (preferably long cuff) 10Put on face shield OR goggles.Put on head and neck coveringsurgical bonnet covering neck and sides of the head (preferable with face shield) ORhood.If boots are not available, use closed shoes (slip-ons without shoelaces and fully covering the dorsum of the foot and ankles) and shoe covers (nonslip and preferably impermeable)2Do not use adhesive tape to attach the gloves. If the gloves or the coverall sleeves are not long enough, make a thumb (or middle finger) hole in the coverall sleeve to ensure that your forearm is not exposed when making wide movements. Some coverall models have finger loops attached to sleeves.

4 OR ef Perform WHO/HIS/SDS/2015.2© WORLD
OR ef Perform WHO/HIS/SDS/2015.2© WORLD HEALTH ORGANIZATION 2015 South Sudan Steps to put onpersonal protective equipment (PPE)includinggown All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publicamaterial is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretatreader. In no event shall the World Health Organization be liable for damages arising from its use. (jewelry, Undertake thesupervision of a trained observer Put on gloves(examination,nitrile gloves). 8Put on disposablegownmade of fabric that is tested for resistanceor body fluids ORto blood-bornepathogens. Put on face mask. Put on scrub suit and rubber bootsinthe changing room. use heavy duty, Perform ef d WHO/HIS/SDS/2015.1© WORLD HEALTH ORGANIZATION 2015 South Sudan Steps to take offpersonal protective equipment (PPE)includingcoverall All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publicamaterial is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretatreader. In no event shall the World Health Organization be liable for damages arising from

5 its use. and supervision of a trained ob
its use. and supervision of a trained observerPerformIdeally, in front of a mirror, tilt head back to reachzipper, unzip completely without touching any skin With inner gloves roll the coverall, from the waist away from the coverall and dispose of it safely.Perform Perform the high-risk zone, keep them on but clean and decontaminatePerform technique and dispose of them safely. PerformPerform of it safely. sweaty, the outergloves may need to be removed separately, after removing the apron.Appropriate decontamination of boots includes stepping into a footbath with 0.5% chlorine solution (and removing dirt with toil OR outside, and dispose of it safely.from behind the head and dispose of it safely.leaning forwardforward. Perform Perform WHO/HIS/SDS/2015.4© WORLD HEALTH ORGANIZATION 2015 South Sudan Steps to take offpersonal protective equipment (PPE)includinggown All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publicamaterial is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretatreader. In no event shall the World Health Organization be liable for damages arising from its use. guidance and supervisionof a trained observerPerform and

6 from inside to outside, and dispose of i
from inside to outside, and dispose of it safely.Perform Perform Perform technique and dispose of them safely. PerformPerform Perform of it safely. and dispose of it safely. OR Performsafely.shown in Step 17Perform from behind the head and dispose of it safely. leaning forward andapron forward. WHO/HIS/SDS/2015.3© WORLD HEALTH ORGANIZATION 2015 South Sudan NEEDLES AND SYRINGES ARE NOT TOYS! Used needles and syringes are dangerous and can spread harmful infections.Protect your children, yourself and your community … do not touch or play with needles and syringes. South Sudan South Sudan Your 5 Moments Clean your hands before touching a patient when approaching him/her. To protect the patient against harmful germs carried on your hands. Clean your hands immediately before performing a clean/aseptic procedure. To protect the patient against harmful germs, including the patient's own, from entering his/her body. Clean your hands immediately after an exposure risk to body fluids (and after glove removal). To protect yourself and the health-care environment from harmful patient germs. Clean your hands after touching a patient and her/his immediate surroundings, when leaving the patients side. To protect yourself and the health-care environment from harmful patien

7 t germs. Clean your hands after touching
t germs. Clean your hands after touching any object or furniture in the patients immediate surroundings, To protect yourself and the health-care environment from harmful patient germs.A PATIENTA PATIENTTOUCHING PATIENT A PATIENTA PATIENTTOUCHING PATIENT AllreasonableprecautionshavebeentakenbytheWorldHealthOrganizationtoverifytheinformationcontainedinthisdocument.However,thepublishedmaterialisbeingdistributedwithoutwarrantyofanykind,either expressedorimplied.Theresponsibility fortheinterpretationanduseofthemateriallieswiththereader.Inno eventshalltheWorldHealthOrganizationbeliable fordamagesarisingfromitsuse. AllreasonableprecautionshavebeentakenbytheWorldHealthOrganizationtoverifytheinformationcontainedinthisdocument.However,thepublishedmaterialisbeingdistributedwithoutwarrantyofanykind,either expressedorimplied.Theresponsibility fortheinterpretationanduseofthemateriallieswiththereader.Inno eventshalltheWorldHealthOrganizationbeliable fordamagesarisingfromitsuse. AllreasonableprecautionshavebeentakenbytheWorldHealthOrganizationtoverifytheinformationcontainedinthisdocument.However,thepublishedmaterialisbeingdistributedwithoutwarrantyofanykind,either expressedorimplied.Theresponsibility fortheinterpretationanduseofthemateriallieswiththereader.Inno eventshalltheWorl

8 dHealthOrganizationbeliable fordamagesar
dHealthOrganizationbeliable fordamagesarisingfromitsuse. South Sudan PREVENT NEEDLE-STICK INJURIESMAKE SMART INJECTION CHOICES MAKING SAFE INJECTION CHOICES NEEDLE-STICK INJURIES EXPOSE YOU TO A NUMBER OF BLOODBORNE PATHOGENS THAT CAN CAUSE SERIOUS OR EVEN FATAL INFECTIONS. IF YOU GET A NEEDLE-STICK INJURY:Take the following actions immediately: e woun wit h soap an d water . Inform our supervisor and followthe needle-stick in j ur reportin g mechanism of y our health facilit y. Identif the source patient, who s hould be tested for HIV, hepatitis B , and hepatitis C in f ections „ sts sh o uld b e c arri o ter patient consent. , a n d h epatitis C infections. d WHO Best Practice s f or Injections and Related P r oce dur e s T oo lkit: WHAT KINDS OF NEEDLES USUALLY CAUSE NEEDLE- STICK INJURIES?Hypo ermic nee e s co utur eedles Needles used in intravenous d e l ivery systems WHEN NEEDLE-STICK INJURIES OCCURNeedle-stick injuries are most often associated with the following activities: Su en patient m ovement uring the in j ectio ecappin needles b etween container s F a to dispose of used needles properl y in a uncture- roof ety bo x GUIDANCE ON PROTECTION HOW CAN I PROTECT MYSELF?Preventing needle-stick injuries is the best way to protect your

9 self: AVOID GIVING INJECTIONS FOR HEALTH
self: AVOID GIVING INJECTIONS FOR HEALTH CONDITIONS WHERE ORAL FORMULATIONS AREAVAILABLE AS THE FIRST-LINE TREATMENT. are educated on the risksneedle-stick injuries andappropriate training.especially important for Take time to explain risks,or behaviours among your of properly within the facility.your responsibility to ensureinfected waste reaches theFor further informationplease visit: PREVENTION IS THE BEST MEDICINE HOW CAN I PROTECT OTHERS? All photos ©WHO/Arshad Altaf. GUIDANCE ON PROTECTION HOW CAN I PROTECT MYSELF?Preventing needle-stick injuries is the best way to protect yourself: Use sa f ety syringes with a sharps in protection (SIP) feature as recommended b y WHO. WHO recommends that health y y care wor k ers an d ot h ers w h o may b e expose d to bl oo an d products throu g h their work s hould be vaccinated a g ainst epatitis B. Plan sa f e handling and disposal o f needles be f ore using them, e.g. make sure there is a safet y box at arms reach when y o u i ve an i n j ect If ou have to transport the s afet box to another room or to a disposal site, carry it care f ully ing it at t h e top, a b ove t h e e v e l o f th e n . Never re-ca p needles. Place them unca pp ed into a h arps container imme d iate . Never open a sa

10 fet y box . Store in a sa f e and secur
fet y box . Store in a sa f e and secure place until it is ready f or nal disposal. Never “ll a safet y box more han three-quarters f ull. AVOID GIVING INJECTIONS FOR HEALTH CONDITIONS WHERE ORAL FORMULATIONS AREAVAILABLE AS THE FIRST-LINE TREATMENT. are educated on the risksneedle-stick injuries andappropriate training.especially important for Take time to explain risks,or behaviours among your of properly within the facility.your responsibility to ensureinfected waste reaches theFor further informationplease visit: PREVENTION IS THE BEST MEDICINE HOW CAN I PROTECT OTHERS? All photos ©WHO/Arshad Altaf. PREVENT NEEDLE-STICK INJURIESMAKE SMART INJECTION CHOICES South Sudan unsafe injection could put you at riskgetting a life-threatening infection such as:Estimated risk of getting these infections from a contaminated syringe or needle.Overuse of injectionsfor illnesses where medicines by mouth are available and recommended. work spaces Re-use of syringes Unsafe collection PATIENTSwho receive unsafe injections.HEALTH CARE WORKERS who get injured by used needles.COMMMUNITYwho play near areas where syringes and needles have been thrown away.MAKE YOUR INJECTIONHEPATITIS BHEPATITIS C0.3WHAT MAKES ANINJECTION UNSAFE? WHAT MAKES ANINJECTION UNSAFE? Talk to your c

11 hildren and community syringes and needl
hildren and community syringes and needles. Use smart syringes that can be used once only. Open the package in front of your patient to reassure them that the syringe and needle have not been used before.WHAT YOU CAN DO AS A PATIENTWHAT YOU CAN DO AS A HEALTH CARE WORKERAsk if a medicine taken by mouth is available. These can work as well as injections. If you do need an injection, ask for a smart syringe as they can be used once only. Check that the syringe and needle package is new,Make sure your skin is disinfected before Oer your patient a medicine that can be taken by mouth, if available.Clean the area where the injection is being given and perform hand hygiene before giving the injection.Place the needle, syringe and single use vial in a safety sharps box as soon as they have been used.Make smart injection choices and help avoid the risk of infection from an unsafe injection. South Sudan Calcium hypochlorite (HTH)70% USE OF CHLORINE SOLUTION GUIDE Calciumhypochlorit e(HTH) 55- 70%active chlorine How many grams of (HTH) -70% active chlorine is required to prepare 20 liters of clean waterdisinfection chlorine solution What kind of disinfection is the chlorine solution used for to disinfect How long should the chlorine solution is to be keptfor before

12 changing it for a new prepared chlorine
changing it for a new prepared chlorine solution 0.05% active chlorine solution 15 grams = 1 level tablespoon of HTH -70% stir for the chlorine to dissolve in water and wait for 30 minutes beforeuse Hand washing Rinsing of dishes, drinking cupand spoons Washing of fresh fruits Disinfecting of linens for 30 munitiesafter being soaked in hot water Reusable PPE first clean with soap and water and disinfect 0.05% solution is stablefor max 24 hoursand should be changefor a newpreparedsolution after 24 hours Never mix the solution with a detergent 0.5% Chlorine Solution Strong(High concentration) 150grams = 10 level table spoon of HTH 70% stir for the chlorine to dissolve in water and wait for 30 minutes before use Disinfection of floors Bedside tables, bed frames, and other bed room furniture( At least To be disinfected at least once a day) Disinfect latrines Disinfection around bedpan( Do not pure chlorine Solution directly on the faeces of vomit to avoid risk of splashing) Soakabsorbent padƐƚŽĐŽůůĞĐƚǀŽŵŝƚƐͬĨĂĞĐĞƐŽŶ 0.5% solution is stable for max 24 hours and should be change for a new prepared solution after 24 hours Never mix the solution with a detergent South Su