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Symposium22.8.2013

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General Guidelines

Prevention of overcrowding

Allowance of entry only after hand washing andgowning

Separate footwear

Medical professionals separate uniform code

No ornaments/nail polish/wristwatches to be usedinside

No hospital personnel should enter without validreason

Buffer zone maintenance between patients and

relatives

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Guidelines for Entry

Operation theatre

Labor room

Neonatal Intensive Care Unit

High Dependency Unit

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Operation Theatre

All cannot enter the operating area without priorpermission.

Only authorized personnel with identification

should be allowed. All who enter should be strictly supervised for

breach of sterile precautions.

Any breach in sterile technique even committedby mistake should not be tolerated.

Proper orientation is required for any one whoenters the OT about the protocols and infection

standards.

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Guidelines for Entry

Operation theatre

Labor room

Neonatal Intensive Care Unit

High Dependency Unit

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Birthing Area

All doctors and nurses should enter and exit thebirthing suite after washing hands.

Make sure personal items are left away from the

patient premises. Do not allow relatives with infections or without hand

washing (on entry and exit).

Maintain separate exits for maintenance staff and

medical personnel.

Maintain buffer zone where the consent can be taken,

the explanations are given by the midwife or

obstetrician, showing the baby to the significant others

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Guidelines for Entry

Operation theatre

Labor room

Neonatal Intensive Care Unit

High Dependency Unit

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Neonatal Care Unit

No overcrowding STRICTLY. No medical or support personnel or parent with

active infections should be allowed to enter.

Instruct all personnel to wash hands with abactericidal soap solution before entry and exitfrom unit.

Special gowns for parents and separate areas forfeeding mothers and KMC .

Infected babies should be handled in anadequately isolated unit with suitable barrier

facilities

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Operation theatre

Labor room

Neonatal Intensive CareUnit

High Dependency Unit

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High Dependency Unit

Strict control of visitors

Separate entry and exit for relatives and

medical personnel.

Strict hand washing before and after visiting

STRICT supervised hours for visit by significant

others.

The patient visitors should not be allowed to

touch the tubing/bed linens/patient items.

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Special Precautions to Infection

Prevention in Neonates

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MedicalPersonnel

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Handling of the infant to be REDUCED.

Reduce unnecessary admissions into

NURSERY.

Exclusive breast feeding to be provided.

Involve the mother in care of baby.

Clean daily with warm sterile water with

special attention to groin, axilla and neck.

Bathe infant after body weight reaches 2.5 kg.

Regular position changing prevent skin

abrasions.

Keep umbilicus clean and dry.

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FOLLOW the skin preparation policy Prepare

smallest area of skin as follows:

Swab with alcohol first and allow it to dry Swab iodine on site and allow it to dry

Swab again with alcohol to wipe off iodine and allow

it to dry.

Change peripheral IV fluid set and tubing every

24 - 48 hours.

Never share fluid in same bottle between babies.

No repeated puncturing of bottles. If opened

clean with spirit swab and then keep it covered

with Betadine soaked sterile cotton.

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All fluids except lipids and blood SHOULD be

given through the filter.

STRICT ASEPTIC TECHNIQUE to be followedduring preparation and administration of fluid

therapy.

Use non invasive methods of monitoring

Universal precautions during all procedures

Use of sterile gloves for ALL invasive

procedures including endotracheal suctioning. All invasive procedures surgical asepsis

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Routine surveillance

Environmental cultures once every 4

months Representative

surfaces Equipments

Fomites Taps

Laminar flow

devices

AC vents

Refrigerators

Sinks

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