Pressure injury infection prevention

SectionRecommendationGrade of recommendation
20. Clinicians should undertake a risk assessment to identity the risk of contamination and mucosal or conjunctival splash injuries during pressure injury prevention and management activities. Personal protective equipment including impervious gown or apron; goggles/mask or face shield and gloves must be worn according to this risk assessment. (1) NSW Infection Control Policy PD_2007_036
21. Clinicians must adhere to the Five Moments of Hand Hygiene. (2) NSW Hand Hygiene Policy PD2010_058
22. To reduce the risk of microbial transmission equipment utilised for each patient must be cleaned as per the Australian Guidelines for Prevention of Infection in Healthcare prior to and following use. (3) Australian Guidelines for Prevention of Infection in Healthcare

Hand hygiene

The NSW Health Hand Hygiene Policy (PD2010_058) states that all staff must perform hand hygiene as per the Five Moments for Hand Hygiene. Hand hygiene must occur before touching the patient; prior to a procedure; after a procedure or body fluid exposure risk; after touching a patient; after touching a patient’s surroundings. Hand hygiene can be performed using appropriate soap solutions and water or alcohol-based hand rub (ABHR). Soap and water must be used when hands are visibly soiled.

Before touching a patient, before a procedure, after procedure, after touching a patient, after touching a patient's surroundings

'Based on the 'My 5 moments for Hand Hygiene', © World Health Organization 2009. All rights reserved.'

NSW Ministry of Health policies

Prevention of infection is an important aspect of any clinical practice guideline. Users are directed to the following policy directives covering infection control. Local policy must also be consulted.

  1. Infection Control Policy (PD2007_036)
  2. Infection Control Policy: Prevention & Management of Multi-resistant Organisms (PD2007_884)
  3. Hand Hygiene Policy (PD2010_58)
  4. Australian Guidelines for the Prevention and Control of Infection in Health Care

Personal protective equipment

The Australian Guidelines for the Prevention and Control of Infection in Health Care and the NSW Infection Control Policy (PD2007_036) state that all procedures that potentially expose the clinician to blood or body fluids require the appropriate Personal Protective Equipment (PPE) to be worn. When assessing the patient for pressure injury prevention strategies or undertaking pressure injury prevention activities the clinician is to consider the potential for exposure to blood and body fluids and is to utilise the appropriate (PPE).

References

  1. Safety Qa. Infection Control Policy: Prevention & Management of Multi-Resistant Organisms (MRO). In: Health N, editor. Sydney Australia: NSW Health; 2007.
  2. Manning W. Hand Hygiene. In: Health N, editor. Sydney Australia: NSW Health; 2010.
  3. NHMRC. Australian Guidelines for the Prevention and Control of Infection in Healthcare. Canberra: Commonwealth of Australia; 2010.

Disclaimer

The information on this page is general in nature and cannot reflect individual patient variation. It reflects Australian intensive care practice, which may differ from that in other countries. It is intended as a supplement to the more specific information provided by the doctors and nurses caring for your loved one. ICNSW attests to the accuracy of the information contained here but takes no responsibility for how it may apply to an individual patient. Please refer to the full disclaimer.