Community Health Services Manual

Purpose of the WRHA Infection Prevention & Control Manual, After Hour Coverage

Chain of Infection

Policies:

• 90.00.060 Routine Practices for Reducing the Risk of Infection Transmission
• 90.00.010 Single-use Medical Devices

Operational Directives:

• Pet Therapy and Pet Visitation in Community Health Services
• Gels, Ultrasound and Medical in Community Health Services
• IP&C Approved Cleaners and Disinfectants
• Cleaning and Disinfection of Non-Critical Reusable Equipment/Items for Clients in Community Health Services
• Cleaning and Disinfection of Reusable Instruments that Contact the Surface of the Eye
• Construction Renovation and Maintenance in Community Health Services
• Cleaning Blood and Body Fluid Spills in the Community Health Services
• Nursing Foot Care Infection Prevention & Control Management in Community Health Services
• Tuberculin Skin Test (TST) OD
• Tuberculosis in the Maternal and Newborn Population OD
• Urinary Catheter Management

Routine Practices

Routine Practices Preamble

1. Point of Care Risk Assessment PCRA
2. Hand Hygiene
3. The 4 Moments of Hand Hygiene
4. Source Control
5. Accommodation and Placement
6. Flow
7. Aseptic Technique
8. Personal Protective Equipment PPE
9. Specimen Collection
10. Sharps Safety and Prevention of Bloodborne Transmission
11. Management of the Patient Care Environment
12. Visitor Management and Education
13. Appendix A: Surgical Hand Asepsis

References

Airborne Precautions

Contact Precautions

Droplet Precautions

Airborne/Contact Precautions

Droplet/Contact Precautions

Transmission of Microorganisms

Microorganism Infectious Disease Table

AMR-GNB (Antimicrobial Resistant Gram Negative Bacilli)

Carbapenemase-Producing Enterobacteriaceae (CPE)

Cystic Fibrosis Protocol

Enteritis

ESBL (Extended Spectrum Beta-Lactamase)

Human Papilloma Virus (HPV)

Immunocompromised Condition

Lice (Pediculosis)

Linezolid and Vancomycin Resistant Enterococci (LVRE)

Measles (Rubeola)

Mpox

CHS Mumps

Cimax lectularius (Bed Bugs) Protocol in Clients and Staff Homes

Pandemic Influenza Plan (PIP)

Pediculosis Protocol in WRHA Community Health Services Clients and Staff

Rubella (German Measles)

Scabies

• Scabies Fact Sheet
• Scabies Fact Sheet French

Tuberculosis

Varicella Zoster Protocol in WRHA Community Health Services Clients and Staff

Whooping Cough (Pertussis)

Community Health Services Infection Prevention & Control Communication Forms:

• Facility Approved Disinfectants
• Home Air Safety
• Shared Reading Materials in Community Health Services Waiting Rooms
• Topping up Bottles, Reusing Trigger Spray Nozzles and ElephantEarWash™System

Definitions

Air Changes for Removal of Airborne Contaminants

Antibiotic Resistant Organisms (AROs) Fact Sheets for Health Care Workers:

• Methicillin Resistant Staphylococcus aureus (MRSA)
• Vancomycin Inermediate Staphylococcus aureus (VISA) and Vancomycin Resistant Staphylococcus aureus (VRSA)

Antibiotic Resistant Organisms (AROs) Fact Sheets for Client, Family & Visitors – Bilingual:

• Methicilin Resistant Staphylococcus aureus (MRSA)
• Vancomycin Intermediate Staphylococcus aureus (VISA) and Vancomycin Resistant Staphylococcus aureus (VRSA)

Fact Sheets for Clients Family and Visitors – Bilingual:

• Clostridium difficile Fact Sheet (C.diff)

IP&C Bilingual Resources

References