Infection Control Guideline Resources
Currently there are many resources and guidelines revolving
around general infection control, and infection control specific to the COVID-19 pandemic.
Personal protective equipment such as:
Contact lenses
Tonometer probes
Daily consulting room hygiene, such as:
Patient Education, such as:
Below listed are some that are useful not just for
optometrists, for but patients and family alike! Hover over the bolded areas for links! If not, they are all listed below.
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A paper written to give guidelines about infection control for
optometrists. It highlights main points such as:
Elements necessary for infection
- Direct or indirect contact (inc blood borne)
- Droplets that can be spread from coughing, sneezing, talking but also via hands
- Airborne small particle aerosols are created during talking, breathing, coughing, sneezing
- Other modes of transmission eg: contaminated water, medication, devices, equipment etc
Standard precautions relevant to the optometric practice which contain:
- hand hygiene
- use of personal protective equipment
- safe use and disposal of sharps
- routine environmental cleaning
- reprocessing of reusable medical equipment and instruments
- respiratory hygiene and cough etiquette
- aseptic non‐touch technique and
- waste management.
- Hepatitis B
- Influenza (yearly)
- pertussis (includes diphtheria, tetanus, whooping cough)
- varicella (chicken pox if not immune)
- MMR (measles, mumps, rubella if not immune)
- plain soap
- alcohol-based antiseptics
- chlorhexidine
Personal protective equipment such as:
- Powder free surgical gloves especially with the possibilty of contamination with blood or body fluid, or in contact with high risk patients.
- Face shields for procedures where there could be a potential for airborne infection.
Contact lenses
- Multi-use contact lenses should be cleaned and rinsed before and after use
Tonometer probes
- Although common practice is to use an alcohol swab to clean the prism and allow it to air dry, there have been various studies looking at how to better remove viral or bacterial load off the tonometer prisms
- the American Academy of Ophthalmology mentioned the that the CDC recommended tonometry trips to be wiped clean, disinfected for 5-10 mins by being submerged in either 5,000 ppm chlorine or 70% ethyl alcohol, rinsed then air dried
- Adenovirus (eg: EKC) can be removed with alcohol, iodophor or hydrogen peroxide wipes or a five minute soak with these agents or bleach.
- If concerned about transmission of infection, use a disposable tonometer tip/probe instead
Daily consulting room hygiene, such as:
- cleaning benches, sink, computer keyboard and mouse, any electronic devices (eg: mobiles, tablets)
- covering equipment
Patient Education, such as:
- how to use prescribed eyedrops, and when to dispose of them
- how to maintain contact lens hygiene (with CL, CL case, etc)
- Eye make up (not sharing make up, to throw away make up if contaminated or passed expiry date)
- isolation of those who exhibit symptoms
- use of surgical masks (P2/N95) by both the infected person and healthcare workers to reduce risk of transmission of infection
- frequent hand washing
- proper cough and sneeze etiquette
- supply of tissues and immediate disposals of tissue
- rescheduling for non-urgent appointments
- protection for staff members too
Hand Hygiene Australia contains evidence-based resources and
strategies with educating health care workers how to maintain effective health
hygiene to reduce or prevent transmission of infections from patient to patient,
or patient to yourself.
Not only does it discuss about hand hygiene techniques (refer
to this link); about washing your hands in a specific way for 30 secs),
but it also discusses about different types of hand rubs!
They also contain a module that is highly recommended to do!
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Optometry Australia
OA has released an abundant amount of information regarding infection
control
Infection Control Guidelines and Advice: COVID-19 specific information
https://www.optometry.org.au/practice-professional-support/coronavirus-covid-19-what-optometrists-need-to-know/covid-19-clinical-advice/infection-control-guidelines-and-advice/
https://www.optometry.org.au/practice-professional-support/coronavirus-covid-19-what-optometrists-need-to-know/covid-19-clinical-advice/infection-control-guidelines-and-advice/
OA has highlight guidelines not just for optometrists, but
also for patients, staff and family. They also contain a free 30 minute online
training module for health workers regarding infection prevention and control.
For optometrists specifically, they have a “five moments of
hand hygiene”; which highlights when you should wash your hands according to
HHA.
- Before touching a patient
- Before a procedure
- After a procedure or body fluid exposure risk
- After touching a patient
- After touching a patient’s surroundings
Australia Department of Health is also contain a free 30minute online training module for health workers regarding infection prevention
and control.
https://www.health.gov.au/resources/apps-and-tools/covid-19-infection-control-training
https://www.health.gov.au/resources/apps-and-tools/covid-19-infection-control-training
Similarly, WHO also has a 60 min online training module revolving around infection control too.
https://openwho.org/courses/COVID-19-IPC-EN
References:
https://onlinelibrary.wiley.com/doi/full/10.1111/cxo.12544
https://www.hha.org.au/
https://www.optometry.org.au/practice-professional-support/coronavirus-covid-19-what-optometrists-need-to-know/covid-19-clinical-advice/infection-control-guidelines-and-advice/
https://openwho.org/courses/COVID-19-IPC-EN
References:
https://onlinelibrary.wiley.com/doi/full/10.1111/cxo.12544
https://www.hha.org.au/
https://www.optometry.org.au/practice-professional-support/coronavirus-covid-19-what-optometrists-need-to-know/covid-19-clinical-advice/infection-control-guidelines-and-advice/
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