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Hiv aids part 4[3]

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Hiv aids part 4[3]

  1. 1. HIV/AIDS Elaine Kauschinger PhD, MS, ARNP, FNP-BC Assistant Professor of ClinicalLead Faculty, Family Nurse Practitioner Program University of Miami School of Nursing & Health Studies
  2. 2. Part 4:Prevention & Infection Control
  3. 3. Infection control practices Standard precautions • Standard precautions are the basic level of infection control that should be used in the care of all patients all of the time  Hand hygiene  Gloves, gowns, masks, face shield, & eye protection  Patient care equipment  1:10 bleach solution for accidental infectious fluid/blood spills
  4. 4. Post Exposure Prophylaxis A bloodborne pathogen is a pathogenic microorganismss that are transmitted via human blood and cause disease in humans.  They include, but are not limited to, hepatitis B virus, and human immunodeficiency virus. Although a number of pathogens can be transmitted percutaneously, HIV remains the most common. Mosbys Medical Dictionary, 8th edition, 2009, Elsevier
  5. 5. What is the Occupational Safetyand Health Administration(OSHA)? Created in 1970 to ensure a safe and healthy workplace. In 1991 the Bloodborne Pathogen standard was created. In 2001 the Needlestick Prevention Act required employers to select safer devices. All institutions are required to develop and implement a bloodborne pathogen exposure control plan.
  6. 6. Types of Bloodborne PathogenExposures  Needlestick  injuries are wounds caused by needles that accidentally puncture the skin.  Sharps Injury  scalpels  Splash  Cutaneous Exposure
  7. 7. Exposure These situations require consideration of treatment with HIV antiretroviral therapy: • Post exposure prophylaxis (PEP) Average risk of HIV transmission following percutaneous exposure to • Infected blood: 0.3% • Mucous membrane exposure: 0.09% • After skin exposure: unknown • Following exposure to fluids or tissues other than blood: unknown Risk of transmission of hepatitis B virus after a large bore needle stick is approximately 5% while to hepatitis C virus is 1.8%
  8. 8. Post Exposure Management  Clean exposed area with soap and water  Apply first aid  Supervisor Assistance – follow instructions located in UM Student Handbook (located on-line).  Counseling to determine
  9. 9. Post Exposure ManagementPost Exposure drug management dependent upon severity of injury: – Percutaneous – Mucous membrane – Skin
  10. 10. Resources National Clinicians’ Post-Exposure Hotline (PEPLine): 888-448-4911 Post-Exposure Prophylaxis Registry for Health Care Workers: 888-737- 4448 (888-PEP-4HIV) CDC (for reporting HIV seroconversion in health care workers who received PEP): 404- 638-6425
  11. 11.  National Post-Exposure Prophylaxis Hotline: 888-HIV-4911 Florida/Caribbean AIDS Education & Training Center: www.FCAETC.org