Thanks Craig Boutlis who helped me develop these some time back. Nothing has changed much yet!
- Always disinfect your hands with alcohol-based hand rub BEFORE and AFTER touching a patient or performing a procedure. Set the example for your team and expect others to follow your lead.
- Dress well for safer care – abandon ties and lanyards, bare your arms to the elbow – no wrist watches or jewelry. See also this recent discussion about dress codes for doctors.
- Insist on the provision of alcohol-based hand rubs at the patient bedside and in your clinic/rooms.
- Take alcohol-impregnated wipes on your ward rounds to disinfect equipment, such as stethoscopes or tendon hammers between use on every patient.
- Ensure your team follows a standard, methodical, aseptic approach for all invasive procedures (e.g. IV line insertion).
- Invasive devices are potentially dangerous – remove them as soon as you can (within 3 days for peripheral cannulae).
- Target antimicrobial therapy – consult Therapeutic Guidelines: Antibiotic for the most appropriate agent(s), dose, route and duration. Review patient at 48-72hrs- change may be indicated.
- Be the first on your team to have the influenza vaccine every year and make it known to others.
- If you’re not receiving regular, relevant feedback about healthcare-associated infections like MRSA involving your patients, then you’re missing out – insist on it!
- Look beyond the obvious when seeking source(s) of infection. Surgical wound and device-related infection may be present even in the absence of visible local inflammation.
[…] are not yet utilised by all clinicians every time they interact with a patient (See recent post Ten Infection Control Commandments ) . This leads to increased risk of infection for patients, demonstrated in healthcare associated […]