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Infection Control

Information and signage to prevent the spread of infection in your health care facility.

Last updated: January 27, 2021

‎This policy protects patients, clients, clinicians, health care workers and the public by outlining provincial expectations for the implementation of infection prevention and control (IPC) practices to prevent and control COVID-19 in all health authority facilities, programs and services.  This includes expectations for IPC practices in long-term care and seniors assisted living settings.


Policy: Infection Prevention and Control for all health authority, long-term care and seniors assisted living settings

‎This policy protects patients, clients, clinicians, health care workers, non-clinical staff and the public by outlining provincial expectations for the use of face masks in all health care facilities, programs and services, including long-term care and seniors assisted living settings, community physician offices and outpatient clinics during the COVID-19 pandemic.


Policy: Mask Use in Health Care Facilities During the COVID-19 Pandemic


Related: Medical mask poster

Guidance for health care settings

‎This document provides specific detail around infection control for critical care and provides recommendations to support clinicians managing critically ill adults with COVID-19 in the intensive care unit (ICU).


Infection Control Guidelines on the Management of Critical Adults with COVID-19

‎For more information on infection prevention and control guidance for physicians, nursing professionals, midwives and allied health care providers working in community-based clinic settings, please visit the Community-based health care page.

 

‎This document provides guidance for B.C. home and community health-care providers and workers to prevent the transmission of COVID-19 by applying infection prevention and control (IPC) best practices. This guidance outlines the IPC measures to provide care safely in homes, including those with confirmed COVID-19 and suspected COVID-19 (e.g., client or household member with symptoms of COVID-19 or in self-isolation following close contact with a confirmed case or travel outside of Canada).


COVID-19 Infection Prevention and Control: Guidance for Home and Community Health-Care

‎This document provides guidance for British Columbia Emergency Health Services (BCEHS) in the infection prevention and control management of suspected or confirmed cases with COVID-19. It includes information on source control, patient assessment, respiratory and hand hygiene, contact/droplet precautions, transportation, community care, and vehicle and equipment cleaning.


Infection Prevention and Control for COVID-19: Guidance for British Columbia Emergency Health Services (BCEHS)

‎This document provides IPC guidance and requirements to Long-Term Care (LTC) facilities and Seniors Assisted Living (AL) residences for preventing and controlling COVID-19.  It provides guidance on PPE, visitors, IPC practices and outbreak protocol.


Infection Prevention and Control Requirements for COVID-19 in Long Term Care and Seniors’ Assisted Living

‎This document provides IPC guidance for food service providers in health care settings and includes general precautions and information on PPE; food handling, delivery and pick-up; and dishwashing.


COVID-19 Information Sheet for Food Service Providers in Health Care Settings

‎For guidance about person protective equipment (PPE) for environmental service staff in health care facilities, as well as information on environmental cleaning, laundry and waste management, see the information sheet for environmental service providers in health care settings.

 

‎Code White refers to a trained team response to a disturbance that is a behavioural emergency involving clients in health-care settings. This document provides interim guidance to health-care personnel (HCP) regarding infection prevention and control (IPC) measures to prevent transmission of COVID-19 during a Code White response.


COVID-19: Infection and Prevention Control Guidance on Code White Response

Screening and risk assessment tools

Entrance Screening Tool for Health Care Facilities: This tool is for screeners at health care facility entrances to determine whether an individual poses a COVID-19 risk and whether they should be permitted to enter.


Health Care Worker Self-Check and Safety Checklist: This checklist is to help health care workers (HCW) check themselves for COVID-19 risk before each shift. This tool summaries steps to take if a HCW develops symptoms and other general safety measures to reduce risk.

‎Patient Screening Tool for Direct Care Interactions: This tool is for health care workers to determine whether a patient/client/resident interaction poses a COVID-19 risk and accordingly select appropriate precautions and PPE while providing direct patient care within two metres.


Point of Care Risk Assessment (PCRA): The PCRA is a routine practice which should be conducted before every patient/client/resident interaction by a trained health care worker (HCW) to assess the likelihood of exposing themselves and/or others to infectious agents. This assessment informs the selection of appropriate actions and PPE to minimize the risk of exposure.

Surgical procedures and operating rooms

‎This document outlines IPC protocol for surgical procedures in adults during COVID-19 and includes information on urgent/emergent/elective procedures, pre-surgical patient assessment, pre-surgical procedure huddle, air clearance and the algorithm for management of adult surgical patients.


Infection Prevention and Control (IPC) Protocol for Surgical Procedures During COVID-19: Adult

‎This document outlines IPC protocol for pediatric surgical procedures during COVID-19 and includes information on urgent/emergent/elective procedures, pre-surgical patient assessment, pre-surgical procedure huddle, air clearance and the algorithm for management of pediatric surgical patients.


Infection Prevention and Control (IPC) Protocol for Surgical Procedures During COVID-19: Pediatrics

‎This document outlines IPC protocol for obstetrical surgical procedures during COVID-19 and includes information on pre-surgical patent assessment, pre-surgical procedure huddle, air clearance and the algorithm for management of obstetrical surgical patients.


Infection Prevention and Control (IPC) Protocol for Obstetrical Procedures During COVID-19

‎This document presents information and reasoning for consideration when determining the best option for facilities performing surgery on patients who are suspected or confirmed cases of COVID-19.


Options for Operating Room Configuration and Use When a Patient with Suspected or Confirmed COVID-19 Requires Emergent Surgery

‎This document provides a practical “how to” guide for physicians, nurses and other staff in non-hospital medical surgical facilities (non-hospital surgical facilities) to support improved infection prevention and control (IPC) practices during COVID-19. The document includes information on infection prevention and exposure control, environmental measures, administrative measures, personal measures, PPE, and clinic/facility management.


COVID-19: Infection Prevention and Control Guidelines for Surgery in Non-Hospital Medical Surgical Facilities

Cleaning

Cleaning and disinfecting clinic settings

Cleaning products and disinfectants that are regularly used in hospitals and health care settings are strong enough to deactivate coronaviruses and prevent their spread. Cleaning of visibly soiled surfaces followed by disinfection is recommended for prevention of COVID-19 and other viral respiratory illnesses. Download the Environmental Cleaning and Disinfectants for Clinic Settings poster (PDF).

‎Bleach: sodium hypochlorite (5.25%)

  • 500 ppm (10mL bleach to 990mL water) - Used for disinfecting surfaces and medical equipment (e.g. counters, door knobs, stethoscope, BP cuff). Allow surface to air dry naturally

  • 1000 ppm  (20mL bleach to 980mL water) - Used for disinfecting surfaces contaminated with bodily fluids and waste (e.g. vomit, diarrhea, mucus, feces) (after cleaning with soap and water first). Allow surface to air dry naturally.

Accelerated hydrogen peroxide (0.5%) - Used for cleaning and disinfecting surfaces and medical equipment.


Quaternary Ammonium Compounds (QUATs) or ‘alkyl dimethyl ammonium chlorides’ on the product label - Used for disinfecting of surfaces (e.g., floors, walls, furnishings).

Additional information

‎Patients under investigation should be managed with contact and droplet precautions.


Nasopharyngeal (NP) swabs and throat swabs can be performed using contact and droplet precautions, and HCW must wear gown, gloves, surgical/procedural mask and eye protection (face shield or goggles) and do not require the use of an N95 respirator for suspected or confirmed COVID-19 patients.


Use a N95 respirator or equivalent with gown, gloves, and eye protection (face shield or goggles) when performing aerosol generating medical procedures (AGMP) on patients suspected (patients with COVID-19 risk) or confirmed to have COVID-19.


For information about personal protective equipment (PPE), how to put it on and take it off, visit the personal protective equipment page.

‎Posters for facility entrances are available on the signage and posters page.

 


For further details on infection prevention and control guidelines in specific clinical settings or patient care, consult the relevant pages under clinical care.

Learn more about personal protective equipment.

If you are seeking consultation or have further questions about novel coronavirus as a health care provider or for a health care facility, contact your local public health unit.

SOURCE: Infection Control ( )
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