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Infection Prevention in Eye Care Services and Operating Areas August 2012 TABLE OF CONTENTS I. Standard Precautions are used for all patient contact, regardless of suspected or confirmed infection status, in any setting in which health care is delivered.

This document reaffirms Standard Precautions as the foundation for preventing transmission during patient care in all health care settings, reaffirms the importance of implementing transmission-based precautions (airborne, droplet, contact) based on the clinical presentation or syndrome and likely pathogens until the infectious etiology has been determined, and provides evidence-based recommendations whenever possible.

This document incorporates federal regulations, Centers for Disease Control and Prevention (CDC) guidelines, current research and literature, professional organization recommendations and standards, and equipment manufacturers' cleaning and disinfection instructions.

With the pathogenicity and hardiness of many microorganisms, and with the ever increasing incidence of colonization of MRSA in the general population, it is very important that infection prevention measures are followed in a consistent manner for each patient, no matter what the diagnosis.

Gloves may have microscopic flaws which will allow hand contamination to occur. This document provides guidance for all three modes of transmission; however, this will primarily focus on those pathogens that are transmitted via contact. Pathogen transmission can occur in three ways: airborne (e.g., tuberculosis [TB], measles, varicella, disseminated herpes zoster); droplet (e.g., strep throat, pertussis, common cold, influenza, mumps, some pneumonias); and contact (e.g., adenovirus, HSV, common cold, influenza, MRSA, vancomycin-resistant enterococci [VRE], herpes zoster, HIV, HBV, HCV).Wear gloves with fit and durability appropriate to the task.Nonlatex is preferred due to increasing incidence of patients and HCWs with latex allergies. Medication, Eye Drops & Solutions Use, Handling & Storage V. This document strives to identify the key components to providing a safe practice and environment for the health care worker (HCW) and patient that meets, at a minimum, the current applicable regulations and infection prevention guidelines. These resources include, but are not limited, to the following: Regulatory U. Department of Labor Occupational Safety and Health Administration (OSHA) U. Department of Health and Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Environmental Protection Agency (EPA) Food and Drug Administration (FDA) Organizations Centers for Disease Control and Prevention (CDC) Association for Professionals in Infection Control and Epidemiology (APIC) Association for the Advancement of Medical Instrumentation (AAMI) Association of Peri Operative Registered Nurses (AORN) United States Pharmacopoeia USP 797 National Patient Safety Goals The Joint Commission (JC) Institute of Healthcare Improvement (IHI) National Institute of Occupational Safety and Health (NIOSH) Guidelines Staying abreast of regulations, current research, guidelines and standards is a daunting task for the individual practitioner. It also provides protection for the patient because employee health can directly affect the health and safety of the patient. Employee health requirements provide safety for the employee and ophthalmologist. Adenovirus can live for several days, and HBV can live for seven days in a dried state. Factors like temperature, humidity, the amount of germs present, the availability of nutrients, and type of surface also affect a microorganism's lifespan.

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