Criterion 5.5.2 IDENTIFICATION OF INFECTION RISK

 Criterion 5.5.2

Various risks of infection are identified in the delivery of services as a basis for developing and implementing strategies to reduce these risks.

1) Main Thoughts:

a) Puskesmas carries out identification and assessment of the risk of infection, both in providing individual health services and public health efforts, which may or have occurred to patients, visitors, staff, families and the community. Implementation of identification and review of care delivery must be in accordance with PPI principles.

b) Based on this study, a strategy for infection prevention and control was developed through (a) isolation precautions consisting of two layers, namely standard precautions and transmission-based precautions, (b) wise use of antimicrobials, and (c) implementation of infection bundles related to services health, including primary bloodstream infections, surgical site infections, urinary tract infections due to catheter placement, and other infections that may occur as a result of health services.

c) To implement isolation precautions, it is necessary to ensure:

(1) availability of personal protective equipment (PPE), such as gloves, protective glasses, masks, shoes and protective gowns (according to exposure risk);

(2) availability of proper linen;

(3) availability of medical equipment in accordance with provisions;

(4) availability of safe injection equipment; And

(5) waste management through safe placement and disposal of clinical waste and waste that has the potential to transmit diseases that requires special disposal, such as sharp objects/needles and other disposable equipment that may come into contact with body fluids.

d) Renovation of buildings in the Puskesmas area can be a source of infection. Exposure to construction dust and dirt, noise, vibration, dirt, and other hazards may constitute potential hazards to lung function and the safety of employees and visitors. Therefore, Community Health Centers must establish risk criteria to deal with these impacts which are outlined in the form of regulations regarding risk assessment and infection control (infection control risk assessment/ICRA).

2) Assessment Elements:

a) Identification and assessment of the risk of infection related to the provision of services at the Community Health Center (D,W).

b) Develop and implement a strategy to minimize the risk of infection related to the provision of services at the Puskesmas and ensure the availability of (a) to (c) as stated in the Main Ideas (D,W) section.