Hospital Hygiene

 

LEARNING OUTCOMES

The course is a specialty course which refers to subjects of Hygiene and Epidemiology that are related to the place of Hospital.

The syllabus includes the Sanitary Provisions in which the license of the establishment and operation of medical institutions are based on, clues of the building complex, and as well as the competences of the Public Health Supervisor in the hospitals and the manner of exercising of Sanitary Control.    

Furthermore it analyzes the parameters and the factors of the cause and the control of Hospital Infections (e.g. Hand hygiene of medical stuff, disinfectants and antiseptics use policy, food collection and storage conditions, the way of management of hazardous medical wastes and the clean clothing)..

Finally, the aim of the course is students to acquire knowledge and skills in subjects of Hospital Hygiene, which they will make them capable of contributing effectively in the protection of health and in safety of Patients and Employees in Nursing Institutions, but also in general in the defense of Public Health.

Upon completion of the course, students will be able :

• To know and apply the Health Provisions that is effective in to Nursing Institutions.
• To assess and evaluate the operating conditions of various departments and services related to their objects (e.g. the use of  disinfenctants and antiseptics, the operation of central sterilization , the operating conditions of laundries and kitchens, medical waste management).
• To capture the current situation and make intervention proposals.

 

GENERAL SKILLS 

• Search, analyze and synthesize data and information, using necessary technologies.
• Adaptation to new situations and requirements with continuous information on changes in legislation.
• Decision making
• Individual work and Teamwork in an interdisciplinary environment
• Respect cultural diversity and multiculturalism
• Respect in natural environment
• Promotion of free , creative and inductive thinking

 

CORSE CONTENT

THEORETICAL PART OF THE COURSE

• Definition of Hospital Infections (N.I)
• Basic knowledge of the Epidemiology of H.I, sources and routes of transmission of H.I
• Infection indicators
• Epidemiological Surveillance, Control Committees of H.I
• Epidemic and Endemic H.I
• Antimicrobial resistance in antibiotics and antibiotics use policy in Hospital
• Hand Hygiene of Medical and Nursing Staff
• Sterilization and Disinfection methods in Hospital
• Epidemiology and prevention of the transmission in the Hospital diseases which are being transmitted by blood and biological fluids
• Epidemiology and prevention of the transmission in the Hospital diseases which are being transmitted by endovascular devices
• Management of dirty clothing in Hospital
• Surgical Trauma Infections, Nosocomial Urinary Tract Infections, Nosocomial Pneumonias
• Food infections in the Hospital
• Vaccination needs of Employees

 

LABORATORY PART OF THE COURSE

• Sanitary provisions under which the establishment and the operation of Nosocomial institutions are granted
• Responsibilities of the Public Health Inspector in the Hospitals and the way of exercising Health Control
• Elements of a building complex
• Health and Safety Programs in Nursing Institutions

Educational Visits in Nursing Institutions for the:

• Assessment of disinfectant and antiseptic use policy in the Hospital
• Assessment of the operating conditions of the central sterilization
• Assessment of the operating conditions of the washing machines
• Assessment of the food reception and preservation conditions
• Assessment of the operating conditions of the kitchens
• Assessment of the management condition of unclean and clean clothing
• Assessment of the way washing – antiseptic of the hands and use of gloves
• Assessment of the cleaning way of building structures
• Assessment of the management manner of Medical Waste

 

STUDENT EVALUATION

The evaluation is in Greek Language.

THEORETICAL PART OF THE COURSE

 

The evaluation of the theoretical part is done with a written examination at the end (80% of the grade) of the semester, which includes short development questions and multiple-choice questions.

When the subjects are given to the students, they will be also informed about how topic will be evaluated depending on their degree of difficulty. The assessment takes into account the completeness of the answer, the clarity, the degree of critical thinking of the student and the language proficiency.

Writing and presentation of works (20%).

Participation in the final assessment is made known to the student from the beginning of the semester.

LABORATORY PART OF THE COURSE

 

Written final exam (60%) which includes:

• Multiple-choice questions
• Short development questions
• Solve problems related to quantitative data in a short case study

Interim evaluations (40%) which includes:

• Presentation of team project
• Problem solving: Role analysis and scope in a brief case study

Participation in the final assessment exam and in interim evaluations is made known to the student from the beginning of the semester.

 

RECOMENDED BIBLIOGRAPHY

GREEK

• Αποστολοπούλου Ε. Νοσοκομειακές Λοιμώξεις, Εκδόσεις Πασχαλίδη, Β΄ Έκδοση, Αθήνα 2000
• Bennet J., Brachman P. Νοσοκομειακές Λοιμώξεις. Μετάφραση Μάινας Ε. Εκδόσεις Πασχαλίδης, Αθήνα 2004
• Ξηρουχάκη Ε. Η. Υγιεινή και Επιδημιολογία στο χώρο του Νοσοκομείου. Εκδόσεις Συμμετρία, 2000
• Μαρίνης Ε., Βογιατζάκης Ε. (Επιμέλεια έκδοσης). Πολιτική χρήσης απολυμαντικών – αντισηπτικών στο χώρο του Νοσοκομείου, Ελληνική Μικροβιολογική Εταιρεία, Αθήνα, 2004
• Φλώρος Χ. Οργάνωση Σχεδιασμός Νοσοκομείων. Εκδόσεις Παρισιάνου, Αθήνα 2007
• Wenzel, Brewer, Butzler. Οδηγός Ελέγχου Λοιμώξεων στο Νοσοκομείο. Μετάφραση Δασκαλάκη Ε., Αντωνιάδου Α. International Society for Infectious Diseaces. Boston, MA-USA, 2002, 6-8
• Χασάπη Α., Σαργέντη Α.Σ. & Συνεργάτες Ο.Ε. Τμήμα Επειγόντων Περιστατικών (Τ.Ε.Π.) – Προδιαγραφές Σχεδιασμού και Ιατρικού Εξοπλισμού. ΔΑΠΑΝΟΜ Α.Ε., Αθήνα, 2002

ENGLISH

• Draft Guideline for Disinfection and Sterilization in Health Care Facilities. CDC, 2002
• Gaterman H. Masterplanning in the Process of Adapting Existing Hospitals of Future Requirements. World Hospital and Health Services, London, 2003, 2, 39
• Nagasawa Y. How many years can hospital master plans be effective. World Hospitals and Health Services, IHF, London, 2003, No 3, Vol. 39
• Rutala W.A., Weber D.J. Creutzfeldt-Jakob Disease: Recommendations for Disinfection and Sterilization. CID 2001;32: 1348-1356
• Office of Health and Safety. Guidelines for Laundry in Health Care Facilities. at http://www.cdc.gov/od/ohs/biosfty/laundry

RELATABLE SCIENTIFIC JOURNALS

• Journal of Hospital Infection
• Infection Control and Hospital Epidemiology
• American Journal of Infection Control 

 

EUDOXUS

• Νοσοκομειακές λοιμώξεις, Benett L. Λεπτομέρειες
• Υγιεινή και Επιδημιολογία στο Χώρο του Νοσοκομείου, Ξηρουχάκη Ευαγγελία Η. Λεπτομέρειες