Control Practices for. Mary McGoldrick, MS, RN, CRNI

Size: px
Start display at page:

Download "Control Practices for. Mary McGoldrick, MS, RN, CRNI"

Transcription

1 Essential Infection Control Practices for Home Infusion Nurses Mary McGoldrick, MS, RN, CRNI

2 Top 5 Things to Know for CE: Make sure your BADGE IS SCANNED each time you enter a session, to record your attendance. Carry the Evaluation Packet you received on registration with you to EVERY session. If you re not applying for CE, we still want to hear from you! Your opinions about our conference are very valuable. Pharmacists, Pharmacy Technicians and Nurses need to track their hours on the Statement of Continuing Education Certificate form as they go. FOR CE: At your last session, total the hours and sign both pages of your Statement of Continuing Education Certificate form. Keep the PINK copies for your records. Place the YELLOW and WHITE copies in your Evaluation packet. Make sure an evaluation form from each session you attended is completed and in your Evaluation packet (forgot to pick up an evaluation form at a session? (Extras are available in an accordion file near the registration desk.) Put your name and unique member ID number (six digit number on the bottom of your badge) on the outside of the packet, seal it, and drop it in the drop boxes in the NHIA registration area at the convention center.

3 Disclosures Mary McGoldrick is a consultant for Home Health Systems, Inc. The conflict of interest was resolved by peer review of slide content. Cli i l t i l d ff l b l ill t b Clinical trials and off-label uses will not be discussed during this presentation.

4 Employers of Home Infusion Nurses Home Infusion Pharmacy Home Health Care Agency Private Duty Agency Hospice Services Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 4

5 Home Health Care Services: Total Employement, ,000, , , , , Source: U.S. Department of Labor, Bureau of Labor Statistics: Employment, Hours, and Earnings from the Current Employment Statistics Survey (National), (May 2008) Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 5

6 Patient Safety and Preventing Infections 1 out of every 20 hospitalized patients will contract Healthcare-associated infection (HAI) 2 million people develop a HAI per year 98,000 deaths per year Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 6

7 Patient Safety and Preventing Infections 1 out of every 20 hospitalized patients will contract Healthcare-associated infection (HAI) 2 million people develop a HAI per year 98,000 deaths per year Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 7

8 Risks for HAI in Home Infusion Patients Most common device related infections Bloodstream infection Pneumonia Urinary tract infections Administration of intravenous medication Central line catheter care and maintenance Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 8

9 Infection Prevention Challenges in Home Infusion Lack of control over the home environment Environmental contamination Human body fluids and excrement Pet excrement Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 9

10 Infection Prevention Challenges in Home Infusion Lack of control over the home environment Lack of general cleanliness Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 10

11 Infection Prevention Challenges in Home Infusion Lack of control over the home environment Lack of utilities Lack of major appliances Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 11

12 xxxxxxx xxx xxx Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 12

13 Infection Prevention Challenges In Home Infusion Lack of control over caregiver: Not sole provider of health care Inconsistency in patient care practices Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 13

14 Performing Hand Hygiene in the Home Setting 14

15 Hand Hygiene: We ve Come A Long Way : Semmelweis 1961: U.S. Public Health Service 1975,1985, : CDC 1995: APIC 2004: TJC NPSG 2009: WHO Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 15

16 Hand Hygiene Data Review Association between increased hand hygiene adherence and reduced HAIs >20 studies showed significant association Interventions used multimodal approach 96 studies in industrialized nations show 40% overall adherence rate B. Allegranzi, D. Pittet. Journal of Hospital Infection, 2009 V. Erasmus et al. Infection Control and Hospital Epidemiology, 2010 Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 16

17 The Joint Commission: 2011 National Patient Safety Goals NPSG : Reduce the risk of health care- associated infections EP1: Implement a program that follows categories 1A, 1B and 1C of either the current CDC or WHO hand hygiene guidelines EP2: Set goals for hand hygiene compliance EP3: Improve compliance with hand hygiene goals based on hand hygiene goals Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 17

18 When to Perform Hand Hygiene Source: World Health Organization (WHO) Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 18

19 Hand Hygiene: Using the Patient s Soap Bar soap vs. liquid soap Liquid soap refill technique Plain soap vs. antibacterial soap Ingredients not recommended in health care Cloth towels Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 19

20 Hand Hygiene with Soap & Water 1. Wet the hands 2. Apply soap 3. Rub the hands together vigorously for a minimum of 15 seconds 4. Rinse the hands 5. Dry the hands 6. Turn off the faucet Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 20

21 Handwashing Superior to ABHR in Presence of C. Difficile C. difficile spores readily transferred through hand-to-hand contact subsequent to hand hygiene with ABHR Oughton et al. Infect Control Hosp Epidemiol, 2009 Jabbar et al. Infect Control Hosp Epidemiol, 2010 Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 21

22 Hand Hygiene: Alcohol-based Hand Rub Usage Application technique Storage Expiration Wipes Copyright Home Health Systems, Inc. All Rights Reserved. 22

23 Other Hand Hygiene Considerations Jewelry and rings Artificial fingernails Natural nails tips short Nail polish Copyright 2011 Home Health Systems, Inc. All Rights Reserved.

24 Measuring Hand Hygiene Compliance Direct observation Measuring product use Surveys: Self-reported Patient/family Technology safety/infection control/ hh_monograph.htm Copyright 2011 Home Health Systems, Inc. All Rights Reserved.

25 Hand Hygiene Competence Assessment Tool Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 25

26 Management of Equipment and Supplies 26

27 Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 27

28 Storage of Equipment and Supplies Used by staff in personal vehicle Event-related shelf life Storage conditions Packaging Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 28

29 Storage of Equipment and Supplies Used by staff in personal vehicle Time-related shelf life Expiration date Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 29

30 Storage of Equipment and Supplies Used by staff in nursing bag In-home placement Surface barrier Cleaning Hand hygiene Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 30

31 Cleaning of Equipment and Supplies Used by staff Assessment equipment Product Contact time Frequency Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 31

32 Cleaning of Equipment and Supplies Used by staff Electronic equipment Product Contact time Frequency Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 32

33 Nursing Bag Contamination Outside nurses bags: 83.6% positive for human pathogens; 15.9% MDROs Cloth nurses bag surface material 3 times more likely to have an MDRO isolate Inside nurses bag: 48.4% positive for human pathogens; 6.3% MDROs Patient care equipment inside nurses bags 43.7% positive for human pathogens; 5.6% MDROs Source: Bakunas-Kenneley, I., Madigan, E., (2009). Infection prevention and control in home healthcare: The nurse s bag. Am J Infect Control. 37: Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 33

34 Hazards Using Cleaners/Disinfectants on Electronic Medical Equipment Review manufacturer s cleaning and maintenance instructions and train staff. Strictly adhere to all chemical manufacturer s warnings, precautions and cautions, and follow directions for use. Clean equipment surfaces in accordance with equipment and chemical manufacturer s instructions. Keep the item/surface wet for specified contact time. Avoid wetting the circuitry. Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 34

35 Management of Multidrug-Resistant Organisms (MDROs) in the Home Care Setting 35

36 Cartoon by Dave Harbaugh 36

37 Standards precautions Transmission-based precautions Airborne precautions Isolation Precautions Droplet precautions Contact precautions Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 37

38 MDRO Management in the Home Care Setting When to implement: Standard precautions Contact precautions Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 38

39 MDRO Management in the Home Care Setting Equipment management Patient and family education Visit schedule Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 39

40 Management of MDROs: Staff Education Risks and prevention of MDRO transmission during orientation and periodic updates Organizational experience with MDROs and prevention strategies Compliance with standard precautions and hand hygiene Criteria for implementation of additional precautions Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 40

41 Source: Burton et al., abstract presentation, SHEA 2008 Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 41

42 Management of Home-generated Medical Waste 42

43 Medical Waste Management Types of regulated waste generated Medical Sharps Disposal Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 43

44 Medical Waste Management Handling homegenerated medical waste Transport Storage Blood and body fluid spill management Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 44

45 Occupational Exposures Blood/body fluid exposure and exposure reporting in HHC RNs 76 percutaneous injuries per 1000 home health care RNs 45.8% of percutaneous injuries not reported Adverse working conditions uniquely associated with home health care Source: Gershon, R., Pearson, J., Sherman, M., Samar, S., Canton, A., Stone, P. (2009). The prevalence and risk factors for percutaneous injuries in registered nurses in the home health care sector. Am J Infect Control. 37: Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 45.

46 Occupational Hazards in Home Care Strong odors Cigarette smoke Traveling alone in high-crime neighborhoods Drug- or alcohol-impaired and aggressive family members, family arguments Guns or drugs present in the home Source: NIOSH Hazard Review: Occupational Hazards in Home Healthcare. January 2011 Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 46

47 Home Infusion Nursing Surveillance Activities 47

48 Monitoring HAIs in Home Infusion Surveillance - Monitoring and controlling HAIs in Home Infusion: Select based on risk assessment and program evaluation Surveillance definitions from APIC CDC HICPAC Surveillance Definitions for Home Health Care and Home Hospice Infections vs. CDC National Healthcare Safety Network (NHSN) Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 48

49 HAI Surveillance in Home Infusion Patient surveillance MDRO surveillance Employee surveillance Infection reporting of infection Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 49

50 HAI Surveillance Challenges in Home Infusion Lack of designated Infection Preventionist Lack of surveillance data in national database Inconsistency in surveillance definitions Analysis of data Care provided by caregiver Patients served by more than one healthcare provider Publish surveillance data Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 50

51 Essential Infection Control Practices for the Home Infusion Nurses: Summary The specific infection prevention and control challenges when providing care in the home setting. Ways to reduce the risk of infection transmission by implementing infection prevention and control strategies in the home. Issues specific to patients with MDROs and CDI receiving care in the home and how to prevention and control transmission. How to strengthen the infection prevention and control program for care provided in the home setting. Copyright Home Health Systems, Inc. All Rights Reserved. 51

52 Questions? Mary McGoldrick, MS, RN, CRNI Phone: (912) Fax: (800) Copyright 2011 Home Health Systems, Inc. All Rights Reserved. 52

Presented by: Mary McGoldrick, MS, RN, CRNI

Presented by: Mary McGoldrick, MS, RN, CRNI Infection Prevention and Control Challenges in the Home and Community based Care Mary McGoldrick, MS, RN, CRNI Home Care and Hospice Consultant Saint Simons Island, GA Nothing to Disclose Top 5 Home Care

More information

Infection Prevention and Control: How to Meet the Conditions of Participation for Home Health

Infection Prevention and Control: How to Meet the Conditions of Participation for Home Health Infection Prevention and Control: How to Meet the Conditions of Participation for Home Health Mary McGoldrick, MS, RN, CRNI Home Care and Hospice Consultant Saint Simons Island, GA Nothing to Disclose

More information

Infection Control and Prevention On-site Review Tool Hospitals

Infection Control and Prevention On-site Review Tool Hospitals Infection Control and Prevention On-site Review Tool Hospitals Section 1.C. Systems to Prevent Transmission of MDROs Ask these questions of the IP. 1.C.2 Systems are in place to designate patients known

More information

Chapter 10. medical and Surgical Asepsis. safe, effective Care environment. Practices that Promote Medical Asepsis

Chapter 10. medical and Surgical Asepsis. safe, effective Care environment. Practices that Promote Medical Asepsis chapter 10 Unit 1 Section Chapter 10 safe, effective Care environment safety and Infection Control medical and Surgical Asepsis Overview Asepsis The absence of illness-producing micro-organisms. Asepsis

More information

Incorporating Clinical Outcomes. Plan. Barbara S. Prosser, RPh V.P. Clinical Services, Critical Care Systems. Kevin L.

Incorporating Clinical Outcomes. Plan. Barbara S. Prosser, RPh V.P. Clinical Services, Critical Care Systems. Kevin L. Incorporating Clinical Outcomes into a Performance Improvement Plan Barbara S. Prosser, RPh V.P. Clinical Services, Critical Care Systems Kevin L. Ross, RN, BSN Top 5 Things to Know for CE: Make sure your

More information

Personal Hygiene & Protective Equipment. NEO111 M. Jorgenson, RN BSN

Personal Hygiene & Protective Equipment. NEO111 M. Jorgenson, RN BSN Personal Hygiene & Protective Equipment NEO111 M. Jorgenson, RN BSN Hand Hygiene the single most effective way to help prevent the spread of infections agents. (CDC, 2002.) Consistency & Compliancy 50%

More information

Infection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases

Infection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases Infection Prevention Infection Prevention Implementation and adherence to infection prevention practices are the keys to preventing the transmission of infectious diseases to yourself, family members,

More information

Infection Control Manual. Table of Contents

Infection Control Manual. Table of Contents This policy has been adopted by UNC Health Care for its use in infection control. It is provided to you as information only. Infection Control Manual Policy Name Patients with Cystic Fibrosis Policy Number

More information

Everyone Involved in providing healthcare should adhere to the principals of infection control.

Everyone Involved in providing healthcare should adhere to the principals of infection control. Infection Control Introduction The prevention and control of infection is an integral part of the role of all health care personnel. Healthcare Associated Infections (HCAIs) affect an estimated one in

More information

Pulmonary Care Services

Pulmonary Care Services Purpose Audience To provide infection control guidelines for pulmonary care personnel at UTMB. All Therapists/Technicians are required to adhere to the following guidelines to prevent exposure of patients

More information

Best Practices for MANAGING MEDICAL EQUIPMENT AND SUPPLIES

Best Practices for MANAGING MEDICAL EQUIPMENT AND SUPPLIES 1.5 HOURS Continuing Education Best Practices for MANAGING MEDICAL EQUIPMENT AND SUPPLIES Stored in a Vehicle Mary McGoldrick, MS, RN, CRNI Bubbles Photolibrary/Alamy Home care clinicians often have to

More information

Taking Action to Prevent and Manage Multidrug-resistant Organisms and C. difficile in the Nursing Home: Part 3 Strategies to prevent

Taking Action to Prevent and Manage Multidrug-resistant Organisms and C. difficile in the Nursing Home: Part 3 Strategies to prevent Taking Action to Prevent and Manage Multidrug-resistant Organisms and C. difficile in the Nursing Home: Part 3 Strategies to prevent Nimalie D. Stone, MD,MS Division of Healthcare Quality Promotion National

More information

Preventing Infection in Care

Preventing Infection in Care Infection Prevention and Control: Older Person Care Homes & Home Environment Learning Programme Workbook NHS Education for Scotland 2011. You can copy or reproduce the information in this document for

More information

Infection Prevention and Control

Infection Prevention and Control Infection Prevention and Control Infection Control in the Healthcare Setting Chain of Infection Hand Hygiene Hospital Acquired Infections Isolation Exposures Tuberculosis Chain of Infection Most Common

More information

ISOLATION TABLE OF CONTENTS STANDARD PRECAUTIONS... 2 CONTACT PRECAUTIONS... 4 DROPLET PRECAUTIONS... 6 ISOLATION PROCEDURES... 7

ISOLATION TABLE OF CONTENTS STANDARD PRECAUTIONS... 2 CONTACT PRECAUTIONS... 4 DROPLET PRECAUTIONS... 6 ISOLATION PROCEDURES... 7 ISOLATION TABLE OF CONTENTS STANDARD PRECAUTIONS... 2 BARRIERS INDICATED IN STANDARD PRECAUTIONS... 2 PERSONAL PROTECTIVE EQUIPMENT... 3 CONTACT PRECAUTIONS... 4 RESIDENT PLACEMENT... 4 RESIDENT TRANSPORT...

More information

Infection Prevention and Control and Isolation Authored by: Infection Prevention and Control Department

Infection Prevention and Control and Isolation Authored by: Infection Prevention and Control Department Infection Prevention and Control and Isolation 2015 Authored by: Infection Prevention and Control Department Objectives After you complete this Computer-Based Learning (CBL) module, you should be able

More information

Discussions and Activity at the Federal Level Regarding Management of Electronic Medical Equipment

Discussions and Activity at the Federal Level Regarding Management of Electronic Medical Equipment Discussions and Activity at the Federal Level Regarding Management of Electronic Medical Equipment Lynne Sehulster, PhD, M(ASCP) Health Scientist Best Practices in Medical Device Cleaning and Disinfection

More information

August 22, Dear Sir or Madam:

August 22, Dear Sir or Madam: August 22, 2012 Office of Disease Prevention and Health Promotion 1101 Wootton Parkway Suite LL100 Rockville, MD 20852 Attention: Draft Phase 3 Long-Term Care Facilities Module Dear Sir or Madam: The Society

More information

Infection Prevention & Exposure Control Online Orientation. Kimberly Koerner RN, BSN Associate Health Nurse

Infection Prevention & Exposure Control Online Orientation. Kimberly Koerner RN, BSN Associate Health Nurse Infection Prevention & Exposure Control Online Orientation Kimberly Koerner RN, BSN Associate Health Nurse Created in 2015 Reviewed/Edited Jan 2017 Hand Hygiene Adherence to hand hygiene guidelines among

More information

Training Your Caregiver: Hand Hygiene

Training Your Caregiver: Hand Hygiene Infections are a serious threat to fragile patients. They are often spread by healthcare workers and family members who are providing frontline care. In fact, one of the major contributors to infections

More information

Kristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals

Kristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals Kristi Felix RN, BSN, CRRN, CIC, FAPIC Infection Prevention Coordinator Madonna Rehabilitation Hospitals Resident safety-priority for staff and for CMS Providing care in a homelike environment but still

More information

Infection Prevention & Control Orientation for Housestaff Welcome to Shands at UF!

Infection Prevention & Control Orientation for Housestaff Welcome to Shands at UF! Infection Prevention & Control Orientation for Housestaff 2011 Welcome to Shands at UF! Hot Topics: Prevention Initiatives National Patient Safety Goal 07: Prevent Healthcare Associated Infections Prevent

More information

Infection Control Policy and Procedure Manual. Post-Anesthesia Care Unit (Recovery Room) Page 1 of 6

Infection Control Policy and Procedure Manual. Post-Anesthesia Care Unit (Recovery Room) Page 1 of 6 (Recovery Room) Page 1 of 6 Purpose: The purpose of this policy is to establish infection prevention guidelines to prevent or minimize transmission of infections in the. Policy: All personnel will adhere

More information

Infection Prevention, Control & Immunizations

Infection Prevention, Control & Immunizations Infection Control: This facility task must be used to investigate compliance at F880, F881, and F883. For the purpose of this task, staff includes employees, consultants, contractors, volunteers, and others

More information

CPNE CLINICAL PERFORMANCE IN NURSING EXAMINATION

CPNE CLINICAL PERFORMANCE IN NURSING EXAMINATION 22nd edition CPNE CLINICAL PERFORMANCE IN NURSING EXAMINATION Infection Control Module No part of this publication may be reproduced or distributed in any form or by any means, or stored in a database

More information

Urinalysis and Body Fluids

Urinalysis and Body Fluids Urinalysis and Body Fluids Unit 1 A Safety in the Clinical Laboratory Types of Safety Hazards Physical risks Sharps hazard Electrical hazard Radioactive hazard Chemical exposure risk Fire / explosive hazards

More information

Medication Administration Using the Home Pump (Eclipse)

Medication Administration Using the Home Pump (Eclipse) Medication Administration Using the Home Pump (Eclipse) Phone Number: Nurse/Contact: Receiving IV Therapy in the Home Your doctor has ordered for you to receive your IV medication at home. Receiving IV

More information

Of Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD. Study Points

Of Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD. Study Points Of Critical Importance: Infection Prevention Strategies for Environmental Management of the CSSD I. Introduction Study Points Management of the CSSD environment is vital to preventing surgical site infections.

More information

NEW EMPLOYEE ORIENTATION INFECTION PREVENTION AND CONTROL

NEW EMPLOYEE ORIENTATION INFECTION PREVENTION AND CONTROL NEW EMPLOYEE ORIENTATION INFECTION PREVENTION AND CONTROL Infection Control Rev. 3/2018 Hand Hygiene Standard Precautions TOPICS Transmission-Based Precautions Personal Protective Equipment (PPE) Multiple

More information

HomeMed Information. for the UMHS Cancer Center

HomeMed Information. for the UMHS Cancer Center HomeMed Information for the UMHS Cancer Center 1 In this manual you will find the following information: Your Health Care Team... HomeMed... 3 When to notify your team or HomeMed... 4 Infusion Pump Guide

More information

Some Exposure: There could be occupational exposure, but not as a part of their normal work routine.

Some Exposure: There could be occupational exposure, but not as a part of their normal work routine. Guidelines Job Descriptions All jobs in the Ohio County Schools are classified by levels of occupational exposure. They are broken down as No Exposure, Some Exposure, and Regular Exposure. No Exposure:

More information

Fall HOLLY ALEXANDER Academic Coordinator of Clinical Education MS157

Fall HOLLY ALEXANDER Academic Coordinator of Clinical Education MS157 Fall 2010 HOLLY ALEXANDER Academic Coordinator of Clinical Education 609-570-3478 AlexandH@mccc.edu MS157 To reduce infection & prevent disease transmission Nosocomial Infection: an infection acquired

More information

LPN 8 Hour Didactic IV Education

LPN 8 Hour Didactic IV Education LPN 8 Hour Didactic IV Education Infection Prevention and Control By Pamela Truscott, MSN, Nurse Educator, RN Infection Prevention and Control Background Healthcare-acquired infections are increasing 1

More information

Infection Control and Prevention On-site Review Tool Hospitals

Infection Control and Prevention On-site Review Tool Hospitals Infection Control and Prevention On-site Review Tool Hospitals Section 1.C. Systems to Prevent Transmission of MDROs Ask these questions of the IP. 1.C.2 Systems are in place to designate patients known

More information

Tips and Tools for Selecting an. Grace P. Sierchio-Fletcher MSN, CRNI, CPHQ

Tips and Tools for Selecting an. Grace P. Sierchio-Fletcher MSN, CRNI, CPHQ Tips and Tools for Selecting an Accrediting Body Grace P. Sierchio-Fletcher MSN, CRNI, CPHQ Top 5 Things to Know for CE: Make sure your BADGE IS SCANNED each time you enter a session, to record your attendance.

More information

Self-Instructional Packet (SIP)

Self-Instructional Packet (SIP) Self-Instructional Packet (SIP) Advanced Infection Prevention and Control Training Module 4 Transmission Based Precautions February 11, 2013 Page 1 Learning Objectives Module One Introduction to Infection

More information

STANDARD PRECAUTIONS POLICY Page 1 of 8 Reviewed: May 2017

STANDARD PRECAUTIONS POLICY Page 1 of 8 Reviewed: May 2017 Page 1 of 8 Policy Applies to: All Mercy Staff, Credentialed Specialists, Allied Health Professionals, students, patients, visitors and contractors will be supported to meet policy requirements Related

More information

Infection Prevention and Control in Ambulatory Care Settings: Minimum Expectations for Safe Care

Infection Prevention and Control in Ambulatory Care Settings: Minimum Expectations for Safe Care Infection Prevention and Control in Ambulatory Care Settings: Minimum Expectations for Safe Care Melissa Schaefer, MD Division of Healthcare Quality Promotion Centers for Disease Control and Prevention

More information

OPERATING ROOM ORIENTATION

OPERATING ROOM ORIENTATION OPERATING ROOM ORIENTATION Goals & Objectives Discuss the principles of aseptic technique Demonstrate surgical scrub, gowning, and gloving Identify hazards in the surgical setting Identify the role of

More information

HIQA s monitoring programme - National Standards for the Prevention and Control of Healthcare. theatre findings Katrina Sugrue Inspector HIQA

HIQA s monitoring programme - National Standards for the Prevention and Control of Healthcare. theatre findings Katrina Sugrue Inspector HIQA HIQA s monitoring programme - National Standards for the Prevention and Control of Healthcare Associated Infections: Operating theatre findings 205. Katrina Sugrue Inspector HIQA The Authority s role is

More information

Infection Prevention Checklist Section I: Policies and Practices I.1 Administrative Measures

Infection Prevention Checklist Section I: Policies and Practices I.1 Administrative Measures Infection Prevention Checklist Section I: Policies and Practices I.1 Administrative Measures Facility name:... Completed by:... Date:... A. Written infection prevention policies and procedures specific

More information

Joint Commission NPSG 7: 2011 Update and 2012 Preview

Joint Commission NPSG 7: 2011 Update and 2012 Preview Joint Commission NPSG 7: 2011 Update and 2012 Preview Pharmacy OneSource Webinar June 1, 2011 Louise M. Kuhny, RN, MPH, MBA, CIC The Joint Commission Objectives Upon completion of this program, participants

More information

Clostridium difficile

Clostridium difficile Clostridium difficile C difficle Oral Metronidazole and Oral Vancomycin Promote Persistent Overgrowth of VRE during treatment of Clostridium difficile-associated Disease. (Al-Nassir, W.N. et al, 2008)

More information

Assessment Tool Environmental Services

Assessment Tool Environmental Services POLICIES AND PROCEDURES The following policies have been developed, implemented and staff are aware of their location: 1. Infection Prevention and Control (IP&C) policy or manual 2. Environmental Services

More information

Infection Control: You are the Expert

Infection Control: You are the Expert Infection Control: You are the Expert The engaged participant will be able to: List Recognize Identify Three most frequently cited deficiencies Two ways to make hand washing safer Most important practice

More information

Infection Control Policy

Infection Control Policy Infection Control Policy Category Summary Policy This policy outlines BAPAM s principles and procedures for infection prevention and control in the clinics environment. It is applicable to all BAPAM personnel

More information

Burn Intensive Care Unit

Burn Intensive Care Unit Purpose The burn wound is especially susceptible to microbial invasion because of loss of the protective integument and the presence of devitalized tissue. Reduction of the risk of infection is of utmost

More information

Bloodborne Pathogens Cumru Township Fire Department 02/10/2011 Policy 10.5 Page: 1 of 7

Bloodborne Pathogens Cumru Township Fire Department 02/10/2011 Policy 10.5 Page: 1 of 7 Policy 10.5 Page: 1 of 7 Purpose: The Cumru Township Fire Department is committed to providing a safe and healthful work environment for our entire staff, both career and volunteers. In pursuit of this

More information

Oregon Health & Science University Department of Surgery Standard Precautions Policy

Oregon Health & Science University Department of Surgery Standard Precautions Policy Standard Precautions Policy 1. Policy Standard Precautions are to be followed by all employees for all patients within and entering the OHSU system. Standard Precautions are designed to reduce the risk

More information

Infection prevention & control

Infection prevention & control Infection control in Australian medical practice: Current practice and future developments John Ferguson Infectious Diseases & Microbiology Director, Infection Prevention & Control, Hunter New England

More information

Evidence-Based Approaches to Hand Hygiene: Best Practices for Collaboration

Evidence-Based Approaches to Hand Hygiene: Best Practices for Collaboration Evidence-Based Approaches to Hand Hygiene: Best Practices for Collaboration Written by J. Hudson Garrett Jr., PhD, Senior Director, Clinical Affairs, PDI January 09, 2013 Historical perspective Hand hygiene

More information

Five Top Tips to Prevent Infections in Long-term Care Settings

Five Top Tips to Prevent Infections in Long-term Care Settings Five Top Tips to Prevent Infections in Long-term Care Settings Tip No. 1 Vigilance Open Your Eyes Staff Education Reduce Risks Be Proactive Know the Signs and Symptoms of Infection Tip No. 2 Hand Hygiene

More information

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY

EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY EAST CAROLINA UNIVERSITY INFECTION CONTROL POLICY Department: Neurology (Hemby Lane) Date Originated: 2/20/14 Date Reviewed: 6.5.18 Date Approved: 6/3/14 Page 1 of 7 Approved by: Department Chairman Administrator/Manager

More information

INFECTION PREVENTION & CONTROL, INCLUDING PROCESSING ITEMS FOR REUSE, IN GENERAL PRACTICE

INFECTION PREVENTION & CONTROL, INCLUDING PROCESSING ITEMS FOR REUSE, IN GENERAL PRACTICE INFECTION PREVENTION & CONTROL, INCLUDING PROCESSING ITEMS FOR REUSE, IN GENERAL PRACTICE Rose Griffiths May 2016 Rose.griffiths1@gmail.com M 0425 736 817 Ref: RACGP Infection Prevention and Control Standards

More information

Infection Control. Regulatory Changes and Interpretive Guidance Surveyor Training

Infection Control. Regulatory Changes and Interpretive Guidance Surveyor Training Infection Control Regulatory Changes and Interpretive Guidance Surveyor Training 1 F Tags Regulatory Group: Infection Control F880: Infection Prevention and Control ( Old F441 ) 483.80 (a)(1-2)(4)(e-f)

More information

Pharmacy Sterile Compounding Areas

Pharmacy Sterile Compounding Areas Approved by: Pharmacy Sterile Compounding Areas Corporate Director, Environmental Supports Environmental Services/ Nutrition Food Services Operating Standards Manual Number: Date Approved June 17, 2016

More information

Policy Number F9 Effective Date: 17/07/2018 Version: 3 Review Date: 17/07/2019

Policy Number F9 Effective Date: 17/07/2018 Version: 3 Review Date: 17/07/2019 Aim of the Policy This document outlines the policy of Carefound Home Care (the Company ) in relation to infection control. Infection control is the name given to a wide range of policies, procedures and

More information

Routine Practices. Infection Prevention and Control

Routine Practices. Infection Prevention and Control Routine Practices Infection Prevention and Control Routine Practices Elements of Routine Practices: Risk assessment + hand hygiene + personal protective equipment Environmental controls (patient placement,

More information

Introduction to Infection Prevention and Control (IPC) Open Call Series #1 Surveillance

Introduction to Infection Prevention and Control (IPC) Open Call Series #1 Surveillance Introduction to Infection Prevention and Control (IPC) Open Call Series #1 Surveillance Diane Dohm MT, IP, CIC, CPHQ MetaStar February 6, 2018 IPC Open calls: Bi-weekly Series Surveillance What data should

More information

4/30/2012. Disclosure. Housekeeping. The Role of the Infection Preventionist on the Value Analysis Committee. Boyd Wilson

4/30/2012. Disclosure. Housekeeping. The Role of the Infection Preventionist on the Value Analysis Committee. Boyd Wilson 3M Infection Prevention Learning Connection The Role of the Infection Preventionist on the Value Analysis Committee Making a Business Case for Evaluating New Products May 8, 2012 Disclosure Boyd Wilson

More information

Universal Precautions & Bloodborne Pathogens Staff Training Guidelines

Universal Precautions & Bloodborne Pathogens Staff Training Guidelines Universal Precautions & Bloodborne Pathogens Staff Training Guidelines To view the training video: 1) Go to http://moodler.doe.in.gov/ 2) Log in Username: acsc Password: acsc 3) Click on Mr. Teach Learns

More information

Learning Objectives. Successful Antibiotic Stewardship. Byron Health Center & GrandView Pharmacy

Learning Objectives. Successful Antibiotic Stewardship. Byron Health Center & GrandView Pharmacy Successful Antibiotic Stewardship Byron Health Center & GrandView Pharmacy Learning Objectives Understand the core requirements of an antibiotic stewardship program as defined by the CMS Requirements of

More information

Standard precautions guidelines Olga Tomberg, MSc North Estonia Medical Centre

Standard precautions guidelines Olga Tomberg, MSc North Estonia Medical Centre Standard precautions guidelines 06.11.2014 Olga Tomberg, MSc North Estonia Medical Centre National guidelines/ hospital guidelines on standard precautions Standard precautions guidelines implementing on

More information

INFECTION CONTROL ORIENTATION TRAINING 2006

INFECTION CONTROL ORIENTATION TRAINING 2006 INFECTION CONTROL ORIENTATION TRAINING 2006 INFECTION CONTROL OSHA BLOODBORNE PATHOGEN STANDARD STANDARD PRECAUTIONS RISK OF EXPOSURE TO CONTAMINATED MATERIALS USE OF PROTECTIVE EQUIPMENT FOLLOW-UP OF

More information

Infection Prevention & Control (IPAC):

Infection Prevention & Control (IPAC): Windsor Regional Hospital believes that Infection Prevention and Control is vital to patient safety. ALL persons working in the hospital have a RESPONSIBILITY to practice good infection prevention and

More information

Safe Care Is in YOUR HANDS

Safe Care Is in YOUR HANDS Safe Care Is in YOUR HANDS 1 in25 patients has a Healthcare-Associated Infection Would you like to be part of prevention? It s EASY and we can start TODAY! STOP the spread of germs! Hand Hygiene Before

More information

Appendix AX: B Occupational Exposure to Bloodborne Pathogens Exposure Control Plan

Appendix AX: B Occupational Exposure to Bloodborne Pathogens Exposure Control Plan Occupational Exposure to Bloodborne Pathogens Exposure Control Plan Employer: Nevada State Health Division Effective Date: May 5, 1992 Compliance Statement: In accordance with OSHA Bloodborne Pathogens

More information

BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN

BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN School Name: Eastern Local School District Date of Preparation: August 2, 2000 (Revised August 22, 2002) In accordance with the PERRP Bloodborne Pathogens standard,

More information

Healthcare Associated Infections Know No Boundaries: A View Across the Continuum of Care

Healthcare Associated Infections Know No Boundaries: A View Across the Continuum of Care Healthcare Associated Infections Know No Boundaries: A View Across the Continuum of Care J. Hudson Garrett Jr., PhD, MSN, MPH, FNP, CSRN, VA-BC Vice President Clinical Affairs, PDI Healthcare Healthcare

More information

ACG GI Practice Toolbox. Developing an Infection Control Plan for Your Office

ACG GI Practice Toolbox. Developing an Infection Control Plan for Your Office ACG GI Practice Toolbox Developing an Infection Control Plan for Your Office AUTHOR: Louis J. Wilson, MD, FACG, Wichita Falls Gastroenterology Associates, Wichita Falls, Texas INTRODUCTION: Preventing

More information

2014 Annual Continuing Education Module. Contents

2014 Annual Continuing Education Module. Contents This self-directed learning module contains information you are expected to know to protect yourself, our patients, and our guests. Content Experts: Infection Prevention Target Audience: All Teammates

More information

: Hand. Hygiene Policy NAME. Author: Policy and procedure. Version: V 1.0. Date created: 11/15. Date for revision: 11/18

: Hand. Hygiene Policy NAME. Author: Policy and procedure. Version: V 1.0. Date created: 11/15. Date for revision: 11/18 : Hand NAME Hygiene Policy Target Audience Author: Type: Clinical staff BD Policy and procedure Version: V 1.0 Date created: 11/15 Date for revision: 11/18 Location: Dropbox/website Hand Hygiene Policy

More information

42 CFR Infection Control

42 CFR Infection Control 42 CFR 482.42 Infection Control Dodjie B. Guioa, MBA Hospital/ASC Program Lead Region VI Dallas dodjie.guioa@cms.hhs.gov Condition of Participation Infection Control The hospital must provide a sanitary

More information

Hand Hygiene Policy. Documentation Control

Hand Hygiene Policy. Documentation Control Documentation Control Reference CL/CGP/039 Approving Body Trust Board Date Approved 3 Implementation date 3 Supersedes NUH Version 2 (May 2009) Consultation undertaken Infection Prevention and Control

More information

BEHAVIORAL HEALTH & LTC. Mary Ann Kellar, RN, MA, CHES, IC March 2011

BEHAVIORAL HEALTH & LTC. Mary Ann Kellar, RN, MA, CHES, IC March 2011 BEHAVIORAL HEALTH & LTC Mary Ann Kellar, RN, MA, CHES, IC March 2011 CDC Isolation Guidelines-adapting to special environments MDRO s CMS-F 441 C.difficile Norovirus Federal (CMS), State & Joint Commission

More information

Infection Prevention and Control Guidelines for Cystic Fibrosis Patients

Infection Prevention and Control Guidelines for Cystic Fibrosis Patients AU Medical Center Policy Library Infection Prevention and Control Guidelines for Cystic Fibrosis Patients Policy Owner: Epidemiology POLICY STATEMENT Based upon best practices for the care of cystic fibrosis

More information

Prerequisite Program D: Personnel

Prerequisite Program D: Personnel Prerequisite Program D: Personnel Hand Washing 2 Good Personal Hygiene - Personnel 3 Good Personal Hygiene - Visitors 3 Illness and Injury 3 Health & Hygiene Training Records 3 Equipment Operation: Labeler

More information

INFECTION PREVENTION, BLOODBORNE PATHOGENS AND SAFETY: STUDENT ORIENTATION

INFECTION PREVENTION, BLOODBORNE PATHOGENS AND SAFETY: STUDENT ORIENTATION 1 ORIENTATION MODULE #1: INFECTION PREVENTION, BLOODBORNE PATHOGENS AND SAFETY: STUDENT ORIENTATION For Clinical Students and Instructors FVHCA Member Clinical Sites Revised September 26, 2013 Used with

More information

RISK CONTROL SOLUTIONS

RISK CONTROL SOLUTIONS RISK CONTROL SOLUTIONS A Service of the Michigan Municipal League Liability and Property Pool and the Michigan Municipal League Workers Compensation Fund OCCUPATIONAL HEALTH CONCERNS An Overview This PERC$

More information

MARY MCGOLDRICK'S PUBLICATIONS

MARY MCGOLDRICK'S PUBLICATIONS 1. McGoldrick, M. (in press, 2017). Best Practices for Home Care Bag Technique and the Use of Surface Barriers. Home Healthcare Now. 2. McGoldrick, M. (in press, 2017). Hand Hygiene in the Home Setting:

More information

THE INFECTION CONTROL STAFF

THE INFECTION CONTROL STAFF INFECTION CONTROL THE INFECTION CONTROL STAFF INTEGRIS BAPTIST V. Ramgopal, M.D., Hospital Epidemiologist Gwen Harington, RN, BSN, CIC, Infection Control Specialist Kathy Knecht, RN, Surveillance Coordinator

More information

SAMPLE: Environmental Rounds and Safety Assessment Tool

SAMPLE: Environmental Rounds and Safety Assessment Tool SAMPLE: Environmental Rounds and Safety Assessment Tool Area/Department Evaluated: Date: Security and Incident Management Y N N/A Comments 1. Are emergency telephone numbers posted by all stationary phones?

More information

Home+ Home+ Home Infusion. Home Infusion. regionalhealth.org/home

Home+ Home+ Home Infusion. Home Infusion. regionalhealth.org/home Department of Regional Health Rapid City Hospital 224 Elk Street, Suite #100 Rapid City, SD 57701 605-755-1150 Toll Free 844-280-9638 Fax 605-755-1151 regionalhealth.org/home 20160810_0917 Regional Health

More information

Top 5 Things to Know for CE:

Top 5 Things to Know for CE: Establishing and Maintaining Nurse Competency Lou Anne Epperson, MSN, RN Coram Specialty Infusion Services, Denver, CO Debra Moll, RN, BSN Community Surgical Infusion, Toms River, NJ Top 5 Things to Know

More information

Standard Precautions & Managing High risk cases. Tuminah Binti Jantan (SRN)

Standard Precautions & Managing High risk cases. Tuminah Binti Jantan (SRN) Standard Precautions & Managing High risk cases Tuminah Binti Jantan (SRN) Outline 1. Infection risk 2. Infection control in dental practice 3. Standard precautions 4. The element of SP (sharps injury)

More information

Recommendation II. Recommendation I. Who s on Your Team? Recommendation III

Recommendation II. Recommendation I. Who s on Your Team? Recommendation III Infection Prevention In the Surgical Suite Janie Kinsey, RN, CASC Administrator, St. Luke s South Surgery Center President, Kansas Association of Ambulatory Surgery Centers Objectives Recommendation I

More information

Lightning Overview: Infection Control

Lightning Overview: Infection Control Lightning Overview: Infection Control Gary Preston, PhD, CIC, FSHEA Terry Caton, CIC Carla Ward, CIC 2012 Healthcare Management Alternatives, Inc. Objectives At the end of this module you will know: How

More information

Why Does Hand Hygiene Matter? 1/26/2015 1

Why Does Hand Hygiene Matter? 1/26/2015 1 Why Does Hand Hygiene Matter? 1/26/2015 1 This presentation will Explain why hand hygiene matters Explain how to perform hand hygiene Describe how and when to perform a crucial conversation regarding Hand

More information

PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards. Infection Prevention and Control: Personal Protective Equipment

PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards. Infection Prevention and Control: Personal Protective Equipment PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards : Personal Protective Equipment PHYSICIAN PRACTICE ENHANCEMENT PROGRAM Assessment Standards 2016 PERSONAL PROTECTIVE EQUIPMENT Personal protective

More information

The environment. We can all help to keep the patient rooms clean and sanitary. Clean rooms and a clean hospital or nursing home spread less germs.

The environment. We can all help to keep the patient rooms clean and sanitary. Clean rooms and a clean hospital or nursing home spread less germs. Infection Control Objectives: After you take this class, you will be able to: 1. List some of the reasons why residents and patients are at risk for getting infections. 2. Discuss the cycle of infection

More information

Identify patients with Active Surveillance Cultures (ASC)

Identify patients with Active Surveillance Cultures (ASC) MRSA CHANGE STRATEGIES The following tables include change strategies proven to be effective in healthcare settings. Implementing these changes through current or new processes may result in reducing healthcare

More information

Infection Control Manual. Table of Contents

Infection Control Manual. Table of Contents This policy has been adopted by UNC Health Care for its use in infection control. It is provided to you as information only. Infection Control Manual Policy Name Patients with Cystic Fibrosis Policy Number

More information

Objectives. IPC Open calls - bi-weekly series. Introduction to Infection Prevention & Control (IPC) Open Call Series

Objectives. IPC Open calls - bi-weekly series. Introduction to Infection Prevention & Control (IPC) Open Call Series Introduction to Infection Prevention & Control (IPC) Open Call Series #4 Transmission Precautions Isolate the Organism and Not the Resident Diane Dohm MT, IP, CIC, CPHQ MetaStar Anne Haddad, MPH MPRO March

More information

Healthcare Associated Infection (HAI) inspection tool

Healthcare Associated Infection (HAI) inspection tool Healthcare Associated Infection (HAI) inspection tool Hospital: Ward/Department: Inspector: Date: Guidance note: This tool is designed to assist HEI inspectors assess NHS boards compliance with NHS Quality

More information

Infection Prevention and Control

Infection Prevention and Control Infection Prevention and Control Infection Prevention and Control Program IPAC program consists of three healthcare professionals IPAC department is located on the 9 th floor and is available Monday to

More information

Bloodborne Pathogens Exposure Control Plan. Approved by The College at Brockport, Office of Environmental Health and Safety, February 2018

Bloodborne Pathogens Exposure Control Plan. Approved by The College at Brockport, Office of Environmental Health and Safety, February 2018 Kinesiology, Sport Studies and Physical Education Athletic Training Program Bloodborne Pathogens Exposure Control Plan Approved by The College at Brockport, Office of Environmental Health and Safety, February

More information

The Role of Isolation and Contact Precautions in the Elimination of Transmission of MRSA

The Role of Isolation and Contact Precautions in the Elimination of Transmission of MRSA The Role of Isolation and Contact Precautions in the Elimination of Transmission of MRSA Marcia Patrick, RN, MSN, CIC Infection Control Director MultiCare Health System Tacoma, WA APIC/BD MRSA Presentation

More information

Infection Prevention and Control

Infection Prevention and Control Infection Prevention and Control University Hospital Infection Prevention and Control Department Information Melissa Widman ULH Infection Prevention & Control Data Specialist Sarah Bishop Manager of Infection

More information

PACKAGING, STORAGE, INFECTION CONTROL AND ACCOUNTABILITY (Lesson Title) OBJECTIVES THE STUDENT WILL BE ABLE TO:

PACKAGING, STORAGE, INFECTION CONTROL AND ACCOUNTABILITY (Lesson Title) OBJECTIVES THE STUDENT WILL BE ABLE TO: LESSON PLAN: 7 COURSE TITLE: UNIT: II MEDICATION TECHNICIAN GENERAL PRINCIPLES SCOPE OF UNIT: This unit includes medication terminology, dosage, measurements, drug forms, transcribing physician s orders,

More information

Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings

Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings : Program Goal Improve personnel safety in the healthcare environment through appropriate use of PPE. :

More information