SLIDE 1
In 2011 the Ministry of Health of BC asked PICNet to
review and evaluate the policies and processes that were in use by Health Authorities to direct housekeeping processes.
- Timeline was just over 2 months
Cleanliness is next to. In 2011 the Ministry of Health of BC asked - - PowerPoint PPT Presentation
Cleanliness is next to. In 2011 the Ministry of Health of BC asked - - PowerPoint PPT Presentation
Cleanliness is next to. In 2011 the Ministry of Health of BC asked PICNet to review and evaluate the policies and processes that were in use by Health Authorities to direct housekeeping processes. Timeline was just over 2
SLIDE 2
SLIDE 3
Timeline allowed only for a high level review
- Review of provincial, national and international
acute healthcare housekeeping policies, guidelines, best practices
- Review of British Columbia health authority acute
care housekeeping policies, for analysis and comparison to national and international standards
SLIDE 4
Recognize that just because we didn’t find
evidence of something in the written policies did not mean that it did not exist in reality.
- e.g. in some HAs the role of IPC was very
clear while in others not evident
SLIDE 5
PICNet found a lack of consistency across Health
Authorities in housekeeping practices including:
- Processes for routine cleaning including mobile
equipment and their storage
- Processes for cleaning rooms under precautions
- Processes for accommodating surge capacity
- Education material for housekeeping personnel
- Training and orientation processes for
housekeeping staff
- Assessment tools and processes
SLIDE 6
Similar to the Provincial Reprocessing Working Group, the provincial housekeeping technical team should include representation from Infection Control. This team should work collaboratively with Infection Control to:
- Create a standardized risk matrix/assessment to be
used to determine type and frequency of cleaning regardless of service delivery provider.
SLIDE 7
Provide advice to the MOH that includes evidence
informed provincial best practices for environmental cleaning from an infection prevention and control perspective.
- To do this by building upon current initiatives underway within
the health authorities.
- This document will ensure that, regardless of the service
provider, environmental cleaning will meet the minimum quality standards needed to contribute to the prevention and control of infections.
SLIDE 8
PICNet worked with key stakeholders to identify best
practice standards that address:
- Roles and responsibilities of housekeeping staff, managers and
care providers;
- Expectations for performance of routine and enhanced
surface cleanings;
- Standards for cleaning all mobile equipment; and
- Performance measures to ensure appropriate processes are in
place and to demonstrate that appropriate outcomes are being achieved
SLIDE 9
Providing funding for a consultant to work with the
stakeholders to create the document
Representatives from the Ministry were active
participants in the guidelines development group, providing advice and feedback through out the process
Provided a general review of the draft document to
ensure the needs of the various stakeholders would be addressed
SLIDE 10
Literature review and information gathering Form Stakeholder Working Group Stakeholder working group meetings & document development General review of draft document by MoH General revisions Community of Practice Review Revisions Review by committee Final revisions Final Approval Final edits Send to Ministry
SLIDE 11
PIDAC Best Practices for Environmental Cleaning was
chosen to adapt.
- Permission was requested and granted.
Individual contracted to do bulk of literature review
and write draft document by adapting PIDAC document into a BC-ized context.
Fairly short turnaround times for stakeholders to
review various iterations of document.
SLIDE 12
Literature review began in September 1st draft ready for review by stakeholders-mid
November
First meeting of stakeholders-December 10th 2nd iteration and review by stakeholders-mid January Posted for community of practice review - early
February
3rd iteration and review by stakeholders end of
February
Final draft review end of March Will be sent to Ministry of Health by mid April.
SLIDE 13
Housekeeping personal did not routinely perform hand
hygiene between patient bed spaces.
- Resolved by group consensus to educate and
encourage staff to perform hand hygiene between patient bed spaces
Review of literature found inconsistencies in
recommended contact time for sodium hypochlorite
- Resolved by group consensus
Travelling toilet brushes
- Resolved by group consensus
SLIDE 14
Balanced mixture of Infection Control and
Environmental Services
Huge interest and commitment from health
authority stakeholders
- Genuine desire to “do the right thing”
Willingness and commitment to develop a
high quality, workable document
Commitment to meet short turn around
timelines
SLIDE 15
Take more time at front end to do a
systematic search of literature and review
- Relied heavily on PIDAC methodology
Not rely on documents from other
jurisdictions for recommendations but review and critically analyze the evidence, using a formal tool, ourselves.
Recognize and that to do this utilizing
volunteers takes time and advocate for that.
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SLIDE 17
Our thanks to the many
contributors to the document:
Working group members Infection prevention and
control community of practice
Jim Curtin
Sandra Daniels
Alan Davies
Rita Dekleer
Darrel Elliot
Lauren Ferreira
Nicki Gill
Louise Holmes
Murray Hutchison
Dan Jackson
Felicia Laing
- Dr. Victor Leung
Benson Low
Holly-Lynn Nelson
Mike Petrie
Cynthia Proskow
Jessica Finerty
Brian Sagar
Joanne Archer
Bev Dobbyn