ST RAT E GI E S F OR PRE VE NT I NG HAI s T HROUGH SHARE - - PowerPoint PPT Presentation

ST RAT E GI E S F OR PRE VE NT I NG HAI s T HROUGH SHARE D ME DI CAL DE VI CE S

Pa tric ia Gutie rre z, RN, BSN Miria m-Nirva na Na g o ula t, RN, BSN

BACK GROUND

 Ho spita l a c q uire d infe c tio ns (HAI

s) ha ve b e e n a b urde n o n pa tie nts’ he a lth a nd he a lthc a re c o sts (⬆mo rta lity, mo rb idity)

 Nurse s a nd suppo rt sta ff a re the fro ntline de fe nse in a pplying da ily

infe c tio n c o ntro l pra c tic e s to pre ve nt infe c tio n a nd the tra nsmissio n o f

• rg a nisms

 MRSA, VRE

, C. Diff, so me o f whic h c a n survive fo r pro lo ng e d pe rio ds

• f time o n dry surfa c e s

 I

mpro pe r use o f me dic a l de vic e s/ e q uipme nt = spre a d o f b a c te ria b e twe e n pa tie nts = HAI s

WHAT WE F OUND

• Oxyg e n a da pte rs o r “Christma s tre e s” a re

c o mmo n in a c ute c a re a re a s

• T

he se a da pte rs a re sing le -use pro duc ts, pe r the ma nufa c ture r

• No t e xplic itly la b e le d a s “sing le -use ”
• F

DA sta te s tha t a sing le use de vic e is “a dispo sa b le de vic e , inte nde d fo r use o n o ne pa tie nt. I t is no t inte nde d to b e c le a ne d, disinfe c te d, ste rilize d, a nd use d o n a no the r pa tie nt.” §

ASSE SSME NT I N AN ACUT E CARE SE T T I NG

• A pro je c t c o nduc te d o n a n a c ute c a re

unit de mo nstra te d the e ffe c tive ne ss o f e duc a ting nursing a nd suppo rt sta ff o n the pro pe r use o f o xyg e n a da pte rs.

• Altho ug h o xyg e n tub ing with unive rsa l

c o nne c to rs a re a va ila b le , the y a re no t ye t c o mpa tib le with a ll o xyg e n de vic e s

I MPL E ME NT AT I ON

 A surve y wa s c o lle c te d b e fo re a nd a fte r e duc a tio n wa s pro vide d via :

 Sta ff huddle s a t sta rt o f shift  SBAR in c o mmo n a re a s  E

ma il

 E

diting disc ha rg e c he c klist

E VAL UAT I ON

 T

he pre -e duc a tio n surve y o f mo re tha n 30 pa rtic ipa nts, inc luding re g iste re d nurse s, pa tie nt c a re a ssista nts, a nd o the r sta ff, sho we d tha t 65% we re no t using o xyg e n a da pte rs pe r ma nufa c ture r g uide line s.

 An inc re a se o f o ve r 150% c o mplia nc e with ma nufa c ture r g uide line s

wa s o b se rve d in the po st-e duc a tio n pha se o f the pro je c t.

87% 10% 3%

Re sponse s Re c e ive d

RN PCA Othe r 3% 23% 35% 39%

Whe n a re sta ff switc hing a da pte rs?

E ve ry Shift Whe n So ile d Afte r E a c h Pa tie nt Ne ve r

PRE

• E

DUCAT I ON RE SUL T S

0% 93% 7%

Whe n a re sta ff switc hing a da pte rs?

E ve ry Shift Whe n So ile d Afte r E a c h Pa tie nt Ne ve r 75% 21% 4%

Re sponse s Re c e ive d

RN PCA Othe r

POST

• E

DUCAT I ON RE SUL T S

MOVI NG F ORWARD

 T

• suppo rt pa tie nt sa fe ty a nd re duc e HAI

s, imple me nting simila r e duc a tio n to o the r ho spita l units c a n sig nific a ntly impro ve ho spita l infe c tio n ra te s a nd re duc e ho spita l c o sts.

 E

duc a ting sta ff me mb e rs is ke y:

 Impro pe r use o f me d ic a l d e vic e s/ e q uipme nt = spre a d o f b a c te ria

b e twe e n pa tie nts = HAI s

RE F E RE NCE S

§

US De pt o f He a lth a nd Huma n Se rvic e s, F

• o d a nd Drug Ad ministra tio n, & Ce nte r fo r De vic e s a nd

Ra d io lo g ic a l He a lth. (2015) L ab e ling Re c o mme ndatio ns fo r Sing le -Use De vic e s Re pro c e sse d b y T hird Partie s and Ho spitals; F inal Guidanc e fo r I ndustry and F

• DA. Re trie ve d fro m

https:/ / www.fd a .g o v/ Re g ula to ryInfo rma tio n/ Guid a nc e s/ uc m071058.htm



Me d line Ind ustrie s, Inc . (2017) XMAS T re e Adapte r Nut & Nipple b y T e le fle x. Re trie ve d fro m https:/ / o wl.e ng lish.purd ue .e d u/ o wl/ re so urc e / 560/ 10/



Ce nte rs fo r Dise a se Co ntro l a nd Pre ve ntio n. (Ma rc h 3, 2017). Ho w d o Infe c tio ns Spre a d ? [Ab stra c t]. Ho w I nfe c tio ns Spre ad. Re trie ve d fro m https:/ / www.c d c .g o v/ infe c tio nc o ntro l/ spre a d / ind e x.html



So c ie ty fo r He a lthc a re E pid e mio lo g y o f Ame ric a . (2017) Study Sho ws Nurse s’ Sc rub s Be c o me Co ntaminate d with Bac te ria in Ho spitals. [Pre ss Re le a se ] Re trie ve d fro m https:/ / www.she a -

• nline .o rg / ind e x.php/ jo urna l-ne ws/ pre ss-ro o m/ pre ss-re le a se -a rc hive s/ 541-stud y-sho ws-nurse s-sc rub s-

b e c o me -c o nta mina te d -with-b a c te ria -in-ho spita ls



Aria s, K a thle e n. (2013) Co ntaminatio n and Cro ss Co ntaminatio n On Ho spital Surfac e s and Me dic al E q uipme nt. Re trie ve d fro m https:/ / www.b a rb ic id e .c o m/ wp- c o nte nt/ uplo a d s/ site s/ 5/ 2013/ 05/ no so c o mia l_pa tho g e n_surviva l.pd f



Me d ic ine s a nd He a lthc a re Pro d uc ts Re g ula to ry Ag e nc y. (2013) Sing le -Use Me dic al De vic e s; I mplic atio ns and Co mplic atio ns o f Re use , V.2.1. Re trie ve d fro m https:/ / www.g o v.uk/ g o ve rnme nt/ uplo a d s/ syste m/ uplo a d s/ a tta c hme nt_d a ta / file / 403442/ Sing le - use _me d ic a l_de vic e s__implic a tio ns_a nd _c o nse q ue nc e s_o f_re use .pd f

QUE ST I ONS?