The SCOTVAN conference the national perspective. Evonne Curran Nurse Consultant Health Protection Scotland. In this presentation. What is (not) available nationally Guidance / Surveillance Organisms, Outbreaks, Environments, Equipment high-infection risks What next!.
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Health Protection Scotland
regular accept it competency checking for staff, regular reviews of training and regular quality control for those aseptic pharmacies that are not licensed
No definition of regular
Healthcare commission 2007
Quiet areas free from distraction for the preparation of intravenous drugs do not exist in the NHS (Curran 2010)
Administration of Immediate-Use CSPs must begin within 1 hour from the start of their preparation; there is no requirement for the duration of administration. http://www.usp.org/audiences/pharmacist/797FAQs.html
Grow well in
nutritionally poor solutions
Picture courtesy of CDC
Fungal Biofilms and Drug Resistance
Mary Ann Jabra-Rizk,* William A. Falkler,* and Timothy F. Meiller*
CID 2008 47 Dec 797The importance of aseptic technique in preventing even low level contamination
33/80 diagnosed 84-421 days post
Lanini et al 2009
Narayan et al
Gordin et al ICHE 2007
Gordin et al ICHE 2007
Parker 1995, Al-Saiguel et al 2000, MMWR 2003 Macedo de Oliveria et al 2005
Jain et al 2005, Gillespie et al 2007 Hseush et al 1998 MMWR 2005, 2006, Jain et al 2005, Sacher et al 1991, Ostrowshy 2002
Halkes & Snow 2007 Sitges-serra 1985, 1985 1984 Doit et al 2004 Nasser et al 2004
Curran et al 2000
There are fantastic examples out there of clinical experts who are setting and performing the highest clinical standards and achieving optimal safe practice.How do we make this the norm?
INVASIVE DEVICES who are setting and performing the highest clinical standards and achieving optimal safe practice.
Connections and sundries
Continuing need assessment
Continuing care assessment
(Insertion site sepsis / infection)
Administration of drugs
/ fluids / bloods
Just in case
redundancy checks and
Quality assurance and quality control
PVC bundle + invasive device audit
New Equipment who are setting and performing the highest clinical standards and achieving optimal safe practice.Its still not joined up - yet
New Equipment who are setting and performing the highest clinical standards and achieving optimal safe practice.