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Infection Prevention Update

Infection Prevention Update. Marie Kassai, RN, MPH, CIC, FAPIC Surgery Center Coalition October 4, 2018. Miscellaneous Issues. If One Room has no generator Battery is okay but you must follow the directions for testing the battery and for ensuring proper functioning

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Infection Prevention Update

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  1. Infection Prevention Update Marie Kassai, RN, MPH, CIC, FAPIC Surgery Center Coalition October 4, 2018

  2. Miscellaneous Issues • If One Room has no generator • Battery is okay but you must follow the directions for testing the battery and for ensuring proper functioning • If you have a generator, must follow the State rules This Photo by Unknown Author is licensed under CC BY-SA This Photo by Unknown Author is licensed under CC BY-NC-ND

  3. Infection Prevention Issues • Infection Prevention Plan – being asked for by State and by Accrediting agencies • Be clear in your Infection Prevention Plan what resources you are using for your policies: • If you are STATE licensed • CDC • ST79 2017 - AAMI DOCUMENT – Sterilization Bible • If you are CMS certified, you must also follow CMS Rules – Infection Prevention Document for Compliance - AORN • Hand Hygiene – CDC – Know what source for your Hand Hygiene Posters and Guidelines – CDC or WHO

  4. More Infection Prevention • Hand Hygiene – Sorry to bring this up again • Have specific policy – outline your requirement for nails and other issues like jewelry • AORN has a great Policy • Must use soap and water or alcohol gel after the removal of GLOVES – EVERY TIME • Must comply with One Needle/One syringe and One vial – If not sure or if MD asks and you are not sure – ASK • Linen must be covered • Scrubs for Operating Rooms must be “facility-laundered) • Sharps Containers – must be secured except in OR proper because of need to have container close to Point of Use • Masks – regardless of where used – remove • Items in drawers must being containers

  5. Facts Related to Sterilization – NJDOH and AAMI • Major Repair All Mechanical equipment - Anything that is outside the scope of Preventive Maintenance and alters the performance of the equipment • If the situation meets this definition then 3 biologicals and Bowie Dick must be done prior to use. Note: differs with machine • IFU – Should be available for all machinery and for all items used • If you use – One Source – the staff must know how to access the information

  6. Expiration Dates • If you don’t understand, call the company • Check all new supplies for expiration dates • Make sure you understand what they mean • Peel Packs – may mean that the pouch must be sterilized by the date and then it is event related • If you do not understand the date or the way it is written – call the manufacturerTip Protectors – • Date is the date by which the protector must be used • If expiration is on outside of box and not on individual items (bandaids) must leave them in package • Other Issues – • Christmas Tree Connectors are single-use • Electrodes have a shelf life – once opened

  7. Miscellaneous Issues • Two-Step TST – Remember MDs are employees • Done on hire • Is A TST has been done within the year only one has to be done • If positive – chest x-ray and then annual medical screening. • OR Surgical Attire – Follow AORN – has not changed its policy but is working on it • Cloth caps are considered part of uniform and if worn must be sent to Laundry • GI Center Attire • If procedures done in an licensed OR - must follow surgical attire • If not an OR , your policy will dictate – Follow SGNA, AORN or other guidance from an Endoscopy Resource such as CDC • CAVI-WIPE and other Wipes – read the IFU – on label • Most two step – Clean the surface, then disinfect with a second wipe, keep wet for the time indicated – may be one to 5 minutes depending on wipe

  8. Miscellaneous Issues • Temperature and Humidity Monitoring – Check AORN or AAMI Check all areas • Examples • Refrigerators • Sterile Storage • Decontam Area • Central – workroom • Monitor Devices – • High and low numbers needed • Have expiration dates • Check and record numbers when the facility is closed

  9. Eye Wash Stations This Photo by Unknown Author is licensed under CC BY-SA • Required by AAMI • Certain Accrediting agencies require Metered Device • Should not be on Decom Sink • Signage important • If metered – mixes cold and hot water – temperature 60 – 100 degrees • Test weekly and record Best is the metered eye wash – ANSII requirement • Eye Wash Bottles only acceptable as an alternative – not a replacement This Photo by Unknown Author is licensed under CC BY-SA

  10. Questions This Photo by Unknown Author is licensed under CC BY-NC

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