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Reduced Germ Exposure from Changing out Manual Soap and Sanitizer Dispensers to Touchless Closed System Dispensers
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Poster Abstracts / American Journal of Infection Control 44 (2016) S28-S82
to airflow changes. To reduce future HAI risk, air handling practices were modified to continually monitor pressure within the duct system.
7-170 Infection Prevention Partnering with Environmental Services for a Clean Environment Marisa A. Bisiani, RN, ANP, DNP, Director of Infection prevention Dept & Employee Health Services, John T Mather Hospital; Patty Mupo, RN, BSN, Infection Prevention Coordinator, John T Mather Hospital; Holly Hannon, RN, BSN, Infection Preventionist, John T Mather Hospital BACKGROUND: There is growing evidence that demonstrates a clean environment is instrumental to the prevention of hospital acquired infections (HAI’s). Environmental surfaces are a means of transmission of multi drug resistant organisms (MDRO’s). MDRO’s can survive on surfaces for extended periods of time. There is an increasing body of evidence that cleaning or disinfection of the environment can reduce transmission of HAI’s. These challenges make it imperative to partner with Environmental Services staff (EVS); together we can forge ahead and fight this battle. METHODS: In a 248 bed hospital an infection preventionist (IP) measured a response variable (cleanliness of surface) at two time points for multiple inpatient occupied rooms. Time point one was prior to the Environmental staffs shift, time point two was at the end of the shift. The study began 1st quarter 2015 with post education analysis 3rd quarter 2015. The same five high touch surfaces were measured each quarter. The instrument utilized was invisible ink with a black light. EVS staff was provided education on the Center for Disease Control (CDC) guidelines for cleaning. Included in this education was a CDC high touch surface card with a list of surfaces on one side and a picture of these surfaces marked in a patient’s room on the other. RESULTS: All high touch surfaces surveyed showed significant improvement in the consistency of cleaning post education. CONCLUSIONS: Data was shared with the EVS staff, education was provided on consistently cleaning all high touch surfaces daily. IP learned of hurdles that the EVS staff encountered while cleaning an occupied room and offered scripting for the EVS staff to share with patients while cleaning. We will continue to partner with EVS staff, providing education, support and together providing a clean and safe environment for our patients while decreasing HAI’s.
7-171 Infection Prevention Response to a Medical Office Building Flood Les Chock, MS, SM(ASCP), CHEP, CIC, Director, Regional Infection Control, Kaiser Permanente BACKGROUND: A broken fire hose connection in a Medical Office Building resulted in flooding and subsequent building evacuation. Infection Prevention was asked the following day to provide a water damage assessment and guidance in mold remediation. In the event of water infiltration into a building, remediation within 24 to 48 hours is critical in prevention of mold growth. METHODS: A Medical Office Building was evacuated due to flooding. A Contractor that specializes in Water Damage was hired. Infection Prevention inspected the facility the following day with the Clinic Nursing Manager, Clinic Operations Director and the Contractor. All areas were assessed including the Lobby, Gastroenterology,
Pediatrics, Physical Therapy, Call Center, Pharmacy, Internal Medicine, OB/GYN, and Administrative offices. Particular attention was given to Sterile Storage rooms and other hi-risk areas. RESULTS: Priority was given to the Gastroenterology Clinic to minimize downtime. The Contractor provided work crews for clean-up and to vacuum standing water. Fans and Dehumidifiers were installed in multiple locations. Baseboards were removed to facilitate drying. Infection Prevention recommended disposal and replacement of any materials that remained wet for greater than 48 hours. Moisture meters and Infrared Monitors were utilized to determine the extent of water intrusion and evaluate the success of drying. Environmental Services cleaned the facility over the weekend. Following the flood response and remediation the facility was reopened. CONCLUSIONS: Infection Prevention conducted a water damage assessment in conjunction with the Contractor. Any items that could not be dried in 48 hours were discarded. The entire Medical Office Building was inspected for water intrusion. Use of a standardized checklist was a valuable guide in determining the readiness of the facility to be opened.
7-172 Reduced Germ Exposure from Changing out Manual Soap and Sanitizer Dispensers to Touchless Closed System Dispensers Pairin Hongsoongnern, Ph.D, Product Applications Team Leader, Georgia Pacific, LLC; Aimee Britton, Research Scientist, Georgia Pacific, LLC; Varsha S, MS, Manager, R&D, Skin Care and Hygiene Solutions, Georgia Pacific BACKGROUND: Reducing germ transmission is of critical importance in healthcare settings due to patient vulnerability to infections. Hand hygiene is a critical in helping to remove germs; however, dispensers routinely refilled and touched prior to cleaning may become contaminated with germs that can be transferred between healthcare workers and patients. This study investigates whether there is any relationship between the type of bulk-refilled dispenser and hand hygiene in a long-term care facility. METHODS: A long-term care facility was selected; as is common in many healthcare settings, this facility used a combination of bulkrefilled soap dispensers, pump bottles and pocket sanitizers as part of their hand hygiene systems. The dispensers were all replaced with touchless soap and sanitizer dispensers. The pre-existing dispensers were tested for bacterial contamination in 8 locations inside and outside of the dispensers. The infection rates at the facility were compared between before and after the study. RESULTS: Bacteria were found on all the dispensers tested. Gram stain results included: gram-positive Cocci (like Staphylococcus), gram-negative rods (like Pseudomonas and other organisms). Comparing to the same period prior to the study, data indicated a significant reduction in urinary tract infection (P = .025) and gastrointestinal infections, two common Healthcare Associated Infections. CONCLUSIONS: Previous research has shown increased opportunity of bacterial contamination with an open soap system. In the current study, microbes were found within manual soap dispensers throughout the facility. Additionally, infection rates decreased following the dispenser transition, which may be linked to the switch to a touchless/closed dispenser. It should be noted that hand hygiene awareness also seems improved during the study. Adopting a touchless dispensing system may help improve efficacy of hand hygiene practices and may lead to reduction of HAIs.
APIC 43rd Annual Educational Conference & International Meeting | Charlotte, NC | June 11-13, 2016
Poster Abstracts / American Journal of Infection Control 44 (2016) S28-S82
to airflow changes. To reduce future HAI risk, air handling practices were modified to continually monitor pressure within the duct system.
7-170 Infection Prevention Partnering with Environmental Services for a Clean Environment Marisa A. Bisiani, RN, ANP, DNP, Director of Infection prevention Dept & Employee Health Services, John T Mather Hospital; Patty Mupo, RN, BSN, Infection Prevention Coordinator, John T Mather Hospital; Holly Hannon, RN, BSN, Infection Preventionist, John T Mather Hospital BACKGROUND: There is growing evidence that demonstrates a clean environment is instrumental to the prevention of hospital acquired infections (HAI’s). Environmental surfaces are a means of transmission of multi drug resistant organisms (MDRO’s). MDRO’s can survive on surfaces for extended periods of time. There is an increasing body of evidence that cleaning or disinfection of the environment can reduce transmission of HAI’s. These challenges make it imperative to partner with Environmental Services staff (EVS); together we can forge ahead and fight this battle. METHODS: In a 248 bed hospital an infection preventionist (IP) measured a response variable (cleanliness of surface) at two time points for multiple inpatient occupied rooms. Time point one was prior to the Environmental staffs shift, time point two was at the end of the shift. The study began 1st quarter 2015 with post education analysis 3rd quarter 2015. The same five high touch surfaces were measured each quarter. The instrument utilized was invisible ink with a black light. EVS staff was provided education on the Center for Disease Control (CDC) guidelines for cleaning. Included in this education was a CDC high touch surface card with a list of surfaces on one side and a picture of these surfaces marked in a patient’s room on the other. RESULTS: All high touch surfaces surveyed showed significant improvement in the consistency of cleaning post education. CONCLUSIONS: Data was shared with the EVS staff, education was provided on consistently cleaning all high touch surfaces daily. IP learned of hurdles that the EVS staff encountered while cleaning an occupied room and offered scripting for the EVS staff to share with patients while cleaning. We will continue to partner with EVS staff, providing education, support and together providing a clean and safe environment for our patients while decreasing HAI’s.
7-171 Infection Prevention Response to a Medical Office Building Flood Les Chock, MS, SM(ASCP), CHEP, CIC, Director, Regional Infection Control, Kaiser Permanente BACKGROUND: A broken fire hose connection in a Medical Office Building resulted in flooding and subsequent building evacuation. Infection Prevention was asked the following day to provide a water damage assessment and guidance in mold remediation. In the event of water infiltration into a building, remediation within 24 to 48 hours is critical in prevention of mold growth. METHODS: A Medical Office Building was evacuated due to flooding. A Contractor that specializes in Water Damage was hired. Infection Prevention inspected the facility the following day with the Clinic Nursing Manager, Clinic Operations Director and the Contractor. All areas were assessed including the Lobby, Gastroenterology,
Pediatrics, Physical Therapy, Call Center, Pharmacy, Internal Medicine, OB/GYN, and Administrative offices. Particular attention was given to Sterile Storage rooms and other hi-risk areas. RESULTS: Priority was given to the Gastroenterology Clinic to minimize downtime. The Contractor provided work crews for clean-up and to vacuum standing water. Fans and Dehumidifiers were installed in multiple locations. Baseboards were removed to facilitate drying. Infection Prevention recommended disposal and replacement of any materials that remained wet for greater than 48 hours. Moisture meters and Infrared Monitors were utilized to determine the extent of water intrusion and evaluate the success of drying. Environmental Services cleaned the facility over the weekend. Following the flood response and remediation the facility was reopened. CONCLUSIONS: Infection Prevention conducted a water damage assessment in conjunction with the Contractor. Any items that could not be dried in 48 hours were discarded. The entire Medical Office Building was inspected for water intrusion. Use of a standardized checklist was a valuable guide in determining the readiness of the facility to be opened.
7-172 Reduced Germ Exposure from Changing out Manual Soap and Sanitizer Dispensers to Touchless Closed System Dispensers Pairin Hongsoongnern, Ph.D, Product Applications Team Leader, Georgia Pacific, LLC; Aimee Britton, Research Scientist, Georgia Pacific, LLC; Varsha S, MS, Manager, R&D, Skin Care and Hygiene Solutions, Georgia Pacific BACKGROUND: Reducing germ transmission is of critical importance in healthcare settings due to patient vulnerability to infections. Hand hygiene is a critical in helping to remove germs; however, dispensers routinely refilled and touched prior to cleaning may become contaminated with germs that can be transferred between healthcare workers and patients. This study investigates whether there is any relationship between the type of bulk-refilled dispenser and hand hygiene in a long-term care facility. METHODS: A long-term care facility was selected; as is common in many healthcare settings, this facility used a combination of bulkrefilled soap dispensers, pump bottles and pocket sanitizers as part of their hand hygiene systems. The dispensers were all replaced with touchless soap and sanitizer dispensers. The pre-existing dispensers were tested for bacterial contamination in 8 locations inside and outside of the dispensers. The infection rates at the facility were compared between before and after the study. RESULTS: Bacteria were found on all the dispensers tested. Gram stain results included: gram-positive Cocci (like Staphylococcus), gram-negative rods (like Pseudomonas and other organisms). Comparing to the same period prior to the study, data indicated a significant reduction in urinary tract infection (P = .025) and gastrointestinal infections, two common Healthcare Associated Infections. CONCLUSIONS: Previous research has shown increased opportunity of bacterial contamination with an open soap system. In the current study, microbes were found within manual soap dispensers throughout the facility. Additionally, infection rates decreased following the dispenser transition, which may be linked to the switch to a touchless/closed dispenser. It should be noted that hand hygiene awareness also seems improved during the study. Adopting a touchless dispensing system may help improve efficacy of hand hygiene practices and may lead to reduction of HAIs.
APIC 43rd Annual Educational Conference & International Meeting | Charlotte, NC | June 11-13, 2016