Surveys
9/2/2011
Dawn
Mason
Anyone using PAPRs on a regular, daily basis for isolation cases, especially for nurses/physicians with facial hair.  If not, what measures are taken?
8/23/2011
Susan
Cramer
Is anyone is planning  to enforce a Mandatory Employee Flu vaccination policy this year that requires face masks if the employees do not receive the flu vaccine
8/18/2011
Barb Crow
What type of gloves does your facility provide for clinical areas?  What type of gloves do your Environmental Service employees use?

Latex?
Nitrile?
Vinyl?
Other? (please specify)

Please include any added comments/suggestions you would like to make on this topic.
8/17/2011
Vickie
Shaffer
I am in the process of creating a pneumatic tube Infection Control policy and would like help from fellow IPs who have experience with pneumatic tube systems.     

Questions:
1.       List of items not approved for transport in the system?
2.       Packaging requirements for hazardous materials (e.g., lab specimens)?  We intend to require that lab specimens are placed in a Ziploc biohazard bag before being inserted in Swisslog’s Zip N’
Fold™ pouch.  Our lab management have requested dedicated carriers for lab specimens and biohazardous materials.  This has met with resistance from facilities management who claim that
dedicated carriers are not necessary and impractical because there is no way for the system to recognize that they are dedicated. Do other hospitals use dedicated carriers for biohazardous
materials?  If not, do you wish you had dedicated carriers?
3.       Procedure for Leakage and Cleanup of spillage within carriers?
4.       Procedure for Spill outside the carrier, within pneumatic system (the manufacturer gives a lot of guidance for this event, but I am particularly interested in the experience of users)?
5.       Carrier routine cleaning schedule:  who is responsible, what disinfectant is used, how often, etc.?
6.       Are pneumatic tube work practices (e.g., standard precautions) audited for compliance with infection control precautions?
7.       Do others include all Infection Prevention/Control topics within one corporate “Basic Use” policy or do they have a separate Infection Prevention/Control policy for pneumatic tube systems?
Email:  vickieshaffer@chwchospital.org
7/5/2011
Sue Kistler
Have you replaced your Steris systems with the new Steris 1E?  Have you had any difficulties with the transition such as failing parameters involving UV lights, water pressure, water temperature or
other difficulties? Please respond to skistler@Bellevuehospital.com
6/24/2011
Carol
Abrams
To make a more quiet environment on our hospitals, a team of associates has suggested offering earplugs to patients.  These would be disposable, one patient use.  Has anyone else gone this
route?  I would be interested in your experiences if so.
6/1/2011
Carol
Abrams
We have a surgeon that would like Sterillium (an alcohol-based, waterless surgical scrub) placed inside the operating rooms.  At present, we have it in center core not far from the scrub sinks.  Do any
of you allow this high alcohol content product in your operating rooms? Please respond to:  cabrams@bvhealthsystem.org
5/31/2011
Sara Green
We recently started using the Dispatch wipes.  We have an employee that has an allergic reaction to the wipes and other bleach products.  What alternative do we have for cleaning of C.Diff. or is there
even one?  Has anyone else encountered this problem?

RESPOND TO SARA GREEN AT: sgreen@cmhosp.com
5/24/2011
Susan
Kistler
what is your institution’s policy on water bottles/covered cups on Housekeeper’s carts? Reply to skistler@Bellevuehospital.com
2/22/2011
Sara Green
Can you ask the group if they require annual TB testing on non-employed physicians?

1. We offer but do not require.
2/1/2011
Sara Green
what indicator do you use to monitor the air pressure in their negative pressure rooms? Please respond to sgreen@cmhosp.com
1/21/2011
Colleen
Abrams
mandatory flu vaccination program for associates?Please Respond to cabrams@bvhealthsystem.org
1/13/2011
Louise
White
For Emergency Department patients, do you have separate or divided waiting areas for patients with respiratory symptoms?
Reply to WhiteL@woodcountyhospital.org
1/3/2011
Barbara
Crow
Regarding febrile neutropenic patients, is it your facility policy to draw blood cultures from two different peripheral sites (and if so, usually how far apart are they drawn?) or is one blood culture taken
from a central line (if the patient has one) and another from a peripheral site?  Or is it your facility policy to do something else?

Reply to bcrow@fulhealth.org

Response        How often are peripheral IV sites changed?        How often is the primary IV tubing changed?        Additional information
1                                    4 days                                                                                         3 days        
2                                    96 hours                                                                                  96 hours        
3                                    72-96 hours                                                                          72-96hr w cath change                         unless inserted emergently in field; nursing wanted to keep 72 hr in policy
4                                    only if infiltrated                                                                     48 hours        
5                                    96 hours                                                                                 96 hours                                                  unless other extenuating circumstances
6                                    96 hours                                                                                 96 hours                                                    Intermittent (IVPB in saline lock) 24 hr as is the bag; blood, TPN,
                                                                                                                                                                                         Cleviprex w each new bag of product; color-coded tags to assist nurses in
                                                                                                                                                                                        chnaging tubing as well as dating IV site
7                                    96 hours                                                                                 96 hours                                                   unless started in the field, this is changed as soon as able and pt stable.
8                                    96 hours as long as still good                                           96 hours                                                   If started in field/EMS, then site and tubing changed w/in 24 hours
9                                    policy does not specify                                                         96 hours                                                  site checked at least daily and changed prn
10                                 96 hours except for kids                                                       96 hours including TPN                       3 in 1 lipids and intermittent tubing changed every 24 hours
11                                 96 hours                                                                                   96 hours        
12                                 72 hours                                                                                   72 hours        
12/01/2010
Ball,
Katherine
Could we ask the group how their facility is meeting NPSGs for LIP education?  We are having difficulty identifying and establishing a process that will reach this group
  • include it in the annual Medical Staff Safety Education packet that requires that they send back a test showing they reviewed the information.
  • Send out mailing with return receipt
  • Luncheon inservices and mailbox inservices
82 9/15/2010
Carolyn
Wieging
Please respond to cswieging@health-partners.org
Our CT scan room is rather large and the oxygen outlets are far from thepatient.  An extension tubing is needed for any patient who needs a CT scan
and is on O2.  Is it acceptable to reuse the same extension tubing (notcannula tubing) for multiple patients?
81-9/15/2010
Julie Henry
Please respond to Julie_Henry@mhsnr.org
Can anyone tell me what their practice is on re-using tourniqets?
  • Is the lab using new tourniquets for each patient?
  • Is anyone cleaning tourniquets in between patients? if so what are you
  • using to clean them?
80-9/8/10
Ann Smith

Please reply to ann.smith@memorialhcs.org
Could you please post to the membership:

Does anyone have policies specific to COBAN use?  If so would you be willing to share them?
79-8/10/2010
Sara Green
Please respond to Sara Green at sgreen@cmhosp.com


Under the NPSG.07.03.01 #5 -Measure and monitor multidrug resistant organism infection rates using evidence-based metrics.   

What are you using for evidence-based metrics?  Thanks for your assistance.