-3/5/2010
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Carolyn
Weiging
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Please respond to Carolyn Wieging at cswieging@health-partners.org
When your secret hand hygiene observers record that an employee does not
perform hand hygiene when indicated, what if anything is the follow-up to
that employee? For instance, do you send them a letter or other notice?
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-2/16/2010
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Colleen
Abrams
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How do you handle mattresses that have been saturated with blood? (too
much to simply wipe off with a disinfectant).
Please respond to cabrams@bvhealthsystem.org
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79-1/4/2010
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Kathy Ball
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Please respond to Kathy Ball (The Toledo Hospital) at
katherine.ball@promedica.org
Hemodialysis internal pathway disinfection?
1. What process does your Hemodialysis unit use for internal pathway
disinfection for patients with unknown HBV status?
2. What about known positive HBV patients?
3. What document provides the recommendation or guidance on this?
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78-12/21/2009
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Colleen
Abrams
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Do you consider IV pumps non-critical medical equipment? And if so, how
often are these cleaned and by whom? (nursing, housekeeping, central
processing, etc.).
Please reply to: cabrams@bvhealthsystem.org
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77-12/18/2009
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Linna Kelly
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Please Reply to Linna Kelly: LKelly@vanwerthospital.org
Can you send a survey asking the following question:
1. Do you offer a Tdap vaccine to all new mothers prior to
discharge?
2. Do you offer a Tdap vaccine to all new fathers prior to
baby’s discharge? If so, how do you charge for that?
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76-12/04/2009
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Julie Henry
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Please respond to Julie Henry: julie_henry@mhsnr.org
What name brand of surgical scrub do you use?
History: Technicare is a surgical scrub used as a prep when the patient
presents with an iodine allergy. It is mainly used on the face and mucous
membranes. The problem arises because there are no real alternatives on the
market for both face and mucous membranes.
1. CHG and iodophors cannot be used because it burns the cornea and is
ototoxic.
2. alcohol and alcohol based products cannot be used on MM- (with good
reason)
3. Triclosan 1% - could be used. (Dial soap)
4. Phisohex-cannot be used.
5. Peroxide-can be used.
Surgery is asking that we make a recommendation on what prep they use.
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75-11/25/2009
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Deb Nocera
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This question is from Deb Nocera (dknocera@health-partners.org).
When following the NHSN definition of CA-UTI, do you only report
symptomatic UTIs? What about if the patient is comatose or otherwise
unable to verbalize symptoms?
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74-11/19/2009
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Sandra
Hensley
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Please respond to Sandra.Hensley@utoledo.edu
Question for APIC members:
1. What methods are you using for educating patients on admission regarding Infection Prevention topics, such as hand hygiene, etc?
2. Would you mind sharing your process?
3. Who provides the education?
4. Who collects your compliance data?
Responses:
1. Since we are specifically a surgery hospital, I created an education sheet that is given to the patients at the time of registration. If they do not have questions they sign one copy noting they received
it, understand it and have had an opportunity to ask questions.If they have questions, the chart is marked and the Pre-op Nurses discuss the questions with the patients and the form is signed at that
time. The signed copy is a permanent part of the chart.If the nurses don't feel comfortable answering the questions, then they call me. I have attached a copy of our forms.
2. It's OK to ASK brochure at every bedside placed there by housekeeping. CDC"Hand Hygiene Saves Lives" video on education channel, Staff instructed to give messages about why they are cleaning
hands. Press-Ganey generates monthly reports on pt. perception of HH our goal is >75%ile. Units also use the following monitor
(See attached file: Hand Cleaning Monitor.doc Sept 0922.doc)
3. We have a handout that is included in each patient's education materials, begun at admission. Please see attached file.
4. Nursing is to review the info with the patient, emphasizing those areas that most affect their care.
Who collects your compliance data? Good question. Education is to be documented on nursing flowsheets. I'm not sure anyone is looking at that documentation specifically.
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73-10/21/2009
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Carolyn
Weiging
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How are you determining when an inpatient with suspect or confirmed H1N1
influenza can be removed from isolation?
When symptom-free?
When afebrile for 24 hours without antipyretics?
Keep in isolation until discharge?
6 Responses
5 keep in isolation for 7 days or until afebrile for at least 24 hours,
whichever is longer.
1 per MD preference - kids stay in longer - some stay in until DC,
otherwise they stay in until afebrile for at least 24 hours.
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72-10/2009
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cheresa
Hadsell
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Please respond to Cheresa at: cheresa.hadsell@stlukeshospital.com
1. Is any one implementing visitor restrictions?
2. If you are, is just to certain units such as OB or Peds, or is it whole house?
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71-8/24/09
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Colleen
Abrams
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Are you giving the seasonal influenza vaccine to your employees as soon as you have it available or are you waiting until later in the fall?
13 responses
September 1st (1) Mid September (4) End of September (4) October(4)
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70-6/25/2009
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Carolyn
Wieging
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What kind of cleaning do you do for a patient who has lice?
5 responses: All do a regular clean after a patient with lice is discharged from their room.
One noted that they also vacuum any upholstered furniture and place laundry into a "plastic isolation bag" prior to removal from the room.
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69-6/17/2009
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Carol
Borstelman
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have been monitoring the percent of eligible patients receiving the pneumonia and influenza vaccine. We are set up to only give the influenza
and pneumonia vaccines if the physician orders it and so only about 20% of eligible patients receive it. Since Ohio law allows nurses to
automatically administer the 2 vaccines if the screened patient meets criteria, I am interested in finding out what other facilities do.
We have good compliance, eligible screened patients receive the vaccine(s).
Yes______ No______
All screened patients meeting the criteria for the pneumonia vaccine
receive it. Yes______ No______
We only administer the vaccines if the physician orders it.
Yes______ No______
We have a different process,
we_______________________________________________________________________________.
My email address is carolb@henrycountyhospital.org
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68-6/1/2009
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Carolyn
Wieging
|
We have an on-going issue with pregnant HCWs who care for a patient, then later learn that the patient has CMV. Our current policy does not
restrict pregnant HCWs from caring for these patients, since by following Standard Precautions and proper hand hygiene, they would be protected.
However, we have had several incidents where the pregnant HCW went to their OB/GYN and they ordered titers on them.
My questions are:
1. Do you restrict pregnant HCWs from caring for patients with CMV?
All six response state that they do not restrict pregnant healthcare workers from caring for patients with CMV. All six stated that they use the current CDC guidelines
for standard precautions regardless of diagnosis. One person said they may reassign out of courtesy of the HCW.
2. If they do care for a patient who was later discovered to have CMV, do you test the pregnant HCW for CMV titers? All six said that they didnt not test exposed pregnant women
for CMV. However they would refer them back to the OB/GYN if test was requested. Hospital would not pay for testing.
3. If yes, what do you do if they test positive? Several people pointed out that it would be difficult to determine if the HCW was newly exposed, had a reactivated infection or where
they acquired CMV.
Please Respond to Carolyn Wieging at cswieging@health-partners.org
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67-3/25/2009
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Cheresa
Hadsell
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1. Do you still do the annual TB skin test of all patient care employees?
_____Yes ______No
2. If yes - what is your reason for continuing the annual skin test?
Please Reply to Cheresa Hadsell
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66-2/08/2009
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Linna Kelly
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Do you accept and use sterilized surgical instrumentation from other facilities without sterilizing them yourself? If so, do
you have requirements for documentation?
Do you have specific requirements for how they are transported?
How long before surgery do you require any implants and instrumentation to arrive (to allow for sterilization)?
Please Reply to Linna Kelly
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65- 1/31/09
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Martha
Rediger
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What are other hospitals are doing with visitors belongings (coat, purses, etc. which should not really go into the isolation room) when a patient is in strict isolation?
Please Reply to Martha Rediger- No reply to date
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64- 1/29/09
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Kotowicz,
Ellie
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Wound Vac Survey
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63-01/19/09
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Louise
White
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What is your protocol for disinfecting central line & PICC line catheter hubs & injection ports? There were 9 respondents: 8 acute care, one ECF.
- What disinfectant do you use? All 9 use alcohol to prep ports.
- What protocol do you have as to time to wipe the port, etc?
- 1 requires a 15-30 second rub
- 2 require 15 second rub
- 1 requires 10-15 second rub
- 1 teaches, “wipe 10 times over for 5-10 seconds”, but not written into protocol
- 1 states “allow to dry”
- 3 have no specific protocol
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