Infection Control Today

AUG 2018

ICT delivers to infection preventionists & their colleagues in the operating room, sterile processing/central sterile, environmental services & materials management, timely & relevant news, trends & information impacting the profession & the industry

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Proven, Quantifed Hygienically Clean Linens, Gowns and Scrubs Infection prevention to minimize HAIs requires your laundry service to be Hygienically Clean certifed to ensure healthcare textiles (HCTs) are safe from microbes, molds and fungus: • Proven best laundry practices detailed in quality assurance (QA) manuals • Multiple third-party inspections that follow consistent, proven protocols • Quarterly testing of clean laundry to internationally recognized standards Managed by an advisory board of laundry, epidemiology, infection control, nursing and other healthcare professionals, Hygienically Clean is the right certifcation to include in your RFP for linen and uniform service. LAUNDRY GUIDANCE—Download the new whitepaper that recommends techniques for washing employee uniforms based on research on home laundering efectiveness: safety, such as reduction of all vascular access device and infusion-related complications and implementation of recognized standards and guidelines, could be supportive of infusion teams. Clinical outcomes after an infusion team has been disbanded are unknown. Additionally, there are very little data comparing hospitals or nursing units with and without infusion teams. Anecdotally, many infusion nurse leaders perceive an increase in infusion-related complications, compromises in patient safety, and a corresponding decrease in patient satis- faction, yet lack the personnel and resources to validate these perceptions. Anecdotal evidence or perception of these issues falls short of the data needed to prompt decision- makers to fnancially support formation of a new infusion team, continue support for an existing team, or expand the services of an existing team. Currently, decisions in hospital management are made with a critical focus on business aspects; specifcally, how the proposed action will affect costs and revenue. The business case is a common mechanism used to answer the diffcult questions about allocation of limited resources. The business case takes time and effort to create, therefore it is typically employed when a proposed change is expected to have a signifcant impact on the hospital's strategic plan." INS urges hospitals to consider the business case for infusion teams and / or specialist. As Hadaway and Wise, et al. (2013) emphasize, "Given the current rates of complications, costs, waste, and ineffciencies in our current processes, there is little doubt that each hospital or medical center must devote attention to infusion therapy—an invasive therapy that touches virtually all patients entering the facility. We propose that each facility make an assessment of their current outcomes related to infusion services. This assessment should include peripheral and central catheter-as- sociated infections; catheter-associated air emboli; and infltration and extravasation and the resulting compartment syndrome, necrotic ulcers, and nerve injuries related to all VADs. Consider the fact that the frst list of 10 hospital-acquired conditions included three, or 30 percent, that are infusion-related: vascular device-associated infection, air emboli, and blood incompat- ibility. Moreover, ECRI Institute's 2012 list of health technology hazards includes 3 of 10 hazards that are infusion related—alarm hazards, medication administration errors using infusion pumps, and needlesticks and other sharps injuries. The current fscal constraints of health care require a careful assessment of the current methods for delivery of these vital infusion services." H a d aw ay a n d W is e, e t a l. (2013) continue, "Delivery methods for providing safe patient care with positive, lower-cost outcomes may var y between facilities. For some, it may mean continuation of a primary-care model, although improving outcomes will need to be facilitated by a heavy investment in staff development. For others, the most cost-effective method may be to invest in the development or expansion of an infusion team. Regardless of the chosen approach, it is clear that a lack of attention to this invasive and potentially dangerous therapy increases problems, complications, patient dissatisfaction, and costs. A focus on the business aspects of infusion delivery in acute care hospitals is required. INS believes that this attention will serve to concurrently improve clinical outcomes as well." References: Hadaway L, Wise M, Orr M, Bayless A, Dalton L and Guerin G. Making the Business Case for Infusion Teams: The Purpose, People, and Process. 2013. Hadaway L, Dalton L and Mercanti-Erieg L. Infusion Teams in Acute Care Hospitals: Call for a Business Approach. An Infusion Nurses Society White Paper. 2014.

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