Infection Control Today

JUN 2019

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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18 ICT June 2019 • not wear eye/face protection during a procedure where splashes could occur or during an emergency resuscitation? • wear an "isolation gown" when a fuid resistant gown is indicated because of the likelihood of exposure to fuids? • not wear an isolation gown or other required PPE into the room of a patient on isolation precautions? • remove their PPE in a manner that could result in their or other people's exposure? These behaviors place employees and patients at risk of disease transmission. While performing their annual infection control risk assessment, it is recommended that facilities review compliance with OSHA requirements related to selection and use of personal protective equipment to determine if fur ther action is needed to comply with regulations. R e q u i r e m e n t s t h a t e m p l o y e r s o f individuals who have the possibility of exposure to bloodborne pathogens or other infectious agents must enforce, include: • Per form a hazard assessment to d e t e r m i n e s i t u a t i o n s i n w h i c h exposure could occur and identify the situations where risk of exposure could be mitigated or reduced by using PPE. • Determine the type of PPE and the circumstances during which they should be used. • Provide PPE in the sizes and locations where exposures could occur. • Train personnel on when and how to use PPE as well as the limitations of its use. Organisms such as vancomycin-resistant enterococci and methicillin-resistant Staphy- lococcus aureus can live for an extended time on cloth. 5 In addition to protecting healthcare workers from exposure to bloodborne pathogens, the appropriate selection and use of PPE will protect healthcare workers from contamination with multidrug-resistant organisms. This, in turn, could protect patients from hospital acquisition of these organisms. Because we recognize the risk and expect compliance with applicable regulation, use of PPE is an area that the Joint Commission will be focusing on during our journey to Leading the Way to Zero™! Sylvia Garcia, RN, MBA, CIC is the director of infection prevention and control in the Division of Healthcare Improvement. In this role, she is responsible for the oversight of infection prevention and control for the Joint Commission. She has more than 30 years of at your fngertips. Why stop learning when you're fnished enjoying this issue? Go online to the source for science, policy and practice of infection control. You'll fnd our latest on every vital topic — and a library of information that's brought us to where we are today. experience in infection control in hospital and long-term care settings, as well as eight years of clinical microbiology experience. Most recently, she served as the director of infection control at University of Chicago Medicine and was also an intermittent consultant for Joint Commission Resources for 10 years. References: 1. Hanink B. Barbara Fassbinder, the First Healthcare Worker to Contract HIV. https://www.workingnurse. com/articles/Barbara-Fassbinder-the-First-Healthcare- Worker-to-Contract-HIV/. Accessed April 14, 2019. 2. Fairfax RE. OSHA letter to Vivian Ericksen, January 19, 2010. Standards Interpretations. Bloodborne Pathogens Standard, OSHA's Personal Protective Equipment Standard. regs/standardinterpretations/2010-01-19/. Accessed April 14, 2019. 3. Food and Drug Administration. Personal Protective Equipment for Infection Control. Last updated 5/16/2018. medicaldevices/productsandmedicalprocedures/ generalhospitaldevicesandsupplies/ personalprotectiveequipment/default.htm/. Accessed April 19, 2019. 4. Okamoto K, Rhee Y, Impact of doffng errors on healthcare worker self-contamination when caring for patients on contact precautions. Infection Control and Hospital Epidemiology. 2019. Accessed April 19, 2019. 5. Neely AN, Maley MP. Survival of enterococci and staphylococci on hospital fabrics and plastic. J Clin Microbiol. 2000;38(2):724–726

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