Jun 12, 2018

New survey finds infection preventionists want updated technology and processes to help fight HAI

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Human Factors and the Future of Infection Prevention InfographicA recent survey of infection preventionists found that half (51 percent) believe lack of adopting new technology and processes and insufficient support from senior leadership are the top barriers to preventing healthcare-associated infections (HAI), followed closely by poor protocol compliance rates.

Despite the barriers, clinicians surveyed were optimistic about their ability to improve infection rates. One-third believed infections can be avoided when providing healthcare. Survey data also indicated these clinicians are seeking technological advances that will help them reduce preventable infections.

The survey, Human Factors and the Future of Infection Prevention, was commissioned by 3M and conducted by a third-party research firm in April 2018. Of the 650 completed interviews, 237 respondents identified themselves as infection preventionists. The remaining respondents were predominately nurses with patient care responsibilities.

“At 3M, we are on a mission to partner with clinicians to take on preventable infections,” Pat Parks, MD, PhD, Medical Director, 3M Medical Solutions Division stated in a press release issued earlier this week. “We wanted to gain a better understanding of beliefs and perceptions clinicians hold about the current reality and future potential of infection prevention. Armed with these insights, we’re convening with critical stakeholders to support clinicians in their fight against HAIs.”

Based on the survey data, 3M will be hosting a series of events focused on advancing infection prevention, starting with a webinar on July 11, 2018, to discuss in more depth the barriers to infection prevention revealed in the survey. Register at 3M.com/IPSurveyWebinar.

Upcoming events will reveal survey findings on clinicians’ attitudes and beliefs about infection prevention trends, best practices, compliance, auditing, and training.

Stay tuned for the full survey results – including insights on fighting both peripheral (PLABSI) and central line-associated bloodstream infections (CLABSI) and surgical site infections (SSI) – to be published later this year.

Jun 6, 2018

New study finds disinfecting caps help reduced PLABSI rates by 81%

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The Journal of the Association for Vascular AccessAll intravenous catheters represent a potential entry site for bacteria and the beginning of a bloodstream infection. Central lines have been vigilantly protected for many years now, even though peripheral IV lines are much more common. In fact, 200 million patients have PIVs placed each year compared to only 5 million central lines placed annually. Historically PIV lines, due to shorter wear times and placement locations have been deemed less risky. Yet, PIVs deserve to be protected just as vigilantly since any BSI, whether peripheral line-associated bloodstream infections (PLABSI) or central line-associated bloodstream infection (CLABSI), is a major concern.

While historically PIVs have not received as much attention, a team of researchers at Mercy Hospital in St. Louis, MO set out to change that. They reduced PLABSIs by 81% during their study intervention period. That is a decrease from 0.57 to 0.11 per 1000 patient days (p<0.01). The study looked at the impact a comprehensive PIV maintenance bundle could have on reducing peripheral line-associated bloodstream infections.

They developed the bundle based on the Centers for Disease Control and Prevention, Infusion Nurses Society and Society for Healthcare Epidemiology of America compendium guidelines. It included multiple components such as assessing and removing PIV catheters at the first sign of phlebitis and monitoring and changing the dressing if nonocclusive or if blood was present. Mercy Hospital had also been successfully using disinfecting caps on central lines for five years and added 3M™ Curos™ Disinfecting Cap for Needleless Connectors to the PIV catheter maintenance bundle as a preventative method. In addition, they added 3M™ Curos™ Tips Disinfecting Cap Strip for Male Luers to all disconnected IV tubing, to replace inconsistent methods of managing the intermittent tubing that had previously been used.

During the study, compliance with disinfecting cap use increased across the board:

• 89 percent compliance with disinfecting caps on PIV lines
• 84 percent compliance with disinfecting tips on disconnect IV tubing
• 94 percent compliance with disinfecting caps on central lines (up from 84 percent before intervention period)

These high compliance rates indicate that PIV maintenance bundles are easy to integrate into existing workflows and do not add extra effort to a nurse’s busy day. The findings of this study also support that a bundled approach is effective for reducing infection and can help lead a cultural shift in the healthcare community that elevates PIV standards to the level of central lines.

The results Mercy achieved by implementing PIV maintenance bundles can be replicated at other facilities. If you are interested in doing more to prevent PLABSIs, talk with your 3M representative and ask how your partner can help evaluate your current PIV bundle.

May 24, 2018

Let’s Keep in Touch!

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The 3M Medical Blog was designed to keep readers abreast of new developments and emerging trends in the prevention and management of healthcare-associated infections. We hope that the content we’ve shared has been useful, and want to make sure our readers continue to receive email notifications when new content is posted.

Please take a moment to re-subscribe to the 3M Medical Blog via the link below so we can remain in touch!

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Apr 17, 2018

Understanding Transmission-Based Precautions and recommended practices

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Patients in isolation are among the most infectious, and the most vulnerable. By understanding the different types of isolation precautions and when to apply them, we can help improve patient safety and outcomes.

Standard Precautions prevent the transmission of infection from patient to patient as well as patient to healthcare providers.  Standard Precautions include hand hygiene, use of gloves, gown, mask, eye protection and safe injection practices.1

In addition to Standard Precautions, Transmission-Based Precautions can be implemented when Standard Precautions won’t interrupt the route of transmission.  Usually, a patient is placed in Transmission-Based Precautions when there is a known infection or if the patient is colonized.2

There are three main transmission based precautions: contact, droplet and airborne.2  Each precaution has recommendations for healthcare settings to follow.  It is important to note that more than one Transmission-Based Precaution may be used on one patient and all of these precautions are in addition to Standard Precautions.2

Contact Precautions:

Contact Precautions are implemented when the infectious agent is spread by direct or indirect contact with the patient or the patient’s environment.2  The CDC recommends placing the patient in a single room, and health care providers entering the room should wear a gown and gloves for all interactions.2  Examples of conditions requiring contact precautions are Clostridium Difficile (C diff), Vancomycin-resistant Enterococci (VRE), Respiratory Syncytial Virus (RSV), and Methicillin-Resistant Staphylococcus Aureus (MRSA).  For contact precautions, the CDC strongly recommends using disposable noncritical patient-care equipment or implement patient-dedicated equipment.2  Other organizations including the Society for Healthcare Epidemiology of America (SHEA) and the Infectious Diseases Society of America (IDSA) created a summary of strategies to prevent Healthcare associated infections (HAIs) including Clostridium difficile (CDI) and MRSA.  These summaries state that “dedicated equipment should be readily available for healthcare providers (e.g., stethoscopes)” and to use “dedicated patient care equipment and items.” 3,4

Droplet Precautions:

When the infectious agent is spread by contact through close respiratory or mucous membrane contact with respiratory secretions, Droplet Precautions are implemented.2  Placing the patient in a single room and having visitors and healthcare providers wear a mask are recommended practices for Droplet Precautions.2  Common conditions requiring Droplet Precautions include the influenza virus, pertussis, and mumps.

Airborne Precautions

Airborne Precautions are implemented when the infectious agent is small enough to remain suspended in the air.2  Patients should be placed in a single room with negative air flow and healthcare providers should wear respirators when caring for these patients.2  Tuberculosis, measles and chickenpox are examples of conditions requiring airborne precautions.2

It is important to note that the CDC states “In all healthcare settings, providing patients who are on Transmission-Based Precautions with dedicated non-critical medical equipment (e.g., stethoscope, blood pressure cuff, electronic thermometer) has been beneficial for preventing transmission.”2

It is the responsibility of the entire healthcare delivery team to provide appropriate resources to follow these recommended practices to keep patients and healthcare providers safe.

Mar 23, 2018

Join 3M to fight SSIs from every angle during the 2018 AORN Global Surgical Conference & Expo

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Fight SSIs from Every Angle. Visit booth #2829

It’s looking like 2018 AORN Surgical Conference in New Orleans, La. will be another exceptional event for perioperative nurses. The agenda is packed March 24-28, 2018 with more than 200 contact hours available in an array of learning formats—there will be plenty to learn!

If you’re registered for the Executive Leadership Summit, don’t miss the presentation by Kathleen Kohut, MS, RN, BSN, CIC, on “Reduce Skin and Nasal Bacteria to Lower the Risk of SSIs.” That’s the lunch session on Monday, March 26 from 12:30-1:45 p.m.

When you are Parading the Hall, make sure to visit 3M booth 2829! We want to help you “Embrace Action” and take your fight against SSIs to the next level: 3M Surgical Safety Solutions is a comprehensive initiative to help give you a path to progress in your fight against SSIs. You can earn 100 Parade the Hall points by participating in a demonstration activity with 3M™ Skin & Nasal Antiseptic for preoperative nasal decolonization.

In-booth education is back – come earn credit! Kathleen Kohut, Director of Infection Prevention at Cape Cod Healthcare in Hyannis, MA, and Kim Prinsen, Technical Service Specialist for 3M, will review the topic, “Reducing the Risk of SSIs – What are we missing?”

Objectives:

  1. Describe interventions in preparation of the patient for surgery that will reduce the risk of  SSI.
  2. Identify relevant clinical studies that support these measures.
  3. Describe guidelines and recommended practices that support each intervention.

Education sessions include a 30-minute live presentations plus additional self-study activity.

Finally, all international visitors and new members are welcome on Saturday, March 24 from 5:00 to 6:00 pm (rooms 276-277) at the 3M sponsored International and New Members Reception and, throughout the conference, at the 3M sponsored International Lounge (rooms 276-277), a place for international guests to relax, recharge and network, open according to the following schedule:

More information will be available in at 3M booth #2829. We look forward in seeing you in New Orleans!