Post on 14-Jan-2016
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Infection Prevention Infection Prevention Update – March 2014Update – March 2014
Marie Kassai, RN, MPH, CICMarie Kassai, RN, MPH, CIC
ReminderReminderUniversal Mandatory Transfer FormUniversal Mandatory Transfer Form
• Applies to all licensed facilities in NJ
• Applies to all transfers between facilities
• Not applicable to transfers for treatment – Dialysis or Rehab
• Not applicable in ED – ED must use the Emtala forms
Universal Mandatory Transfer FormUniversal Mandatory Transfer Form
• Copies of law on NJ State Dept of Health and Senior Services web site
• Instructions also on web site
• Computerized form on web site
• Can use written form or the computer based form.
Infection Prevention – What’s NewInfection Prevention – What’s New
• Chloroprep – one hour drying time if not shaved• New SGNA Guidelines – on SGNA Site• Carpujets – Processing between patients • FGI (Facility Guidelines Institute – 2014 versions
– Guidelines for Design and Construction of Hospitals and Outpatient Facilities
– Guidelines for Design and Construction of Residential Health, care and Support Facilities
Infection Prevention UpdateInfection Prevention Update• Handles and laryngoscope blades must be
processed – use manufacturer’s instructions
• Don’t forget the “code carts”. • Letter from State Survey Team has been
sent regarding anesthesia equipment • Anesthesia guidelines for disposable
equipment per case in OR In NJ – what to do – dispose of them or cover them
Infection Prevention in Infection Prevention in Anesthesia PracticeAnesthesia Practice
• Article in the American Journal of Infection Control. 41 (2013) 1077 – 82.
• Tool developed to encourage collaboration between infection preventionists and anesthesia providers.
• Encompasses infection prevention and control recommendations of the American Society of Anesthesiologists and other professional organizations
• Ask your IP consultants
New InformationNew Information
• Clorox Bleach products – Previously Dispatch– Lost claim for C difficile and TB
• If you hear a rumor, check it out
• Other Info
New InformationNew Information
• Transplant Bank – OpenBiome– Massachusetts– Ongoing FDA Review
• SSI Guidelines - Comments
Hepatitis B Vaccine ChangesHepatitis B Vaccine Changes
• Source – CDC Guidance for Evaluation Health-Care Personnel for Hepatitis B Virus Protection and for Administering Postexposure Management – December 2013 – Algorithms available
Recommendations Hepatitis B Recommendations Hepatitis B Vaccine Vaccine
• Upon employment:– Test employee upon hire – Antibody to
Hepatitis B – If <10mlU/ml– Give a booster – one dose – test– If antibody still <10mlU/ml, administer 2 more
doses of the vaccine – If antibody is still <10mlU/ml – the HCP needs
to receive Hepatitis B evaluation for all exposures and receive HBIG x 2 separated by 1 month
Recommendations Hepatitis B Recommendations Hepatitis B VaccineVaccine
• If employee is a documented responder after 3 or 6 doses, no action is needed.
• If response is not known after 3 doses and the patient is positive or unknown – Give HBIG x 2 – 1 month apart
• If response unknown after 3 doses – give HBIG x 2 and initiate revaccination
Questions ?????