Presented in collaboration with Nebraska ICAP, Nebraska ......May 19, 2020 · Dr. Salman Ashraf,...
20
Presented in collaboration with Nebraska ICAP, Nebraska DHHS HAI Team, Nebraska Medicine, and The University of Nebraska Medical Center Presented by Kate Tyner Moderated by Mounica Soma Panelists: Dr. Salman Ashraf, MBBS Angie Vasa, RN, BSN Kate Tyner, RN, BSN, CIC Margaret Drake, MT(ASCP),CIC Teri Fitzgerald RN, BSN, CIC Guidance and responses were provided based on information known on 5/19/2020 and may become out of date. Guidance is being updated rapidly, so users should look to CDC and jurisdictional guidance for updates.
Transcript of Presented in collaboration with Nebraska ICAP, Nebraska ......May 19, 2020 · Dr. Salman Ashraf,...
Presented in collaboration with Nebraska ICAP, Nebraska DHHS HAI Team, Nebraska Medicine, and
The University of Nebraska Medical Center
Presented by Kate TynerModerated by Mounica Soma
Panelists:Dr. Salman Ashraf, MBBSAngie Vasa, RN, BSNKate Tyner, RN, BSN, CICMargaret Drake, MT(ASCP),CICTeri Fitzgerald RN, BSN, CIC
Guidance and responses were provided based on information known on 5/19/2020 and may become out of date. Guidance is
being updated rapidly, so users should look to CDC and jurisdictional guidance for updates.
Questions and Answer SessionUse the QA box in the webinar platform to type a question. Questions will be read aloud by the moderator
If your question is not answered during the webinar, please either e-mail it to NE ICAP or call during our office hours to speak with one of our IPs
A transcript of the discussion will be made available on the ICAP website
Panelists today are:
Dr. Salman Ashraf, MBBS [email protected]. Maureen Tierney, MD, MSc [email protected] Tyner, RN, BSN, CIC [email protected] Drake, MT(ASCP),CIC [email protected] Fitzgerald RN, BSN, CIC [email protected] Vasa, RN, BSN [email protected]
https://icap.nebraskamed.com/coronavirus/https://icap.nebraskamed.com/covid-19-webinars/
https://nebraska.maps.arcgis.com/apps/opsdashboard/index.html#/4213f719a45647bc873ffb58783ffef3
Coronavirus COVID-19 Nebraska Cases New positive cases by date results were received
Nebraska Case Update
New CDC Resource
• 800-CDC-INFO (800-232-4636) and ask for the Clinician On-Call Center.
• Available to provide support to healthcare personnel in a variety of settings, including: o Clinics, hospitals, and other
healthcare facilities o Health departmentso Community organizations o Long-term care facilities o Laboratories o Correctional facilitieso Occupational health clinics
https://www.cdc.gov/coronavirus/2019-ncov/downloads/hcp/Clinician-On-Call-Center-508.pdf
CDC: Framework for Healthcare Systems Providing Non-COVID-19 Clinical Care During the COVID-19 Pandemic• Onset: CDC recommended delay
of elective care/ prioritizing urgent visits
• Consequence: under utilization of important medical services
• Going forward: need to balance necessary services and minimization of risk to patients and HCP
• Key considerations• Stay informed
• Before expansion: operation with crisis standards of care
• Ensure adequate staff, bed capacity, PPE and other supplies
https://www.cdc.gov/coronavirus/2019-ncov/hcp/framework-non-COVID-care.html?deliveryName=USCDC_425-DM28641
CDC: Framework for Healthcare Systems Providing Non-COVID-19 Clinical Care During the COVID-19 PandemicKey Considerations (continued)
• Provide Care in the safest way possible• Telehealth
• Follow recommendations for infection control
• Services that may need to expand gradually• Work with state and local epidemiology recommendations
• Prioritize services that would result in harm if deferred
• Prioritize at-risk populations
https://www.cdc.gov/coronavirus/2019-ncov/hcp/framework-non-COVID-care.html?deliveryName=USCDC_425-DM28641
Examples: Likely to result in Harm if in-person care is deferred
Signs/symptoms of stroke or heart attack
Dental emergencies
Acute abdominal pain
Treatment for certain cancer diagnoses
Well-child visits for newborns
Strategies for Preventing Injury and Illness from extended use PPE
https://www.nebraskamed.com/sites/default/files/documents/covid-19/strategies-for-preventing-injury-illness-from-ppe.pdf
Elements of an Environmental Cleaning and Disinfection Program
• Develop a check list of important items
• Orientation
• Training
• Evaluation of performance
Example of a checklist
https://www.cdc.gov/hai/pdfs/toolkits/environmental-cleaning-checklist-10-6-2010.pdf
Orientation
• What are the items that the cleaner will encounter?
• What are the key items to focus on?• These items are high risk items and drive performance evaluation
https://www.mnhospitals.org/Portals/0/Documents/ptsafety/CDICleaning/4.%20Environmental%20Services%20Cleaning%20Guidebook.pdf
Orientation
https://www.mnhospitals.org/Portals/0/Documents/ptsafety/CDICleaning/4.%20Environmental%20Services%20Cleaning%20Guidebook.pdf
Training: Environmental Cleaning in Healthcare Training Video Series
Available in English, Spanish, Arabic, and French
https://icap.nebraskamed.com/practice-tools/educational-and-training-videos/draft-environmental-cleaning-in-healthcare/
Environmental Cleaning Videos• INTRODUCTION: PREVENT INFECTIONS THROUGH EFFECTIVE
ENVIRONMENTAL CLEANING AND DISINFECTING• SET UP THE CLEANING CART (PART 1)• PERFORM HAND HYGIENE (PART 2)• CLEAN PATIENT/ RESIDENT ROOM (OCCUPIED) (PART 3)• CLEAN PATIENT / RESIDENT ROOM (DISCHARGE) (PART 4)• CLEAN PATIENT/ RESIDENT ROOM (ISOLATION) (PART 5)• CLEAN PATIENT/ RESIDENT RESTROOM (PART 6)• CLEAN AND DISINFECT HIGH-TOUCH SURFACES (PART 7)
https://icap.nebraskamed.com/practice-tools/educational-and-training-videos/draft-environmental-cleaning-in-healthcare/
Evaluation
•Objective assessment of the terminal room thoroughness of surface disinfection• Direct process observation• Swab cultures • Agar slide cultures• Fluorescent markers• ATP Bioluminescence
https://www.cdc.gov/hai/toolkits/evaluating-environmental-cleaning.htmlhttps://www.cdc.gov/HAI/toolkits/Appendices-Evaluating-Environ-Cleaning.html#b
Contact TimeEnsure agents used to clean and disinfect are used according to the label instructions.
Contact time is how long a disinfectant needs to remain on a surface.
• Critically important to ensure the virus is inactivated
• All persons that use cleaning and disinfectants should be able to identify how long surfaces must remain wet for the chemical to work
• Example: If you have a 10 minutes product, please make sure your staff are aware of that time and use it appropriately or consider changing to another product with a shorter time.
Choosing the right agent
• List N: Disinfectants for Use Against SARS-CoV-2All products on this list meet EPA’s criteria for use against SARS-CoV-2, the virus that causes COVID-19.• You can search a product by using the first 2 sets of its EPA registration
number into the search bar
https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2
Monday – Friday
7:30 AM – 9:30 AM Central Time
2:00 PM -4:00 PM Central Time
Call 402-552-2881
IP Office Hours
Questions and Answer SessionUse the QA box in the webinar platform to type a question. Questions will be read aloud by the moderator
If your question is not answered during the webinar, please either e-mail it to NE ICAP or call during our office hours to speak with one of our IPs
A transcript of the discussion will be made available on the ICAP website
Panelists today are:
Dr. Salman Ashraf, MBBS [email protected]. Maureen Tierney, MD, MSc [email protected] Tyner, RN, BSN, CIC [email protected] Drake, MT(ASCP),CIC [email protected] Fitzgerald RN, BSN, CIC [email protected] Vasa, RN, BSN [email protected]
https://icap.nebraskamed.com/coronavirus/https://icap.nebraskamed.com/covid-19-webinars/
Questions and Answer SessionUse the QA box in the webinar platform to type a question. Questions will be read aloud by the moderator, in the order they are received
A transcript of the discussion will be made available on the ICAP website
Panelists:• Dr. Salman Ashraf, MBBS• Angie Vasa, RN, BSN• Kate Tyner, RN, BSN, CIC• Margaret Drake, MT(ASCP),CIC• Teri Fitzgerald RN, BSN, CIC
Moderated by Mounica Soma, MHA
https://icap.nebraskamed.com/resources/
