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Infection Prevention Update – March 2014

Infection Prevention Update – March 2014. Marie Kassai, RN, MPH, CIC. Reminder Universal 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

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Infection Prevention Update – March 2014

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  1. Infection Prevention Update – March 2014 Marie Kassai, RN, MPH, CIC

  2. ReminderUniversal 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

  3. Universal 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.

  4. Infection 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

  5. Infection 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

  6. Infection Prevention in Anesthesia 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

  7. New Information • Clorox Bleach products – Previously Dispatch • Lost claim for C difficile and TB • If you hear a rumor, check it out • Other Info

  8. New Information • Transplant Bank – OpenBiome • Massachusetts • Ongoing FDA Review • SSI Guidelines - Comments

  9. Hepatitis 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

  10. Recommendations Hepatitis B 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

  11. Recommendations Hepatitis B Vaccine • 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

  12. Questions ?????

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