14MS1240 Infection Control Q1_Layout 1 2/17/14 3:14 PM Page 1 Volume 8 | Winter 2013 HAND HYGIENE Every Day Every Patient EveryTime HAND SANITIZER TECHNIQUE TEAR SHEET Page 10 HANDWASHING TECHNIQUE TEAR SHEET Page 18 HAND HYGIENE FUN FACTS POSTER Pages 12–13 high-five for hand hygiene 14MS1240 Infection Control Q1_Layout 1 3/21/14 9:00 AM Page 2 Table of Contents Dear Valued Customer, Introduction..........................................2 2014 Calendar of Events ......................4 Free Educational Webinars................5-7 Hand Hygiene Techniques ................10 Hand Hygiene Fun Facts Poster ....12-13 Hand Hygiene Techniques ................18 Surgical Scrub Checklist .....................23 2 Infection prevention continues to be at the forefront of health care. Improvements in infection control and treatment strategies have led to significant decreases in communicable illnesses, such as seasonal flu, c.difficile, and methicillin-resistant staphylococcus aureus (MRSA). However, several challenges to successful elimination of infection in the physician office setting still remain, especially since physician practices are not governed by the same guidelines as hospitals that are required to have Infection Preventionists (IP) on staff to raise awareness and ensure compliance. Our goal in publishing InControl is to support your efforts in working toward maintaining the total health of your patients and staff by providing you with the necessary tools to ensure your practice has what it needs to prevent the spread of disease. Each quarterly publication outlines critical aspects of infection prevention, as we help to promote better patient outcomes in a health care facility. We hope you find the content to be a comprehensive educational resource that helps you identify and reduce risk of infection within your practice. In this issue of InControl, we raise awareness of the importance of hand hygiene — the single most critical measure to avoid the transmission of disease in our communities. As part of this initiative, the Henry Schein Cares Healthy Lifestyles, Healthy Communities Program works with Community Health Centers in at-risk and underserved communities to provide free health screening events to over 7,500 children and their caregivers. Hand soaps and sanitizers are provided to patients to help educate and demonstrate proper hand hygiene techniques which help stop the spread of infection. To lend a hand in your community, or to learn more, visit us at www.hscaresfoundation.org Your opinion is very important to us! Log on to www.henryschein.com/incontrol, take a brief survey, and as a way to say “Thank You”, we will send you a FREE inControl Hand Hygiene Kit* for your practice. We appreciate your feedback, and will use it to evaluate changes and make improvements to future InControl publications. Cordially Yours, The Henry Schein Medical Team *InControl Hand Hygine Kit contents: Hand Washing Poster for the waiting room, Hand Washing Laminated Cards for clinical washing stations, Germ-Free Fact Tabletop Cards for waiting or exam rooms. EVERY DAY EVERY PATIENT EVERY TIME Order: 1.800.772.4346 8am – 9pm, et Fax: 1.800.329.9109 24 hours 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:14 PM Page 3 3 www.henryschein.com/infectioncontrol EVERY DAY EVERY PATIENT EVERY TIME 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:15 PM Page 4 THE LATEST CAN’T MISS EVENTS FOR PROFESSIONAL HEALTHCARE PERSONNEL COMMITTED TO INFECTION PREVENTION! 2014 InControl EVENTS MARCH FEBRUARY 2/7 3/12–3/15 National Wear Red Day (AONE) American Organization of Nurse Executives Annual Conference, Orlando, FL 3/19–3/20 HealthLink Hand Hygiene Webinar PDI Prevention of HAIs Webinar American Heart Month 3/30–4/2 Calendar (AORN) Association of Perioperative Nurses Surgical Conference & Expo, Chicago, IL APRIL MAY 4/1–4/7 World Hand Hygiene Day National Public Health Week JUNE 5/5 6/7–6/9 (APIC) Association for Professionals in Infection Control Annual Conference, Anaheim, CA 5/11–5/17 National Women’s Health Week 4 4/10–4/11 5/17 (HICPSC) Healthcare Infection Control Practices Advisory Committee, Atlanta, GA FREE Live Webinar for Nurse Practicioners & Physicians Assistants JULY 6/9–6/15 National Men’s Health Week 5/29–6/3 6/18–6/20 (AAMI) Association for the Advancement of Medical Instrumentation Standards Week Conference and Expo, Philadelphia, PA Ambulatory Administrator Boot Camp – Location TBD AUGUST SEPTEMBER TBD 7/17–7/18 Environmental Services and Housekeeping Week (HICPAC) Healthcare Infection Control Practices Advisory Committee, Atlanta, GA OCTOBER 10/8–10/12 NOVEMBER DECEMBER 11/5–11/7 12/1–12/7 Ambulatory Administrator Boot Camp – Location TBD National Influenza Week Global Hand Washing Day 11/6–11/7 12/7–12/13 10/19–10/25 (HICPSC) Healthcare Infection Control Practices Advisory Committee, Washington DC National Hand Washing Awareness Week (ID) Infectious Disease Week Conference & Expo, Philadelphia, PA 10/15 International Infection Prevention Week 10/19–10/25 National Health Education Week EVERY DAY EVERY PATIENT EVERY TIME Order: 1.800.772.4346 8am – 9pm, et Fax: 1.800.329.9109 24 hours 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:16 PM Page 5 HELPING YOU DRIVE COMPLIANCE WITH ALL OF YOUR HAND HYGIENE NEEDS • 80% of all infectious diseases are transmitted by touch • One of the easiest ways to help prevent the spread of illness is through proper hand hygiene See our handwashing video @ http://www.youtube.com/watch?v=FO5NmZx_vPo 5 FREE LIVE WEBINAR PROVIDING ExCLuSIVE EDuCATION! for Nurse Practitioners & Physicians Assistants: May 17, 2014 with up to 12* FREE CME Credits Henry Schein is the world’s largest provider of health care products and services to health care practitioners. Practicing Clinicians Exchange (PCE) is the national leader in providing relevant and timely continuing education to NPs and PAs. Together, they have joined in an exclusive partnership to provide free educational activities to NPs and PAs in 2014. *A complimentary home study will be sent to attendees for additional credits. 6 CMEs for live event. 6 additional credits for completing the homestudy. Prefer to attend our live symposia series? Limited seating! Register for a 2014 symposia series near you for a full day of free continuing education. Check out our Web site, which offers multiple hours of continuing education for primary care and specialty practices. REGISTER NOW FOR MORE INFORMATION @ www.practicingclinicians.com/hs www.henryschein.com/infectioncontrol REGISTER NOW! EVERY DAY EVERY PATIENT EVERY TIME 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:17 PM Page 6 FREE HAND HYGIENE WEBINAR Improving Hand Hygiene in the Healthcare Setting Wednesday, March 19, 2014 Dr. John M. Boyce 12pm EST and again at 12pm PST Use Promo Code “CCM” to receive free goods. Director of Epidemiology & Infection Control at Yale, New Haven Earn ICEU LEARNING OBJECTIVES 1. Understand the importance of hand hygiene in protecting patients and healthcare personnel 2. Become familiar with strategies for educating healthcare personnel regarding when and how to perform hand hygiene 3. Become knowledgeable about the options available for making alcohol-based hand rub readily available to healthcare personnel 4. Become familiar with methods for monitoring hand hygiene compliance in the healthcare setting 5. Be able to cite effective strategies for promoting hand hygiene in healthcare facilities At Clorox Healthcare®/HealthLink®, we’re completely committed to patient safety. Everything we do is to help stop the spread of infection —while you’re at a medical office or healthcare facility and while you’re at home. Nothing is more important to us than your safety and good health. Register @www.Cloroxhealthcare.com/CEprogram 6 INCONTROL Volume in Volume 6 | Spring 2013 TM Infection Control News for the Health of Your Practice KEEPING THE HELP CENTER DOCTORS’ OFFICE SURFACES FOR FREE CE CREDIT COURSES PRISTINE See pages 11, 15 See page 3 Every Day Every Patient Every Time Every Time EXAM ROOM EASY ORDER FORM TEAROUT Every Day Every Patient EveryTime Every Day How Clean Are Your Hands? INSTRUMENT REPROCESSING See pages 2–6 TOP TEN ESSENTIALS FOR EFFECTIVE INSTRUMENT CLEANING See page 7 DECONTAMINATION LIFE CYCLE See page 10 ter 2013 Every Day Every Pa tient EveryTim e INSTRUMENT REPROCESSING HAND HYGIENE Every Patient 8 | Win PERSO NAL EQUIP MENTPROTECTIV (PPE) E Volume 7 | Summer 2013 Volume 5 | Winter 2013 Infection Control News for the Health of Your Practice SURFACE DISINFECTANTS CHECK OUT in TM PERSO NAL PROTECT EQUIP IVE ME BEST PR NT (PPE) EDITO ACTICES RIAL See page s 3–6 See page 22 PROP ER DONN GOWN & REM ING TECHN OVAL IQUES See page 13 HEALT H GUIDE CARE LIN PPE AP ES & CHAR PAREL T See page 15 Visit www.henryschein.com/infectioncontrol EVERY DAY EVERY PATIENT EVERY TIME Order: 1.800.772.4346 8am – 9pm, et Fax: 1.800.329.9109 24 hours 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:18 PM Page 7 PMS 1805 C COOL GRAY 11 FREE LIVE WEBINAR About PDI: PDI helps reduce preventable infections, control healthcare costs, and ultimately helps save lives by delivering a broad range of evidence-based, market leading environmental hygiene and patient care solutions. Our expertise in making a difference in the community and healthcare environments extends throughout the United States and worldwide. A 360º Approach to Prevention of HAIs in the Ambulatory Surgery Environment Thursday, March 20, 2014 | 12:00 PM – 1:00 PM EDT To Register: https://www2.gotomeeting.com/register/520941090 Earn 1 CME Credit Objectives: • Discuss the role elements of the CDC recommendations for the prevention of Healthcare Associated Infections in the outpatient ASC environment • Review the core elements of the revised AORN Recommended Practices for the Prevention of Transmissible Infection • Discuss evidence-based approaches to surgical and vascular access skin antisepsis Speaker for all above Webinars is: Dr. J. Hudson Garrett Jr., PhD, MSN, MPH, FNP-BC, CSRN, VA-BC, Vice President, Clinical Affairs SURGITEAM SOLUTIONS 7 SOLUTIONS GUIDE 12MS6542 12MS7337 SOLUTIONS G U I D E WINTER 2012 EDITION SOLUTIO SURGITEAM SOLUTIONS GUIDE 13MS8766 NS GU IDE 2013 FALL EDITIO N ACHIEV ING OPERAT EXCE IONAL LLENCE Common : for the Cures Closet Supply Chaos GI/ENDOSCOPY TIPS & STRATEGIES To Order: 1-800-P-SCHEIN (1-800-772-4346) 8am–9pm (et) To Fax: 1-800-329-9109 24 Hours www.henryschein.com/medical BECKER ’S 6 TIPS THRO TO BREEZE NEXTUGH YOUR SURG ERY CE ACCREDNTER ITATIO N STERILI ZATIO AUDIT: N Is Your Facility Surgical Ready? To Order: 1.800.P.SCHEIN (1.800.772.4346) 8am–9pm, et To Fax: 1.800.329.9109 24 Hrs For more information visit: www.henryschein.com/SurgiTeam www.henryschein.com/infectioncontrol EVERY DAY EVERY PATIENT EVERY TIME 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:18 PM Page 8 Guidelines & Recommendations When soap and water are not available, xxxxxx alcohol-based hand rubs (wipes, gels, or foams) should be applied. When using an xxx alcohol-based product, health care workers xxx completely follow the manufacturer's must • xxxx label to ensure that the desired efficacy is reached. Alcohol-based agents may be used Source: xxx in the following cases: When hands are not visibly soiled or contaminated with blood or body fluids • Before direct contact with patients • After direct contact with a patient’s skin • After contact with bodily fluids or excretions, mucous membranes, broken skin or wound dressings • When moving from a contaminated to a clean body site • After contact with an inanimate environment (equipment or furniture near patient) • After removing gloves • Emergency situations where sinks are not available (EMS, Police, Fire Rescue) and hands are visibly soiled 88 When using agents containing alcohol, such as wipes, the entire surface of the hand must be covered by the product and allowed to dry prior to donning gloves. In order to maintain adequate moisture in the hands, it may be necessary to apply a health care-grade lotion, especially during the winter season. Selection of hand hygiene agents Hand hygiene agents must be carefully selected in order to ensure compliance, efficacy, and safety for both the health care worker and patient. Several factors must be taken into consideration: • Ease of use for health care workers • Potential for dermal irritation and skin reactions. • Efficacy of the agent. • Product availability and accessibility within the health care facility • Cost of the agent • Drying time necessary after applying the agent • Staff support for the selected product. Source: Becker’s Healthcare GBG AloeGel® Instant Hand Sanitizer KillstheGerms,NotYourHands! Formulatedwithmoisturizersandskin conditionerstohelpincreaseskinhydration andmaintaintheskin'shealth. •Accessible:Applywhenyoucan'twash, orbetweenwashings •Effective:Kills99.9%ofharmful microorganismsin15seconds •Gentle:Containsmoisturizersandskin conditionersincludingvitaminE,aloevera, glycerinandisopropylmyristate 4-fl-oz Flip-Top Bottle (365-5030) ................................................ea 18-fl-oz Pump Dispenser (923-8209) ................................................ea 800-mL Bag-in-Box Refill (300-4126) ................................................ea Wall Dispenser for 800-mL Refill (366-2110).................................................ea GBG AloeGel Automatic Wall Dispenser (437-0008) ................................................ea GBG AloeGel® Automatic Dispenser & Stand Drip tray is included. (437-0009) ................................................ea Drip Tray for Wall Dispenser (437-0010).................................................ea GBG Foaming™ Instant Hand Sanitizer Formulatedwith moisturizersandskin conditionerstohelp increaseskinhydrationand maintaintheskin'shealth. Hand Sanitizer, 7-oz Can (437-0002) ................................................ea Wall Bracket/GBG Foam (437-0004) ................................................ea Kimcare™ Instant Hand Sanitizer Killsgermswhenwateris notavailable.Its62% ethylalcoholformula evaporatesquickly. #93060, 8 oz, Clear, Sweet Citrus Scent (643-1235) ................................................ea EVERY DAY EVERY PATIENT EVERY TIME Protecting People VioNexus™ No-Rinse Spray Amoisturizing,waterlessskinsanitizer. Repeatedapplicationsenhancemicrobial effectsastheymoisturizeandsoothethe skin.Dispensedinarevolutionaryno-touch system,helpseliminatecross contamination.The66%ethyl-alcohol, 0.08%benzalkonium-chlorideformula containsemollientsandisrecommended forrepeateduse. #10-1802, Handwash Solution, 2-oz Bottle (176-2443) ................................................ea #10-1800, Handwash Solution, 1-Liter Bottles (176-9583)............................................2/box #10-1810, No-Touch™ Dispenser Battery operated (included). Dispenses a premeasured atomized application over the surface of the hands. (176-0730) ................................................ea #10-1820, VioNexus™ Drip Tray For use with No-Touch™ Dispenser. (640-6607) ................................................ea #10-1830, Manual Dispenser (176-0415) ................................................ea Tray For Manual Dispenser (176-2196) ................................................ea Water-Jel Instant Hand Sanitizer Kills99.9%ofgermswithoutwater •Thesolutiontofightinggermsandtherisk ofcontamination •ContainsvitaminEandaloe •Cleans,refreshesandkillsgerms •Gentleonhandsevenafterrepeateduse 0.9-g Unit Dose (326-0020) .......................................144/box 2-oz Squeeze Bottle (108-0281)........................................24/case 4-oz Squeeze Bottle (326-0018) ................................................ea 8-oz Squeeze Bottle (114-2930) ................................................ea 8-oz Pump Bottle (326-0019) ................................................ea Order: 1.800.772.4346 8am – 9pm, et Fax: 1.800.329.9109 24 hours 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:18 PM Page 9 Studies have demonstrated that proper hand hygiene can decrease the transmission of cold viruses and other germs. The Centers for Disease Control and Prevention (CDC) promote and encourage routine hand washing, especially during cold and influenza season. Because soap and water are not always readily available, hand sanitizers are a popular alternative routinely used by millions of individuals. These products are clearly convenient, but users should keep in mind that they are only effective for infection prevention when used properly and in sufficient quantity. Source: www.cdc.gov Avagard™ D Instant Hand Antiseptic with Moisturizers It'sthewaterlesshandantisepticthatfeels likeamoisturizer.Thislatex-glovecompatibleantisepticoffersmore moisturizing,lessredness,andlessskin breakdownthanothercomparableproducts. Featuringauniquerichemollientbasethat feelssmoothonhands,itwon'tleavehands stickyorimpactgloveperformance. #9221, 3-oz Bottle (493-9176) ................................................ea #2317, 16-oz Bottle (378-5483) ................................................ea #9222, 500-mL, 16.9-oz Pump Bottle (493-5108) ................................................ea ® Purell Instant Hand Sanitizer with Aloe Refreshingsanitizerthatkills 99.9%ofgermsonthehands withoutwaterortowels.Leaves handsfeelingsoft.Contains 62%ethylalcohol. #9651-24, 4-fl-oz Bottle (313-1626) ................................................ea #9652-12, 8-fl-oz Pump Bottle (590-6751) ................................................ea 12-oz Pump Bottle (590-0066) ................................................ea 12-fl-oz Pump Bottle (415-0023)........................................12/case Quik-Care™ Waterlessantimicrobialaerosolfoaming alcoholhandsanitizerforusewhensoap andwaterarenotavailabletocontrolthe spreadofnosocomialinfections. •Contains62.5%ethyl alcohol(activeingredient) •Absorbsquicklyintoskin •Richfoam •Mild,emollient-enrichedformula •Rapidantimicrobialaction •Wall-mount,tabletop,orcarrywith-youpackaging 7 oz (120-3186) ................................................ea 15 oz (120-2066) ................................................ea 7 oz Dispenser (120-5280) ................................................ea 15 oz Dispenser (120-8895) ................................................ea 12-fl-oz Pump Bottle (590-0065) .......................................12/case #9656-06, 800-mL Refill, Original (274-7896)..........................................6/case #9625-04, 2-Liter Pump Bottle (948-0474)..........................................4/case #9621-12, Dispenser for 800 mL (415-2214) ................................................ea #2120-06, NXT® Space Saver™ Dispenser, Dove Gray (590-1177) ................................................ea Packets (590-3688)........................................100/box TFX Floor Stand, Polished Chrome (114-0070) ................................................ea #9625-04, 2-Liter Pump Bottle (948-0474)..........................................4/case Purell® Advanced Instant Hand Sanitizer •MeetsandexceedsFDA healthcarepersonnel handwashrequirements withjust2mLofproduct •Kills99.99%ofgermson hands,notjustinthelab •Contains4differentskinconditioners •Clinicallyproventohelpmaintainskinhealth andmoisturizationandimproveoverallskinfeel •4outof5healthcareworkerssaidPurell® Advancedformulationsweresoothing totheirskin #9605-24, 2-fl-oz Personal Squeeze Bottle with Flip Top (106-7973)........................................24/case #9651-24, 4-fl-oz Bottle (313-1626) ................................................ea #9652-12, 8-fl-oz Pump Bottle (590-6751) ................................................ea #9656-06, 800-mL Refill, Original (274-7896)..........................................6/case #2156-04, NXT® 1000-mL Refill (840-1437)..........................................4/case #2156-08, NXT® 1000-mL Refill (590-8677) .........................................8/case #2256-04, NXT 2000-mL Refill (271-9205)..........................................4/case ® #9621-12, Dispenser for 800 mL (415-2214) ................................................ea #2120-06, NXT® Space Saver™ Dispenser, Dove Gray (590-1177) ................................................ea #5456-04, TFX™ 1200-mL Refill (590-9129) ................................................ea Center Help Center The Help The inControl – Hand Hygiene Infection Prevention – YouTube Video Raises awareness to the key to staying healthy is really in your hands. http://www.youtube.com/ watch?v=FO5NmZx_vPo Hand Hygiene – Interactive Education Review key concepts of both hand hygiene and Standard Precautions. http://www.cdc.gov/handhygiene/ training/interactiveEducation/frame.htm Clean Care is Safer Care – Tools for Training and Education Learn “My 5 Moments for Hand Hygiene” approach and correct procedures for proper hand hygiene. http://www.who.int/gpsc/5may/tools/ training_education/en/index.html WHO Hand Hygiene Self-Assessment Framework Health-care facilities can track their progress in hand hygiene resources, promotion, and activities, plan their actions and aim for improvement and sustainability through the use of the WHO Hand Hygiene SelfAssessment Framework. http://www.who.int/gpsc/5may/ hhsa_framework/en/index.html 9 New England Journal of Medicine – Hand Hygiene Video This peer-reviewed educational video demonstrates procedural techniques performed by experienced physicians. Video also includes a PDF summary of the procedure that is useful for teaching or reference. http://www.nejm.org/doi/full/10.1056/ NEJMvcm0903599#figure=preview.jpg &t=article Patient Safety Tool – 3 Hand Hygiene Videos The videos, “Kick Me”, “Ad Parody” and “Alarm” are funny scenes adapted by The Medicare Quality Improvement Organization (IPRO). They are FREE, and can be downloaded for use in any health care facility to emphasize the importance of hand hygiene. http://www.gnyha.org/7027/Default.aspx #2720-12, TFX™ Touch Free Dispenser, Dove Gray (590-8301) ................................................ea www.henryschein.com/infectioncontrol EVERY DAY EVERY PATIENT EVERY TIME Proper Hand Hygiene Techniques with Alcohol-Based Formulation ! cut along dotted line 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:18 PM Page 10 Duration of the entire procedure: 20–30 seconds 1a 1b Apply a palmful of the product in a cupped hand, covering all surfaces; 3 4 2 Rub hands palm to palm; 5 10 6 Rotational rubbing of left thumb clasped in right palm and vice versa; EVERY DAY EVERY PATIENT EVERY TIME Palm to palm with fingers interlaced; 7 Rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice versa; Backs of fingers to opposing palms with fingers interlocked; 8 Once dry, your hands are safe. Order: 1.800.772.4346 8am – 9pm, et Fax: 1.800.329.9109 24 hours ! cut along dotted line Right palm over left dorsum with interlaced fingers and vice versa; 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:18 PM Page 11 11 Use Promo Code RAF Free goods shipped w/order Offer valid from 2/18/14–4/18/14 www.henryschein.com/infectioncontrol EVERY DAY EVERY PATIENT EVERY TIME 1 3 5 According to experts, without a vaccine, the single most important thing you can do to prevent getting the flu is to wash your hands. diseases are transmitted by touch. The Solution to Pollution is Dilution. Tired of waiting. A study showed that rates of proper hand washing fell nearly 45% when spaces were overcrowded and understaffed. 2 4 When it comes to hands, fingernails and the surrounding areas harbor the most microorganisms. Global research indicates that improvements in hand hygiene activities could potentially reduce HAI rates by up to 50%. Hand hygiene, a very simple action, remains the primary means to reduce Healthcare-associated infections (HAIs), and the spread of antimicrobial resistant organisms. 80% of all infectious hand hygiene fun facts 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:20 PM Page 12 There are two layers of bacteria. The outer layer found on your hands is termed “Transient Flora”. This layer is potentially the most dangerous for transmitting disease from one person to another. Fortunately, it is easily eliminated by hand washing. The deeper layer is called “Resident Flora”. This bacteria, found in deeper layers of skin cells, is more likely to be innocuous bacteria such as Staphylococcus epidermidis and Corynebacteria spp. (diptheroids); and is more resistant to washing. CDC studies show that the number of bacteria per square centimeter on the human body are as follows: Scalp: 1,000,000 | Forearm:10,000 Arm Pit: 500,000 | Abdomen: 40,000 Hands of Medical Personnel: 40,000 to 500,000 www.henryschein.com/infectioncontrol Who has it? A recent study showed that 21% of the health care workers in the ICU had varying counts of Staphylococcus aureus on their hands. Caught in the act (or lack of). 95% of the population says that they wash their hands after using a public toilet. However, when 8,000 people were monitored across five large cities in the US, they found the actual number to be more like 67%. The Solution to Pollution is Dilution. While soap may not kill all viruses, thorough hand washing will decrease the viral counts to a point below the infectious threshold. 6 8 7 9 10 5 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:20 PM Page 13 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:21 PM Page 14 3+1 FREE! ™ SaniTyze Waterless Antimicrobial Gel SHIPPED WITH ORDER* • Won’t irritate or dry out skin • Contains Aloe Vera, Vitamin E, Liposomes and Keratin • Latex compatible • Contains 62% Ethyl Alcohol, meeting CDC recommended guidelines (107-8118) | 18 oz. Pump Bottle *Use Promo Code NAZ to receive free goods. Offer valid from 2/18/14 – 4/18/14 Buyer’s price may constitute a “discount or other reduction in price” under 42 U.S.C. § 1320a-7b(b) and 42 C.F.R. 1001.952(h). Buyer is solely responsible for (i) accurately reporting all discounts and price reductions claimed or charged to any Federal or State health care program, and (ii) determining whether to report or pass on savings or discounts to payors. Products manufactured by or for Crosstex. 14 The #1 Product for teaching hand washing, isolation techniques, aseptic techniques, and general infection control. Glo Germ™ Gel Glo-Brush Applicator Gelisbrilliantblue-whiteunderUVlight. Usedtodemonstrateproperhandwashing andisrecommendedwherestainingmaybe ofconcern.Each8-ozbottleisgoodfor75 to100applications. 8-oz Bottle (115-6115)...............................ea Glo-Brushletsyouapplyathinlayerof powdertoanysurfacequicklyandwithout waste.Refillablepowderreservoiranda covertoprotectbristles.Comeswitha4-oz containerofGloGerm™ powderthatwilllast forhundredsofdemonstrations. (115-6106)...............................ea Glo Germ™ Mini Gel Glo Germ™ Oil OilisbrightorangeunderUVlightandis usedtodemonstrateproperhandwashing. Usedinthemedicalfieldwheregreater accuracyisrequired.Each8-ozbottleis goodfor75to100applications. 8-oz Bottle (115-6113)...............................ea Glo Germ Kit 1003–Gel Complete Kit (115-6101)...............................ea Contains: handheld 9-LED ultraviolet flashlight, 1–8-oz bottle of Glo Germ gel, 1–1.9-oz bottle of Glo Germ powder & battery with case. EVERY DAY EVERY PATIENT EVERY TIME Forgreaterconvenience,wenowofferthe new2-ozMiniGel.Samegreatproductas the8-ozversion.Usedtodemonstrate properhandwashing.30to50applications. 2-oz Bottle (115-6116)...............................ea Glo Germ™ Powder Usedtodemonstratepropersurface cleaningaswellasthespreadofgerms, especiallyintheareaofcross contamination.Goodforhundredsof demonstrations.Brilliantwhite(also availableinorangebyspecialorder;contact usfor details). 1.9-oz Bottle (115-6117)...............................ea Order: 1.800.772.4346 8am – 9pm, et Fax: 1.800.329.9109 24 hours 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:21 PM Page 15 ™ ™ 3M Avagard (Chlorhexidine Gluconate 1% Solution and Ethyl Alcohol 61% w/w) 15 Surgical and Healthcare Personnel Hand Antiseptic with Moisturizers More Choices Proven Persistence. 3M™ Avagard™ waterless, brushless surgical hand scrub is now available in two convenient sizes. Item Code 777-0117 118-4418 641-0661 600-4327 102-5064 Description 16 oz., 500mL w/Dispenser 40.6 oz., 1.2 Liter w/Dispenser Wall Bracket and Foot Pump Only Wall Bracket and Hand Pump Only Nail Cleaner (6 Boxes of 150) Size Each 4/Case Each Each Each © 3M 2011. All rights reserved. 3M, Avagard and the Avagard wedge shape are trademarks of 3M. www.henryschein.com/infectioncontrol EVERY DAY EVERY PATIENT EVERY TIME 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:21 PM Page 16 Guidelines & Recommendations The effectiveness of hand hygiene is improved when: skin is intact, nails are natural, short, and unvarnished; hands and forearms are free of jewelry; and sleeves are above the elbow. Health care staff having direct contact with patients or a patient’s environment should comply with the steps outlined below: • Bracelets, wrist watches, and rings with stones or ridges are not to be worn when providing clinical care. A single flat ring/band may be worn but should not interfere with effective hand hygiene practice. • Long sleeved clothing should be rolled up above the elbow so as to not interfere with effective hand hygiene compliance. 16 • Nails should be kept short and clean. Nail polish should not be worn. Artificial nails (gel or acrylic) are prohibited by any health care worker with direct patient contact. • Any breached skin (cuts, dermatitis or abrasion) should be covered with a waterproof film dressing. Staff with dermatitis should report evaluation as per local procedures. AloeGuard® Antimicrobial Soap KillstheGerms,NotYourHands! AloeGuard® isspeciallyformulatedwith soothing,moisturizingaloeveratoprotect yourskin'sdelicatebalance,andwith chloroxylenoltoprovidethehigh antimicrobialefficacynecessaryfor personalprotectionandreductionofcross contamination. •Killspathogenicmicroorganisms •Reducesriskofcrosscontamination •Gentle,soothing,nonirritating •Moisturizesandsoftensskin •Pleasantfragrance •Fastacting 4-oz Bottle (108-2480)........................................24/case 18-fl-oz Pump Bottle (833-8374) ................................................ea 1-gal Refill Bottle (300-6331) ................................................ea 800-mL Bag-in-Box (306-9953) ................................................ea Wall Dispenser for 800-mL Bag-in-Box (252-4751) ................................................ea AloeGuard Automatic Wall Dispenser (437-0007) ................................................ea • Long ties and lanyards are not recommended. Retractable (or similar) ID card holders are recommended in place of lanyards and should be cleaned regularly. If ties are worn, they should be tucked in or secured. Source: CentreforHealthcareRelated InfectionSurveillanceandPrevention. EVERY DAY EVERY PATIENT EVERY TIME Antibacterial Skin Cleanser Contains0.25%triclosantoprotectagainst thespreadofpotentiallyharmfulbacteria. Mild,general-purpose,antibacterial cleanserthat'sgentleenoughforeveryday use.Clearcolorwithalightfloral fragrance. #92517, 500 mL (643-6665) ................................................ea Protecting People VioNex® Antimicrobial Liquid Soap Broad-spectrumantimicrobialsoapwith 99.94%germreductionin30seconds. Moisturizing,lotion-basedformulafor frequentusewithoutirritation.Freshscent. Activeingredient:0.5%PCMXwith nonoxynol-9. #10-1504, Flip-Top Bottle, 4 oz (176-7024) ................................................ea #10-1518, 18-oz Bottle with Pump (176-3829) ................................................ea #10-1500, Refill Bottle, 1 gal (176-5139) ................................................ea #10-1398, Wall-Mount Bracket for Pump Bottle (176-2701) ................................................ea Kimcare® Luxury Foam Soap Cassette System Soap-dispensermaintenanceisnowquick andeasy.Thissystemhasa1-litercapacity, soitrequiresfewerrefillsthanthe800-mL systems.Foamorlotionskin-carecassettes areeasilyinterchangeable.Freshpumpwith eachrefillforgreaterhygiene.Rich, luxurious,prefoamedlathercaressesand cleanswithamild,pH-balancedformula. Lasts4timeslongerthanliquidsoap. Moisturizing Foam Soap (643-3214)..........................................6/case Antibacterial Foam Soap (643-9144)..........................................6/case 1000-mL Cassette Dispenser (643-3504) ................................................ea Order: 1.800.772.4346 8am – 9pm, et Fax: 1.800.329.9109 24 hours 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:21 PM Page 17 Did You Know.... • The cost to treat a health care-associated infection (HAI) can be as much as $36,000. If a patient hand-hygiene program can prevent just one, it could pay for itself for an entire year. • It is estimated that washing hands with soap and water could reduce diarrheal disease-associated deaths by up to 50%. • Researchers estimate that if everyone routinely washed their hands, a million deaths a year could be prevented. • Hand washing can reduce the risk of respiratory infections by 16%. • Damp hands spread 1,000 times more germs than dry hands. • Hand hygiene is the cornerstone of all infection prevention and control programs. Source: www.cdc.gov The Help Center SaniSept™ Antimicrobial Soap Gentleandnondrying: contains0.3%triclosan, effectiveagainst gram-negativeand gram-positivebacteria.Enrichedwith aloeveraandvitaminEtopromoteand acceleratehealingandencouragegrowth ofhealthyskintissue.Petroleum-freeand willnotaffectlatex. Pump Bottle (108-9131)...........................................18oz. Gallon (107-4963).................................................ea Hibiclens® Antiseptic/Antimicrobial Skin Cleanser Indicatedforuseas: •Broad-spectrumantimicrobialactivity: includingMRSA(in vitro testing)andother staphinfections;effectiveinthepresence oforganicmaterial;iodineisneutralizedby organicmaterial;alcoholisdilutedby organicmaterial •Longlasting:bondstoskinforeffective residualkillupto6hours;superiorto alcohol,iodine,and PCMX Hand Wash, Bottle, 4 oz (107-8796).................................................ea Skin Cleanser, 8-fl-oz Bottle (555-3169) ................................................ea Pump Dispenser, 16 oz (310-1745).................................................ea Hand Wash, 16-fl-oz Bottle (107-1746) .................................................ea Hand Wash, 32-fl-oz Bottle (107-4860).................................................ea Foaming Nozzle for 32-oz Bottle (555-0222) ................................................ea Hand Wash, 1-gal Bottle (107-4972).................................................ea 15 mL (107-6936)..........................................50/box Challenges and Solutions for Measuring Hand Hygiene Compliance – Webinar (1 CE Credit) http://www.infectioncontroltoday.com/ webinars/2013/10/measuring-handhygiene-compliance.aspx A Success Story: The Impact of Changing Hand Hygiene Behavior – Webinar (1 CE Credit) http://www.infectioncontroltoday.com/ webinars/2013/07/a-success-story.aspx Liquid Dial® for Sensitive Skin Broad-spectrumantimicrobialsoapthatis hypoallergenicandformulatedforvery frequenthandwashingofeventhemost sensitiveskin.Activeingredient: 0.2% triclosan. 71/2-oz Pump Bottle (390-0796) ................................................ea 16-oz Pump Bottle (390-1676) ................................................ea 1-liter Bottle (390-0376) ................................................ea 1-gal Bottle (390-0797) ................................................ea Hand Hygiene: A Patient Centered Safety Initiative – Webinar (1 CE Credit) http://www.infectioncontroltoday.com/ webinars/2012/11/a-patient-centeredsafety-initiative.aspx Joint Commission – Hand Hygiene Project A targeted solution tool (TST) is an application that guides health care organizations through a step-by-step process to accurately measure their organization’s actual performance, identify their barriers to excellent performance, and direct them to proven solutions that are customized to address their particular barriers. http://www.centerfortransforming healthcare.org/tst.aspx 17 WHO Hand Hygiene: Why, How, and When – Brochure This brochure from the World Health Organization for health care workers summarizes why, how, and when to perform hand hygiene. http://www.ascquality.org/Library/Hand% 20Hygiene%20Why,%20How%20and%20 When%20Brochure%20(WHO).pdf Provon® Foaming Handwash with Advanced Moisturizers Experiencethepamperingfeelofa luxuriousfoamhandsoapthat’sgentle enoughtousealldaylong.Therichlatheris extremelymild.Scentedwithapleasant, cranberryfragrance. TFX™, 1200 mL (590-0030) .........................................2/case TFX™ Touch-Free Dispenser, Dove Gray (415-0069) ................................................ea www.henryschein.com/infectioncontrol Hand Hygiene – Music Videos Learn how health care facilities are using cartoon germs to country songs to help promote hand hygiene. http://www.healthcarecommunication.com/ Main/Articles/6_mustsee_hand_hygiene_ music_videos_8973.aspx Public Health Veterans Affairs – FREE Hand Hygiene Posters This site provides posters as educational material to promote hand hygiene. http://www.publichealth.va.gov/flu/materials /posters_hand_hygiene.asp EVERY DAY EVERY PATIENT EVERY TIME Proper Hand Hygiene Techniques with Soap and Water ! cut along dotted line 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:21 PM Page 18 Duration of the entire procedure: 40–60 seconds 0 Wet hands with water; 3 Right palm over left dorsum with interlaced fingers and vice versa; 1 Apply enough soap to cover all hand surfaces; 4 Palm to palm with fingers interlaced; 2 Rub hands palm to palm; 5 Backs of fingers to opposing palms with fingers interlocked; 18 Rotational rubbing of left thumb clasped in right palm and vice versa; 9 Dry hands thoroughly with a single use towel; 7 8 Rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice versa; Rinse hands with water; 10 11 Use towel to turn off faucet; Your hands are now safe. Source: WorldHealthOrganization EVERY DAY EVERY PATIENT EVERY TIME Order: 1.800.772.4346 8am – 9pm, et Fax: 1.800.329.9109 24 hours ! cut along dotted line 6 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:21 PM Page 19 BRAND PR MISE Q U A L I T Y S E L E C T I O N P E R F O R M A N C E HAND SANItIzeR •Alcohol-basedwaterless handgel •Kills99.9%ofmostcommon disease-causinggerms spreadbythehands •Rinse-free;nowaterrequired •Freshcleanscentand soothingemollientsleave handssoftand clean 8-oz Pump Bottle (900-4443) ................................................ea 16-oz Pump Bottle (900-4442) ................................................ea FoAMING HAND SANItIzeR •Alcohol-freeformulation thatisnondryingtotheskin •Kills99.9%ofmostcommondiseasecausinggermsspreadbythehands •Rinse-free,nowaterrequired •Freshcleanscentandsoothingemollients leavehandssoftandclean 2-oz Pump Bottle (900-4445) ................................................ea 18.6-oz Pump Bottle (900-4444) ................................................ea QuICK WIPeS •Soft,strongtowelettes:alloweasyand gentlecleansingofhandsand face •Effectiveandgentleformulationthat containsaloe:formulatedforfastdrying and gentleness •Convenientpackaging:toweletteseasily dispensedthroughorifice;eachtowelette issaturatedwithcleansing liquid Pop-Up Container, 9" x 51/2" (104-4176).......................................150/cont FoAMING ANtIBACteRIAL HAND SoAP •Luxuriousfoaming soap •Providesarich,denselather •Rinseseasilyusingminimal water •Leaveshandsfeelingsoftand smooth •Pleasantspringwaterclean fragrance •Activeingredientis0.2%triclosan 18.6-oz Pump Bottle (900-4441) ................................................ea ANtIBACteRIAL LIQuID HAND SoAP 8-oz Pump Bottle (900-4439) ................................................ea MAxICLeNS INStANt HAND SANItIzeR Kills99.99%ofgermsin15seconds withouttheuseofsoapandwater.Contains aloeveratoaddmoisturewitheveryuse. HenrySchein'shandsanitizerhelpsyou meetOSHA,APIC,andCDChandwashing recommendations. 800-mL Bag for Manual Dispenser (112-5988) ................................................ea 800-mL Bag for Automatic Dispenser (112-5991) ................................................ea Manual Dispenser (112-5984) ................................................ea Automatic Dispenser (112-5986) ................................................ea Stand (112-5989) ................................................ea 16-oz Pump Bottle (900-4438) ................................................ea 1-gal Refill Bottle (900-4440) ................................................ea 19 MAxICLeNS® ANtIMICRoBIAL/ ANtISePtIC SKIN CLeANSeR •Clear,viscousliquid, 4%chlorhexidinegluconate •Formulatedwithdetergents, moisturizers,skinprotectors, andhumectantsthatcleanse withoutdrying •Fastacting,proveneffectiveat15seconds againstabroadspectrumofbacteria •Persistent;effectiveforupto6hoursafter use;highlevelresidualaction 1 Quart (431-0032) ................................................ea 1 Gallon (431-0099) ................................................ea Hand Pump for Quart Bottle (431-1478) ................................................ea MAxICLeNS® INStANt ANtIMICRoBIAL SoAP Contains0.6%PCMXforantimicrobial actionandaloeveratoaddmoisturewith eachuse.Theproductaidsinreducing crosscontaminationwhilehelpingyoumeet APICandOSHArecommendationsfor handwashing. 800-mL Bag for Manual Dispenser (112-5987) ................................................ea 800-mL Bag for Automatic Dispenser (112-5990) ................................................ea Manual Dispenser (112-5983) ................................................ea Automatic Dispenser (112-5985) ................................................ea Stand (112-5989) ................................................ea www.henryschein.com/hsbrand Serving you Quality, Selection and Performance. It’s our promise to you. www.henryschein.com/infectioncontrol EVERY DAY EVERY PATIENT EVERY TIME 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:22 PM Page 20 Guidelines & Recommendations Successfully Implementing Infection Prevention and Control Strategies Infection prevention and control (IPC) programs that have achieved success in reducing risks for health care-associated infections have used a common approach to implementation, including the following: 1. Team-driven, staff empowered activities 2. Commitment from administration 3. Involvement of practice leaders as champions 4. Use of consistent and evidence-based policies and procedures 5. Assurance that needed supplies are readily available to facilitate adherence to recommended practices 20 6. Requirements for education and competency verification 7. Monitoring and measurement of practices and outcomes via surveillance 8. Effective communication, including feedback of surveillance findings to staff 9. Ongoing evaluation of interventions and continuous improvement activity 10.Interventions hardwired into culture to maintain gain 11.Celebration of success Developing and implementing strategies to reduce infection risks is a great challenge for IPC programs. Bidirectional communication with all health care providers will help the infection prevention and control team to achieve and sustain effective infection prevention practices. Source: APIC/JCRInfectionPreventionand ControlWorkbook 20 EVERY DAY EVERY PATIENT EVERY TIME Purell® Waterless Surgical Scrub Designedtomeetand exceedFDAsurgicalscrub requirementswithoutthe additionofingredientsthat maybeharshtotheskin.The uniqueformulationusesalcohol astheonlyactiveingredient,plusinactive ingredientsthatmakethealcoholworkeven harder.Together,theyprovidethegermkill andpersistentactivitycriticaltothesurgical environment—andcriticaltomeetingFDA andAORNrequirements. •CHG-freeformulation •Includes5skinconditionersthathelp maintainhealthyskin •Compatiblewithlatex,neoprene,and polyisoprenegloves •Requiresonly2applicationsanddries quickly Surgical Scrub 1200-mL LTX™ Refill (415-0028) ................................................ea 1200-mL TFX™ Refill (590-6210) ................................................ea 1000-mL TFX™ Refill (415-0029) ................................................ea 2-fl-oz Bottle (590-0047) .......................................24/case Dispensing Options and Accessories LTX™ Dispenser (415-0031) ................................................ea TFX™ Dispenser (415-0036) ................................................ea TFX™ Surgical Sink Bracket (415-0032) ................................................ea TFX™ Wall Spacer (415-0033) ................................................ea At-a-Glance™ Service Refill Alert™ (415-0034) ................................................ea Provon® Nail Cleaners (415-0035) .......................................150/box triseptin Water-Aided Surgical Hand Scrub Analcohol-basedantisepticthatworkswith watertoremovemicroorganismsonskin. Triseptinhandscrubcanbeusedwitha brushorwateralone,providingskinconditioningbenefitsandantimicrobial action.Triseptinisanidealcomplementto Surgicept® waterlesssurgicalhandscrub whenawater-aidedscrubisneeded. 32-oz Bottle (840-2629) ................................................ea Chlorhexidine Gluconate Antimicrobial Skin Cleanser Thisantimicrobialskincleanserwillnot leaveyourhandsdry,crackedorirritated, evenwithfrequentwashings.Itcontains either4%or2%w/wchlorhexidine gluconatewith4%isopropylalcoholina nonalkalinebase.Withpersistent antimicrobialaction,CHGSkinCleanser attacksawiderangeofmicroorganisms, includinggram-negativeandgram-positive bacteria,fungi,andyeasts.Itisalso effectiveasa15-secondhandwash.The solutiondoesnotcontainreddye,which maystainclothing. Uses: •Surgicalhandscrub •Healthcarepersonnelhandwash •Preoperativeskinpreparation •Generalskinandwoundcleanser 2% CHG Flip-top Cap #82-319, 4 oz (113-0188) ........................................48/case 4% CHG Flip-top Cap #82-286, 4 oz (867-7116) ........................................48/case #82-287, 8 oz (232-0005)................................................ea 4% CHG Screw Cap #82-288, 16 oz (232-8920) ................................................ea #82-291, 1 Gallon (232-5065) ................................................ea 4% CHG Screw Cap with Pump #82-289, 32 oz (232-8091) ................................................ea Warning: This product is for external use only. Keep out of eyes, ears and mouth. Chlorhexidine Gluconate Skin Cleanser should not be used for preoperative skin preparation of the face or head. Triseptin Nail Pick (104-3088)........................................12/case Dispenser Accessory for 32-oz Bottle (935-2956) ................................................ea Foot Pump Bulb Replacement, Green (104-7495) ................................................ea Order: 1.800.772.4346 8am – 9pm, et Fax: 1.800.329.9109 24 hours 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:22 PM Page 21 It has been found that the hands of medical personnel can have bacterial counts in the range of 3.9 x 104 to 4.6 x 106 per cm. Given the current state of health care, the government will desire to curb the infection rate for economic purposes and the benefit of the patient. Perhaps the most cost-effective means to curb the rate of infection is to evaluate and focus on the preoperative scrubbing techniques that we employ prior to entering the operative theater suite. Source: Infection Control Today The Help Center e-z Scrub® Premium Surgical Brushes Sterile,30ScrubBrushes/Dispenser Thislineofproductsoffersawiderangeof efficaciousantimicrobialformulations specificallydesignedtoenhance performanceastheyreduceirritation to skin. •Proprietarypolyethylenesoftbristles enhancemechanicalactionwhilereducing skinirritation •Softspongeprovidesgentlecleaningon irritatedareasorwhenfirmmechanical actionisnotrequired •Ergonomicbrushdesignallowsgreater usercomfortandeffectiveness,ultimately improvingcompliance With PCMX, Deluxe (987-0287)..........................................30/box With 4% CHG (987-6022)..........................................30/box Impregnated with povidone iodine. Minimum available iodine 0.5%, wet pack. Color-coded Brown. (780-3946) .........................................30/box With Iodophor (780-3379) .........................................30/box Dry, without Solution (780-4291) .........................................30/box Ultradex Scrub with PCMX (987-1041)..........................................30/box Alcare Plus® Foam Handrub Steris'Alcare® PlusFoam AntisepticHandrubwith Emollientsisafoam formulationof62%ethyl alcoholandenhancedemollientsthat providehandantisepsis,whilethe emollientssoftenskinandprevent dryness.Itisidealtoreducetherisk ofenvironmentalcontaminationfrom personnel.Thisproducthasdocumented efficacyagainstgram-positivebacteria, gram-negativebacteria,andmeetsthe criteriaoftheFDAasahealthcare personnelhandwashandasurgicalscrub. 5.4 oz (763-9609) ................................................ea 9 oz (763-0326) ................................................ea 17 oz (114-0576) ........................................12/case Wall Bracket for Alcare 9 oz (118-9127) ........................................24/case Anchor Surgical Scrub Brush Firmnylonback,bristles,nonslip, autoclavable. •Open-end,channel-backblock •Nylonbristles •Firmtexture •Autoclavable (100-8055) ................................................ea Institute for Healthcare Improvement – How To Guide: Improving Hand Hygiene Includes protocol and forms for measuring compliance http://www.ihi.org/IHI/Topics/Healthcare AssociatedInfections/InfectionsGeneral/ Tools/HowtoGuideImprovingHand Hygiene.htm. Hand Hygiene Resource Center – Tools Provides hand hygiene monitoring tools http://www.handhygiene.org/ educational_tools.asp. Betadine® Surgical Scrub Microbicidalsudsingcleanserthatcontains 7.5%povidone-iodine.Broad-spectrum microbicidethatkillsmostgram-positive andgram-negativebacteria,including antibiotic-resistantstrains,aswellasmost viruses,fungi/yeasts,mycobacteria, and protozoa. 4 oz (690-3564).......................................36/case 16 oz (690-4214) ...............................................ea 16 oz with Dispenser (690-5432) ...............................................ea 32-oz Refill, 0.75% (690-0581) ...............................................ea 1 gal (690-6863) ...............................................ea Betasept® Scrub 4%Chlorhexidine Gluconate(CHG) Indicatedforsurgical handscrubbing,healthcare personnelhandwashing,preoperative patientprepping,andgeneralskin degerming.Chlorhexidinegluconate4% providesrapidantisepticactionwitha persistentantimicrobialeffectagainstawide rangeofmicroorganisms. 4 oz (690-2253) .......................................48/case 16 oz (690-3189)........................................12/case 32 oz (690-3076)........................................12/case 1 gal (690-9306) .........................................4/case www.henryschein.com/infectioncontrol WHO: Global Patient Safety Challenge http://www.who.int/patientsafety/ challenge/en/. Centers for Medicare and Medicaid Services: Surgical Care Improvement Project (SCIP) http://www.qualitynet.org (searchforSCIP) American College of Surgeons – Patient Education: Partners in Surgical Care http://www.facs.org/patienteducation/ index.html 21 The Joint Commission – Speak Up: Five Things You Can Do to Prevent Infection http://www.jointcommission.org/ PatientSafety/SpeakUp/speak_up_ic.htm Surgical Technology – FREE CE Online Courses http://www.continuingeducation.com/ surgical-technology/courses/free AORN Hand Hygiene: Surgical Scrub for the OR – YouTube Video http://www.youtube.com/watch? v=yA3AD9jU7QU A Comprehensive Guide to Surgical Scrub – YouTube Video It provides a step-by-step guide of how best to scrub up in 5 minutes. http://www.youtube.com/watch? v=L8OLnyJ3mAc 21 EVERY DAY EVERY PATIENT EVERY TIME 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:22 PM Page 22 BRAND PR MISE QUALITYSELECTIONPERFORMANCE 22 Henry Schein is a name you can trust. Our products offer you maximum value without compromising on quality. We offer over 6,000 products you can trust to fulfill your practice merchandise needs—each bearing the Henry Schein Seal of Excellence—your guarantee of satisfaction. • Everything you use every day • Large selection • Unbeatable value and performance Serving you Quality, Selection and Performance. It’s our promise to you. EVERY DAY EVERY PATIENT EVERY TIME Order: 1.800.772.4346 8am – 9pm, et Fax: 1.800.329.9109 24 hours 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:22 PM Page 23 Surgical Scrub Checklist Here is a checklist to help guarantee processes are in place (or strategies for improvement) to ensure patient safety from the time that patients enter a health care facility to the time they leave. 1. Provide ongoing education for all staff members including competencies. Education can be undertaken in many different ways including live in-services, Webinars, audio-conferences or online training. Health care Facility determined competencies/assessments for clinical staff should include a skills checklist addressing hand hygiene knowledge and practices. Education should include all clinical staff and those providing direct patient care. 2. Provide staff with The World Health Organization's "My 5 Moments of Hand Hygiene" which defines the key moments when health care workers should perform hand hygiene. This includes the following: • Before touching a patient • Before Clean/aseptic procedures (such as anesthesia services) • After body fluid exposure/risk • After touching a patient • After touching patient surroundings 3. Make hand hygiene easy by providing adequate opportunities for hand washing and use of alcohol-based hand sanitizers. Sinks should be placed in strategic 23 locations and supplies such as soap and paper towels should be provided at all times. Alcohol hand sanitizer products should be user friendly, available at all times and strategically placed throughout the facility, particularly in clinical areas and high-demand locations. 4. Introduce hand-hygiene monitoring programs. Tools for monitoring hand-hygiene compliance are available in various forms and include the use of "secret shoppers," i.e., a covert observation whereby no one but the person appointing the observer and the observer him/herself knows who is conducting the monitoring, or an overt observation whereby all staff members are aware of the person conducting the observation. 5. Holding staff accountable by providing feedback from monitoring programs. Staff should be informed of the findings from ongoing monitoring programs and should be provided the opportunity to improve practice by providing resources, educational opportunities, and one-on-one consultation. Source: Becker’s Healthcare www.henryschein.com/infectioncontrol EVERY DAY EVERY PATIENT EVERY TIME 14MS1240 Infection Control Q1_Layout 1 2/17/14 3:22 PM Page 24 Call: 1-800-P-SCHEIN (1-800-772-4346) 8am–9pm (et) Fax: 1-800-329-9109 24 Hours www.henryschein.com/infectioncontrol Due to manufacturer price increases, prices are subject to change without notification. Offer valid on our full array of products. Upon any request by Medicare, Medicaid, Tricare or other payer, you must report the value of any benefit received from a discount program (e.g., points redemptions, gifts or other special awards). © 2014 Henry Schein, Inc. No copying without permission. Not responsible for typographical errors. No adjustments from prior sales. Offer not to be combined with other promotions and/or special contract pricing. Void where prohibited. Local regulatory requirements may apply to use or installation of certain products. It is your responsibility to understand and comply with any such requirements prior to purchase, use or installation of products. †For informational purposes only. Source: ReimbursementCodes.com and/or www.cms.gov. Customer is responsible for verification of billing/coding in accordance with applicable specific circumstances. 14MS1240 FREE HAND HYGIENE LIVE WEBINAR Improving Hand Hygiene in the Healthcare Setting Dr. John M. Boyce Director of Epidemiology & Infection Control at Yale, New Haven Wednesday, March 19, 2014 12pm EST and again at 12pm PST Earn 1 CME Credit LEARNING OBJECTIVES 1. Understand the importance of hand hygiene in protecting patients and healthcare personnel 2. Become familiar with strategies for educating healthcare personnel regarding when and how to perform hand hygiene 3. Become knowledgeable about the options available for making alcohol-based hand rub readily available to healthcare personnel 4. Become familiar with methods for monitoring hand hygiene compliance in the healthcare setting 5. Be able to cite effective strategies for promoting hand hygiene in healthcare facilities At Clorox Healthcare®/HealthLink®, we’re completely committed to patient safety. Everything we do is to help stop the spread of infection —while you’re at a medical office or healthcare facility and while you’re at home. Nothing is more important to us than your safety and good health. Register @www.Cloroxhealthcare.com/CEprogram WWW. FACEBOOK . COM / HENRYSCHEINMEDICAL