Despite a clear record of violations across the country, amid a culture where sick staff were asked to show up for work, lawmakers in several states have also potentially disincentivized improvement of infection control standards in long-term care facilities by providing legal liability protections ahead of time.
A telework-ready infection preventionist is an IP who continues to support their facility if they also end up in quarantine. Teleworking like so many other aspects of nursing is something we just needed to jump into. No training, no guidebook, no manual.
Nancy Moureau, PhD, RN, CRNI, CPUI, VA-BC: “We see the competency of a vascular access specialist or team validated by the outcomes, by the level of infection with their patients, with other complications that may be present.”
The webinar ran well over the hour it had been scheduled for and drew at least 2500 viewers who watched it on average for 71 minutes. And there were 422 questions from the audience afterward.
Charles P. Gerba, PhD: “Unfortunately, standard procedures for testing and registration by regulatory agencies of CADs (continuously active sanitizers or disinfectants) as disinfectants useful in preventing exposure to disease causing microorganism transmission has only taken place in recent years.”
Nancy Moureau: “Our priority is to minimize infections or potentially even to eliminate them. We want complications to be history. In order to achieve those goals, I see the vascular access specialist or the vascular access teams as being in a partnership with the infection preventionist.”
Many factors make the isolation precautions for diseases like COVID-19 more complex than typical droplet or airborne definitions.
There’s been a sharp increase in sanitizers that claim to use ethanol, but instead have methanol—or wood alcohol—in them, according to the FDA.
Many patients in the study who did not require hospitalization experienced prolonged or persistent symptoms, nonetheless. In addition, the absence of underlying medical conditions does not automatically mean patients will not experiences these longer lasting symptoms.
Maureen Spencer, RN, M.Ed.: “The World Health Organization did come out and said that they support the concept that this is droplet and airborne. And what that does is it changes our approach for infection prevention.”
With inadequate disinfection practices, healthcare workers are much more likely to acquire pathogens on their hands after touching these surfaces, potentially passing them on to patients.
As the pandemic seems not to abate, patients will start to present to the hospital after delaying crucial primary and preventive care visits, meaning sicker non–COVID-19 infected patients, with the potential for increased CLABSI and CAUTI rates.
Jack Regan, PhD: “We’ve never developed a vaccine against coronavirus. And because of that, the question is how efficacious is this vaccine going to be? How long is the immunity going to last?”
Supply chain issues are a larger, more systemic aspect of healthcare and national preparedness. Although IPs may not be able to fix them individually, there are ways we can ensure the safety of our hospitals.
Jenny Hayes, MSN, RN, CIC: “Asking the patient to wear a mask, which is something that we do in our facility, can be challenging at that point, especially as labor progresses, and you’re to the point of pushing. That right there offers a set of unique challenges for both the patient and the staff in the room.”
It will also be necessary to again train other professionals the way IPs have historically trained them about infection prevention, because a lot of the old rules had to be set aside when COVID-19 surged.
The U.S. government will pay Pfizer and BioNTech $1.95 billion upon the receipt of the first 100 million doses, following US Food and Drug Administration (FDA) authorization or approval. The U.S. government also can acquire up to an additional 500 million doses.
We have much work to do in terms of risk communication and awareness. This is a good example of how quickly exposures can happen in the workplace when we focus only on employee-to-customer interactions or healthcare worker-to-patient interactions.
Julie McKinney, PhD: “If you’re going to disinfect, you’re going to let it sit for three minutes and then you’re going to wipe it. If you’re going to sanitize, you only have to leave it for 30 seconds and then wipe.”
Infection control at LTCFs needs to be a balanced approach that addresses the risk of infection, and not just the treatment of infection. Money is saved when this approach is used.
After decades of reluctance to implement a national reporting system, when COVID-19 came along we witnessed almost overnight the formulation of case definitions and comprehensive national reporting from all healthcare facilities.
The trial, in which 1077 healthy adults in the UK are being assessing for the vaccine comprised of the ChAdOx1 virus for the prevention of SARS-CoV-2, shows enough promise for further assessment.
The Trump administration has decided that the COVID-19 data will no longer be reported to the US Centers for Disease Control and Prevention (CDC) through that agency’s National Healthcare Safety Network (NHSN).
Charles Gerba, PhD: “I really think that in the future, what you really need is a specialist in infection control who understands both the environmental health services and also the professional staff that deals with the patients. ”
To enact social change such as better hand hygiene, only about 25% of a group needs to adopt the change and move the rest of the group forward.
