Mar 12, 2019 - Vital Signs: Central line - associated blood stream infections - United. States, 2001, 2008, and 2009. MMWR Morbidity and Mortality Weekly ...
Assessing Gaps in Dialysis Station Disinfection Practices APIC MEETING 3.12.19 LEAH BOMESBERGER, RN BSN (AND, HOPEFULLY BY MAY 2019: MPH)
Infection: Second leading cause of hospitalization and death for dialysis population (USRDS, 2017).
Approximately 37,000 infections occurring in outpatient hemodialysis centers in 2008 (CDC, 2011).
One in every four dialysis patients may die from complications of infection (CDC, 2015).
We need your help!
What are the common trends or citations during Medicare surveys related to infection control?
What gaps or needs, exist surrounding these infection control issues for frontline staff?
The Assessment (methods)
Adenosine triphosphate (ATP) Testing Sites
Forensic Luminol Results (Chemiluminescent Marker testing)
Easier/more interesting to say
If I can’t see it, it doesn’t exist. Right?
Forensic Luminol Results
All low light photographs courtesy of GHS Medical Media Department
Themes identified from staff interviews
Interviews Qualitative Data
Spills, Sprays & Other Unique Situations “You do the best you can”
Provide the tools and time
Clearly communicate and educate
Simulate real-life experiences to develop muscle memory
Checking the Box - Patient Perspective Teaching opportunity
“Some things I think they do, that are Medicare regulated, are overkill, and I think that they are unnecessary. Like the fact that they can’t clean the machine until I leave the station. I think that’s silly. I’m sitting here and blood isn’t going to squirt on the machine, or I’m not going to spit on the machine. I think it cuts down on their efficiency of time because they can’t clean it until I leave the station.”
Retrieved from Campbells soup website, 2019
Retrieved from: The MoMA Learning website, 2019 Retrieved from: The Andy Warhol Museum website, 2019
References Cited Association for Professionals in Infection Control and Epidemiology. (2010). Guide to the Elimination of Infections in Hemodialysis. Centers for Disease Control and Prevention. (2018). Making Dialysis Safer for Patients Coalition. Retrieved from https://www.cdc.gov/dialysis/coalition/index.html Centers for Disease Control and Prevention. (2015). National Healthcare Safety Network (NHSN): Tracking Infections in Outpatient Dialysis Facilities. Retrieved from https://www.cdc.gov/nhsn/dialysis/index.html Centers for Disease Control and Prevention. (2011). Vital Signs: Central line - associated blood stream infections - United
States, 2001, 2008, and 2009. MMWR Morbidity and Mortality Weekly Report, 60(8), 243-247. United States Renal Data System. 2017. Incidence, prevalence, patient characteristics and treatment modalities. Retrieved from https://www.usrds.org/2017/download/v1_c01_GenPop_17.pdf
Gundersen Infection Control Department
GHS Renal: staff, patients, and leadership
Bridget Pfaff & Dr. Gary Gilmore
GHS Medical Media Department
Google Images→ and funny people who create Memes
My Couch (Grad School + Writing/ stats homework x µ sin 𝛼 ± sin 𝛽 = 1 1 2 sin 𝛼 ± 𝛽 cos 𝛼 ∓ 𝛽 = really nice naps) 2
Family & Friends
APIC Badger! (For being the test run for my oral defense - THANK YOU)