Using this presentation This presentation was created by MSL Healthcare Partners and Teegor Consulting. It has been placed in the public domain to encourage as many healthcare organizations as possible to adapt it for their use. The target timeframe is 45-60 minutes. It is designed as a framework and will require some customization in order to be fully effective. We have included “notes” for each slide in an effort to explain our intent and provide hints gained from previous training opportunities. It is our intention to provide updates to this presentation as processes and techniques improve; however, any statistics used herein are from 2015. Links to where this data can be found are in the notes of slide 3. Please check (mslhealthcare.com) and (teergor.com) for updates. This slide should be deleted before presentation.

Your Role in Protecting Our Patients, Visitors, and Staff Infection Prevention Your Role in Protecting Our Patients, Visitors, and Staff Feel free to change this title to whatever makes sense for your session. If your organization has an organization-wide effort on HAI’s, be sure to make the connection here.

The “1 in 20 Rule” There are roughly 37 million patients admitted to hospitals each year. 1 in 20 of those will get an HAI 1 in 20 of those will DIE from that infection 1 in 20 of those will be facilities related We CAN prevent that death 37M admissions, 1.5M HAI’s, 75,000 deaths, roughly 4000 deaths that are facilities related. (1 every 90 minutes) Current admission and death rate data can be found at http://www.aha.org/research/rc/stat-studies/fast-facts.shtml Mortality rates can be found at http://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm

Chain of Infection Agent Susceptible Host Reservoir Portal of Entry Portal of Exit Mode of Transmission Portal of Entry Susceptible Host Understanding how these infections spread is very important. Like dominos falling, remove one link in this chain and the HAI will not occur. Stress that the ”reservoir” can be dirt, stained ceiling tiles, plumbing dead legs, etc. and, that in many cases, we become the “Portal of Exit”. The key is make sure that, when and if that occurs, we have a method to interrupt the ”Mode of Transmission” (e.g. HEPA units and vacuums, proper barriers, differential pressure.) Discuss other “Portals” such as introducing dirty carts, etc. into the care environment.

Our Biggest Concerns Aspergillus and other fungi Legionella C Diff TB MRSA Stress that ALL of these pathogens are extremely small and cannot be detected by the naked eye. If you see “dust”, it might be too late. Additionally, stress the importance of good hand hygiene…not only for the patients, but also for themselves!

Understanding Differential Pressure Airborne Infectious Isolation (AII) Room Operating Room Instrument Process Areas Laboratory Areas EVS Closets Linen Storage Others What about doors? Starting with AII and OR’s because everyone understands these almost instinctively. Explain that different areas of the Lab and SPD will have different needs. The basic idea is clean flowing to dirty. We have national standards that dictate many of these. Explain that operational habits like propping open doors can disrupt, even reverse, these important directional flows.

Risk Assessment Talk about the results of your risk assessment with Infection Prevention. Discuss the areas of high-risk and that these areas may change based on the patient populations. Take a minute to talk about the activities risk assessment and how they can reduce the risks.

INSERT YOUR SPECIFIC INFORMATION HERE Policies and Procedures Specific Area Requirements (e.g. High Risk Areas) High Volume, High Risk Activities Low Volume, High Risk Activities What tools you may have (e.g. ECUs, HEPA Vacs, etc.) Etc. Use this slide to go over policies and procedures, mitigation plans, communication requirements, etc. If applicable, talk about quality assurance measures being taken.

Breaking the Chain Be aware of the “Agents” and potential “Reservoirs” Learn to use the “Tools” Become an example for your peers Never be afraid to raise the “Red Flag” Spend some time reinforcing that THEY can save that 1 in 20 that is facilities related. Talk about creating a mindset to imagine the “what ifs” and eliminate as many of those risk factors as they can. Stress that, “We are leading the way. Let’s set an example of our peers and let’s certainly not allow ourselves to slide backwards because our peers have not yet embraced this challenge.” Reinforce that there will be no repercussions for raising concerns about situations, practices, etc.

Discussion