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 Not applicable in ED – ED must use the Emtala forms

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.

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

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

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

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

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

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

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

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

Questions ?????