Prevention Strategist - APIC

80 Pages·2013·21.12 MB·English

FALL 2013 • VOLUME 6 NUMBER 3
+
Middle East Respiratory
Syndrome Coronavirus
CAUTI whole-house monitoring
Ethics of patient isolation SARS
10 years later
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Contents
fall 2013
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t
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SaRS—10 years later
66
A look back at the 2003 SARS epidemic,
how APIC members made a huge impact
on its control, and what we have learned
from the incursion.
By Vicky Uhland
Patient isolation: 70
Should the patient perspective
be a consideration?
Infection preventionists should
not only consider the best practices
of their isolation programs,
but also the ethics of them.
By Kristine Sanger and
Kristin A. Watkins

e Share Prevention StrategiSt artiCleS with otherS.
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d Check out the icons next to each article to help you navigate Prevention Strategist easily and identify articles to
e share with others in your healthcare organization or beyond. audiences include:
l
w
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K

d
Infection Prevention Patient Care Environmental Quality and Risk Disaster C-Suite
a
Colleagues Services Services Management Preparedness
e
r
p let the sharing begin!
S
6 | FALL 2013 | Prevention
VoiCe
aPIC volunteerism:
The road to Maslow’s self-actualization of infection prevention? 8
By Patricia S. Grant, 2013 APIC President
Patient safety is at the heart of it all! 10
By Katrina Crist, APIC CEO
CBIC: If we can manage change, the future will be ours 12
By Craig Gilliam, 2013 CBIC President
PreVeNtioN iN aCtioN
Global Insight: adventures in volunteerism—Japan 36
By Jacie Volkman
Global Insight: aPIC at ICPIC—an international connection 41
By Thomas Weaver, DMD
28
My Bugaboo:
Middle East Respiratory Syndrome Coronavirus (MERS-CoV) 42
By Dr. Irena Kenneley
The Human Microbiome Project: What’s in it for IPs? 47
By Caroline McDaniel
The surprising culprit of C-section SSIs 48
By Vicky Uhland
DNV Healthcare standard and elements of patient safety 51
By Karen Timmons, Janet Franck, and Patrick Horine
Perseverance pays off big for small community hospital:
SSI prevention 56
By Lisa Karalus
Mentoring: a win-win situation 60
Q&A with Susan Dolan and Elizabeth Monsees
47
lessons from the hybrid room 62
By Heather Hohenberger
CaUTI: Why not monitor the whole house? 64
By Brenda Helms
DePartMeNtS
CIC Profile: amber Wood, aORN’s IP 15
Briefs to keep you in-the-know 19
Capitol Comments: aPIC policy leaders urge others—
take the first step, you’ll be glad you did 28
By Nancy Hailpern and Lisa Tomlinson
Chapter Spotlight: aPIC Greater Jackson 34
By Felecia Denson
70
Heroes of Infection Prevention 73
By Michele Parisi
www.apic.org | 7
PreSiDeNt’S MeSSaGe
APIC
volunteerism: thiS CoMMuNiCatioN iS mostly geared toward infection preventionists Prevention
(IPs) with less than five years’ experience. With that said, for the more
The road to
experienced IPs, my mantra to you is: 1) encourage; 2) mentor; 3) role
model; 4) hands-on assist; and 5) state your belief in another’s abilities.
Maslow’s self- FALL 2013 • VOLUME 6, ISSUE 3
On a personal level, these five constant elements within APIC peer-
actualization interactions—combined and constant—made it possible to facilitate and BoarD of DireCtorS
sustain APIC volunteerism. President
of infection Patricia S. Grant, RN, BSN, MS, CIC
If left only to the environment of my primary employer over these past
President-elect
prevention? 20+ years, I might not have continued working in infection prevention Jennie l. Mayfield, BSN, MPH, CIC
and control. Don’t get me wrong; I have enjoyed each job as an IP for treasurer
different reasons, having felt supported along the way. Yet, if my primary Vickie M. Brown, RN, MPH, CIC
Secretary
employment milieu was the beginning and end of what I considered
linda R. Greene, RN, MPS, CIC
professionalism, I wouldn’t have learned to excel, admit self-limitations
immediate Past President
gracefully, or experience the wealth of what other people can contribute Michelle R. farber, RN, CIC
outside of the everyday experiences of healthcare.
For new or future APIC volunteers, I hope sharing my experience will DireCtorS
help you see my journey and not simply view me as “APIC 2013 president,” Barbara DeBaun, RN, MSN, CIC
Susan a. Dolan, RN, MS, CIC
for this opportunity has been a long, fun, and sometimes tedious adven-
Donna Giannuzzi, RN, MBa, NEa-BC
ture. Below are just a few hand-picked examples of serving and why they
linda K. Goss, MSN, aPRN, aNP-BC,
were important (hidden jewels of benefit I didn’t recognize at the time):
CIC, COHN-S
• 1992 APIC-Dallas-Fort Worth (DFW) chapter: First appointed posi- Carole S. Guinane, RN, MBa
By PAtRiciA S. GRANt, tion as chapter historian (learned about my chapter while archiving Mary lou Manning, PhD, CRNP, CIC
RN, BSN, MS, cic decades of minutes/photos into 12 binders and carried these items in Connie Steed, RN, MSN, CIC
APic 2013 PRESiDENt my trunk!). Jacie C. Volkman, MPH, CIC, CHEP
• 1993 APIC-DFW: First elected position as chapter secretary before the Sharon R. Williamson,
MT(aSCP)SM, CIC
Internet era. For two years, I made 140 copies of minutes, hand stuffed
Marc-Oliver Wright, MT(aSCP), MS, CIC
envelopes, and then mailed with the labels printed out by our member-
ship director (learned the names and institutions of others over time).
eX offiCio
• 1994-2004 APIC HQ: First appointed volunteer position to the Katrina Crist, MBa
Treasurer’s Advisory Committee, which does not exist anymore because
of the strong professional HQ staff capacity. Each quarter, I would DiSClaiMer
review 16 local APIC chapter treasurer reports and enter data into Prevention Strategist is published by
the association for Professionals in
an Excel spreadsheet. If something was incorrect, I had to trouble- Infection Control and Epidemiology,
shoot with the local chapter treasurer before submitting the report Inc. (“aPIC”). all rights reserved.
Reproduction, transmission,
(learned names and sometimes would meet the person years later at
distribution, or copying in whole
“Trust that even an APIC conference!). or in part of the contents without
if a duty doesn’t It is safe to say that APIC has provided a personal sustainability toward express written permission of
aPIC is prohibited. for reprint
seem glamorous growth, the courage, ability, and willingness to contribute. More impor- and other requests, please email
or adventuresome, tantly the road to having the resolve to serve APIC has given each of [email protected]. aPIC makes no
representations about the accuracy,
there will be my employers a better IP based on the leadership training, networking reliability, completeness, or timeliness
hidden silver- opportunities, and late-breaking information required to do the volunteer of the material or about the results to
be obtained from using this publication.
linings in your job(s) APIC requires and requests. Abraham Maslow, known as the pioneer You use the material at your own risk.
road to discovery of humanistic psychology, used the self-actualization theory to describe aPIC assumes no responsibility for
any injury and/or damage to persons
within APIC a person’s ability to be all they are capable of being.1 Trust that even if a or property as a matter of products
volunteerism. duty doesn’t seem glamorous or adventuresome, there will be hidden silver- liability, negligence or otherwise,
Go for it.” linings in your road to discovery within APIC volunteerism. Go for it. omre ftrhoomd sa,n pyr oudseu cotrs ,o pinesrtartuicotni oonfs a, ny
or ideas contained in the material
herein. Because of rapid advances in
the medical sciences, in particular,
independent verification of diagnoses
and drug dosages should be made.
although all advertising material
Patricia S. Grant, RN, BSN, MS, CIC is expected to conform to ethical
(medical) standards, inclusion in
APIC 2013 President
this publication does not constitute
a guarantee or endorsement of the
quality or value of such product
refereNCe or of the claims made of it by its
manufacturer.
1. Maslow, AH. Some basic propositions of a growth and self-actualization psychology. Personality: Critical concepts in psychology;1998: 189-202.
8 | FALL 2013 | Prevention
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Ceo’S MeSSaGe
Patient safety
is at the while MaNy faCtorS contribute to patient safety, infection prevention Prevention
plays a crucial role. Infection preventionists (IPs) know this to be true,
heart of
but are consumers aware of the importance of infection prevention? The
IP Competency Model1 emphasizes patient safety as the primary goal;
it all! FALL 2013 • VOLUME 6, ISSUE 3
it’s at the center of what we do and why APIC exists. With this in mind, PuBliSher
International Infection Prevention Week (IIPW), October 20–26, is being Katrina Crist, MBa
[email protected]
reimagined into a broad-based, year-long consumer and patient awareness
MaNaGiNG eDitor
campaign. Whereas IIPW is seven days of recognition, IPs’ commitment Janiene Bohannon
is evident 365 days of the year. As part of APIC’s focus on the patient [email protected]
aDVertiSiNG
safety strategic goal, the association remains committed to communicat-
Brian agnes
ing infection prevention and control as a key component of patient safety. [email protected]
Media coverage is expanding and reinforcing this message. The APIC GraPhiC DeSiGN
Surendra Gupta
name is highly recognized and continues to be viewed as a credible source
[email protected]
of information in both the consumer and trade media outlets. Press releases ProDuCtioN
and statements are issued each month on items such as scientific studies Heather Williams
[email protected]
published in the American Journal of Infection Control and APIC’s posi-
tions on current topics, including national healthcare initiatives. On aver- eDitorial CoMMittee
By KAtRiNA cRiSt, MBA
APic cEO age, APIC receives approximately 20 requests for interviews each month George allen, PhD, CIC, CNOR
from media on topics ranging from healthcare reform and outbreaks of Megan Crosser, BS, MPH, CIC
Charles Edmiston Jr., PhD, CIC
multidrug-resistant organisms, to best practices for healthcare-associated Mary l. fornek, RN, BSN, MBa, CIC
infection prevention and issues related to various practice settings. Brenda Helms, RN, BSN,
MBa/HCM, CIC
In conjunction with IIPW, member volunteers from the APIC linda Jamison, MSN, RN, CIC, CCRC
Communications Committee helped develop an educational infographic Kari l. love, RN, BS, MSHS, CIC
Caroline McDaniel, RN, BSN, MSN
poster for consumers as part of APIC’s “Infection Prevention and You,” May M. Riley, RN, MSN, MPH,
consumer awareness campaign (www.apic.org/infectionpreventionandyou). This aCNP, CCRN, CIC
Steven J. Schweon, RN, MPH,
infographic poster—included with this issue of Prevention Strategist—edu- MSN, CIC
cates patients and their families about infection prevention and control and
CoNtriButiNG writerS
what healthcare facilities and professionals do to prevent and reduce infec-
Janiene Bohannon
tion. APIC will continue to send “Monthly alerts for consumers” emails Julie Blechman, MPH
on timely infection prevention topics and archive them on www.apic.org. Katrina Crist, MBa
felecia Denson, BS, MT(aSCP), CIC
Please share this information with patients in your healthcare facilities. Janet franck, RN, MBa, CIC
APIC will also increase IIPW’s presence via social media and use it to Craig Gilliam, BSMT, CIC,
Patricia Grant, RN, BSN, MS, CIC
communicate the importance of infection prevention and the IP within pub- Nancy Hailpern
lic and healthcare communities. We hope you will join in with “likes” and Brenda Helms, RN, BSN,
MBa/HCM, CIC
“tweets” on Facebook (www.facebook.com/aPiCinfectionPreventionandyou) Heather Hohenberger, BSN, RN,
“As part of APIC’s and Twitter (twitter.com/@aPiC). We also encourage you to post the CIC, CNOR
focus on the “Infection Prevention and You” infographic poster in patient care areas Pliastari cKka rHaolurisn,e R N, BSN, CIC,
patient safety to help educate consumers on their role—and your role—in preventing Irena Kenneley, PHD, aPRN-BC, CIC
strategic goal, infection. These are simple actions that could have a big impact. CKaatrhorliynne MMocrDriasn, iMelP, RH N, BSN, MSN
the association In order to elevate infection prevention and control to the next level and Michele Parisi
remains increase understanding of its impact on patient safety, we must involve KKarirsetnin eT iSmamngoners, BS, MT (aSCP)
committed to everyone who is affected. As Patti Grant stated in her opening address at lisa Tomlinson
communicating APIC 2013, IPs must be able to “stimulate infection prevention in any VJaicckiey VUohllkamnda n, MPH, CIC
infection setting,” which means empowering other people to take charge (watch Kristin Watkins, MBa
prevention and the entire plenary here: www.apic.org/about-aPiC/history/apic-conference- Thomas Weaver, DMD
control as a key videos). APIC is working for you and with you to heighten awareness and MiSSioN
component of educate consumers before they become patients. aPIC’s mission is to create a safer
patient safety.” world through prevention of infection.
Sincerely yours, The association’s more than 14,000
members direct infection prevention
programs that save lives and improve
the bottom line for hospitals and other
healthcare facilities. aPIC advances
its mission through patient safety,
Katrina Crist, MBA implementation science, competencies
APIC CEO and certification, advocacy, and data
standardization. Visit aPIC online at
refereNCe www.apic.org.
PUBLISHED SEPTEMBER 2013 •
1. Murphy DN, Hanchett MA, Olmsted RN, Farber MR, Lee TB, Haas JP, Streed SA. Competency in infection prevention: A conceptual approach to guide
API-Q0313 • 9073
current and future practice. Am J Infect Control 2012; 40:296-303.
10 | FALL 2013 | Prevention