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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
1
InfectionControlandPreventioninLong-TermCareFacilitiesand
HealthcareLaundryHandling,Storing,andTransportingHealthcareTextiles
inLong-TermCareFacilities
JohnScherberger,FAHE,CMIP,T-CSCT,VPEIHealthcareRiskMitigation
Past-President,HLACSpartanburg,SC864-208-5750
"Whatisdoneisimportant, butmoreimportantishowitisdone.”- JohnScherberger
HostedbyDr.LynneSehulsterEnvironmentalInfectionPrevention,LLC
www.webbertraining.com October7,2021
HAI’s,MRDO’s,Fungi,Mold,Pollution
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
2
Reducethe...
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ProperProcesses=ProperResults
InfectionPreventionandControl(IPC)–IPCisapracticalmultidiscipline,multimodal,evidenceandscience-basedapproachtomitigatingandremovingtheopportunitiesforpatientsandhealthworkerstobeharmedbyavoidableinfectiousmicrobialpathogens.Thegoalistheeliminationofopportunisticinfectionsthroughthevigilantapplicationofpersonalandenvironmentalinfectionpreventionpractices.
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
3
ProperProcesses=ProperResults
LaundryManagement-Laundrymanagementisintendedtoensure:1. Asufficientparlevelofhygienichealthcaretextiles
(HCTs)ismaintainedthatwillmeettheneedsofresidents.
2. AllhygienicHCTsarehandledandmaintainedinwaystomaintainthehygienicstateandtominimizetheopportunitiescontaminationofcleanHCTs
3. SoiledHCTsarehandledinwaysthatminimizeharmtoresidentsandstaff
4. Ensurethatcross-contaminationofHCTsdoesnothappen.
– CDCGuidelinesforEnvironmentalInfectionControlinHealthcareFacilities2003
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ProperProcesses=ProperResults
Hygienicallycleanlaundrycarriesnegligiblerisktohealth-careworkersandresidents,providedthatthecleantextiles,fabric,andclothingarenotinadvertentlycontaminatedbeforeuse.
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
4
InfectionsandMortalityInfectionsaccountforuptohalfofallnursinghomeresidenttransferstothehospitalandcostbetween$670millionto$2billiontotreateachyear.Whenaresidentishospitalizedwithaprimarydiagnosisofinfection,themortalityratecanreachashighas40percent.Thetopthreeinfectionstonursinghomeresidentsareurinarytract,respiratoryandskin/softtissue.
F441§485.65InfectionControl,CMSManualSystem,Publication100-07StateOperationsProviderCertification,DepartmentofHealth&HumanServices,CentersforMedicare&MedicaidServices,Transmittal55:December2,2009.
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InfectionsandMortality
• TheoverallinfectionrateinLTCFsforendemicinfectionsrangesfrom1.8to13.5infectionsper1000resident-caredays.*• Forepidemics,goodestimatesaredifficulttoascertain,buttheliteraturesuggeststhatseveralthousandoutbreaksmayoccurinUSLTCFseachyear.*• 33%ofoverallendemicinfectionsisthoughttobepreventablejustbymaintaining infection surveillance**• TheseratesnonotreflecttherealitiesoftheCOVID-19pandemic
*Strausbaugh LJ,JosephCL.Theburdenofinfectioninlong-termcare.InfectControlHospEpidemiol2000;21:674-9.**https://journals.lww.com/journaloftraumanursing/Citation/2020/07000/The_Need_for_Actions_to_Protect_Our_Geriatrics_and.2.aspx
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
5
CMS StateOperationsManualAppendixPP- GuidancetoSurveyors
forLongTermCareFacilities
§483.65InfectionControl§483.65(a)InfectionControlProgram§483.65(b)PreventingSpreadofInfection§483.65(c)Linens
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TheChallenges
Long-TermCareFacilities(LTCFs)are:Low-technologysettingsLengthofstayismeasuredinmonthsandyearsratherthandaysLTCFaretypicallyviewedascommunities,notpatientroomsResidentsaremoremobilethanpatientsPaymentsystemsaresignificantlydifferent
(Seenextslide)
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
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InadequatePayment/Reimbursement
• Section4432(a)oftheBalancedBudgetAct(BBA)of1997modifiedhowpaymentismadeforMedicareskillednursingfacility(SNF)services.EffectivewithcostreportingperiodsbeginningonorafterJuly1,1998,SNFsarenolongerpaidonareasonablecostbasisorthroughlowvolumeprospectivelydeterminedrates,butratheronthebasisofaprospectivepaymentsystem(PPS).ThePPSpaymentratesareadjustedforcasemixandgeographicvariationinwagesandcoverallcostsoffurnishingcoveredSNFservices(routine,ancillary,andcapital-relatedcosts).
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TheChallenges
•Staffing– cannotbeaccomplishedbytakingEVSstafffrompatientareastooperate• ”RobbingPetertopayPaul”isaPonzischeme
•Facilityspaceisinadequate•Machines- wrongtype,age,maintenance•Education– Operatinganon-premiseslaundryrequireseffort,time,investment• Training
• Insufficientinterestonthepartofowners
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
7
Challenges
• F441• §483.65InfectionControl• Thefacilitymustestablishandmaintainaninfectioncontrolprogramdesignedtoprovideasafe,sanitary,andcomfortableenvironmentandtohelppreventthedevelopmentandtransmissionofdiseaseandinfection.
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§ 483.65(a)InfectionControlProgram• Thefacilitymustestablishandmaintainaninfectionpreventionandcontrolprogramdesignedtoprovideasafe,sanitary,andcomfortableenvironmentandtohelppreventthedevelopmentandtransmissionofcommunicablediseaseandinfection.• §483.65(a)InfectionControlProgram• Thefacilitymustestablishaninfectioncontrolprogramunderwhichit–• (1)Investigates,controls,andpreventsinfectionsinthefacility;• (2)Decideswhatprocedures,suchasisolationshouldbeappliedtoanindividualresident;and• (3)Maintainsarecordofincidentsandcorrectiveactionsrelatedtoinfections.
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
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§ 483.65(b)PreventingSpreadofInfection
• F442• (1)Whentheinfectioncontrolprogramdeterminesthataresidentneedsisolationtopreventthespreadofinfection,thefacilitymustisolatetheresident.
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§ 483.65(b)(2)PreventingSpreadofInfection
• F443• §483.65(b)(2)Thefacilitymustprohibitemployeeswithacommunicablediseaseorinfectedskinlesionsfromdirectcontactwithresidentsortheirfood,ifdirectcontactwilltransmitthedisease.
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
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§ 483.65(b)(3)PreventingSpreadofInfection
• F444• §483.65(b)(3)Thefacilitymustrequirestafftowashtheirhandsaftereachdirectresidentcontactforwhichhandwashingisindicatedbyacceptedprofessionalpractice.
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§ 483.65(b)Infectioncontrol
• (b) Infectionpreventionist. Thefacilitymustdesignateoneormoreindividual(s)astheinfectionpreventionist(s)(IPs)whoareresponsibleforthefacility'sIPCP.TheIPmust:• (1) Haveprimaryprofessionaltraininginnursing,medicaltechnology,microbiology,epidemiology,orotherrelatedfield;• (2) Bequalifiedbyeducation,training,experienceorcertification;• (3)Workatleastpart-timeatthefacility;and• (4) Havecompletedspecializedtrainingininfectionpreventionandcontrol.
• (c) IPparticipationonqualityassessmentandassurancecommittee. TheindividualdesignatedastheIP,oratleastoneoftheindividualsifthereismorethanoneIP,mustbeamemberofthefacility'squalityassessmentandassurancecommitteeandreporttothecommitteeontheIPCPonaregularbasis.•
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
10
§483.65(c)Linens• F445• §483.65(c)Linens• Personnelmusthandle,store,process,andtransportlinenssoastopreventthespreadofinfection• Intent:§483.65(c)• Theintentofthisregulationistopreventthespreadofinfectionthroughlinens.• InterpretiveGuidelines:§483.65(c)• Soiledlinensshouldbehandledtocontainandtominimizeaerosolizationandexposuretoanywasteproducts.Soiledlinenstorageareasshouldbewellventilatedandmaintainedunderarelativenegativeairpressure.Thelaundryshouldbedesignedtoeliminatecrossingofsoiledandcleanlinen.
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TheChallenges
•Mostlong-termcarelaundryfacilitiesarenotaccreditedorcertifiedforadheringtoestablished,CMSFTag,CDCGuideline,OSHARegulations,HLACStandards,ofTRSAHygienicallyCleanCertification•CMSFTag,CDCGuideline,OSHAaremandatory,HLACandTRSAarevoluntary
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
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InfectionControlTodayMarch8,2011
“Ofallthesurfacesinahospital,apatientwillhavethegreatestdegreeofcontactwithhis
gownandthebedlinens.”LynneM.Sehulster,PhD,M(ASCP)(retired)
PreventionandResponseBranchDivisionofHealthcareQualityPromotionCentersforDiseaseControlandPrevention
Atlanta,GA 30329-4027
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InterpretiveGuidelines:§483.65(c)
•ThereareclearStandardsandguidelinesforhandlingcontaminatedHCTs,butnothingregardingthehandling,storage,anddistributionofhygienicallycleanHCTs.•Howdofacilitiescarryoutthosedirectiveswithoutstandardizedandacceptedprocesses?• Lefttotheirowndevices,facilitieswillinstituteappropriateprocesses,over-zealousprocesses,impotentprocesses,ornoprocessesatallleavingresidents,patientsandstaffexposed.
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
12
MultimodalandMultidisciplinaryIntegrationofInfectionPrevention
Processes,IncludingTextiles•What’sMissing:•Communication,Cooperation,Collaboration
•Between:•Owners•Administration•Nursingleadership• InfectionPreventionist– ifthereisone•RiskManagement•QualityManagement•Front-LineStaff
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HealthcareTextiles(HCTs)Handling
CMS483.65(c)states:“Personnelmusthandle,store,processandtransportlinensoastopreventthespreadofinfection.”Applicabletocontaminatedand hygienicallycleanHCTs.Unfortunately,toomanyfacilitiesinterpretthisrequirementasapplicabletocontaminatedHCTsonly,nothygienicallycleanHCTs.
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
13
MicroorganismSurvivalonClothingandUniforms
•NeelyandMaley:JClin Microbiol 2000;38:724-726•NeelyandOrloff:JClin Microbiol 2001;39:3360-3361•PerryC,etal.JHosp Infect2001;48:238-241•TakashimaM,etal.AmJInfectControl2004;32:27-30•Wiener-WellY,etal.AmJInfectControl2011;39:555-9
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SourcesofInfectiousMicrobes
• Patients• Staff• HandsandEnvironmentalsurfacesarethemaintransmittersofhealthcare-associatedinfections.• Followedbyworkclothingandotherinanimateobjects.
Bacteria,fungiandviruses,whichonlytransientlycolonizeontheskin,areeasilytakenupandpassedon,eitherthroughdirectcontact– fromtheskintotheskin– orthroughindirectcontact– fromsurfaces,objects,equipmentandsharedmedicaldevices.
F441§485.65InfectionControl,CMSManualSystem,Publication100-07StateOperationsProviderCertification,DepartmentofHealth&HumanServices,CentersforMedicare&MedicaidServices,Transmittal55:December2,2009.
26
InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
14
Trust,butVerify
• ENVIRONMENTALSERVICES• LAUNDRYMANAGEMENT• INFECTIONPREVENTION• RISKMANAGEMENT• QUALITYMANAGEMENT
• Eachhasaresponsibilitytovisitthehealthcarelaundryfacility,whethercontractedorin-house,toreviewprocessesandcleanliness.
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MECHANICALACTION
PRODUCTCONCENTRATION
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
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15
IndustryObservation
“Washing of the linen is only one part of theprocess of providing clean linens for storage.Each stage in the linen flow cycle from wash,finishing, transport, storage and point of useinvolves various opportunities for contaminationof linen if proper training, cleaning and processesare not enforced.”
• CarrieArmstrong,Ecolab,Eagan,MN
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BestPractice
Everysurfacethattouchesthehealthcaretextilemustbeashygienicallycleanasthetextileitself.
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
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HLACStandards• IncorporatesregulationsfromOSHA,FDA,andEPA• Evidence-based,peer-reviewedbestpracticesandrecommendationsforinfectionpreventionandlaundryproceduresfromfederalagenciessuchastheCDCandprofessionalentitiessuchas:• AssociationfortheAdvancementofMedical
Instrumentation(AAMI),• AssociationofperiOperativeRegisteredNurses
(AORN),• AssociationforProfessionalsinInfectionControland
Epidemiology(APIC),• FacilitiesGuidelinesInstitute(FGI)
• FreeStandardsDownload:HLACnet.org
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Bytheway...
•HCTsincludeEnvironmentalServicesinfectionpreventiontextilescommonlyreferredtoasrags,mops,anddusters.•TheseessentialinfectionpreventiontextilesareoftenprocessedinfacilitiesorinwaysthatdonotproducehygienicallycleanHCTs.•ThepotentialexistsforintroductionofnewpathogensintoapatientcareenvironmentandorexposuretotheEnvironmentalServicesstafftocontaminatedinfectionpreventiontextiles.
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
17
Transportation,Distribution,andStorageofHCTs
•FacilitiestoinstitutePolicy&Procedurestoproperlyaddressthetransportation,distribution,andstorageofhygienicallycleanHCTs.•Facilitiestotrainstaffintheproperprocessestobefollowedinthetransportation,distribution,andstorageofhygienicallycleanHCTs.
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ProcessesforHandlingHygienicallyCleanHCTs
•AllcontactwithcleanHCTsandtheisolationgownneedstobeabovewaistlevel*•Thereisthepossibilityofcontactwithcontaminatedsurfacesandthegarmentinthethighandhipareas.
*NOTE:Forthestaffpersonmakingthebedinanoccupiedroom
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
18
ProcessesforHandlingHygienicallyCleanHCTs
•Duetotheproliferationofpathogensonuniforms,staffshouldneverhugHCTstotheiruniform.• Unloadingfromlaundrybins/trucksontoracksinacleanlinenstoragearea;•MovingHCTsfromstorageareatocarts;• Removingfromlinencartstoapatientroom;•WhenHCTsarebeingusedtomakethepatientbed.
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ProcessesforHandlingHygienicallyCleanHCTs
•AllcleanHCTstorageracksorcartsmustbecoveredwithcommerciallyavailablecoverstopreventthecontaminationofhygienicallycleantextilesfromairbornedust,dirt,andpathogens.•StorageofcleanHCTcartsmustalwaysbesecuredinclosetsorroomstopreventpatients,familymembersandallotherpersonnelfromhandlingthetextileswithouttakingpropercontactprecautions.
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
19
ProcessesforHandlingHygienicallyClean
• IfHCTsmustbeleftunattendedeitherincartsinthecorridorsoratachartingworkstation,thecartandworkstationshouldbecleaned,disinfectedandcapableofbeinglockedsoastoensurethehygienicintegrityoftheHCTs.
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ProcessesforHandlingHygienicallyClean
•HCTsshouldnotbestoredinpatientroomstominimizeexcesslaunderingexpenses.•AllHCTsplacedinthepatient'sroomshallbeconsideredreservedforuseforthatpatientandshallnotbetransferredtoanotherpatient'sroomwithoutlaunderingpriortouse).
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
20
Considerations
• DoaValueCostAnalysisofhavingacommercialhealthcarelaundrylaunderallHCT’s– notresidentpersonalclothing• EnsuringallEnvironmentalServices(EVS)/HousekeepingstafftrainedbyanoutsideorganizationtolearnBestPracticesandIndustryStandards• DoawaywithragsandcottonstringmopsinEVSanduseHealthcareGradeUltra-Microfiber(HGUM)wipers,mops,andhigh-dusterssuppliedbyarentalcompanythatlaunderstheaccordingtoCDCLaundryGuidelines• IncorporatetheAssociationfortheHealthcareEnvironmenttrainingcertificationclassesforEVS• IfthefacilitycontinuestolaunderHCTsonsite,downloadtheHLACStandardsforFREEatHLACnet.org andincorporateasmanyoftheStandardsaspossible
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TheArtofProperLinenManagement
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
21
ManagingLinensandLaundry
•UseStandardPrecautions.•Observehandhygienepractices.•Foldorrollheavilysoiledlaundry.•Avoidairborneparticulates– donotshake.•Holdsoiledlinenawayfromyourclothes.•Removelargeamountsofsolidwastefirst.•Placesoiledlaundryintobaginpatientroom.
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CleanLinen
•Cleanlinenshallbestoredinenclosedclosetorcoveredcarts.•Cleanlinenshallbecoveredwhilebeingtransportedindedicatedcarts.•Cleanlinensuppliesshallbespatiallyseparatedfromsoiledlinen.• Linenplacedinapatientroomistobeusedtomeetanimmediateneed.Itisnottobestockedintheroom.•Upondischarge,thelinenisconsideredcontaminatedandmustbehandledassuch.
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
22
MobileCleanLinenCarts
• Smallmobilelinencartsmaybefilledandusedduringaworkshift.• Linencartsaretobecoveredatalltimes.• Linencartsaretocontainonlycleanlinen.• Noitemsaretobestoredontopofacart.• Alllinenstoragecartsmusthaveacartcoverandasolidbottom.
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• Soiledlinenshallbekeptinclosedorcoveredcontainerswhilebeingcollected,transportedorstored.• Shallbeseparatefromcleanlinens• Soiledlinenshallbeneithersortednorrinsedinpatientrooms.• Properstoragefacilitiesshallbeprovidedforkeepingcleanlineninsanitaryconditionpriortouse.• Cleanlinenshallbetransportedinclosedconveyanceusedonlyfortransportingcleanlinen.• Usedorsoiledlinenisconsideredcontaminated• Used,soiledorcontaminatedlinenisidentifiedaslineninauniquecoloredlinenbag• Soiledlinenshallbecovered(orbeinclosedbags)whilecollected,transportedorstored.• Shallbehandledaslittleaspossible• Duringremovalorbagging,soiledlinensshouldnotbeshaken,manipulatedorcarriedagainsttheclothing
ComplyWithStateorProvinceRegulations
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
23
• Useleak-resistantbagsforlinenscontaminatedwithbloodorbodysubstances.• Bagscontainingcontaminatedlaundry mustbeclearlyidentifiedwithcolor-coding.• Handlecontaminatedlinenswithminimumagitationtoavoidcontaminationofair,surfaces,andpersons.• Donotsortorpre-rinsecontaminatedlinensinpatient-careareas.
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FreestandingHampers
• Freestandinghamperswithlidsorcoversmaybeusedforholdingsinglelinenbagstobefilledduringaworkshift.• Whenfilled,thebagsshouldberemoved,closedandplacedinthelargestoragecontainerinasoiledutilityroom.• Hampercoversmustbeclosedwhileholdingsoiledlinens.
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
24
Soiledlinen
•Shallbebaggedatthepointofuse.•Shallbesinglebaggedinapprovedlinenbags.• Linenbagsshouldbenomorethan1/2- 2/3fullsothebagcanclosecompletelyandnotcausebodilyinjury.•Shallbedoublebaggediftheoutsideofthesinglebagiscontaminatedwithfluidsorsolids.•Shallbedoublebaggedifthelinenisblood-soakedandmaycausesoak-through.
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
25
InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
26
InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
27
Reviewthefollowingslidesandidentifyall
violations
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
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InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
29
InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
30
InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
31
InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
32
InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
33
InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
34
Thank you for keeping residents
safe!
InfectionControlandPreventioninLong-TermCareFacilitiesandHealthcareLaundryJohnScherberger,HealthcareLaundryAccreditationCouncil
AWebberTrainingTeleclass
HostedbyDr.LynneSehulsterwww.webbertraining.com
35
References
www.osha.gov/SLTC/etools/hospital/laundry/laundry.html#ContaminatedLaundry
www.osha.gov/SLTC/etools/hospital/housekeeping/housekeeping.html#ContaminatedLaundry
www.cdc.gov/HAI/prevent/laundry.html
www.hlacnet.org/standards.php
www.ndhealth.gov/disease/hai/Docs/WebEx/NDHCFLaundry11162011.pdf
shea.confex.com/shea/2010/webprogram/Paper2072.htmlwww.chnola.org/Images/Interior/pdfs/mucormycosis%20pages/mucormycosis_outbreak_associated_with_hospital.98032.pdf
F441§485.65InfectionControl,CMSManualSystem,Publication100-07StateOperationsProviderCertification,DepartmentofHealth&HumanServices,CentersforMedicare&MedicaidServices,Transmittal55:December2,2009
EconomicBurdenofHealthcare-AssociatedInfectioninUSAcuteCareHospitals– SocietalPerspectiveAlbertMarchetti;RichardRossiterdoi:10.3111/13696998.2013.842922
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FormoreInformation
• JohnScherberger,FAHE,CHESP,CMIP,T-CSCT,VPEIHealthcareRiskMitigationPast-President,HLACSpartanburg,SC864-208-5750
"Whatisdoneisimportant, butmoreimportantlyishowitisdone.”- JohnScherberger
Thankyouforinvestingyourtimeviewingthispresentation.
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