Infection Prevention Infection Prevention Update – March 2014Update – March 2014

Marie Kassai, RN, MPH, CICMarie Kassai, RN, MPH, CIC

ReminderReminderUniversal Mandatory Transfer FormUniversal 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 FormUniversal 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 NewInfection 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 UpdateInfection 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 Infection Prevention in Anesthesia PracticeAnesthesia 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 InformationNew Information

• Clorox Bleach products – Previously Dispatch– Lost claim for C difficile and TB

• If you hear a rumor, check it out

• Other Info

New InformationNew Information

• Transplant Bank – OpenBiome– Massachusetts– Ongoing FDA Review

• SSI Guidelines - Comments

Hepatitis B Vaccine ChangesHepatitis 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 Recommendations Hepatitis B Vaccine 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 Recommendations Hepatitis B VaccineVaccine

• 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 ?????