Prevention Strategist 2020 Supplement by APIC Publications

Supplement to Prevention Strategist Magazine

The Year of COVID-19

How Industry Leaders are Responding to the Coronavirus Pandemic 08220 APIC Corp PS Supplement.indd 1

2020

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I write this letter as we approach the end of 2020 and look ahead to the New Year. 2020 has been unlike any year we have faced, especially for our members serving on the front lines fighting for their patients and frontline healthcare providers during the COVID-19 pandemic. During these difficult times, our APIC Strategic Partners have been right there alongside our members providing PPE, resources, and additional tools. Thanks to our Strategic Partners, APIC is able to open our resources and services to our members when you need us most. Because of the help of our Strategic Partners, we are also able to help combat COVID-19 by providing free access to important IPC research and guidance to all who need it. In this supplement, our Strategic Partners provide tips on staff education/training, environment of care, no-touch workflow, PPE, and ICRA best practices. Thank you to our 2020 APIC Strategic Partners for serving as stewards of infection prevention!

Connie Steed, MSN, RN, CIC, FAPIC 2020 President, APIC

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Contents 2 3M 4 Aerobiotix 6 Aramark Uniform Services 8 BD 10 Cantel 12 CIVCO Medical Solutions 14 Clorox 16 CS Medical 18 Diversey 20 Gojo 22 Medline 24 Pall Medical 26 PDI 28 Purplesun 30 Sterifre Medical 32 United Brotherhood of Carpenters

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s a healthcare infection control professional, vigilance and patient safety have always been a part your role. As the landscape has shifted, patients and caregivers alike have focused more than ever on disease transmission and the importance of personal protection, hand hygiene and cleaning monitoring. Guidelines and protocols have evolved rapidly to address sources of contamination and pathogens that may lead to infection. We take a holistic approach to reducing the risk of infection, and work with you to identify and help protect against the vulnerabilities for your patients and staff, clinical environment and practice.

People

Contamination from and transmission between people.

Practice

Staff training and resources.

Equipment & Enviroment

Contamination and transmission from medical equipment and high-risk areas throughout your facility.

People

Practice

One area of potential infection is people themselves. We can help you identify and reduce the potential to transmit infection in these areas.

Reduce the risk of infection by incorporating evidence-based protocols and training staff on guidelines and best practices.

• Respiratory tract • Skin • Incisions/ wounds • Catheters/tubes

• Guidelines and protocol • Clinical education • Staff training • Assessment and audits

Equipment and Environment Reduce the risk of contamination and transmission in high-risk patient care areas and multi-patient use instruments and devices. • Medical equipment, instruments and supplies • Environmental surfaces

• Mucous membranes • Body fluids • Aerosols 2

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Partnering to improve clinical outcomes The 3M™ Peak™ Clinical Outcomes Program provides you with the resources and partnership you need to define and achieve the outcomes most important to you, your patients and your organization. We offer customized assessment tools to empower you to drive compliance by streamlining the auditing process and providing customized guidance and feedback to help define success. Learn more at 3M.com/Peak. Reducing the risk of cross-contamination Explore science-based solutions to help reduce the risk of cross-contamination including hand hygiene, respiratory protection, skin protection, single-use and single-patient-use products, sterilization and cleaning and disinfection. Learn more at 3M.com/crosscontamination. Protecting patients and healthcare workers with single-use and single-patient use solutions Learn how adding single-use and single-patient use products to an already established infection prevention and control protocol can help provide patients and healthcare workers with another line of defense against cross-contamination among people and medical equipment. Learn more at 3M.com/singleuse. Science-based solutions for your ongoing healthcare needs Even during a pandemic, healthcare-acquired infection (HAI) surveillance continues, but it may be difficult to keep up with your facility’s initiatives. 3M is here to support you with science- and evidence-based solutions, guidelines, best practices and staff education to help you reduce the risk of infection complications and minimize inefficiencies in many areas that support your ongoing HAI efforts.

Learn more about 3M solutions for bloodstream infections, surgical site infections, environmental surface cleaning and monitoring, catheter and tube management, skin breakdown and more. Visit 3M.com/infectionprevention to get started.

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It’s in The Air — Making ORs Safer

Introduction

ll aspects of the operating room environment where pathogens reside, including the air, can create health risk for patients and providers. Recently more than 200 scientists appealed to the World Health Organization (WHO) to update their guidance regarding risk of airborne spread of COVID-19.1 In response, the WHO amended their guidelines to state: “Short-range aerosol transmission of COVID-19, particularly in specific indoor locations, such as crowded and inadequately ventilated spaces over a prolonged period of time with infected persons cannot be ruled out”, thus shining a light on the healthcare infection risk associated with contaminated air.2 As hospitals are re-opening for elective surgical procedures, this is an additional air associated risk that must be addressed to make operating rooms (OR) safest for healthcare providers and patients. Pathogens in OR air have long been understood to increase the risk of surgical site infection, especially for those patients receiving an implant.3 Bacteria can become transiently airborne on particulates including skin scales and hair fibers, making their way to the sterile field during the operation. In addition, there are a myriad of airborne toxins in surgical smoke plume, which pose a significant health risk to the surgical team.4 OR Air — Risk to Patients and Healthcare Providers A major aspirational goal for all ORs is zero preventable surgical site infections (SSI). However, the average incidence of SSI for hip and knee replacements alone is far from zero. For hip and knee replacements the average incidence of SSI is reported to be 0.5 to 2 percent.5 At the upper end of this range, this represents approximately 20,000 patients each year, each experiencing extended hospital stays, unnecessary pain and suffering and the potential of re-operation. Additionally, for each there is tremendous cost to both the patient and hospital, with one expert estimating >$400,000 per case.6 For other types of implant procedures the infection rates are higher. For example, for

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ventral hernia repair with mesh (implant) the average incidence of SSI is as high as 8%.7 Surgical-site infections resulting from contamination during surgical cases are most commonly associated with bacteria laden airborne particles.8 Currently air quality in ORs is addressed only with engineering controls (air pressure, air changes, in some locations HEPA filtration). However, as it has been demonstrated by experts, door openings and movement of surgical team members in and out of the OR can defeat the effect of these engineering controls. As patient and employee safety continues to become more central to the priorities of healthcare organizations, an increasing number of ORs are introducing adjunctive technology to boost air quality. One best practice example is the Illuvia air decontamination unit by Aerobiotix, combining UV-C disinfection and ultra filtration in a small mobile unit which does not disrupt the OR air flow. The Illuvia eliminates circulating airborne pathogens including viruses such as COVID-19, as well as bacteria circulating on particulates, and toxins found in surgical smoke. Conclusions In order to make ORs safest for patients and healthcare providers, efforts must be made to reduce the bioburden in all aspects of the environment including the air. Engineering controls alone are insufficient to eliminate bacteria laden particles and smoke plume. Adjunctive technology is a must if we are to optimally reduce health risk for providers and infection risk for patients. Illuvia provides a simple, easy to introduce, effective adjunct to engineering controls, making ORs safer.

Sue Barnes, RN, CIC, FAPIC is now an independent clinical infection prevention specialist, providing consultative services to industry partners including Aerobiotix. She retired as the national infection prevention leader for Kaiser Permanente after 30 years in 2016. ENDNOTES 1. Morawska L, Milton D. It is Time to Address Airborne Transmission of COVID-19, Clinical Infectious Diseases, ciaa939, https://doi.org/10.1093/cid/ciaa939 2. World Health Organization Transmission of SARS CoV2 https://www.who.int/news-room/commentaries/ detail/transmission-of-sars-cov-2-implications-for-infection-prevention-precautions Accessed July 20, 2020. 3. Gosden PE, MacGowan AP, Bannister GC. Importance of air quality and related factors in the prevention of infection in orthopaedic implant surgery. J Hosp Infect. 1998;39:173–180. doi: 10.1016/s01956701(98)90255-9 4. Hughes A, Hughes J. Electrosurgical smoke plume. Is it harmful to staff? Br J Perioper Nurs. 2001;11(6):252255. doi:10.1177/175045890101100603 5. Namba RS, Inacio MC, Paxton EW. Risk factors associated with deep surgical site infections after primary total knee arthroplasty: an analysis of 56,216 knees. J Bone Joint Surg Am. 2013 May;95(9):77582. doi: 10.2106/JBJS.L.00211 6. Parisi TJ, Konopka JF, Bedair HS. What is the Longterm Economic Societal Effect of Periprosthetic Infections After THA? A Markov Analysis. Clin Orthop Relat Res. 2017;475(7):1891-1900. doi:10.1007/s11999017-5333-6 7. Cobb WS et al. Incisional herniorrhaphy with intraperitoneal composite mesh: a report of 95 cases. Am Surg, 69 (2003), pp. 784-787 8. Chauveaux D. Preventing surgical-site infections: measures other than antibiotics. Orthop Traumatol Surg Res. 2015;101:S77–83. doi: 10.1016/j. otsr.2014.07.028

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Aramark Uniform Services

Supporting Frontline Heroes Throughout the last 10 months, the needs of our healthcare community have changed rapidly and often. In addition to ramping up our PPE production, we were honored to support these essential workers where we could. • Early on, we prioritized healthcare and essential business accounts to help ensure they received the necessary soap, sanitizer and other products they needed to continue their daily operations. • Because of the influx of patients in Chicago-area hospitals, an overflow pop-up hospital was built downtown. We quickly coordinated supplies such as bed linens, scrubs, non-surgical isolation gowns and microfiber towels to support the staff and patients. • In Dallas, American Medical Response (AMR) had run out of PPE for their first responders and reached out to our local facility. Our Dallas team responded by donating 250 reusable barrier gowns to assist in AMR’s pandemic response.

ack in March, we were all challenged to evaluate our work and personal lives differently as COVID-19 was spreading across the country. As an organization, meeting face to face with clients to see their obstacles firsthand was not an option, but we quickly learned that frontline workers were battling Personal Protective Equipment (PPE) shortages. We listened to the needs of care providers and went to work creating new solutions. From the beginning, we monitored updates from the US Centers for Disease Control and Prevention and the World Health Organization in order to properly inform our response. We enacted our corporate-wide Global Pandemic Plan as well as our Pandemic Preparedness and Disaster Recovery Plans specific to our Uniforms business. These plans outlined necessary measures and precautions to help keep our teams, clients, customers and community safe. Some of the measures we took to ensure a safer delivery process included: • Special handling procedures for COVID-19 contaminated soil

• Route Sales Representatives donning PPE as they interacted with customers • Contactless delivery options • Daily delivery truck cleaning and decontamination • Employees practicing social distancing and conducting temperature checks

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Safer, Cleaner, Healthier … When it Matters Most Aramark knew there was an opportunity to help acute-care businesses, so we leaned on our 70+ years of experience and quickly adapted our focus accordingly. We were already delivering professionally laundered uniforms and workplace supplies, but we also wanted to help hospitals and long-term care facilities set themselves up for success with their business continuity and recovery strategies. Our Safer, Cleaner, Healthier mission became our way forward. We were positioned to support businesses with products and services that could help keep their employees and customers healthier. From laundering with our sanitizing wash process1 to supplying non-surgical face masks, we shared our capabilities with companies navigating their new normal. Answering the Need Once we moved forward with our pandemic plan, we reset operations to help alleviate the strain on PPE, including medical garments. We were able to redeploy production lines to manufacture essential PPE for those working in hospitals and other critical roles. Within one week, we converted our Mexico facilities to design disposable and reusable non-surgical

isolation gowns and scrubs, and trained team members on making these new products. The gear was shipped to clients in healthcare, pharmaceutical, biotech, medical device and other vital industries across the country where employees relied on these supplies to perform their jobs. Our first shipment of scrubs and gowns went out in mid April, and we continue to produce these critical supplies. We also wanted to help relieve the growing face mask shortage. Our teams developed a non-surgical three-layer Preventive Washable Face Mask, which helped non-critical care providers return to work safely while reserving N95 face masks for frontline medical workers. We’re proud to have assisted with PPE availability during this unprecedented public health crisis and salute all frontline heroes for making our communities safer. REFERENCES 1. Aramark’s wash formulation meets EPA requirements for laundry sanitizing and provides a 99.9% reduction of the following organisms during the wash cycle: Pseudomonas aeruginosa, Klebsiella pneumoniae, Staphylococcus aureus and Methicillin-resistant Staphylococcus aureus (MRSA). Sanitized products are only provided to customers of Aramark who require and request their products be processed as containing bloodborne pathogens.

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Your Partner in Patient Preoperative Preparation Healthcare-associated infections remain an area of concern for hospitals — significantly impacting quality of care, costs and patient outcomes. BD offers an exclusive portfolio of fully sterile skin prep applicator products to assist infection preventionists as they strive to reduce healthcare-associated infection rates in health facilities.

educing healthcare-associated infection (HAI) rates remains a concern for infection preventionists (IP), and BD is committed to applying its expertise, resources and technologies toward developing innovative products that help IPs in the prevention of HAIs worldwide. According to the Centers for Disease Control and Prevention (CDC), about one in 31 hospital patients has at least one HAI.1 Though underappreciated, skin preparation solutions designed to reduce microorganisms on the skin before surgical procedures may contribute to contamination when nonsterile antiseptic solutions are used. BD has developed a proprietary and patented

BD PurPrep™ and BD ChloraPrep™ Feature

BD PurPrep™

BD ChloraPrep™

Uses a proprietary and patented process to sterilize the antiseptic solution inside the sealed ampoules located in the BD applicator.

Yes

Single-use applicator designed to improve antiseptic application and shorten application times versus standard scrub and paint methods.5, 6, 10, 11

Yes Yes

One-step application helps prevent crosscontamination and reduce variability to increase protocol compliance.3, 12

Yes Yes

Contains a fluid-resistant film-forming polymer to help create a durable antimicrobial barrier.13 Yes N/A No requirement for the use of a separate special remover lotion, saving hospitals both time and cost.14, 15

Yes

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process to sterilize antiseptic solution within sealed containers, and in 2019, BD ChloraPrep™ patient preoperative skin preparation with sterile solution was launched. BD ChloraPrep™ with sterile solution features a sterile solution chlorhexidine gluconate (CHG) inside the sealed ampoules located in the sterile BD applicator, helping to reduce the risk of contamination associated with nonsterile antiseptic solutions.2 The BD ChloraPrep™ single-use applicator also helps prevent cross-contamination as there is no ability to alter the sterile antiseptic solution during application.3 As the only 2% CHG/70% isopropyl alcohol (IPA), FDAapproved sterile skin antiseptic commercially available in the United States, fully sterile BD ChloraPrep™ adds further protection to the leading standard of care for preoperative antiseptic skin preparations. For situations where CHG plus IPA is contraindicated, or when a patient is allergic to CHG, BD PurPrep™ patient preoperative skin preparation with sterile solution, the first fully sterile povidone-iodine (PVP-I) plus IPA (IPA 72.5% w/w povidone-iodine 8.3% w/w [0.83% available iodine], PVP-I) in applicator form in the U.S., is an alternative to BD ChloraPrep™. In clinical studies, dual formulation PVP-I/IPA solutions demonstrated broad-spectrum antimicrobial properties and are compatible with current CDC guidelines for alcohol-based skin preps.4,5,6,7,8 Like BD ChloraPrep™, BD PurPrep™ solution’s patented sterilization process achieves a sterility assurance level of 10-6 — the same standard required for injectable products.9 With BD PurPrep™, BD now offers healthcare professionals a more complete set of tools to reduce the risk of both intrinsic and extrinsic contamination arising from skin preparation.

Endnotes 1. Centers for Disease Control and Prevention. HAI Data. Updated October 16, 2015. Accessed July 28, 2020. https://www.cdc.gov/hai/data/index.html. 2. U.S. Food & Drug Administration. Questions and Answers: FDA requests label changes and single-use packaging for some over-the-counter topical antiseptic products to decrease risk of infection. Updated October 16, 2015. Accessed July 31, 2020. https:// www.fda.gov/drugs/drug-safety-and-availability/ questions-and-answers-fda-requests-label-changesand-single-use-packaging-some-over-counter-topical. 3. PurPrep™ 10.5 mL Applicator Label. 4. Hemani ML, Lepor H. Skin preparation for the prevention of surgical site infection: which agent is best? Rev Urol. 2009;11(4):190-195. 5. Saltzman MD, Nuber GW, Gryzlo SM, Marecek GS, Koh JL. Efficacy of surgical preparation solutions in shoulder surgery. J Bone Joint Surg Am. 2009;91(8):1949-1953. 6. Ostrander RV, Botte MJ, Brage ME. Efficacy of surgical preparation solutions in foot and ankle surgery. J Bone Joint Surg Am. 2005;87(5):980-985. 7. ACS Guidelines. 8. Centers for Disease Control and Prevention Guidelines. Updated April 11, 2014. Accessed July 31, 2020. https://www.cdc.gov/hicpac/pdf/archive/2014-AprilHICPAC-meeting.pdf. 9. Degala, et al. United States Patent 9,078,934. July 14, 2015. 10. BD PurPrep™ patient preoperation skin preparation with sterile solution Instructions for use. 11. #4420 Wet PVP-I small procedure preoperative skin prep tray Instructions for use. 12. El-Othmani MM, Mahmood BM, Pearson L, Xi H, Delfino K, Saleh KJ. Assessment of standardization in surgical skin preparation: does a compliance-culture exist? Int Surg J. 2016;3:1-10. 13. Mashiatulla, M. (2020). Iodine-based Pre-Operative Skin Preparation Product Performance on Porcine Abdominal Skin. Internal BD report: unpublished. 14. Jeng, D. A new, water-resistant, film-forming, 30-second, one-step application iodophor preoperative skin preparation. Am J Infect Control. 2001, 29(6):370-376. 15. 3M™ Remover Lotion flyer. Accessed July 31, 2020. https://www.3m.com/3M/en_US/company-us/ all-3m-products/~/3M-Remover-Lotion-8610-5-fl-oz14-mL-/?N=5002385+3294795955&rt=d. Accessed April 14, 2020.

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Education for Experts, by Experts Cantel has been the industry leader in design, development, manufacture and sale of a full circle of infection prevention solutions for flexible endoscopy for over 40 years. Our comprehensive portfolio of products includes reprocessing systems, detergent and disinfectant chemistries, leak testing, cleaning products, drying cabinets, process tracking systems, and related consumables, supplies, and sterile single-use endoscopy accessories. Our services include a suite of accredited infection prevention clinical education programs, taught by masters and doctoral-prepared instructors.

nconsistent knowledge about infection risks and optimal endoscope processing practices contribute to failures in endoscope processing that cause patient injury and deaths.1 Scope reprocessing is a frequent source of The Joint Commission Immediate Threat to Life citations. Education on processing standards is the missing link in many facilities.

Comparative research conducted by Major Albert Knight, BSN, RN, U.S. Army, which used the CDC Framework for Program Evaluations, determined that the Cantel education program â&#x20AC;&#x153;was found to be superior to the other evaluated programs regarding completion of evidence-based recommended practice training and education elements, use of rationales to support training content, and use of multiple interactive learning modalities to enhance learnersâ&#x20AC;&#x2122; engagement and knowledge retention. Implementation of [this] standard program would limit process variability, promote continuous process improvement throughout the enterprise, and improve patient safety.â&#x20AC;?2 The estimated impact on the U.S. Defense Health Agency of standardizing to the Cantel program was prevention of 8,799 HAIs and savings of approximately $85M, annually.2 At Cantel, our mission is to partner with infection prevention advocates to elevate endoscope processing practice in a way that safeguards patient health, minimizes costs associated with Healthcare Acquired Infections (HAI), and improves employee productivity and working conditions. Using a research-based approach, our suite of products and services supports quality improvement efforts for every endoscopy touchpoint. No-Touch Workflow Traditional endoscopy workflow involves multiple points of endoscope handling. From bedside to storage, each time the scope is handled, it is at risk of damage or recontamination, putting patients and staff at risk. An integrated no-touch workflow involves far fewer opportunities for cross-contamination and scope damage. The use of a single cassette system allows an endoscope to move throughout the process without physical handling, decreasing the potential for damage. It also minimizes the possibility of aerosolized spread of

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surface contaminants and inadvertent touches that deposit environmental microbes onto patient-ready, disinfected scopes. The Cantel suite of reprocessing products enhances workflow, helps preserve successful high-level disinfection and reduces the likelihood of expensive endoscope repairs. High-Touch Education Cantelâ&#x20AC;&#x2122;s clinical education offerings include CE-accredited in-person training with one-hour, four-hour, one-day and two-day programs; online education modules; CE accredited Lunch-and-Learn modules; and CE-accredited webinars.

Education Backed by Data In the Knight evaluation of training courses, the Cantel education program was rated superior in providing evidence-based educational content, providing content with depth, clarity and comprehensiveness, and in content delivery. Cantel is proud be recognized as a best-in-class education provider in infection prevention for endoscope reprocessing.

For more information about Cantel education programs or products, visit www.endoinfectionprevention.com or call your Cantel or Medivators sales representative.

ENDNOTES 1. Ofstead, C.L., et al. (2010). Endoscope reprocessing methods: A prospective study on the impact of human factors and automation. Gastroenterology Nursing (33) 4, 304-311. 2. Knight, A. (2020). Evaluation of Flexible Endoscope Reprocessing Training and Education Programs (Unpublished doctoral dissertation). Uniformed Services University of the Health Sciences; AORN 2020 Poster.

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THE JOINT COMMISSION (TJC)

CIVCO Medical Solutions

released the top five requirements most frequently evaluated as “not compliant” for hospital accreditation. One of the most common “non-compliant” standards in 2017 was the reduction of infections associated with medical equipment, devices, and supplies. 72% of hospitals seeking TJC accreditation failed to meet this infection control standard.

1. Procedure: The CDC and FDA require or recommend a single-use ultrasound probe cover for semi-critical procedures. CIVCO’s full range of ultrasound probe covers serve as viral barriers to protect against microbial migration, including viruses, bacteria, and bloodborne pathogens.

Infection Control should work with departments utilizing ultrasound, such as radiology, cardiology, and anesthesiology, and those responsible for reprocessing ultrasound probes, such as Central Sterile, to assess whether The Joint Commission’s infection prevention standards are being met. CIVCO’s Confident Compliance offering protects the patient and clinician during an ultrasound procedure and helps reduce infection risk through proper transportation, pre-cleaning, high-level disinfection, and storage of the ultrasound transducer.

Ultrasound gel poses a contamination risk when used in ultrasound-guided needle interventions, such as central venous catheter (CVC) placements. Envision probe covers and scanning pads enable 100% gel-free ultrasound for general purpose transducers. The elimination of ultrasound gel reduces the risk of contamination and simplifies workflow for clinicians. 2. Transportation: Transporting ultrasound probes poses significant challenges since clean and dirty probes are transported throughout the facility multiple times a day. The Joint Commission recommends to “Remove the device from the room in a covered container…” and one ultrasound manufacturer specifies “To avoid damaging the shaft… Do not bend or coil the ﬂexible shaft of the transducer in less than a 1-ft diameter circle.” CIVCO’s TEE Transport Tray is designed to be compliant with transportation guidelines, helping reduce the risk of damage to the TEE probe and prevent crosscontamination.

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3. Pre-Clean: The CDC recommends precleaning ultrasound probes classified as semi-critical prior to high-level disinfection: “Cleaning is the removal of visible soil… from objects and surfaces and normally is accomplished manually or mechanically using water with detergents or enzymatic products. Thorough cleaning is essential before high-level disinfection...” CIVCO offers dry and enzymatic sponges, disinfecting wipes, and lint-free cloths to aid a compliant pre-clean process. 4. High-Level Disinfection: The expectation of highlevel disinfection for ultrasound probes is outlined by the CDC’s recommendations: “Probes such as rectal and vaginal, cryosurgical, transesophageal probes or devices also should be high level disinfected between patients.”

ASTRA reprocesses probes in 10 to 16 minutes and can disinfect up to two probes at once. ASTRA is compatible with three industryleading reusable high-level disinfectants — Revital-Ox® RESERT®, CIDEX® OPA, MetriCide™ OPA Plus – reducing cycle costs. 5. Storage: The Joint Commission recommends storing ultrasound probes and other semi-critical devices “…in a manner that will protect from damage or contamination…hanging vertically in a cabinet and storing in a clean environment.” CIVCO ultrasound probe storage cabinets are designed to provide a safe and clean storage environment that hangs transducers vertically and keeps probes separated from connectors and cords.

Infection preventionists are the leaders in the fight to reduce healthcare-associated infections. CIVCO is proud to partner with healthcare providers in the effort to make ultrasound procedures safer for patients and clinicians. Visit CIVCO.com to learn more.

Our ASTRA automated high-level disinfection systems for TEE, vaginal, and rectal ultrasound probes provide a standardized, efficient workflow that helps achieve infection control compliance. ASTRA automates the data logging and consumable tracking outlined by The Joint Commission standards. The ASTRA system walks the user through the disinfection process with clear, easy-to-follow steps.

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Thank you to our frontline heroes You work tirelessly to protect us, thank you. Over the course of this past year, we’ve stood by our core company value: Do the Right Thing. To do our part in this global pandemic, the Clorox Company has donated $14 million in relief efforts fighting coronavirus. While you keep doing your part, APIC partners, please know we are privileged to do our part in supporting you.

n today’s global economy, people and germs travel fast. The burden of illness extends beyond individuals to families, workplaces and entire communities. The impact of COVID-19 is the most recent example of the consequences of a highly connected world, in addition to the recurring outbreaks of flu, norovirus and foodborne illness. Urgent action is needed to protect our communities. Since 1913, The Clorox Company has played a critical role in public health by enabling cleaner, healthier, and safer environments through innovative household products. Clorox Healthcare built on this expertise to develop a robust portfolio of cleaning and disinfecting solutions designed to safeguard healthcare environments, where we come together to work and heal. More than 4,300 U.S. hospitals1 rely on Clorox Healthcare disinfectants to safeguard patient environments. Our mission is to partner with healthcare professionals to eliminate the environment as a source of infection. We do so through science-backed products and technologies such as U.S. Environmental Protection Agency (EPA)-registered healthcare disinfectants, electrostatic sprayer technologies, and professional cleaning and odor removal products. And today, we remain steadfast in our commitment to our mission. Our core value was demonstrated amidst the height of the pandemic where we innovated to meet an unparalleled product demand. As Clorox continues to prioritize public health, we strive to increase supply of the disinfectants effective against the spread of SARSCoV-2.2 For example, we focused on increasing our hospital-grade bleach supply by 5x for healthcare facilities and created a new 55-gallon bleach-drum innovation, which we delivered to some of the largest healthcare facilities in the U.S. Each 55-gallon drum cleans up to 14,000 hospital rooms. But, every day brings new challenges that require new solutions. We know there’s more that we can do. As the pandemic continues and enters new phases, we are continuing to innovate to support you and your healthcare facilities.

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On-Demand Accredited Continuing Education Courses for Healthcare Professionals Stay informed on important infection prevention topics and best practices with our free on-demand accredited continuing education (CE) courses. CE webinars available at: https://www.cloroxpro.com/ educational-courses.

Looking Ahead In addition to delivering product, we want to continue to be the resource that you turn to first for the latest information on products and safety. We have a robust collection of resources that can help train your infection prevention and environmental services (EVS) teams, educate on important topics, and brush up on critical aspects of infection prevention. Our resources range from proper product usage, cleaning and disinfection protocols, to team engagement. We continually update these materials with input from our internal clinical and scientific affairs experts as well as infection preventionists currently in the field.

ENDNOTES 1. Source: Clorox Answers Shipment Report July 2018 2. Full list of products effective against SARs-CoV-2 https://www.cloroxpro.com/resource-center/2019-novelcoronavirus-2019-ncov/

Pathogen and Infection Prevention Info Have a question on a pathogen? Need to share educational materials with front-line staff? Search our science-backed articles, infographics, usage guides, videos, and more at our online educational resources hub: https://www.cloroxpro.com/ resource-center. Professional Cleaning and Disinfection Insights A blog from industry experts devoted to infection prevention best practices, public health awareness, and sharing the latest environmental disinfection trends found at: https:// www.cloroxpro.com/blog. Video Library CloroxPro.com has more than 50 videos that explain how to use our products, how to properly conduct a terminal cleaning, as well as pathogen education videos on infection prevention topics including C. auris, CRE and more: https://www.clorox pro.com/resource-center.

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ince our inception in 2003, CS Medical has pioneered the development and manufacture of medical devices designed to care for transesophageal echocardiogram ultrasound (TEE) probes. CS Medical’s mission is to assist infection preventionists (IPs) in putting an end to the spread of healthcare associated infections (HAIs). So far, we have helped high-level disinfect over six million TEE probes across the USA and around the globe. Our products and services help ensure each TEE probe is fully cleaned and high-level disinfected using repeatable, science-based solutions providing consistent results every time. Our relentless pursuit for new and improved solutions to the hard work of reprocessing TEE probes continues to be at the core of everything we do. Applying our rigorously high standards and unmatched expertise, CS Medical provides cutting-edge solutions to every step of TEE probe care, including: bedside cleaning, cleaning, transportation, high-level disinfection, drying, and storage. One of our latest innovations, TEEClean® Automated TEE Probe Cleaner Disinfector, is a testament to our commitment to the health and safety of medical patients and staff. By eliminating manual cleaning and high-level disinfection, TEEClean® minimizes TEE probe handling and consistently provides exceptional outcomes.

TEEClean® Automated TEE Probe Cleaner Disinfector • Fully automated cleaning and high-level disinfection of TEE probes.

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• HIPAA-compliant retention of over 15,000 records.

• Validated for use on emerging pathogens.

• Enables your facility to remain compliant with current Joint Commission requirements.

• On-screen preventive maintenance reminders and step-by-step video instructions.

• Uses 5-nanometer filtered water, ensuring probes stay contaminant-free during rinse cycles.

• Electronic records of all cleaning, disinfection and maintenance for download and print.

• First FDA-cleared and validated automated method for cleaning and high-level disinfection of TEE probes.

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Reprocessing TEE probes and keeping them high-level disinfected until their next use is a hard task. At CS Medical, we know healthcare professionals and IPs are in short supply and are often overburdened with heavy loads. Our solution for all the difficulties posed by TEE probe reprocessing is TEE Complete Care®. TEE Complete Care® provides healthcare facilities all the tools needed to successfully reprocess probes efficiently and with scientifically validated and repeatable results. To start, our TEEZyme® Enzymatic Sponge simply and effectively bedside cleans probes immediately after use, removing organic and inorganic soil. The TPorter® TEE Ultrasound Probe Transportation and Procedure Case then safely delivers the enzymatically treated TEE probe from the procedure room to the designated area for reprocessing. Now the probe is ready for cleaning and high-level disinfection. CS Medical has developed the revolutionary TEEClean® Automated TEE Probe Cleaner Disinfector, the first product of its kind to be cleared by the FDA. TEEClean® cleans and high-level disinfects probes to manufacturers’ specifications, all in one device and with minimal input from the user. This minimizes the amount of handling and moving each probe undergoes, helping protect these delicate, expensive devices and keep them undamaged. Once the TEE probe emerges from the TEEClean, special care must be given to drying and storage to ensure the probe stays high-level disinfected. Using CS Medical’s QwikDry® Ultrasound Probe Drying Cloth keeps the probe disinfected and thoroughly dries it for storage in the CleanShield® TEE Ultrasound Probe Storage Cabinet. In the CleanShield®, probes are hung vertically within a HEPA-filtered environment, as recommended by The Joint Commission. According to a study commissioned by CS Medical, probes may be stored in the CleanShield® for up to seven days and stay contaminant-free.

Interested in learning more about how CS Medical can provide solutions to your facility’s TEE probe reprocessing procedure? Call us at 877-255-9472 or email our team at sales@csmedicalllc.com.

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iversey is a pioneer and facilitator for life, helping improve patient outcomes by creating a safer and more satisfying environment of care. Solutions Designed for Healthcare™ is an integrated approach targeted to reduce the risk of HAIs, improve outcomes and satisfaction, and safely and sustainably enhance a facility’s image, Diversey supports customers with: • Resources to address emerging needs • Facilitation of evidence-based cleaning and disinfection practices • Industry leading cleaning and disinfection technologies; and • Integration of products, processes, training and measurement systems to help customers improve results, reduce risk, lower overall cost and provide the best possible patient experience

FOR MORE INFORMATION, VISIT:

Solutionsdesignedforhealthcare.com www.diversey.com SOCIAL MEDIA:

www.sdfhc.com https://www.facebook.com/diversey/

The Challenges Our Industry Faces Emerging pathogens, such as SARS-CoV-2, have increased the focus on disinfection processes. There is an increased demand for faster, more effective disinfectants, along with process compliance. Facilities are focused on standardization of processes, thoroughness of cleaning, and increased cleaning frequencies to ensure cleaning and disinfection outcomes are improved. There are many considerations to ensure optimization including clearly defined roles and responsibilities, having the right tools to do the job to ensure both compliance and efficiency, and leveraging validation programs to improve processes and focus ongoing training. Since variation in cleaning process quality is a cause for concern, there has been a stronger demand for adjunct technologies, such as UV-C disinfection devices, to help reduce variation and risk to ensure a safer environment for staff, patients, and visitors. 18

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Creating a Safer and More Satisfying Environment of Care Diversey can provide staff with the right products and tools to streamline processes, reducing labor and turnover time. Products and tools that get the job done faster (quicker dwell times, fewer steps) drive efficiency. For high-touch surfaces, Diversey’s Oxivir® AHP® disinfectant cleaners are fast, effective against pathogens of concern, and responsible for use by staff and patients. Diversey also provides other solutions, such as Virex® disinfectant cleaners for large area cleaning and task oriented disinfectant cleaners, such as the new Titan® Sporicidal Disinfectant Cleaner Tabs and Avert Sporicidal Disinfectant Cleaner. Diversey’s VeriClean™ System offers a comprehensive, cost-effective cleaning validation program that objectively measures cleaning and disinfection effectiveness. Adjunct technologies, such as the MoonBeam™3, have been implemented across many facilities, adding UV-C disinfection assurance to reduce the risk associated with the environment. MoonBeam3 device is highlyeffective with fast cycle times, streamlining workflows. It is easy-to-use, offers several safety features, and its portability makes it easy to store and transport across facilities, ensuring the units are available when and where they are needed. These devices are also very affordable to purchase, operate and maintain. Leading products in the Diversey infection prevention portfolio include Oxivir® AHP®, Virex® and Titan® Disinfectant Cleaners, TASKI® Machines, including large area spraying technologies, CleanPatch® Mattress Repair Systems, VeriClean™ Cleaning Validation Program, and MoonBeam™3 UV-C disinfection technology. Diversey works with customers to assess and address infection prevention needs, helping create standardized procedures to ensure best practice implementation with ongoing support to help drive continuous improvement. Diversey’s solutions integrate products, processes, training and measurement systems to improve results, reduce risk and lower overall cost. Our goal is to help you reduce risk, while cost-effectively improving facility appearance.

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Electronic Monitoring Solutions

s your hospital defines the “new normal” in healthcare, PURELL SMARTLINKTM Technology and Services is here to help. We focus our efforts on data-driven solutions, supporting you with nearly 30 years’ clinical experience, to help you improve performance and achieve your goals. By working together, you can focus on what matters most — your patients. Using these tools and resources you can compile a clear picture of your hospital’s hand hygiene practices; eliminate human error and guesswork with concrete metrics and reliable data; and get credit for all you do with a system that supports and validates your continual efforts.

When you adopt PURELL SMARTLINK Technology, you also get the benefit of hand hygiene products from the #1 brand of hand sanitizer in hospitals.1 PURELL® soap and sanitizer formulations are powered by science, and our dispensing systems are designed with decades of expertise for a complete solution for your hospital’s hand hygiene needs.

PURELL SMARTLINK Full Suite of Solutions • Integrated Monitoring System: Track hand hygiene on an individual level, for direct accountability. • Activity Monitoring System: Room sensors collect data on a group level, in and out of patient areas. • Data-Driven Insights: Create quick, easy-to-read reports that are reliable and actionable. • Expert Clinical Support: Clinicians work with facility and IP teams to just-in-time coach and create custom programs. • Observation System: Mobile app and web-based software make direct observation more effcient. • Service Alerts: Never worry about empty dispensers, expired product, or dead batteries again. 20

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Instilling Confidence As hospitals reopen services, patients are seeking assurances their well-being is a priority from the moment they walk through the door. Empty dispensers and lack of hand hygiene products in the right places send the wrong message. PURELL SMARTLINK solutions can prevent those disappointing moments with alerts that streamline maintenance and improve service. Paired with a brand that is universally recognized and trusted to provide safe and effective protection from germs,2 you effectively communicate your high standards and instill confidence. Building Effective Strategies PURELL SMARTLINK Technology paints a clear picture of where you stand today and allows your hospital to monitor, measure, and improve hand hygiene with real, substantiated data. Our innovative measurement tools can be used individually or together to create a program that works best for your environment and caters to your hospital’s unique needs. Efficiency Through Innovation As your hospital seeks to maximize resources, it is important to find efficiencies that save time and reduce waste without detracting from patient care. Our monitoring systems allow your team to have eyes on every dispenser in your network, and service alerts let them know when batteries or refills need to be changed. Proactive, rapid response ensures hand hygiene products are available to patients and healthcare workers in critical moments. That means more time can be spent on important maintenance responsibilities and less time checking dispensers.

To learn more visit GOJO.com/PreventionStrategist ENDNOTES 1. GOJO Industries, Inc., Market Research — External Market Research, 2017 PURELL Hand Sanitizer HPIS Data, 1 July 2018. 2. GOJO Industries, Inc., Market Research — Internal Market Research, 015-063, 7 April 2015. ©2020 GOJO Industries, Inc. All rights reserved. | 30744 (08/2020)

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We make healthcare run better Medline is the largest privately held manufacturer and distributor of medical supplies uniquely positioned to provide products, education and support across the continuum of care. Our ability to bring best practices from one care setting to another — from large healthcare systems and independent physician practices to home health patients and their families, is what sets us apart. Our team is made up of clinicians, researchers, engineers, financial experts and 1,200 direct sales representatives with outstanding expertise. They know the healthcare business from the bottom up and top down.

reating a unified approach to infection control and prevention begins and ends with you, the infection preventionist (IP). As the expert, we know you are responsible for implementing strategies across your organization to promote positive patient outcomes and prevent the transmission of infection. Your role is challenging. Frontline staff is stretched thin with many competing priorities. Lack of standardization of practice can drive risk for infection, and staff knowledge levels of best practices may vary broadly across your organization. Limited access to products for family, caregivers and other hospital staff can also make compliance daunting. On top of all that, infectious organisms—from bacteria to viruses to fungi—are often insidious and difficult to trace because of the many ways they can be transmitted, whether through objects and surfaces in the environment, through human-to-human contact or during clinical procedures.

Three-zone Defense Our infection prevention approach helps you engage all staff across your organization to take ownership of infection control strategies within three key zones: Environment of care GOAL: Minimize the spread of pathogens on surfaces by using proper disinfecting products and protocols. Human-to-human transmission GOAL: Protect patients, staff and visitors from cross-contamination with access to the proper PPE and hand hygiene, as well as education on best practices. Patient procedure GOAL: Make it easy for frontline staff to follow aseptic technique to help prevent healthcare-acquired infections (HAIs), including catheter-associated urinary tract infection (CAUTI), bloodstream infection (BSI), surgical site infection (SSI) and ventilator-associated and non-ventilator hospital-acquired pneumonia (VAP and NV-HAP).

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Driving Sustainable Outcomes with a Proven Process Our proven process identifies gaps and opportunities in your practice and provides recommendations for continuous improvement. Our team then works with you to implement your customized plan and track your progress. BEST PRACTICE GUIDANCE. We make recommendations for standardizing product selection across the organization and inform your practice based on published professional guidelines from organizations such as the Association for Professionals in Infection Control and Epidemiology (APIC), Association of Vascular Access (AVA), American Association of Critical Care Nurses (AACN), the Centers for Disease Control and Prevention (CDC) and others.

STAFF EDUCATION AND TRAINING. We provide a blend of online and hands-on training, including train-the-trainer kits, videos, posters, and online courses. SYSTEM OF PRODUCTS. Our intuitively designed

kits support best practices and make it easy for staff to do the right practice every time. Onsite or virtual training ensures your staff learns how to effectively use the products. Our infection prevention approach can help you minimize the spread of pathogens with a three-zone strategy that inspires shared accountability across your organization. We work with you to zone in on zero harm.

To learn more and request a free discovery assessment, visit medline.com/go/infection-prevention.

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ore than 20 years ago, Pall Medical introduced the first disposable Point-of-Use Water Filter to the market, providing a unique solution for removing waterborne pathogens delivered to the outlet from the drinking water distribution system. This unprecedented innovation brought an ease of use that revolutionized hospital hygiene and water management for healthcare facilities. Our 20 years of experience in developing water filtration solutions from the Point-ofEntry to the Point-of-Use, led us to develop and evolve the Pall-AquasafeTM and Pall QPointÂŽ Point-of-Use Filter families, with the highest level of quality, reliability and technical support, as described below. Filters are Part of Water Management Pall Point-of-Use Water Filters are compatible with a wide range of chemicals commonly used for systemic disinfection, including chlorine, monochloramine, and chlorine dioxide. Pall-Aquasafe and Pall QPoint are compatible with commonly used surface disinfectants such as active chlorine, iso-propyl alcohol, quaternary ammonium compounds, benzyl ammonium chlorides, and non-ionic surfactants. In addition, to minimize the risk of inadvertent retrograde contamination, the housing of Pall-Aquasafe and Pall QPoint Point-of-Use Water Filters contain a non-leachable bacteriostatic additive.

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Pall Filters are 100% Manufacturer Tested for Membrane Integrity, Leak Tested for Pressure Decay and Visually Inspected. The double layer sterilizing grade SuporÂŽ membrane of Pall-Aquasafe and Pall QPoint Point-of-Use Water Filters is validated at 0.2 Îźm for the complete retention of common waterborne pathogens such as Legionella pneumophila and Pseudomonas aeruginosa following the principle of ASTM F838-15a. Their performance is demonstrated by several independent scientific publications. Our Point-of-Use Water Filters are assembled using mechanical methods only. No glues or resins are used in the manufacturing process. Glues and resins may be used to assemble Point-of-Use Water Filters, providing nutrients that support bacterial growth. Glues and resins may also soften under warm water temperatures or when in contact with chemicals, leading to a breach in filter integrity or material leaching. Filtration Portfolio and Laboratory Services Every building has a unique water system and therefore a unique mix of requirements regarding contamination control. Filtration can remove particulate, chemical and microbial contamination that may adversely affect equipment and users of that water system. Pall Medical offers a broad range of filter systems from Point-of-Entry to Point-of-Use. Pall Medical has a unique portfolio that can provide tailored filtration solutions for our customers in areas such as point-of-entrance, cleaning of equipment used in medical procedures, and pointof-use. Pall Scientific and Laboratory Services Global Technical Support provides many relevant services so customers meet their water filtration needs, including filter blockage investigation/analysis, silt density index (SDI) analysis, and filter integrity testing.

Learn more: www.pall.com/en/medical/landing/20-years

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N What does a layered approach look like? • LAYER 1: Evidencebased policies and procedures • LAYER 2: Choosing appropriate disinfection products • LAYER 3: Staff education • LAYER 4: Compliance monitoring and feedback • LAYER 5: No-touch, enhanced terminal room disinfection Hospitals can achieve high levels of cleanliness by implementing several protocols including stringent handwashing, thorough manual cleaning and disinfection, enhanced terminal room disinfection and compliance monitoring.

o single approach to infection prevention can eliminate the risk of healthcare-associated infections (HAIs) in a healthcare facility. This is why it is critical to have multiple layers of defense. This is best achieved by using a “layered” or “bundled” approach that includes an array of techniques, products, technologies and guidelines to maintaining the cleanest healthcare environment.

Why is layering important? There are several factors that, when considered together, require the use of multiple modalities to achieve pathogen reduction. While one product may be highly effective against C. difficile, it may be ineffective against multidrug-resistant organisms, Candida species. Rather than targeting individual specific pathogens, a “layered” approach provides hospitals with the best defense against a wide range of deadly bacteria. Further, patient rooms and operating rooms include many hard-toclean surfaces, leaving the chance for human error and missed areas. Surfaces such as electronic cords, underneath bedside tables and even ceiling tiles, can present a challenge to environmental services teams. Even with the best cleaning protocols in place, it is challenging to achieve 100% compliance. Studies show that more than 50% of healthcare surfaces are not properly disinfected. In fact, a study by Weber et al showed a 39-353%1 increase in infection risk upon admission to a room that previously housed a patient with a multidrug-resistant organism. Finally, surfaces can easily be recolonized. Even after a surface has been thoroughly cleaned, environmental services teams, health care providers, patients and visitors can re-contaminate surfaces by touch or by other indirect routes.

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Tru-D® SmartUVC provides hospitals with leading-edge technology for enhanced disinfection of healthcare environments. More than a decade ago, Tru-D SmartUVC designed and patented the first UVC disinfection robot capable of precisely measuring UVC dose, resulting in thorough room disinfection, and today, Tru-D devices are used in hundreds of hospitals. PDI’s majority share acquisition of Tru-D SmartUVC in 2019 now provides facilities with an integrated, layered approach to infection prevention, which includes traditional hard surface disinfection and total room decontamination. This layered approach is backed by science. The CDC-funded “BETR-D” study showed using the Tru-D device, in combination with highly compliant manual disinfection that included the use of surface disinfectant wipes, resulted in a reduction of epidemiologically important pathogens that reduced the relative risk of infection among patients in hospital settings.2

The Tru-D device features intuitive Sensor360 technology, which can accurately calculate the precise dose of UVC light needed to kill up to 99.9% of harmful pathogens.3 It also provides real-time reporting and analytical support for healthcare professionals. The combined automated, measured dosing capabilities and real-time usage-tracking features make it one of the most precise and advanced automated UVC disinfection systems available. ENDNOTES 1. Weber, D., et al (2016). ‘No touch’ technologies for environmental decontamination: focus on ultraviolet devices and hydrogen peroxide systems. Current Opinion in Infectious Diseases, 29:000-000. 2. Sexton, D., Anderson, D., et al (2017). Enhanced terminal room disinfection and acquisition and infection caused by multidrug-resistant organisms and Clostridium difficile (the Benefits of Enhanced Terminal Room Disinfection study): a cluster-randomised, multicentre, crossover study. The Lancet. 389(10071), 805-814. 3. Rutala, W., et al (2010). Room Decontamination with UV Radiation. Infection Control and Hospital Epidemiology, 31(10), 1025-1029.

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urpleSun <3 infection prevention. Thank you from everyone at PurpleSun for the sacrifices you make, every day and especially during this pandemic. Your dedication, commitment, and courage deserve our deepest gratitude and admiration. Your service has saved countless lives.

PurpleSun would like to thank you for everything that you have done — grab a cup of coffee on us by scanning the QR code to the right. What can we do for you? PURPLESUN™ is a New York based technology company that is transforming healthcare by creating the first non-chemical based standard for disinfection. Focused Multivector Ultraviolet (FMUV) is a unique and proprietary patented light technology that powers the PurpleSun E300 which has the fastest 90 second cycle and does not require users to evacuate the room.

A Passion for Infection Prevention Founder: Luis F. Romo / Founded: 2012 “My team and I were on the front lines in NY and NJ at the peak of the crisis and we share your pain on how challenging this year has been. My passion for infection prevention started while I was shadowing a cardiac surgeon during my graduate work in Biomedical Engineering at Syracuse University. This experience revealed to me that given the time restraints critical care equipment could not be properly cleaned and disinfected between procedures and being transported throughout the hospital. Additionally, manual disinfection was the only main approach hospitals had for decontamination. I knew there was a better way and if I could develop a technology that had the highest efficacy, fasted speed, and optimized workflow — this would be a critical solution to infection prevention and so I founded PurpleSun.” 28

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PurpleSun loves infection prevention. With this passion for excellence we have: • Secured a partnership with APIC in 2020 as a resource and a partner to you • Secured partnerships with some of the top healthcare systems in the country such as Northwell Health and Hackensack Meridian Health • Secured a statewide partnership for emergency preparedness, response and advocacy for quality with the Healthcare Association of New York State as a trusted resource to all healthcare facilities • Published a leading article featured on the front page of the February 2020 American Journal of Infection Control with 96% quality of disinfection in a live clinical setting (available for download below) We are here with you and for you. PurpleSun solutions provide: • Validated efficacy of 99.99% • Instant speed of 90 secondcycles • Workflow in which room evacuation is notneeded • Used in Patient Rooms, Operating Rooms, and Emergency Departments • Powered by FMUV Shadowless Delivery™ Request our Data & Publications • www.purplesun.com/efficacy • www.purplesun.com/workflow • www.purplesun.com/head-to-head

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terifre is commercializing an innovative service technology to address the growing demand for fast, automated, point of care infection prevention in healthcare facilities. In the COVID-19 environment, hospitals have seen critical shortages of traditional disinfectant wipes and sprays, exposing supply chain weaknesses (APIC, 2020)- it’s time for a new approach. Sterifre’s technology received expedited EPA review to address the needs of hospitals during the COVID-19 pandemic. Many studies have shown that portable medical equipment harbors pathogenic organisms including MRSA and other Multi-Drug Resistant Organisms (MDRO). SARS-CoV2 can survive on surfaces as well. By replacing existing products, Sterifre will offer an automated, domestic supply chain based, environmentally friendly and compliant approach to infection prevention. Plus, you can protect your staff from disinfectant exposure risk highlighted by a JAMA study in 2019. Introducing . . . AURA. AURATM Gives You the Power of SPD at the Point of Care

AURA’s patented technology, offers fast, efficacious and automated point-of-care disinfection for a range of items used by healthcare providers such as stethoscopes, hand-held electronics, bedside diagnostic equipment and communication devices.

Using AURA will: • Ensure compliance with infection prevention protocols • Automate existing manual processes to increase nursing satisfaction and improve workflow • Reduce the incidence of equipment damage from harsh chemicals during disinfection • Reduce the environmental impact of discarding chemically treated wipes- the only byproduct of the AURA process is clean air • Protect staff from health risks associated with occupational exposure to disinfectants (JAMA, 2019)

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AURA is compatible with a broad range of sensitive hard surface materials such as plastics, metals, glass and electronics. This process is in contrast to existing disinfection technologies which are unregistered, employ harsh chemicals or use heat. These processes ultimately limit material compatibility and the ability to operate at the point of care. AURA’s single button operation enables a higher level of compliance with infection prevention policies and practices. AURA achieves clinically significant, EPA registered levels of disinfection without adding to the environmental burden that the billions of wipes discarded by healthcare facilities create each year. Sterifre’s core technology is a patented disinfection process, using a novel application of hydrogen peroxide (H2O2) and cold plasma ozone (O3) operating at room temperature and atmospheric pressure. Published test results for this process have demonstrated pathogen kill for even the most robust organisms. AURA will be regulated by the U.S. Environmental Protection Agency (EPA) for use as an automated disinfection system with bactericidal and viricidal claims. Our cost-effective monthly subscription includes AURA systems, AURA-D Cartridges, service and maintenance. AURA is a “plug & play” device and does not require special electrical, plumbing or ventilation connections. AURA can be placed in any facility location, without complex installation or specialized training.

AURA is the first automated, point-of-care disinfection device utilizing a powerful disinfectant in a whole new way. Broad material compatibility with broad spectrum efficacy. Zero occupational exposure to chemical disinfectants. Zero environmental waste. Disinfection at the press of a button. Visit our website www.sterifre.com or email us at info@sterifre.com AURA will be available upon EPA registration and individual state approval, where applicable.

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Through training we help ensure the health and safety of every patient, facility personnel, and tradesperson. It is our number one priority.

he United Brotherhood of Carpenters (UBC), an APIC Strategic Partner, has always been at the forefront of education and training in the area of infection control and the building trades. Not only does the UBC train our own members, but we also have educational programs that train, and assist with the training of other trades as well as site professionals. This training creates transparency and develops partnership. This initiative allows everyone involved in the construction process to be on the same page and have the same goals through a common ground — training. The UBC ICRA (Infection Control Risk Assessment) programs are a result of years of research, collaboration, and development with healthcare professionals and contractors throughout the United States and Canada. With one shared vision, we are helping to protect patients from secondary infections and illnesses during construction and renovation projects in healthcare facilities. Creating a common goal, and a plan to be more efficient, stay on budget and ensure the safest possible work environment.

“The United Brotherhood of Carpenters and Joiners of America believes it is essential to take a cooperative approach with APIC and other Industry Professionals to help maximize Best Practices in Infection Control Risk Assessment, through continual education and training.”

—D avid Tharp, Second General Vice President United Brotherhood of Carpenters and Joiners of America

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The UBC ICRA Best Practices courses create an awareness of facility operations and teach members how to minimize disturbances, communicate with facility personnel, and maintain a proper chain of command. They are taught the importance of the different collaborative teams within the facilities and the role that they play in working with those teams. Healthcare facilities are unique environments and have very different site-specific considerations that need to be addressed. Those considerations vary from patient privacy laws to the number and type of regulatory agencies that a facility must report to. In the UBC courses, the different regulatory bodies are explained as well as who and what they oversee. Hazardous communication is addressed as well as the different types of hazards that could be found within a healthcare facility. Participants learn proper methods of controlling contaminants, as well as monitoring of possible exposure to contaminants and infectious agents. Our ICRA 8 Hour Awareness has reached over 30,000 healthcare professionals and building trades workers throughout the United States and Canada. Our ICRA 24 Hour Best Practices, which is for UBC members who construct and maintain barriers and manage air circulation in healthcare environments, has also been delivered to over 30,000 of our members. These programs were developed and are administered by the Carpenters International Training Fund (CITF) and executed through our network of more than 200 regional training centers. There is no cost to you or your facility, and our programs educate through collaboration, participation in discussions, as well as small group activities. Classes are instructed by carpenters who understand and have experience in healthcare projects and ICRA Best Practices.

If you would like to learn more about UBC ICRA, please email Michael Kwiatkowski at Mike.Kwiatkowski@carpenters.org

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About APIC The Association for Professionals in Infection Control and Epidemiology (APIC) is creating a safer world through the prevention of infection. APICâ&#x20AC;&#x2122;s nearly 16,000 members develop and direct infection prevention and control programs that save lives and improve the bottom line for healthcare facilities. APIC advances its mission through patient safety, education, implementation science, competencies and certification, advocacy, and data standardization. Visit us at apic.org.

2020

The content of this publication was submitted by APIC Strategic Partners as a member benefit and is not an endorsement from APIC for any products or services contained within.

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