Journal of Perioperative Practice
PROCUREMENT GUIDE May 2014 l Volume 03 Issue 02 l 01423 881300 l www.afpp.org.uk
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Journal of Perioperative Practice l PROCUREMENT GUIDE May 2014 Volume 03 Issue 02 www.afpp.org.uk
Contents
Welcome to your May 2014 Guide 04
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Surgical site surveillance and the perioperative practitioner
Hand washing: what is the solution?
OneTogether A collaborative approach to reduce surgical site infection
Medical Industry Accredited scheme
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Product News
Journal of Perioperative Practice Procurement Guide information In print within the AfPP Journal of Perioperative Practice covering national AfPP members, but also with a dedicated print and e-distribution to supplies and purchasing managers. Key Sectors: NHS Supply Chain, Independent Hospitals, Higher Education. Medical Device Companies. Published 6 times a year we will focus on procurement issues in every edition as well as specialist subjects which for the following year include:
Contact Information: July 2014 Day Surgery September 2014 Airway Management November 2014 Safety January 2015 Recovery
Advertising, Sponsorship & Partner Packages. Frances Murphy Account Manager Open Box M&C T: 0121 200 7820 E: francesmurphy60@yahoo.com Editorial Chris Wiles Head of Publishing / Editorial AfPP T: 01423 882950 E: chris.wiles@afpp.org.uk
PR & press material. All press releases welcome and we will feature as many as we can in each issue, all press releases need to be submitted to: Frances Murphy Account Manager Open Box M&C T: 0121 200 7820 E: francesmurphy60@yahoo.com
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Journal of Perioperative Practice l PROCUREMENT GUIDE May 2014 Volume 03 Issue 02 www.afpp.org.uk
Infection Prevention
Surgical site surveillance and the perioperative practitioner Perioperative practitioners spend an increasing percentage of their practice ‘drowning’ entering data onto operating theatre computers (Coates 2014). Those of us at the older end of the trans-generation time line may tell soulful tales of “just having to enter details into the operating theatre log!” With all this data entered, can I ask you one serious question: Do you know which aspects of your team’s care, delivered today, might lead to a surgical site infection (SSI) in the future?
“My surgical site infection changed who I am, forever!” Patient comment 2014
Surgical site infections acquired from surgical interventions undertaken by consultant led extended team are recognised as being associated with significant morbidity. They result in extended length of hospital stay, pain, discomfort and sometimes prolonged or permanent physical and emotional disability. Infections of the surgical site account for approximately 16% of all hospital acquired infections, are estimated to double the length of postoperative stay in hospital and significantly increase the cost of care (PHE 2013a).
a mandatory requirement in England (orthopaedic categories are now mandatory - a selected quarter of one calendar year).
How do we know such statements are valid? Like any security service, high quality surveillance is Active: where designated, trained personnel use a variety of methods to identify cases of infection.
In contrast, Passive methods rely on infections being reported by staffs that do not have designated responsibility for the surveillance programme and such an approach is associated with a lower case-finding sensitivity. Prospective surveillance is the
application of methods to detect surgical site infection from the time of exposure (the surgical procedure). This method is more likely to identify cases of infection than retrospective review of caserecords after the patient has been discharged from hospital.
Surgical site infections acquired from surgical interventions undertaken by consultant led extended team are recognised as being associated with significant morbidity.
On the 31st of March 2013 the Health Protection Agency and its existing functions, including the Surgical Site Infection Surveillance Scheme (SSISS), became part of a newly formed organisation called Public Health England. The aim of SSISS is to enhance the quality of patient care by encouraging hospitals to use data obtained from surveillance to compare their rates of SSI over time and against a benchmark rate, and to use this information to review and guide clinical practice. Increasing participation of hospital surveillance teams in England with SSISS, have demonstrated significant reductions in rates of patient SSIs (Public Health England 2013b). So are the patients you cared for today in theatre now under this surveillance process? At present surveillance is not
What happens to the rest of the year’s orthopaedic and other surgical speciality patients in hospital or after their discharge? The Patients Association (2014) are very concerned that all patients undergoing surgery should know the all risks involved, including the risk of wound infection, suggesting the need to increase and improve surveillance on surgical site infections. In order to meet these aims the key principles that underpin the surveillance are that the dataset will be the minimum required to enable benchmarking of rates of SSI taking account of key risk factors for infection that may explain variation. So this is where your infection control team, surveillance practitioner and the perioperative team need to be all singing from the same hymn sheet!
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*compared with povidone iodine Prescribing Information ChloraPrep® (PL31760/0004) & ChloraPrep with Tint (PL31760-0001) 2% chlorhexidine gluconate w/v / 70% isopropyl alcohol v/v cutaneous solution. Indication: Disinfection of skin prior to invasive medical procedures Dosage & administration: ChloraPrep – 0.67ml, 1.5ml, 3ml, 10.5ml, 26ml ; ChloraPrep with Tint – 3ml, 10.5ml, 26ml. Volume dependent on invasive procedure being undertaken. Applicator squeezed to break ampoule and release antiseptic solution onto sponge. Solution applied by gently pressing sponge against skin and moving back and forth for 30 seconds. The area covered should be allowed to air dry. Side effects, precautions & contra-indications: Very rarely allergic or skin reactions reported with chlorhexidine, isopropyl alcohol and Sunset Yellow. Contra-indicated for patients with known hypersensitivity to these constituents. For external use only on intact skin. Avoid contact with eyes, mucous membranes, middle ear and neural tissue. Should not be used in children under 2 months of age. Solution is flammable. Do not use with ignition sources until dry, do not allow to pool, and remove soaked materials before use. Over-vigorous use on fragile or sensitive skin or repeated use may lead to local skin reactions. At the first sign of local
skin reaction, application should be stopped. Per applicator costs (ex VAT) ChloraPrep: 0.67ml (SEPP) - 30p; 1.5ml (FREPP) - 55p; 1.5ml – 78p; 3ml – 85p; 10.5ml - £2.92; 26ml - £6.50 ChloraPrep with Tint: 3ml – 89p; 10.5ml £3.07; 26ml - £6.83 Legal category: GSL Marketing Authorisation Holder: CareFusion UK 244 Ltd, The Crescent, Jays Close, Basingstoke, Hampshire, RG22 4BS Date of preparation: January 2013 Adverse events should be reported. Reporting forms and information can be found at www.yellowcard. mhra.gov.uk. Adverse events should also be reported to CareFusion Freephone number: 0800 0437 546 or email: CareFusionGB@professionalinformation.co.uk References 1. Darouiche R et al. N Engl J Med 2010; 362: 18–26.
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© 2013 CareFusion Corporation or one of its subsidiaries. ChloraPrep is a registered trademark of CareFusion Corporation or one of its affiliates. All rights reserved. Date of preparation: November 2013. 0000CF01915 Issue 2
SETTING A NEW STANDARD IN OPERATING PROCEDURES
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Journal of Perioperative Practice l PROCUREMENT GUIDE May 2014 Volume 03 Issue 02 www.afpp.org.uk
Infection Prevention
Public Health England: Protocol for the surveillance of surgical site infection Surgical Site Infection Surveillance Service, Version 6 [June 2013]
Using this protocol for surveillance of surgical site infection enables your infection control team (ICT) to implement a standardised approach to data collection, analysis and interpretation. It enables parasurgical teams postoperative wound infection identification, notification and guide interventions required to treat SSI(s). Participating hospitals receive standard reports of their data and comparisons with benchmark rates derived from all participating hospitals and are then used to inform and guide the review or a change of local practice where results indicate these may be necessary to improve the quality of care (PHE 2013a).
Perioperative team responsibility
Surveillance data collection should ideally commence as part of normal the perioperative team’s data collection duties. Two methods are available. 1. Surveillance data sheets; A paper copy of the initial data items required for the surveillance together with space to record the patient’s name, NHS number, and ward details to aid their follow-up. 2. Online theatre information data capture; Using ‘Native’ perioperative data capture method, your local theatre information team can build a local reporting database to enable your team to enter the required initial data items. Saves on date duplication for operating theatre staff, but requires IT support on the ward too!
© J F Nolan – Norfolk & Norwich University Hospital 2014 used with consent.
Conclusion
Perioperative theatre teams are vital in enabling the surveillance process of data collection to start well. Ward surgical, nursing and post discharge community staff can only then ensure that SSIs are identified, treated and reported in a timely manner. Surgical site surveillance needs to lose its ‘Cinderella’ model (Hogg et al 2005): a not seen and not heard mundane task, and to become a focused priority (Patients Association 2014) for everyone involved in producing an excellent surgical outcome.
Progressing safer surveillance of surgery Next time you are involved in booking ‘just a quick hip wound wash-out’ please stop and reflect about the ‘extrinsic’ surgical factors that may have caused this? Adrian Jones RN - SCP Trustee AfPP Orthopaedic & Trauma Surveillance Lead Trauma & Orthopaedic Department Norfolk & Norwich University Hospitals NHS Foundation Trust
References and further reading Coates T 2014 Viewpoint: The view from the operating table Journal of Perioperative Practice 24 (1 & 2) 6 Hogg S, Baird N, Richards J, Hughes S, Nolan J, Jones A, Holmes A 2005 Developing surgical site infection surveillance within clinical governance Clinical Governance: An International Journal 10 (1) 24-36 National Institute for Health and Clinical Excellence 2008 Surgical site infection: prevention and treatment of surgical site infection NICE Clinical Guideline 74 NICE, London Patients Association 2014 Discussion event: Roundtable Event on Infection Control [online] Discussion Outline document - Author email [Accessed April 2014]
Public Health England 2013a Protocol for the Surveillance of Surgical Site Infection Surgical Site Infection Surveillance Service Version 6 [online] Available from: www. hpa.org.uk/webc/hpawebfile/ hpaweb_c/1194947388966 [Accessed April 2014] Public Health England 2013 Surveillance of Surgical Site Infections in NHS hospitals in England 2012/13 [online] Available from: http://www. hpa.org.uk/webc/HPAwebFile/ HPAweb_C/1317140455019 [Accessed April 2014]
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Journal of Perioperative Practice l PROCUREMENT GUIDE May 2014 Volume 03 Issue 02 www.afpp.org.uk
Infection Prevention
Hand washing: what is the solution? Patients in perioperative healthcare settings are at risk of acquiring or developing infections because of the performance of invasive procedures. Serious life threatening infections can arise when micro-organisms are transmitted onto susceptible sites, such as: surgical wounds or intravascular cannulation sites. Infection control practices help to protect patients and healthcare providers by reducing and/or eliminating sources of infection. Nurses and other healthcare practitioners working in the perioperative environment are familiar with the importance of the surgical scrub to reduce and prevent the spread of microorganisms when undertaking invasive surgical procedures. However not all activities undertaken by staff working in the perioperative setting involve invasive
procedures and proper hand cleansing remains an important issue during routine activities in the perioperative arena.
of potentially harmful microorganisms is a major contributing factor in infection threat to patients in such settings.
These activities range from receiving and welcoming patients, preparing patients in the anesthetic area and caring for them in the recovery room. Hand-mediated transmission
Transmission can occur directly via the hands of healthcare workers or indirectly from contact with contaminated environmental surfaces and patient-care equipment (Gould and Brooker
2008; Wilson, 2006). Cleaning will not completely eliminate microorganisms from environmental surfaces and reductions in their numbers will be transient. So there remains a risk of harmful microorganisms being transferred when practitioners come into contact with such equipment. Attention to hand hygiene thus remains an important practice for all healthcare staff working in the perioperative environment. Effective hand decontamination results in significant reductions in the carriage and prevention of transfer of potential pathogenic microorganisms and is the single most important procedure for preventing the spread of healthcare associated Infections and in combating anti-microbial resistance (W.H.O, 2014). A number of international and regional campaigns have been introduced over the last decades which highlight the importance of when hand cleansing should occur and how it should be done. The World Health Organization, Guidelines on Hand Hygiene in Health Care and the “Five moments for hand hygiene� (WHO 2009), have been widely disseminated and adopted in healthcare settings and provide guidance on when hand cleansing should occur. A useful summary of these have been outlined by Ruth Collins in the July/August, 2013 edition of this journal. In 2012 the UK National Clinical Guidance Centre (NCGC 2012) provided an updated review of the National Institute for Health and Care Excellence (NICE 2012) guidance on when and how hands should be cleaned. The Royal College of Nursing (RCN 2012) has also provided similar guidance on infection and
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prevention control for nurses. These documented procedures allow for standard methods for hand cleansing which can easily be learned, and they provide consistency on when and how to wash one’s hands. The RCN (2012) suggests that despite such guidance many healthcare professional do not undertake hand hygiene as often as they should or do not use the correct technique. Such defective hand cleansing may result in hands remaining contaminated (WHO 2009).
Hands Campaign, launched in England and Wales (2004) and in Northern Ireland in 2008 (DHSSPS 2008), alcohol based gels and sanitizers have been made widely available in healthcare settings and many practitioners have incorporated their use into their practice.
Hand hygiene can be undertaken using soap and water, antiseptic solutions or alcohol-based hand rubs. Soap based regimes will remove loosely adherent micro-organisms (Firanek & Guest 2011) but soap-based hand hygiene regimens have minimal antimicrobial activity and
Infection Prevention
Hand hygiene can be undertaken using soap and water, antiseptic solutions or alcohol-based hand rubs.
may not be sufficient to prevent transmission of some microorganisms (Zaragosa et al 1999). Following the National Patient Safety Agency’s, Clean Your
Alcohol-based hand decontaminants as liquid, gels and foams are now easily available from wall dispensers, personal dispensers and other prominent places within the perioperative setting. However there appears to be a lack of clarity among some practitioners as to which solution to use and anecdotal evidence of poor technique or cursory application when using non soap and water solutions. It is important for practitioners to remember that whatever hand cleansing solution
is used, it must come into contact with all of the surfaces of the hand. Antimicrobial hand cleansing solutions such as chlorhexidine gluconate are also widely available and provide antibacterial activity against most gram-positive bacteria but are less active against gram-negative bacteria, fungi and some virus groups and are less effective against MRSA (Firanke & Guest 2011). In many situations where hands are visibly clean applying an alcohol hand rub may be sufficient before a basic clinical intervention, provided that the solution is applied to all areas of the hands which are not visibly contaminated with organic material.
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Journal of Perioperative Practice l PROCUREMENT GUIDE May 2014 Volume 03 Issue 02 www.afpp.org.uk
While alcohol based solutions have been shown to have greater anti-microbial effects than soap and water, the use of alcohol hand rubs may not always be appropriate as they have limited effect on some viruses and some bacteria. Generally alcohols have poor activity against certain non-enveloped viruses such as Norovirus or Rotavirus and against spore forming bacteria such as Clostridium difficile and therefore alcohol rubs should not be relied on when dealing with patients with these infections (Wilson 2006). Patients with Norovirus, Rotavirus and Clostridium difficile often have symptoms of vomiting and diarrhoea and these microorganisms can contaminate equipment and fomites for long periods. It is therefore important that practitioners wash hands with soap and water as the use of soap and water is effective in minimising these microorganisms (NICE 2013). Loveday et al (2013) recommend decontaminating hands preferably with a handrub conforming to current British and European Standards, except in the following circumstances,
Infection Prevention when liquid soap and water must be used: •
•
•
•
Where hands are visibly soiled with dirt or organic materials or potentially contaminated with body fluids. In clinical situations where there is potential for the spread of alcoholresistant organisms such as Clostridium difficile or other organisms that cause diarrhoeal illness. Immediately after use of gloves as contaminated material can be transferred from gloves to hands during removal. Further guidance on the use of alcohol based handrubs can be found from the National Patient Safety Agency available at: http://www.npsa.nhs.uk/ cleanyourhands/resourcearea/nhs-resources/faqs-forcoordinators/faqs-alcoholhandrub/
Laurence Leonard, MSc, Post Grad Dip Public Health, PGCHET, RN Lecturer (Infections and Infection Control), School of Nursing and Midwifery, Queen’s University Belfast
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References Collins R (2013) Hand Hygiene Journal of Perioperative Practice, Procurement Guide, July /August, Vol 2 Issue 3, 13 Department of Health, Social Services and Public Safety 2008 Northern Ireland Department of Health, Social Services and Public Safety, Clean your hands campaign Available from: http://www.dhsspsni.gov. uk/cleanyourhands [Accessed March 2014] Firanek C, Guest S 2011 Hand hygiene in peritoneal dialysis Peritoneal dialysis International 31 399-408 Gould D, Brooker C 2008 Infection Prevention and Control (2nd Edition) Palgrave Macmilan, Basingstoke Loveday H, Wilson J, Pratt R, Golsorki M, Tingle A, Bak A, Browne J, Prieto J, Wilcox M 2014 epic3: National EvidenceBased Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England Journal of Hospital Infection 86S1 S1-S70 Available from: http://www.his.org.uk/ files/3113/8693/4808/epic3_ National_Evidence-Based_ Guidelines_for_Preventing_HCAI_ in_NHSE.pdf [Accessed March 2014]
National Clinical Guidance Centre (2012) Partial update of Nice Clinical guideline 2 Available from: http://www.ncbi.nlm.nih. gov/books/NBK115271/pdf/TOC. pdf [Accessed March 2014] National Patient Safety Agency (2004) Clean your hands Campaign Available from: http://www.npsa.nhs.uk/ cleanyourhands/about-us/ [Accessed March 2013] National Institute for Health and Care Excellence 2012 Infection Prevention and control of healthcareassociated infections in primary and community care Available from: http:// www.nice.org.uk/nicemedia/ live/13684/58656/58656.pdf [Accessed March 2014] Royal College of Nursing 2012 Wipe it out: Essential practice for infection prevention and control - guidance for nurses Available from: http://www. rcn.org.uk/__data/assets/ pdf_file/0008/427832/004166.pdf [Accessed March 2014] Wilson J 2006 Infection Control in Clinical Practice (3rd Edition) Bailliere-Tindall Elsevier, Edinburgh and London World Health Organization 2009 Guidelines on Hand Hygiene in Health Care Available from: http:// whqlibdoc.who.int/publications/ 2009/9789241597906_eng.pdf [Accessed March 2014) World health Organization (2014) WHO SAVE LIVES: Clean Your Hands SL:CYH Newsletter 4 March Available from: http://www.who.int/ gpsc/news/SAVELIVES_ Newsletter_3March2014.pdf [Accessed March 2014] Zaragoza M, Sallés M, Gomez J, Bayas J, Trilla A 1999 Hand washing with soap or alcoholic solutions? A randomized clinical trial of its effectiveness American Journal of Infection Control 27
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Journal of Perioperative Practice l PROCUREMENT GUIDE May 2014 Volume 03 Issue 02 www.afpp.org.uk
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Infection Prevention
OneTogether A collaborative approach to reduce surgical site infection
Supported by
Quality and safety in healthcare remains a priority for patients and those that deliver clinical care alike. In 2013 three key reports provided insight into less than optimal care in organisations, the review into Mid Staffordshire (Francis 2013), a report into fourteen failing trusts, Professor Sir Bruce Keogh KBE (July 2013) and recommendations to learn and improve safety by US safety expert Don Berwick, National Advisory Group on the Safety of Patients in England (2013). Healthcare acquired infections (HCAIs) are a risk to patients and mitigating that risk must be an integral part of all healthcare providers’ quality agendas. Ensuring infection prevention practice is delivered consistently to all patient groups forms part of this priority. Surgical site infections (SSI) remain a serious complication of surgery which can have devastating consequences and practitioners have been trying to solve the issue for more than a decade, however there is complexity in ensuring clinical practice can be adjusted to incorporate evidence of best practice in a timely manner across the patient’s surgical journey. Whilst there is evidence to show that progress is being made, it remains difficult to assess the impact of the collective guidance. Indeed implementation of infection prevention guidance into practice is uncertain and historically infection prevention teams are not reliably involved in local policy and risk assessment
within the theatre setting. Theatre staff may never witness the patient benefits made possible by the life saving contributions of ensuring consistency in application of infection prevention guidance. However their actions on a daily basis contribute to those outcomes. OneTogether is a movement for healthcare professionals to engage with each other to expedite guidance into everyday care on this patient pathway.
Founding organisations UK
The founding organisations in the UK are the Association for Perioperative Practice (AfPP), the Infection Prevention Society (IPS), College of Operating Department Practitioners (CODP) and the Royal College of Nursing (RCN).
Objectives
The objectives of the group are to explore current infection prevention guidance in surgery, used as references for each
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Journal of Perioperative Practice l PROCUREMENT GUIDE May 2014 Volume 03 Issue 02 www.afpp.org.uk
organisation; identify areas of practice that are most influential in the development of SSI policy; identify challenges and issues to achieve full compliance; to make the guidance that currently exists digestible and practical and to provide a platform to develop a toolkit that supports the entire surgical pathway and helps to bridge the gap between infection prevention and all the surgical team. The OneTogether infection prevention expert conference, held on the 21st November 2013, was a spotlight on preventing SSI. Joining together theatre staff and infection prevention specialists to discuss the barriers to good infection prevention and start the process for developing a national toolkit that will support the implementation of good guidance and provide a methodology for rollout. The toolkit will be designed to incorporate a checking system of current quality and a guide to continual quality improvement. There will be a focus on the infection prevention link role to provide them with the tools to carry out that role effectively and to raise it to a pivotal role in achieving excellent patient care.
Future actions
Feedback from the conference demonstrated an immediate requirement for a visual pathway that clinical staff could use as a reference tool. The challenges identified across the pathway will be addressed through a modular approach. To include: a) Self assessment tool b) Model Policy and quick reference guide c) Education programme d) Micro Learning programmes to support sustainability Each module will include a project charter detailing standards / evidence supported by a rigorous evaluation of current guidance.
Infection Prevention Awareness at trust board and national level of infection prevention in theatre as a safety issue must be increased through utilisation of a self assessment/safety checking tool to demonstrate the standard of infection prevention practice and to support staff in addressing the challenges identified. Two OneTogerther events have been agreed in 2014 as follows: Northern event 21st August in Huddersfield (venue to be confirmed) Southern event 21st November at the 3M offices in Bracknell. Invitations will be sent out in due course and we are hoping to achieve commitment from those people who were involved previously.
Guiding principles
Raise the profile of infection prevention and the scientific data supporting the practice. Engage healthcare professionals and institutions to make a difference at every level to reduce SSI and improve patient outcomes. Share best practice across all specialties. Leverage the strength and reach of professional associations, industry partners and online platforms to educate and engage. BY • Connecting UK infection prevention associations and key industry partners. • Facilitating collaboration between the infection prevention community by connecting existing resources and education. • Addressing the issue of inconsistent care by improving compliance to national guidance.
Through the power of small actions we can ALL make a difference. References Francis R 2013 The Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry [online] Available from: http:// www.midstaffspublicinquiry. com/sites/default/files/report/ Volume%203.pdf [Accessed: April 2013]
Professor Sir Bruce Keogh July 2013 Review into the quality of care and treatment provided by 14 hospital trusts in England [online] Available from: http:// www.nhs.uk/NHSEngland/ bruce-keogh-review/Documents/ outcomes/keogh-review-finalreport.pdf [Accessed April 2014
National Advisory Group on the Safety of Patients in England 2013 A promise to learn– a commitment to act Improving the Safety of Patients in England [online] Available from: https://www.gov.uk/government/ publications/berwick-review-intopatient-safety [Accessed April 2014]
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News
Medical Industry Accredited scheme It is important that all theatre managers and senior staff check the credentials of visitors entering their theatres including medical device personnel. Towards the end of last year the Medical Industry Accredited (MIA) scheme was launched and the Association of British Healthcare Industries (ABHI) sponsors this formal accreditation scheme. The scheme allows members of the medical technology industry to apply for an ID card which demonstrates that they have successfully completed an accredited training course, qualifying them to be present
in either the theatre or acute care environment. The scheme is administered by Wellards and allows managers to look up a user to ensure they have undertaken an accredited course and are safe to visit their environment. Upon successful completion of the accredited theatre awareness course the candidate will be able to join the scheme for a small
fee, once they have registered they will be provided with a photo ID card showing their name and date of accreditation, plus details of the scheme on the reverse of the card. Theatre managers and senior staff should always check with their industry colleagues that they have undertaken a course by asking to see their MIA card or checking on the central database. AfPP are supporting this very worthwhile initiative and are a preferred provider of the theatre access training for medical device partners. AfPP’s main
focus is about patient safety and it is, therefore, important that senior theatre personnel are aware of the scheme and are educating colleagues to ensure patients are safe whilst in their environment. Please take the time to check the credentials of all industry partners before they visit your theatre during a patient intervention. Details of the AfPP theatre access courses can be found at http://www.afpp.org.uk/events/ theatreaccess More information about the scheme can be found at www.miaweb.co.uk
AfPP’s Theatre access course Who’s it for? This course has been tailored specifically for medical device representatives but may also be suitable for students wanting to get a ‘taste’ of theatres. What do you get out of it? - An understanding of theatre etiquette, correct protocol and the roles and responsibilities of those within theatres. - A certificate and theatre access course ID pass card. How long does it last? The course is valid for two years, after which you will be required to complete a refresher module.
Where is it held? Either at AfPP HQ in Harrogate or onsite at your offices (a minimum of 10 delegates are required for onsite courses). What does it cost? - £250+VAT for medical device representatives - £150+VAT for students The course can also be ‘tailor made’ to your specifications. To book your place or for further information, please call Pauline Thompson on 01423 882969 or visit www.afpp.org.uk/events/theatreaccess
The Association for Perioperative Practice is a registered charity (number 1118444) and a company limited by guarantee, registered in England (number 6035633). AfPP Ltd is its wholly owned subsidiary company, registered in England (number 3102102). The registered office for both companies is Daisy Ayris House, 42 Freemans Way, Harrogate, HG3 1DH.
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Product News
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Surgical site infections may account for 16% of all Healthcare Associated Infections (1) and can double the length of time a patient stays in hospital. Effective infection control in operating theatres saves time, saves money and most importantly, saves lives. Ecolab have launched a new comprehensive programme for operating theatres to improve productivity, efficiency and realising significant cost savings for the hospital. Concentrating on a holistic approach that incorporates a system of hygiene products, services and training, the programme addresses
Wet vs. Dry The CFPP 01:01 states that care should be taken to ensure that all parts or surfaces of the surgical instruments are constantly exposed to the moist environment. To follow this guidance Ruhof have developed Prepclean “Forever Wet” Humectant Spray. The latest breakthrough in Non-Enzymatic, Non-Aerosol pre-cleaning sprays, Prepclean’s unique humectant properties form a coating over the instruments, that stays moist for up to 72 hours, longer when placed in an airtight bag. The Prepclean helps prevent bio-burden from drying on the surface of instruments and scopes keeping them moist for a prolonged period of time. Ideal for transporting soiled instruments that may sit for an extended period of time, such as overnight or over the weekend. The Prepclean has been independently evaluated by Decon Sure Ltd. For a copy of this evaluation report, please contact Matthew Peskett matthew@ruhof.co.uk
One example is Ecolab’s unique monitoring system for environmental hygiene, EnCompass, which addresses contamination risk in this specialised environment and improves cleaning standards in the operating theatre. Ecolab’s clinical team, which includes a microbiologist and practising ODP, are fully trained in best practice and are therefore able to aid product selection, deliver training and offer advice on cost efficiencies, giving the theatre team more time to focus on what they do best. For further information on how Ecolab can support and improve your theatre hygiene protocols, call Alison on 0113 232 2480 or email info.healthcare@ecolab. com 1. Health Protection Agency (2011) English National Point Prevalence Survey on Healthcare-associated Infections and Antimicrobial Use.