Skip to main content

Hospital infection prevention and environmental services partnering to fight superbugs

The U.S. based Association for Professionals in Infection Control and Epidemiology (APIC) and the Association for the Healthcare Environment (AHE) are partnering to strengthen the relationship between infection prevention (IP) and environmental services (EVS) to reduce infections.




A joint educational campaign, "Clean Spaces, Healthy Patients: Leaders in Infection Prevention and Environmental Services Working Together for Better Patient Outcomes," will incorporate educational resources, training materials and other solutions to help IP and EVS professionals combat the spread of healthcare-associated infections (HAIs).

Cooperation between IP and EVS staff is an excellent idea. However, the privatization of environmental services will undermine this cooperation. From our experience, for-profit cleaning corporations prefer to keep direct control of EVS staff to maintain profits. IP and nursing staff may have to make requests to the corporate hierarchy rather than front-line EVS staff. Direct collaboration with hospital staff? Not so much.

APIC and AHE add: "The process of cleaning and disinfecting healthcare facilities is of the utmost importance to best ensure patient safety and prevent the spread of HAIs."

"According to AHE practice guidance, daily cleaning and disinfecting of an occupied patient room with attention to high touch surfaces such as bedrails, knobs, call buttons, etc., will take approximately 25 to 30 minutes per room. A terminal/discharge cleaning will take longer, 40 to 45 minutes and up to 60 minutes, depending on room size, number of horizontal and high touch surfaces, and number of tasks to be performed in an efficacious manner."

"As the government and accrediting bodies increase scrutiny in this area, rigorous environmental cleaning becomes even more important," says Bill Rutala, Clinical Advisor to APIC. "There are well-established guidelines for proper cleaning and disinfection, and making this information available to professionals and front line staff is vital."

Over 2000 members of APIC and AHE were surveyed to determine how they work together to protect patients. The professionals reported that there is a need for additional education and resources to facilitate successful prevention of HAIs. Almost nine in 10 are interested in hearing how other facilities have created successful IP-EVS partnerships.

Hopefully, these partnerships will develop in Ontario hospitals as well.

Comments

  1. This is exactly what needs to happen to prevent and control the hospital environment. The hospital where I have worked for 20 years is always trying to improve and the relationship between IP and EVS has greatly improved but nursing and physicians need to have a better understanding on the situation (prevention, control, and cleaning)

    ReplyDelete

Post a Comment

Popular posts from this blog

More spending on new hospitals and new beds? Nope

Hospital funding:  There is something off about the provincial government's Budget claims on hospital capital funding (funding to build and renovate hospital beds and facilities).    For what it is worth (which is not that much, given the long time frame the government cites), the province claims it will increase hospital capital spending over the next 10 years from $11 billion to $20 billion – or on average to about $2 billion per year.   But, this is just a notional increase from the previous announcement of future hospital capital spending.  Moreover, even if we did take this as a serious promise and not just a wisp of smoke, the government's own reports shows they have actually funded hospital infrastructure about $3 billion a year over the 2011/12-2015/16 period. So this “increase” is really a decrease from past actual spending. Even last year's (2016-17) hospital capital funding increase was reported in this Budget at $2.3 billion - i.e. about ...

Ford government fails to respond to 72% increase in COVID inpatient days, deepening the capacity crisis

COVID infections continue to drive up hospital costs and inpatient hospitalizations in Ontario. For the most recent fiscal year (April 1, 2022- March 31, 2023) hospital stays related to COVID cost $1.221 billion, according to new CIHI data.   This is about 4% of total hospital spending, creating a very significant new cost pressure beyond the usual pressures of population growth, aging, inflation, and rising utilization.   Costs for COVID related hospitalizations increased 22.2% in Ontario in 2022/23 from the previous fiscal year, rising from $999 million to $1.221 billion.  That rise is particularly notable as the OMICRON spike of late 2021 and early 2022 had passed by the the 2022/23 fiscal year.   The $222 million increase in COVID hospitalization costs came in the same year as the Ford government cut special COVID funding and, in fact, cut total hospital funding by $156 million.     In total, there were 60,653 COVID hospitalizations...

The hospital crisis: No capacity, no plan, no end

While Canada has achieved universal public healthcare coverage, that does not mean conservative forces have given up trying to erode that coverage and expand corporate care where it does not currently exist. The battle has become particularly intense in Ontario under the Ford Progressive Conservative government, which is implementing serious cuts to the level of care and moving to bring in for-profit mini-hospitals. Inadequate Staffing.   Less and less of hospital spending is on staff.   Employee compensation as a share of hospital expenditures has consistently shrunk in Ontario. This is not some immutable law of hospital development.  It is in stark contrast with the rest of Canada, where compensation has become a larger share and now accounts for 67.1%. Hospitals in provinces other than Ontario now have 18 percent more staff per capita than hospitals in Ontario. Overall, if Ontario had the same staffing capacity as the other provinces and territories, there would be another...