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Stories from the Field (Blog) brings you the latest information on what’s happening in infection prevention and control in Ontario and at Public Health Ontario. 
October 28
Sterilization Logs at Caledon Community Services

Jacquie Parliament is a Coordinator at the Caledon Specialist Clinic, and is responsible for IPAC. She has tackled the issue of reprocessing at the clinic, and specifically, the need to keep appropriate logs. We recently interviewed Jacquie about her experience.

What motivated you to make a change?

I felt I needed more information and training regarding the sterilization process, so I spoke with colleagues and received training from the sterilizer manufacturer’s representative. I also reached out to the local RICN for more information and was guided to best practice documents and standards. I wanted to update the Caledon Specialist Clinic’s existing reprocessing policy and procedures and ensure that our documentation followed best practices and standards. Most of all, I wanted to develop a reprocessing resource manual that included a sterilization log that was specific to the clinic and that anyone could refer to. 

How difficult was it to convince staff to make the change?

It was not difficult to get the support of our senior management and staff at Caledon Community Services. I presented the standards and best practice guidelines which management fully supported. I was able to purchase CSA documents for reference and obtain a biological testing incubator that facilitated biological testing of our sterilizer. The sterilization manual has useful information, such as policies and procedures, reference documents, manufacturer’s operating and maintenance instructions and documentation. A sterilization log was created specifically for the Caledon Specialist Clinic to facilitate proper documentation of indicator results and proof of successful sterilization.

What benefits have you seen as a result of this change in practice?

This enhancement to our practice demonstrates our ongoing commitment to ensure the highest level of patient safety. We serve a small, close community and we want to ensure that the best care is provided. The sterilization manual keeps all necessary information together, including the sterilization log results. Having this improved practice in place will benefit our clinic as we prepare for accreditation. 

What are your next steps for continuing IPAC quality improvements?

The next step would be to review the reprocessing manual and processes on an annual basis or as new information is made available. The Caledon Specialist Clinic and Caledon Community Services will be reviewing additional infection prevention and control policies to prepare for the accreditation process. 

For more information, please contact ipac@oahpp.ca.

October 21
Multi-dose vials at N’Mninoeyaa Aboriginal Health Access Centre, Northeastern Ontario

​Roger Boyer II, CHE, a Primary Health Care Manager and Lois Harrop, a Chronic Disease Supervisor, work in an Aboriginal health access centre in Northeastern Ontario. They examined the use of multi-dose vials in their health access centre and implemented a change in practice which resulted in safer care for their clients.

What motivated you to make a change?

Our community health centres are preparing for accreditation. We have been reviewing best practices and working towards implementation. One practice we noticed was the frequent use of multi-dose vials in the health access centre. As part of our efforts for quality improvement, we identified that we needed to change how we manage the use of multi-dose vials.

How difficult was it to convince staff to make the change?

It is not difficult to convince staff. We are all motivated to meet best practices. We made the changes in policy and have informed staff of the practices.

What benefits have you seen as a result of this change in practice?

We are seeing an increased awareness of the importance of infection prevention and control overall and the need to change current practice to meet best practices. Everyone is aware of our efforts to provide quality care to our community members, and reducing the use of multi-dose vials is an important part of that effort.

What are your next steps for continuing IPAC quality Improvements?

We have seven different community health centres and are identifying an Infection control designate for each one. These individuals will work towards implementation and staff education of best practices following the PIDAC Infection Prevention and Control for the Clinical Office Practice.

For more information,  please contact ipac@oahpp.ca.

October 20
Ophthalmologic Tonometers at  St. Joseph's Healthcare, Hamilton

​Nancy Peddle is an infection control professional with St. Joseph’s Healthcare in Hamilton. She has experience in addressing IPAC issues in many areas, including opthamology. We recently interviewed Nancy about her work with eye clinic manager Tammy Robinson and their IPAC team’s experience in addressing the issue of tonometer use.

What motivated you to make a change?

Back in 2009, our chief ophthalmologist was concerned about how we were managing patients with viral conjunctivitis in the eye clinic and encouraged us to look at developing a standard protocol. The manager of the eye clinic along with IPAC did a lot of research as well as consulted with other facilities with eye clinics to ask them what infection prevention and control measures they had implemented to manage patients with viral conjunctivitis. We developed a “Red Eye Protocol” which incorporated the following:

  • A Red Eye reporting form (completed for all cases of viral conjunctivitis and faxed to IPAC Dept.)

  • A dedicated exam room to see all patients with a Red Eye

  • An enhanced cleaning protocol (exam room is cleaned as soon as patient leaves the clinic)

Since then we have implemented disposable single-use tonometer prisms, added signage at our registration desk to ask patients to report if they have a Red Eye, added only single-use eye drops in our Red Eye exam room, de-cluttered eye exam rooms and tightened up on routine cleaning procedures for all patient eye equipment.

How difficult was it to convince staff to make the change?

It was not difficult to convince staff, they adopted the protocol readily. 

What benefits have you seen as a result of this change in practice?

Eye Clinic staff have acquired a lot of knowledge about “Red Eye” and all of the important steps to reduce the risk of transmission within the clinic. We have seen a reduction of transmission to the point where there have been zero cases of viral conjunctivitis attributed to a clinic visit.

What are your next steps for continuing IPAC quality improvements?

For the eye clinic, we need to continually reinforce the measures that make up our Red Eye Protocol and involve all members of the team within the clinic. 

Look for another success story and more tips in your inbox tomorrow! In the meantime, visit PHO’s National Infection Control Week webpage for more information and resources.

For more information, please contact ipac@oahpp.ca.

September 28
We want to hear from you: National Infection Control Week

hand_hygiene_training.jpgThis year’s National Infection Control Week (NICW) is October 19 – 25.

This year, PHO is focusing on the top five high risk practices in clinical office settings.

Because one of the goals of this page is to help share ideas and learnings from peer organizations we want to hear from you.

  • What are you planning at your organization for this year’s NICW?

  • What NICW activities have been successful in previous years?

Send your answers to these questions to ipac@oahpp.ca and, as we receive them, we will post them to this page. Let’s learn from each other’s successes and make this the best NICW ever.


 
September 28
Welcome to Stories from the Field!

TalkingBubbles_Portrait.jpgStories from the Field brings you the latest information on what’s happening in infection prevention and control in Ontario and at Public Health Ontario.

What can you expect to find here?

  • News, including recent accreditations and awards

  • Learn from the experiences of peer organizations with local success stories, teachable moments, and case studies about consultations provided by our local Regional Infection Control Networks (RICNs)

  • Interviews with experts about hot topics in infection prevention and control

Furthermore, as we add more content, you will be able to filter these stories to see only content specifically from your region using the location filters on the left.

Find out more about our Infection Prevention and Control programs and resources, find your local RICN for hands on support, and keep following Stories from the Field.



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