Infection Control Monitor   | HCPro

In this issue - December 07, 2007

  1. CMS revises interpretive guidelines for infection control regulations

  2. Many vaccines ruined by improper refrigeration

  3. Tip of the week: Create ties with other organizations

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Infection Control Monitor
December 07, 2007
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Infection Control Monitor is brought to you by Briefings on Infection Control, a 12-page monthly resource that was created specifically to help you save time complying with all of the new infection control regulations and combating the spread of infectious diseases in your hospital.

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CMS revises interpretive guidelines for infection control regulations

While the regulations themselves haven't changed, the Centers for Medicare & Medicaid Services (CMS) has issued revised interpretive guidelines for the hospital regulations for infection control.

 

In a November 21 letter to state survey agency directors, CMS announced the revisions to the interpretive guidelines, which are effective immediately. "Changing infectious disease threats, as well as new mechanisms to confront these threats, have emerged in recent years. As a result, it is necessary to update these guidelines to better reflect current conditions within hospitals as well as contemporary infection control standards of practice," CMS said. For example, the new guidelines speak to special challenges in infection control that include MDROs, ambulatory care settings, communicable disease outbreaks, and bioterrorism.

 

The interpretive guidelines discuss the requirements for the infection control Conditions of Participation, as well as the procedures for surveyors to use to determine hospital compliance. The guidelines also contain discussion and examples of practices that hospitals are encouraged to adopt, but which are not necessarily required by regulation, CMS said.

 

To read the CMS letter, click here. To read the revised interpretive guideline, click here.

 

 

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Many vaccines ruined by improper refrigeration

Hospitals may want to take a close look at the temperature settings for refrigerators in which they store vaccines.

 

A report this week said many vaccines are ruined by poor refrigeration, forcing thousands of American children to be revaccinated each year. Ruined vaccines are a public health threat because children given weak vaccinations are unprotected against dangerous diseases, reported the Associated Press (AP). The problem accounts for a large part of the $20 million in waste incurred by the federal Vaccines for Children program.

 

The CDC estimates that hundreds of thousands of doses of vaccines against diseases such as flu, diphtheria, tetanus, whooping cough, polio, mumps, measles, chicken pox, and the cervical cancer virus, are thrown out each year because of improper refrigeration at clinics, hospitals, and doctors' offices, the AP reported. In one case, a clinic in St. Cloud, MN had to revaccinate 8,600 patients, most of them children.

 

Spoilage often results from a combination of factors, such as a refrigerator malfunctioning or not being set or maintained at the proper temperature and failure of workers responsible for regularly logging the temperature to recognize when the readings are off. Hospitals should be sure staff know the proper temperature range for storing vaccines and what to do if they encounter a problem. Hospitals can also equip refrigerators with alarms that sound when the temperature goes out of range.

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Tip of the week: Create ties with other organizations

Here's an idea that hospitals can use to track postdischarge infections that occur after patients leave a facility: Create ties with other organizations.

If your facility regularly sends patients to another organization, develop a relationship with individuals at that organization to ensure that they will contact you if a patient you treated is diagnosed with a related infection. For example, facilities should understand the need to report every occurrence of a patient with a surgical-site infection.

For more tips on how to how to improve postdischarge surveillance, go to www.hcpro.com/content/78419.cfm. The cost is $10. Briefings on Infection Control subscribers received this story with their subscriptions.

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Prevent and control the spread of all healthcare-associated infections

Turn hype into reality by listening to practical tips you can apply right now within your facility, large or small, to reduce the likelihood of an infection outbreak. Join HCPro and speaker Dr. Stephen Weber, MS, on December 18 for the live 90-minute audioconference, Protect Staff and Patients from MDROs: Practical approaches for culturing and surveillance.

For more information or to order, call 800/650-6787 and mention source code EZINEAD or visit HCPro's Healthcare Marketplace.




CONTACT US

Joanne Finnegan
Senior Managing Editor
jfinnegan@hcpro.com



Infection Control Monitor

Volume 5 Issue 39

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