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BUILDING TRUST: MY APPROACH TO INFECTION PREVENTION CIOMMUNICATION
Public health communication is a delicate balance of presenting evidence clearly while addressing uncertainties. As an infection prevention consultant, my focus is on helping organizations understand not just what to do but why it matters, fostering trust and confidence in health guidance.
Take vaccines, for example. Decades of data show their safety and life-saving benefits, especially for diseases like measles, where vaccination prevents outbreaks and protects vulnerable populations. Yet public skepticism persists, often fueled by misinformation. Similarly, topics like raw milk or water fluoridation can feel more nuanced. While raw milk carries risks of illness, and water fluoridation has been shown to prevent dental problems, many people encounter conflicting messages. When the complexity of these issues isn’t addressed openly, trust in public health guidance can erode.
In her recent article, “There’s a Better Way to Talk About Fluoride, Vaccines and Raw Milk”, Emily Oster discusses the importance of nuanced communication in public health. She emphasizes that providing context and acknowledging uncertainties can enhance public trust.
I believe the solution lies in transparent, tailored communication. Public health advice is not one-size-fits-all. Organizations must provide actionable guidance while equipping people to understand the science behind it. That’s where my services come in. I don’t just develop infection prevention protocols or assist with outbreak response—I ensure my clients are empowered with strategies to communicate effectively, fostering clarity and trust among their teams, customers, and communities.
For instance, when training teams or developing policies, I emphasize explaining the rationale behind recommendations. Why are certain actions prioritized? What evidence supports them? This approach builds confidence, even when guidance evolves or when uncertainties arise.
Public health is about trust, built one thoughtful conversation at a time. My mission is to help organizations navigate the complexities of infection prevention while empowering them to communicate with clarity, credibility, and empathy.
Let’s work together to create safer, healthier environments and promote confidence in the science that keeps us all protected.
This article published in ICHE supports California Department of Public Health’s enhanced standard precautions (closely related to CDC’s enhanced barrier precautions -EBP) that functional level of residents confers risk of transmitting multi drug resistant organisms.
Behunin T, Vijayasiri G, Gibson KE, Mody L, Cassone M. Functional dependence as a contributing factor for patient hand contamination by multi-drug resistant organisms (MDROs) in acute care. Infection Control & Hospital Epidemiology. Published online 2024:1-6. doi:10.1017/ice.2024.70
#nursing #skillednursing #infectionprevention #lomgtermcare
In a recent talk, the critical topic of decolonization in long-term care facilities was discussed. Decolonization is an essential practice to improve residents’ quality of life and reduce infections and hospitalizations. Regular chlorhexidine baths and nasal decolonization using iodophor have proven effective in reducing infection and hospitalization risk.
Healthcare professionals in long-term care settings are encouraged to explore decolonization strategies to make a difference in the lives of residents. While you won't get CEUs for listening to the talk, taking the time to learn about decolonization in the long-term care population can make a huge difference.
Let's work together to prioritize infection prevention and healthcare quality in nursing homes and long-term care facilities. Remember, healthier spaces benefit everyone!
Bed Bugs
Lice
Classic Scabies
From 5-Second Rule:
About our Guests:
Benjamin Galvan, MLS (ASCP), CIC, CPH
Benjamin D. Galvan is a board-certified infection prevention director in Tampa, FL and a consulting infection prevention subject matter expert with APIC Consulting Services. Since 2018, Benjamin has demonstrated a passion for infection prevention and patient safety by leveraging interdisciplinary collaboration and performance improvement methodologies to improve health outcomes. In June 2021, Benjamin was awarded the inaugural Emerging Leader in Infection Prevention award by the Association for Professionals in Infection Control and Epidemiology (APIC) and was selected as a rising star in healthcare by Becker’s Hospital Review in 2022. In 2015, Benjamin attained his bachelor’s degree in medical laboratory science at Louisiana State University Health Sciences Center and is presently pursuing a master’s degree in Public Health at the University of South Florida.
Emily Gaddam, BSN, RN, CIC
Emily Gaddam is a Nurse Epidemiologist, Infection Prevention Consultant, and Health Delivery Scientist dedicated to quality and patient safety. She plays an active role in Greater Los Angeles APIC chapter as the Communication Chair, webmaster, and legislative committee member. Emily's achievements include earning a prestigious blue ribbon at the National APIC conference for her pioneering efforts in C. auris prevention, publishing a recent stem cell investigation in Transfusion, and demonstrating unwavering commitment to preventing central line infection at Cedars-Sinai Medical Center, the nation's premiere heart transplant center.
Marissa Yee, MPH, CIC
Marissa Yee, MPH, CIC, is an infection preventionist at the University of Michigan Health. She began her infection prevention career in 2016 at U-M Health as the data coordinator for the institution’s hand hygiene program before taking on infection prevention analyst responsibilities and, in 2019, becoming an infection preventionist. Marissa covers inpatient adult and pediatric units along with several ambulatory health centers and specialty clinics. She works closely with the outpatient pediatric and adult dialysis units to identify opportunities for reducing bloodstream infections and vascular access infections. She leads Ambulatory Care Infection Prevention meetings and actively participates on the Ambulatory Care Regulatory Readiness Advisory Council.
Harry Zhen, MPH, CIC
Harry Zhen, MPH, CIC, is an infection preventionist at the University of Michigan Health. He began his career in infection prevention in 2019 as an analyst and data coordinator for the institution’s hand hygiene program before transitioning to the role of infection preventionist in 2020. His current areas of focus include the adult pulmonary moderate and intensive care unit, pediatric surgery and operating rooms, interventional radiology, and respiratory care. He is the Infection Prevention lead for the Mold Surveillance and Response Program at the University of Michigan Health, and is also the co-lead of the C.S. Mott Children's Hospital Surgical Site Infection Prevention Workgroup at the University of Michigan Health.
Further Resources:
2024 Call for Speakers (https://www.abstractscorecard.com/cfp...)
Benjamin Galvin Poster Presentation: A 90-Day Success Story: Insights from a New Infection Prevention Director with Multicenter Oversight (https://5secondruleshow.org/wp-conten...)
Emily Gaddam Oral Presentation: Candida Auris: A Team-based Approach to Taming the Wild Yeast (https://5secondruleshow.org/wp-conten...)
Harry Zhen and Marissa Yee Oral Presentation: Data Rather Than Germs on Your Fingertips: Leveraging Business Intelligence to Improve and Sustain Hand Hygiene Compliance (https://5secondruleshow.org/wp-conten...)
UNDERSTANDING MALARIA: WHAT HEALTHCARE PROVIDERS (AND CBIC CANDIDATES) NEED TO KNOW
Recent reports highlight the reemergence of locally transmitted malaria cases in Texas and Florida. While California and other states may not have reported any locally transmitted cases, it is important to remain vigilant and take necessary precautions.
Understanding Malaria:
Malaria is a mosquito-borne disease caused by a parasite of the Plasmodium genus. It is primarily transmitted through the bites of infected female Anopheles mosquitoes. When an infected mosquito bites a person, it injects the malaria parasites into their bloodstream, where they travel to the liver and mature. After maturing, the parasites invade red blood cells, leading to the characteristic symptoms.
Symptoms:
Symptoms of malaria include high fever, chills, sweats, headache, body aches, fatigue, nausea, vomiting, and diarrhea. It can cause complications such as organ failure, anemia, and even death. The severity of the disease can depend on the species of the malaria parasite and the individual's immunity.
Implications for California and Other States:
a. Increased Awareness: Healthcare providers and infection preventionists in Los Angeles should remain aware of the recent cases and the potential for malaria transmission, even if the risk is currently low.
b. Travel-Related Cases: Los Angeles attracts a diverse population, including travelers and immigrants from malaria-endemic regions. Healthcare providers should consider malaria in individuals presenting with fever and a history of travel to endemic areas.
c. Vector Control Measures: Emphasize mosquito control and prevention efforts in Los Angeles and other states. This includes eliminating standing water sources, implementing mosquito control programs, and promoting the use of insect repellents and protective clothing.
d. Collaboration and Reporting: Prompt reporting of suspected cases facilitates testing, treatment, and public health interventions if necessary.
e. Public Education: Increase public awareness about malaria, its transmission, and prevention measures.
Potential Implications of Climate Change:
While the recent cases in Texas and Florida cannot be directly linked to climate change, the potential impact of warming temperatures and increased rainfall should not be overlooked. Mosquitoes thrive in warm climates and standing water, which could increase the risk of malaria transmission. Ongoing monitoring and surveillance by local health authorities are essential for assessing the risk and implementing appropriate measures.
Remember to stay informed, follow guidelines from local health departments and the CDC, and prioritize the well-being of patients and the community.
#publichealth #healthcare #community #education #health #travel #climatechange #climatechange #water #testing #surveillance #malaria http://publichealth.lacounty.gov/acd/VectorMalaria.htm
UNDERSTANDING MALARIA: WHAT HEALTHCARE PROVIDERS (AND CBIC CANDIDATES) NEED TO KNOW
Recent reports highlight the reemergence of locally transmitted malaria cases in Texas and Florida. While California and other states may not have reported any locally transmitted cases, it is important to remain vigilant and take necessary precautions.
Understanding Malaria:
Malaria is a mosquito-borne disease caused by a parasite of the Plasmodium genus. It is primarily transmitted through the bites of infected female Anopheles mosquitoes. When an infected mosquito bites a person, it injects the malaria parasites into their bloodstream, where they travel to the liver and mature. After maturing, the parasites invade red blood cells, leading to the characteristic symptoms.
Symptoms:
Symptoms of malaria include high fever, chills, sweats, headache, body aches, fatigue, nausea, vomiting, and diarrhea. It can cause complications such as organ failure, anemia, and even death. The severity of the disease can depend on the species of the malaria parasite and the individual's immunity.
Implications for California and Other States:
a. Increased Awareness: Healthcare providers and infection preventionists in Los Angeles should remain aware of the recent cases and the potential for malaria transmission, even if the risk is currently low.
b. Travel-Related Cases: Los Angeles attracts a diverse population, including travelers and immigrants from malaria-endemic regions. Healthcare providers should consider malaria in individuals presenting with fever and a history of travel to endemic areas.
c. Vector Control Measures: Emphasize mosquito control and prevention efforts in Los Angeles and other states. This includes eliminating standing water sources, implementing mosquito control programs, and promoting the use of insect repellents and protective clothing.
d. Collaboration and Reporting: Prompt reporting of suspected cases facilitates testing, treatment, and public health interventions if necessary.
e. Public Education: Increase public awareness about malaria, its transmission, and prevention measures.
Potential Implications of Climate Change:
While the recent cases in Texas and Florida cannot be directly linked to climate change, the potential impact of warming temperatures and increased rainfall should not be overlooked. Mosquitoes thrive in warm climates and standing water, which could increase the risk of malaria transmission. Ongoing monitoring and surveillance by local health authorities are essential for assessing the risk and implementing appropriate measures.
Remember to stay informed, follow guidelines from local health departments and the CDC, and prioritize the well-being of patients and the community.
#publichealth #healthcare #community #education #health #travel #climatechange #climatechange #water #testing #surveillance #malaria http://publichealth.lacounty.gov/acd/VectorMalaria.htm
UNVEILING THE GUARDIANS OF HEALTH: CELEBRATING INFECTION PREVENTIONISTS AND THEIR REMARKABLE CONTRIBUTIONS AT THE APIC2023 CONVENTION
Though their work often goes unnoticed by the public, infection preventionists have long been the vanguards of health, standing at the forefront of the battle against infectious diseases. Their commitment and vigilance have saved countless lives and prevented the spread of epidemics. They are the invisible hands that weave the tapestry of safety and well-being within our healthcare systems.
Many people have heard of infection control in hospitals, but today the field of infection prevention encompasses so much more: IPs in the past were many registered nurses but today IPs can be physicians, MPH, microbiologists, data scientists, and so much more. They keep patients, staff, and visitors safe in hospitals but have expanded to some many other settings such as public health, outpatient surgical centers and doctors offices, dialysis centers, skilled nursing facilities and long term care facilities, as well as less traditional settings such as schools and group homes and prisons.
In the United States alone, an estimated 35,000 infection preventionists stand as sentinels of health. Yet, their title remains unfamiliar to many. The profession of infection "preventionist" ("IP" for short) has just been added to the sacred pages of the Merriam-Webster Dictionary. Yes, it is a testament to the growing acknowledgment of their crucial role in our collective safety. Their name now graces the hallowed halls of linguistic validation.
Did you know that a staggering 38% of infection preventionists are "oners," working alone in their respective facilities. It's time we change that narrative. As these remarkable individuals gain more recognition and appreciation for their invaluable work, let's envision a world where they have a network of support and collaboration. A world where their expertise is celebrated, their efforts multiplied, and their impact magnified.
Now to highlight the noble #volunteers of Greater Los Angeles APIC skillfully intertwining their expertise with the realm of skilled nursing facilities and long-term care. Fueled by compassion, empathy, and an unwavering commitment to improve education and infection prevention practices, their mission resonates within their very being. As Teena, our esteemed board member, once wisely said, "I was always an infection preventionist, I just didn't know it." Her words echo the untapped potential within each of us to make a lasting impact.
As we celebrate the joyful gathering at #APIC2023, let us remember the collective enthusiasm that permeated the room. Laughter filled the air, banshee-like screams of joy reverberated, and hearts swelled with a shared sense of purpose. These cherished moments of connection remind us of the power we possess when we come together, united in our dedication to making a difference.
So let us honor the invaluable work of infection preventionists, those unsung heroes who tirelessly protect our well-being. May they share their stories as Bernice Berry encouraged and spread awareness, so their remarkable contributions can be celebrated. Together, we can ensure that infection preventionists gain the recognition they truly deserve.
Thank you for allowing me to share this tale of inspiration. Let it serve as a reminder that even the smallest acts of compassion can create ripples of change. Keep shining your light and let us continue to weave a tapestry of appreciation, understanding, and unwavering support for these noble guardians of our health.
#InfectionPreventionAndYou #InfectionPreventionists #HealthVanguards #IPsInAction #PublicHealth #SentinelsOfHealth #IPProfession #NetworkOfSupport #GreaterLosAngelesAPIC #CompassionAndEmpathy #InfectionPreventionPractices #EducationMatters #APICMoments #SharedSenseOfPurpose #UnsungHeroes #SpreadAwareness #RemarkableContributions #RipplesOfChange #TapestryOfAppreciation #UnderstandingAndSupport #GuardiansOfOurHealth
Quality Chat: Hospital-onset Bacteremia (HOB)
Quality Chat: Dry Hydrogen Peroxide (DHP) in Long-Term Care
In this introduction, I discuss the advantages and disadvantages of DHP, a powerful antimicrobial agent that has gained attention in the field. Unlike traditional liquid hydrogen peroxide, DHP is a solid compound that releases hydrogen peroxide gas when activated. Its unique properties make it an intriguing solution for continuous disinfection, with rapid action and persistent antimicrobial effects. One of the key advantages of DHP is its broad-spectrum efficacy against bacteria, fungi, and viruses. However, as with any technology, it's important to consider the limitations and potential drawbacks of DHP. Factors such as surface-dependent effectiveness, equipment requirements, and cost considerations need to be taken into account. We must also ensure compliance with regulations and protocols to ensure safe and effective use of DHP. In this video, I'll be providing you with an overview of the topic, while looking at the recent publication: Impact of Dry Hydrogen Peroxide on Environmental Bioburden Reduction in a Long-term Care Facility Mary Cole, RN, MS, CNRN, CCRN, SCRN, CIC Open Access Published: June 07, 2023 in American Journal of Infection Control (AJIC). So, join me on this journey as we delve into the world of dry hydrogen peroxide. Together, we'll explore its potential and shed light on its role in maintaining cleanliness, reducing infections, and improving overall health and safety.
#Antimicrobial #Disinfection #HydrogenPeroxide #BroadSpectrum #InfectionControl #Healthcare #Cleanliness #InfectionPrevention #Hygiene #Microbiology #HealthandSafety #MedicalResearch #LongTermCare #BioburdenReduction
Quality Chat: Hospital-Onset Bacteremia (HOB)
Join me, Emily Gaddam MHDS RN CIC, as we embark on a discussion centered on the enlightening article titled "Etiology and Utility of Hospital-onset Bacteremia as a Safety Metric for Targeted Harm Reduction." Here we'll explore the profound impact of hospital-acquired infections (HAIs) on patient well-being and the financial landscape of healthcare systems. The article specifically focuses on central line-associated bloodstream infections (CLABSIs) and introduces the potential of HOB as a simplified reporting metric with the promise of enhancing quality improvement efforts. Together, we will delve into the complexities surrounding HOB as a metric, seeking a deeper understanding of its feasibility in achieving harm reduction. We will discuss concerns and uncertainties regarding the metric's applicability for improving patient outcomes. We will also explore the crucial role of provider-perceived preventability and the consideration of infection sources in shaping effective mitigation strategies. I will also post this at www.emilygaddam.com and www.infectioncontroladvice.com. I invite you to join our discussion, sharing your insights and perspectives on the utilization of HOB as a quality improvement target. Together, we can foster a collaborative environment where healthcare professionals come together to optimize patient care and safety.
#HospitalAcquiredInfections #HAIs #PatientSafety #QualityImprovement #InfectionControl #CLABSI #HealthcareSystems #HarmReduction #MetricsThatMatter #HealthcareCollaboration #PatientOutcomes #PreventableInfections #InfectionMitigation #ProviderPerspective #HealthcareQuality #PatientWellBeing #FinancialImpact #EvidenceBasedPractice #HealthcareLeadership #ImprovingPatientCare #NHSN #CMS #Incentives #Penalties #Reimbursement
I had the pleasure of speaking to my daughter's kindergarten/ TK class, along with a first-grade class about careers in Infection prevention.
We played a game by National Geographic known as "Bubble Sickness." Anyone who had a bubble land on them was “infected” with bubble syndrome. Together, we marked the spots where infections occurred, and I asked students where they think we should spend time investigating.
I paralleled our game to the famous John Snow investigation. We talked about the role of maps in tracking the source of infections and how our initial hypotheses can evolve as new data emerges.
I applied "Glo Germ" to my hands before I entered the classroom. I continued interacting with the students. At the end of the session, we used a UV light to see what surfaces I had contaminated. They also exchanged high fives with me and we examined their own hands. We explored the invisible transfer of germs and the importance of hand hygiene.
Observing the students' genuine curiosity and enthusiasm served as a reminder of the pivotal role we play as public health role models! Pictured: me in a very tiny chair.
VIDEO 1: UNLEASHING THE POWER OF STATISTICAL PROCESS CONTROL IN YOUR BUSINESS
VIDEO 2: UNLEASHING THE POWER OF STATISTICAL PROCESS CONTROL IN YOUR BUSINESS
VIDEO 3: UNLEASHING THE POWER OF STATISTICAL PROCESS CONTROL IN YOUR BUSINESS
VIDEO 4: UNLEASHING THE POWER OF STATISTICAL PROCESS CONTROL IN YOUR BUSINESS
Statistical Process Control (SPC) is a powerful tool for achieving and maintaining consistent product quality and efficiency. This methodology, rooted in statistical principles, enables organizations to monitor and control their processes, driving continuous improvement and reducing variability. In this blog post, we'll explore the concept of Statistical Process Control, its uses, and how businesses can effectively implement it.
What is Statistical Process Control?
Statistical Process Control (SPC) is a method for monitoring, controlling, and improving processes based on statistical analysis. SPC uses statistical techniques to identify variations in a process, distinguishing between natural (common cause) and assignable (special cause) variations. By doing so, SPC helps businesses maintain stable processes, minimize defects, and reduce waste, ultimately enhancing product quality and customer satisfaction.
What are Statistical Process Controls used for?
Quality Control: By monitoring processes and identifying deviations from the norm, SPC enables businesses to take corrective action, ensuring products meet or exceed customer expectations.
Cost Reduction: SPC identifies inefficiencies and waste, helping businesses reduce production costs and optimize resource utilization.
Continuous Improvement: SPC fosters a culture of data-driven decision making, empowering teams to identify areas for improvement and drive change.
Predictive Maintenance: By detecting irregularities in machine performance, SPC can help businesses implement predictive maintenance strategies, reducing downtime and increasing equipment longevity.
How can a business implement Statistical Process Control?
Assess Your Processes: Identify the critical processes within your organization that affect product quality, efficiency, or customer satisfaction. This will help you determine where SPC can provide the most significant impact.
Develop Key Performance Indicators (KPIs): Establish measurable KPIs for each process, such as defect rates, cycle times, or yield percentages. These metrics will serve as the foundation for your SPC monitoring efforts.
Collect and Analyze Data: Implement systems for data collection and analysis, ensuring consistent and accurate measurements. Use control charts to track process performance and identify trends or variations.
Train Your Team: Educate employees on SPC principles and their role in process improvement. Encourage a culture of continuous learning and improvement, with team members actively engaged in monitoring and optimizing processes.
Take Corrective Actions: When assignable causes of variation are identified, take timely corrective actions to eliminate their root causes. Continuously refine your processes based on data-driven insights.
Review and Refine: Regularly review your SPC efforts to ensure they remain effective and relevant. As your business evolves, so too should your SPC strategy.
Anatomy of an SPC Chart: Decoding the Visual Language of Process Control
A bakery has decided to implement Statistical Process Control to ensure consistent cookie size for their popular chocolate chip cookies. The KPI chosen is cookie diameter, with the goal of maintaining a size within a specified range. In this blog post, we'll walk through the creation of an SPC chart to track cookie size and analyze the data from January to August.
Central Line (CL): The central line represents the average or mean of the process data. It serves as a reference point for assessing whether the process is in control or not.
Upper Control Limit (UCL) and Lower Control Limit (LCL): These lines represent the boundaries within which the process is considered in control. They are typically set at three standard deviations above and below the central line.
Control Zones: The area between the central line and control limits is divided into zones, usually color-coded for easy identification. The green zone is between the CL and UCL/LCL, indicating that the process is in control. The red zone, beyond the control limits, indicates that the process is out of control.
Data Points: These represent individual measurements collected from the process. They are plotted over time, providing a clear visual representation of process performance.
Annotations: SPC charts often include annotations to highlight special events, process changes, or other important information that may impact process performance.
The SPC Chart:
Define the Key Performance Indicators (KPI): Here, the bakery has determined that the ideal cookie diameter is 3 inches. This value will serve as the central line on the SPC chart.
Set Control Limits: Based on historical data, the bakery establishes the Upper Control Limit (UCL) at 3.2 inches and the Lower Control Limit (LCL) at 2.8 inches. These limits represent the acceptable range for cookie size.
Collect and Plot Data: The bakery collects data on cookie diameter daily and plots the data points on the SPC chart.
Analyzing the SPC Chart: From January to July, the data points remain within the green zone, indicating that the process is in control and producing cookies within the acceptable size range. However, in August, a data point falls into the red zone, below the LCL. This signals that a cookie is significantly smaller than the desired size, indicating that the process is out of control.
Taking Action: The bakery investigates the root cause of the out-of-control data point. It turns out that a batch of cookies was baked using an incorrect scoop size. The bakery takes corrective action by retraining employees on proper scoop usage and implements additional quality checks to ensure consistent cookie size. By using the SPC chart to monitor cookie size, the bakery can quickly identify and address potential issues, maintaining customer satisfaction and product quality.
Avoid Costly Mistakes: The Importance of Hiring a Skilled Auditor for Your Business
As an infection prevention consultant, it's important to develop and maintain a positive and professional relationship with the people you work with. I came across an article on quality auditing that has some great tips on how to achieve this.
Firstly, establish rapport with your clients by acknowledging their expertise and experience. This is a great opportunity to show off your own expertise too. Just make sure you use positive and constructive language and avoid jargon and acronyms. You don't want to sound like a know-it-all!
Secondly, follow the ethics and standards that govern your profession. This includes principles such as integrity, objectivity, confidentiality, and competence. If you're feeling really cheeky, you could also try to set some new standards, like "always wear a funny hat during audits" or "do the worm whenever you find a major issue".
Thirdly, provide timely and relevant feedback to your clients. But don't be too harsh - remember to recognize the good practices and improvements that they've made. Maybe even throw in a compliment about their outfit or a joke to lighten the mood.
Fourthly, when issues arise, remain calm and professional. Take a deep breath and remember that it's not personal - it's just business. You could even try to diffuse the situation with a joke or a funny story.
Fifthly, follow up with your clients after the audit. This is a great chance to show that you care about their well-being and that you're not just in it for the money. Maybe even send them a funny meme or a cute animal video to brighten their day.
Finally, the ultimate goal is to build trust with your clients. So be consistent, transparent, and respectful in your interactions with them. And if all else fails, bribe them with cookies or cake. Who can resist a sweet treat?
I hope these tips help you develop and maintain a positive and professional relationship with your clients. Remember to have fun and don't take yourself too seriously!
https://www.linkedin.com/advice/1/how-do-you-maintain-your-quality-audit-certification
#work #business #opportunity #people #quality #audit #ethics #experience
Are you at risk of deadly Candida auris? Here's what you need to know
You may have heard some buzz lately about the Candida auris fungus. While it's true that this fungus has become a serious public health threat, there's no need to panic.
Candida auris is a drug-resistant yeast that can cause serious illness and death in people who are already sick or have weakened immune systems. It's most commonly found in healthcare settings, so the average person is unlikely to encounter it in their day-to-day life.
However, if you're running a small business or organization that involves contact with people who may be at risk for infections, it's still important to be aware of the risks and take steps to prevent the spread of infections.
Here are a few tips:
Make sure your employees are trained in proper hand hygiene and use of personal protective equipment (e.g. gloves, masks).
Ensure that surfaces and equipment are properly cleaned and disinfected on a regular basis.
Encourage employees and visitors to stay home if they are sick or have symptoms of an infection.
By taking these simple steps, you can help protect your employees, customers, and the community at large from the spread of infections.
Remember, while the Candida auris fungus is a serious threat, it's also something that can be managed with the right infection prevention strategies. Stay informed, stay vigilant, and stay healthy!
Read more here:
https://www.npr.org/2023/03/21/1164912425/candida-auris-yeast-fungus-cdc-spread
https://www.nytimes.com/2023/03/20/health/candida-auris-us-fungus.html
https://www.washingtonpost.com/health/2023/03/20/candida-auris-fungus-infection/
Deadly Fungal Infections Are Increasing in U.S. Hospitals | Time
#CandidaAuris #DrugResistantYeast #InfectionPrevention #HandHygiene #PersonalProtectiveEquipment #HealthcareSettings #SmallBusiness #Organizations #PublicHealth #DeadlyFungalInfections #StayInformed #StayVigilant #StayHealthy #NPR #NYTimes #WashingtonPost #Time
From Poultry Farmers to Pet Owners: How to Stay Safe During the HPAI Outbreak
Who: People who own or work with birds, such as poultry farmers, backyard flock keepers, pet bird owners, and bird enthusiasts.
What: The recent outbreak of Highly Pathogenic Avian Influenza (HPAI) H5N1 virus in wild birds and poultry, both in the United States and globally, and its potential impact on human health.
Where: The H5N1 virus has been detected in wild birds and poultry in many countries around the world, including the United States, and has recently made an appearance in Los Angeles County.
When: Since the initial outbreak of the H5N1 virus in January 2022, the virus has spread to many countries, affecting millions of commercial poultry and backyard flocks, and causing concern among bird lovers everywhere.
Why: As someone who owns or works with birds, you have a vested interest in staying informed about the latest developments in the avian influenza outbreak and taking necessary precautions to minimize the risk of exposure to your birds, yourself, and your family.
How: It's important to avoid direct and close contact with sick or dead wild birds, poultry, and wild animals. And let's be honest, nobody wants to get close to sick birds anyway, am I right? You should also not consume uncooked or undercooked poultry or poultry products, including raw eggs, because we all know that the only raw thing, we should be consuming is cookie dough (kidding)!
On a serious note, you can further protect yourself and your birds by implementing effective infection prevention and control strategies, such as regular hand washing, disinfecting equipment, and limiting visitors to your bird facility. And if you're feeling a little lost, don't worry. There are plenty of resources available to help you stay informed about the latest developments and best practices, such as the LA County Public Health department and the CDC.
As an infection prevention and control consultant, I'm dedicated to working with businesses and organizations to implement effective strategies to keep their employees and customers safe and stay in compliance with current regulations. So, let's work together to create a safe and healthy environment for everyone, including our feathered friends. And remember, stay safe, stay informed, and keep those raw eggs away from your breakfast plate!
#HPAI #AvianInfluenza #PoultryFarmers #BackyardFlockKeepers #PetBirdOwners #BirdEnthusiasts #InfectionPrevention #HandWashing #Disinfection #LimitingVisitors #LACountyPublicHealth #CDC #StayInformed #StaySafe #RawEggs #Compliance #FeatheredFriends #WildBirds #Poultry #GlobalOutbreak #HumanHealth #EffectiveStrategies #PublicHealth
An Early Valentine's Gift: Clearing Up Misconceptions Behind Antigen tests
Cochrane Reviews are evidence-based reports that provide a summary of findings from a systematic review of multiple studies. They aim to provide a comprehensive overview of evidence to help guide decisions and future research.
So, the authors of this Cochrane review/systematic analysis wanted to get to the bottom of the rapid antigen tests for SARS-CoV-2. They sifted through the COVID-19 Open Access Project database and found 155 study cohorts, including 100,462 samples, from 49 different commercial antigen assays.
Here’s the findings:
The average sensitivity* was higher in symptomatic individuals (73%) compared to asymptomatic individuals (54.7%). Sensitivity and specificity are statistical terms used to evaluate the performance of a diagnostic test. Sensitivity refers to the proportion of true positive cases that are correctly identified by the test. It is a measure of the test's ability to correctly identify individuals who have the condition being tested for. Specificity is a measure of the test's ability to correctly identify individuals who do not have the condition being tested for. A test with high sensitivity is considered to be good at identifying positive cases, while a test with high specificity is considered to be good at identifying negative cases.
Also, to throw another wrench in things: The chance of a false positive depends on the prevalence of the condition being tested for. In general, a high specificity means that the test is good at correctly identifying negative results, but the false positive rate (the chance of a positive result when the person is actually negative) can still be high if the condition being tested for is rare. To determine the exact false positive rate, one would need to know the sensitivity of the test (its ability to correctly identify positive results), the prevalence of the condition, and the positive predictive value, which takes into account both the specificity and the prevalence of the condition.
So (drumroll).... the results: the sensitivity varied between brands, with sensitivities ranging from 34.3% to 91.3% in symptomatic individuals and 28.6% to 77.8% in asymptomatic individuals.
Average specificity was similarly high for symptomatic (99.1%) or asymptomatic (99.7%) participants.
So, in conclusion, these rapid antigen tests are a good tool, but they're far from perfect. They're not going to give us 100% certainty, but it's still better than nothing.
Caveats: the risk of bias. Bias can influence results in either an overestimation or underestimation of the true value of an effect. The study found high risk of bias in the evaluated studies. The study reports that the risk of bias was high due to factors such:
as participant selection (26%),
weaknesses in the reference standard for absence of infection (78%),
participant flow and timing (27%), and differences in the way the tests were delivered and used from the way they were intended to be used (31%).
the study also mentions that many commercially available rapid antigen tests have not been evaluated in independent validation studies, adding to the uncertainty about their accuracy.
In the case of the rapid antigen tests for SARS-CoV-2, the risk of bias could have influenced the results in either direction and impacted the overall accuracy of the tests.
#CochraneReview #SystematicAnalysis #RapidAntigenTests #SARS-CoV-2 #Sensitivity #Specificity #FalsePositive #DiagnosticTests #EvidenceBased #COVID19OpenAccessProject #ParticipantSelection #ReferenceStandard #ParticipantFlow #TestAccuracy #RiskOfBias #CommercialAntigenAssays #AsymptomaticIndividuals #SymptomaticIndividuals #Accuracy #Uncertainty #MedicalMisconceptions
Nail Salon Nightmares: Are You Putting Your Health (or business) on the Line for a Manicure?
In the summer of 2000, a strange outbreak occurred in a small town in Northern California. Patients were showing up at doctors' offices with persistent boils on their legs, but no one could figure out what was causing them. It wasn't until a sharp-eyed physician noticed that all of her patients had recently gotten pedicures at the same nail salon that the mystery began to unravel.
The health department sprang into action, launching an investigation to find out what was causing these infections. They quickly discovered that the source of the problem was the salon's whirlpool footbaths. 110 customers of the salon had developed furunculosis, a type of skin infection caused by rapidly growing mycobacteria.
But how could this be? Mycobacteria are commonly found in soil and water, but they don't usually cause problems for healthy people. As the investigation progressed, it became clear that the source of the outbreak was the footbaths at the nail salon. These whirlpool baths were found to be contaminated with rapidly growing mycobacteria, specifically Mycobacterium fortuitum.It turns out that the salon's footbaths were the perfect breeding ground for these sneaky germs. The warm, damp environment allowed the bacteria to grow and multiply, and when customers put their feet in the baths, they were exposing themselves to a veritable petri dish of infection.
But the health department wasn't content to just identify the problem - they wanted to find out how to prevent it from happening again. They conducted a case-control study, comparing affected patients to unaffected customers who had also gotten pedicures at the salon. They discovered that shaving legs before the pedicure was a significant risk factor for infection, and that the bacteria in the footbaths matched those found on the affected patients.
So what can be done to protect oneself from a similar fate? First and foremost, it is important to be vigilant when choosing a nail salon. Look for cleanliness and proper sterilization practices. Avoid salons that reuse razor blades, as this was found to be a risk factor in this particular outbreak. Also, avoid shaving your legs before a pedicure, as this can increase the risk of infection.
For salon owners and staff, it is crucial to maintain proper hygiene and sterilization practices. This includes regularly cleaning and disinfecting all tools and equipment, including footbaths. It is also important to have a protocol in place for identifying and responding to potential outbreaks.
And let us not forget the importance of infection preventionists. Trained professionals who specialize in preventing and controlling outbreaks such as this one. They play a vital role in ensuring the safety and well-being of both patients and staff in healthcare and community settings.
#NailSalonNightmares #InfectionOutbreak #WhirlpoolFootbaths #InfectionPrevention #HygienePractices #Sterilization #CaseControlStudy #MycobacteriumFortuitum #ProtectYourHealth #ProtectYourBusiness #ChooseWisely #BeVigilant #InfectionPreventionists
Navigating the Stormy Seas of Infection Prevention: A POEM
A clean facility, a healthy space,
Emily's Infection Control to the rescue, no time to waste.
With her expertise, your worries cease,
A safe environment, a thing of peace.
I am Emily, a nurse and certified “IP”
Infection prevention is my ship
I'll navigate you through the stormy seas
And make sure your business is disease-free
With 14 years of experience, I'll lead the way
To a safe and healthy environment, come what may
Let's work together, hand in hand
To make your business, a safe and clean land
Up-to-date and ready to lead
A safe environment is all we need
Let's work together, side by side
To keep infections at bay, with pride.
With a name like Gaddam, it may seem odd,
But rhyming with Adam, it's not so flawed.
God damn, it may seem, but trust her ways,
She'll guide you through this infection maze.
#InfectionPrevention #CleanFacility #HealthySpace #ExpertConsultation #NavigatingStormySeas #DiseaseFree #SafeEnvironment #CertifiedIP #14YearsExperience #UpToDate #HandInHand #KeepInfectionsAtBay #EmilyGaddam #Poem
Taking the First Step: How Marie Curie's Journey Motivated Me to Start My Business
As a young girl, Marie Curie never imagined that she would become one of the most accomplished scientists of her time. Born in Poland in 1867, she grew up in a world where women were not encouraged to pursue careers in science or any other field. Despite this, she persisted in her studies, eventually becoming the first woman to earn a degree in physics from the Sorbonne in Paris.
Marie's journey serves as an inspiration to all of us who have ever doubted our abilities or felt limited by our circumstances. It reminds us that taking the first step forward is often the hardest, but it's also the most important. As she once said, "Nothing in life is to be feared, it is only to be understood. Now is the time to understand more, so that we may fear less."
I know how Marie feels. I come from a family of hardworking people but none of them were entrepreneurs or business owners. I was a good student, but when I graduated high school, I didn't have a clear vision of what I wanted to accomplish in life. It wasn't until I was much older that I started to identify my strengths and weaknesses and dream about a path forward.
That's why I've decided to take the first step and start my own business as an infection prevention consultant. My role at a large academic medical center has given me the team and security I desire, but my new venture allows me to be creative and flexible in serving where I see a need.
I'm excited to begin this new chapter in my life and I hope that my story will inspire others to do the same. As Oprah Winfrey once said, "The biggest adventure you can ever take is to live the life of your dreams." So, don't be afraid to take that first step and chase your dreams, you might be surprised at where it leads you.
#MarieCurie #Inspiration #TakingTheFirstStep #Entrepreneurship #BusinessOwner #DreamBig #InfectionPrevention #Consultant #AcademicMedicalCenter #Creative #Flexible #ChaseYourDreams #WomenInScience #ScienceEducation #GenderEquality #OvercomingObstacles #RoleModel #Fearless #SuccessStory
Don't Let COVID-19 Weasel Its Way into Your Business: How to protect your business and StaY Compliant
As we move into an era of COVID-19 endemicity, it's important for businesses to understand the implications of this new reality. According to an article by Dr. Monica Gandhi, the virus is not going away and it will continue to be a part of our lives for the foreseeable future.
One of the main implications for businesses is the need for ongoing infection control measures. Traditional non-hospital settings such as nail salons, tattoo parlors, and dentist offices have always had to implement infection control measures, but now we are seeing a wider range of settings, such as schools, camps, offices, and the entertainment industry, needing to do the same.
To prepare for this new reality, businesses need to have a clear understanding of the current guidelines and recommendations for infection control, as well as the ability to adapt and adjust these measures as needed. This can be a daunting task for many businesses, especially those without a background in infection control.
That's where expert consultation services come in. An expert in infection control can help businesses navigate the ever-changing landscape of COVID-19 guidelines and recommendations. They can assist with creating and implementing infection control plans, as well as providing ongoing support and advice to help businesses stay compliant and safe.
In this new era of endemic COVID-19, it's essential for businesses to take infection control seriously. . By working with an expert consultant, they can feel confident that they are doing everything they can to protect their employees and customers. And let's be honest, nobody wants to be the business that gets shut down for non-compliance or becomes a COVID-19 super spreader.
As Homer Simpson once said, "Weaseling out of things is important to learn; it’s what separates us from the animals… except the weasel." By working with an expert consultant, businesses can feel confident that they are doing everything they can to protect their employees and customers. Don't let COVID-19 weasel its way into your business, make sure you have the right expert on your team.
#COVID19Compliance #InfectionControl #ExpertConsultant #BusinessProtection #StayCompliant #NewReality #Endemic #COVID19Guidelines #Adaptation #NonHospitalSettings #EmployeeSafety #CustomerSafety #HealthAndSafety #RiskMitigation #ExpertAdvice #COVID19SuperSpreader #BusinessContinuity #ComplianceRisk #InfectionPrevention #StaySafe #StayHealthy #ProtectYourBusiness #WeaselOutOfThings #ExpertInfectionControlConsultant
COVID-19 Surge in LA: Is Your Business Prepared for a Mask Mandate and the Return of a Tripledemic?
As COVID-19 cases and hospitalizations continue to rise in Los Angeles County, public health experts are warning that a mask mandate may be necessary to curb the spread of the virus. But what does this mean for businesses? The reality is that the return of a mask mandate and the emergence of a "tripledemic" of COVID-19, flu, and RSV cases poses a serious threat to the operation and profitability of businesses in the area.
For businesses, a mask mandate means more expenses in terms of personal protective equipment (PPE) and potential lost revenue due to reduced foot traffic. Additionally, businesses must navigate the complexities of enforcing mask-wearing among employees and customers, which can be a difficult and time-consuming task.
The real risk to businesses is the potential for regulatory issues and liabilities. With hospitals already stretched thin, an outbreak in a business can quickly spiral out of control, leading to lost productivity and legal action.
In the event of an outbreak, businesses can be held liable for failing to properly protect employees and customers from COVID-19. This includes not providing proper PPE, not enforcing social distancing, and not properly sanitizing the workplace.
This is where an infection control consultant comes in. An infection control consultant can work with your business to develop a comprehensive plan to prevent and respond to outbreaks of COVID. This plan will include guidelines for PPE, social distancing, and sanitation, as well as protocols for testing, contact tracing, and quarantine. This will not only help to protect your employees and customers from the spread of the virus, but also demonstrate to regulatory authorities that your business is taking the necessary steps to comply with the mandate.
An infection control consultant can also help your business navigate the ever-changing landscape of regulations and guidelines related to COVID-19. They can provide training for employees on how to properly wear and dispose of PPE, as well as how to identify and report symptoms of COVID-19. This will ensure that your business is in compliance with all regulations, reducing the risk of fines and penalties.
While a mask mandate may seem like a simple solution to the current hospital crisis, it also poses a significant risk to businesses. The potential for regulatory issues and liabilities can be overwhelming. It is crucial for businesses to take a proactive approach by working with an infection control consultant to develop a comprehensive plan to prevent and respond to outbreaks, and to comply with the regulations. This will not only protect your employees and customers, but also reduce the risk of regulatory issues and liabilities.
#COVID19Surge #MaskMandate #Tripledemic #BusinessPreparedness #InfectionControl #PPE #ReducedFootTraffic #RegulatoryIssues #Liabilities #OutbreakResponse #EmployeeSafety #CustomerSafety #Compliance #InfectionPrevention #ComprehensivePlan #SocialDistancing #Sanitation #Testing #ContactTracing #Quarantine #RegulationNavigation #ExpertConsultation #RiskMitigation #LegalAction #LosAngelesCounty #PublicHealth #HealthCrisis