Read 2011SummerOneAndOnlyCampaignUpdate.pdf text version

JULY/AUGUST 2011

Nevada One and Only Campaign Update

To raise awareness among patients and healthcare providers about safe injection practices. The campaign aims to eradicate outbreaks resulting from unsafe injection practices. Learn what is happening in the One and Only Campaign's three Partner States: Nevada, New Jersey, and New York. Click on a State to be taken to their One and Only Campaign Home Page.

One Needle One Syringe Only One Time

Special points of interest:

Nevada Passes Legislation Aimed at Patient Safety Free Online Safe Injection Practices Course Safe Injection Educational Materials Easy to Order and they are FREE. Whistleblower Law Changes Based on Study Findings

Nevada Passes Legislation Aimed at Improving Patient Safety

The full text of each Bill may be viewed at: http://leg.state.nv.us/Session/76th2011/Reports/

Senate Bill No. 419 (Attestation of Compliance with Safe Injection Guidelines of the Centers

for Disease Control and Prevention)

Inside this issue:

Legislative Changes Whistleblowers Minimum Expectations for Safe Care Safe Injection Practices Training DVD Resources Injection Safety Guidelines from the CDC Safe Injection Educational Materials Events Contact Information

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Requires the Health Division of the Department of Health and Human Services, certain district boards of health and certain boards that license, register or certify health care professionals to require, as a condition of issuing or renewing a license, registration or certificate, that the applicant for issuance or renewal of the license, registration or certificate must attest to knowledge of and compliance with the guidelines of the Centers for Disease Control and Prevention concerning the prevention of transmission of infectious agents through safe and appropriate injection practices. In addition a physician shall attest that any person: (a) Who is under the control and supervision of the physician; (b) Who is not licensed pursuant to this chapter; and (c) Whose duties involve injection practices, has knowledge of and is in compliance with the guidelines of the Centers for Disease Control and Prevention concerning the prevention of transmission of infectious agents through safe and appropriate injection practices. Certain medical laboratories licensed by the Health Division and persons who register a radiation machine with the Health Division, as a condition of issuing or renewing a license or registration, to attest that certain employees have such knowledge of and are in compliance with such guidelines. (Signed by Governor Sandoval June 13, 2011 and becomes effective on October 1, 2011.) Assembly Bill No. 280 (Patient Safety Checklists) Requires the patient safety committees to adopt patient safety checklists and policies aimed at improving the health outcomes of patients. The patient safety committee is required to review the checklists and policies on an annual basis, making revisions as necessary. The law also requires annual reporting to the Nevada Legislative Committee on Health Care by the patient safety committees. The patient safety checklists and policies are to be included in the medical facility's patient safety plan. Failure to adopt a patient safety plan or establishment of a patient safety committee may result in administrative sanctions. The law requires checklists for the following: continued on page 5 under "Legislation"

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FREE On-line Safe Injection 5 Practices Training Course!

Nevada One and Only Campaign Update

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Tragedy into Policy: A Quantitative Study of Nurses' Attitudes Toward Patient Advocacy Activities

ORIGINAL RESEARCH (AJN June 2011 Vol. 111, No. 6)

By Lisa M. Black, PhD, RN, CNE

Methods: A study questionnaire was developed and tested for reliability and validity. Questionnaires were then sent to an initial sample of 1,725 Nevada RNs, representing 10% of all RNs in the Nevada State Board of Nursing database with active licenses and current Nevada addresses. Results: The response rate was modest at 33% (564 respondents). Of those who responded, 34% indicated that they'd been aware of a patient care condition that could have caused harm to a patient, yet hadn't reported it. The most common reasons given for nonreporting included fears of workplace retaliation (44%) and a belief that nothing would come of reports that were made (38%). Conclusions: The study findings underscore the need for a shift in organizational culture toward one that encourages clear and open communication when patient safety may be in jeopardy. These findings were ultimately used to support the passage of whistleblower protection legislation in Nevada. Keywords: Las Vegas hepatitis C outbreak, patient advocacy, whistleblower.

The Study Findings Lead To New Legal Protections For Nevada Whistleblowers

ABSTRACT

Background: In 2007 and 2008, 115 patients were found to be either certainly or presumptively infected with the hepatitis C virus through the reuse of contaminated medication vials at two southern Nevada endoscopy clinics. A subsequent joint investigation by federal and state agencies found multiple breaches of infection control protocols. There was also strong anecdotal evidence that among clinic staff, unsafe patient care conditions often went unreported because of a general fear of retaliation. At the request of the Nevada legislature's Legislative Committee on Health Care, a study was conducted to examine Nevada RNs' experiences with workplace attitudes toward patient advocacy activities. This article presents the study findings and reviews how one public health tragedy led http://journals.lww.com/ajnonline/Fulltext/2011/06000/ Original_Research_Tragedy_into_Policy_A.23.aspx to the creation of effective health care policy. The Safe Injection Practices DVD for healthcare providers is designed to remind healthcare providers to consistently utilize basic, evidencebased, common sense precautions to protect patients and themselves. Click Here to Watch and/or Order a Copy of the DVD

CDC Releases Guide To Infection Prevention In Outpatient Settings

Centers for Disease Control and Prevention Releases: Guide to Infection Prevention in Outpatient Settings: Minimum Expectations for Safe Care

The transition of healthcare from acute care hospitals to outpatient (ambulatory care settings), along with ongoing outbreaks associated with breakdowns in basic infection prevention, such as the reuse of syringes, has prompted the need for this guidance.

(source: "SafetyShare newsletter, Premier healthcare alliance")

Resources on Injection Safety and Infection Control Practices

American Association of Nurse Anesthetists (AANA) - Safe Injection Practices Education and Awareness Campaign American Society of Consultant Pharmacists (ASCP) - Summary of Glucometer Cleaning Guidelines Association for Professionals in Infection Control and Epidemiology (APIC) - Position Paper: SIP, Infusion & Vial Practices Centers for Disease Control (CDC) ­ Injection Safety website, includes Infection Control Guidelines and One and Only Campaign CDC Medscape Commentary: Make Every Injection Safe! Centers for Medicare & Medicaid Services (CMS) CMS Infection control worksheet Continued on Page 4 "Resources"

Nevada One and Only Campaign Update

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Injection Safety Guidelines from the Centers for Disease Control and Prevention

The Perfect Reference Tool! The card is designed to fit into your pocket for easy reference! 8 simple and direct injection safety guidelines from the Centers for Disease Control and Prevention conveniently placed on a pocket card. Designed by the Safe Injection Practices Coalition to place this important information directly at the healthcare professionals fingertips. Just like the other materials listed below, the Injection Safety Guidelines Pocket Card may be download and/or ordered from the One and Only campaign website at: www.OneandOnlyCampaign.org at no-charge/FREE!

Centers for Disease Control and Prevention 1600 Clifton Rd. Atlanta, GA 30333, USA 800-CDC-INFO (800-232-4636) TTY: (888) 232-6348, 24 Hours/Every Day [email protected]

Safe Injection Practices Educational Materials

Click on a picture to see a larger PDF imagine that you may download and/or print.

To help raise awareness about the consequences of unsafe injection practices and to remind healthcare providers about the basics of injection safety, the Safe Injection Practices Coalition (SIPC) has created educational materials for use in provider's offices, in patient rooms, and work areas that can be ordered or downloaded at: www.oneandonlycampaign.org and used to give your staff a quick "refresher" on injection safety. You may also contact the Campaign Director in Nevada at 775-6841043 or at [email protected]

Click here to order free copies of these materials from the Centers for Disease Control and Prevention (CDC) (publication numbers 22-0696 through 22-0702).

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Joseph Theile, Director Nevada Safe Injection Practices Campaign Nevada State Health Division BHCQC 727 Fairview Drive, Suite E. Carson City, Nevada 89701 (775) 684-1043 ­ Direct Line (775) 684-1073 ­ Facsimile Email: [email protected]

Nevada One and Only Campaign Update

Resources....continued from Page 2 CMS Infection Control Interpretive guidelines ­Hospital and Ambulatory care Food and Drug Administration (FDA) FDA Fingerstick Devices Pose Risk FDA Fingerstick Device Update FDA Safe Use Initiative Health Industry Distributors Association (HIDA) ­ Injection safety brochure HONOReform Foundation - National advocacy organization dedicated -protect patients Compassionate Response Toolkit Joint Commission ­ TJC Standards, FAQs specific to Multi-dose vials Nevada State Medical Association ­ Injection Safety information for physicians/ patients Safe Injection Practices Coalition (SIPC) ­ Developers of the One and Only Campaign World Health Organization (WHO) ­ Injection Safety website, includes WHO guidelines and best practices related to injection safety and reports and information from the Safe Injection Global Network (SIGN) Alliance WHO toolkit

One Needle One Syringe Only One Time

Do Not Miss "Observations" Radio Show in July!

Karen Morrow, Patient Advocate and member of the Nevada Coalition for Safe Injection Practices will share her story in an interview on the radio show, "Observations", airing July 22nd through July 27th. The stations, days and times are listed on the Nevada Broadcasters Association website at: www.nevadabroadcasters.org/observations/affiliates.php.

Introduction to Infection Prevention & Control

SAVE THE DATE Introduction to Infection Prevention & Control Friday July 22, 2011 Las Vegas, NV 8am ­ 4:30pm

Infection control is a necessary component of safe, high quality patient care and is essential for the well being of patients and staff. The fundamentals of infection control are applicable across all settings where health care is being provided. This course is designed to provide a thorough introduction to the basic principles of infection control as they pertain to acute care, ambulatory care, long term care, and group home settings. There will be general sessions in the morning, and facility specific outbreak sessions in the afternoon. Registration information will be sent out soon. This presentation sponsored by: Nevada Ambulatory Surgery Center Association State of Nevada Office of Epidemiology Questions? Contact Ahsan Khan at [email protected] or 702-286-7568

www.OneandOnlyCampaign.org

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Nevada One and Only Campaign Update

"Legislation" continued from cover. Checklists related to specific types of treatment. Checklists to ensure that employees and contractors of the medical facility who are not healthcare providers follow protocols to ensure the patient's room and environment are sanitary. A discharge checklist that includes verifying the patient received proper instructions for prescription medications, instructions concerning aftercare, any other instructions concerning the patient upon discharge. Senate Bill No. 339 (Patients to be Informed about Hospital Acquired Infections) Requires providers to inform patients about infections acquired during a hospital stay. Revises Chapter 439 of the Nevada Revised Statutes and contains several provisions aimed at providing patients with various information about facility-acquired infections. It also imposes certification and educational requirements for infection control personnel and amends the current law pertaining to patient safety plans.

FREE

Safe Injection Practices On-line Training Course

FREE

In the Nevada One and Only Campaign Update, May/June addition, the featured article was about the return of the new and improved Safe Injection Online Training Course. In light of the signing of Nevada's new safe injection law it seems appropriate to cover the highlights once again. The training consists of ten sections related to infection control and specifically injection safety including ethical considerations and policies and procedures related to injection safety. It also utilizes video clips from the CDC training video for safe injection practices to illustrate concepts discussed in the text. The course has been approved for:

A maximum of 2.00 AMA PRA Category 1 CreditsTM; 2.00 continuing medical education credits in ethics by the Nevada State Board of Medical Examiners (NSBME) and meets the Board's requirement for 2.00 continuing medical education credits in ethics; 2.00 hours of nursing continuing education credit b the Nevada State Board of Nursing; and 2.00 continuing education hours by the Nevada State Board of Dental

This course is a collaboration between the University of Nevada Las Vegas School of Community Health Sciences, University of Nevada Las Vegas School of Nursing, the Southern Nevada Health District, University of Nevada School of Medicine and the Nevada Coalition for Safe Injection Practices an on-line training focused on safe injection practices is now available. The creation and evaluation of this training was made possible through funding from the Centers for Disease Control and Prevention1 (CDC). This on-line training is offered at no cost through the University of Nevada School of Medicine's Department of Continuing Medical Education and Professional Development and is available at www.nevadacme.com. The course can be a helpful training tool for medical assistants and other staff members in your practice and serves as a good refresher on safe injection practices. The CDC safe injections information page, www.cdc.gov/injectionsafety is a valuable resource. The most recent guideline outlining Standard Precautions is the Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings 2007 can be found there and links are provided below for you convenience. Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings 2007 [PDF 3.80 MB] (Complete Document) Safe Injection Practices to Prevent Transmission of Infections to Patients (Standard Precautions-- Excerpt)

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