Spineboard Decontamination Corporation

Hospitals & Emergency Medical Services


New Article regarding Infection Control Practices

EMS Provider Compliance with Infection Control Recommendations Is Suboptimal

Posted online on January 8, 2014. (doi:10.3109/10903127.2013.851311)

Bryan E. Bledsoe, DO, Richard J. Sweeney, MD, Ross P. Berkeley, MD, Korey T. Cole, BS, Wesley J. Forred, RN, Larry D. Johnson, NRP

Received April 23, 2013 from the Department of Emergency Medicine, University of Nevada School of Medicine (BEB, RJS, RPB, KTC, WJF, LDJ), and MedicWest Ambulance/AMR (LDJ), Las Vegas, Nevada. Revision received August 10, 2013; accepted for publication August 12, 2013.

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Address correspondence and reprint requests to: Bryan E. Bledsoe, DO, University of Nevada School of Medicine, Emergency Medicine,

901 Rancho Lane, Suite 135, Las Vegas, NV 89106

e-mail: bbledsoe@me.com


Abstract

Introduction. Standard precautions are disease transmission prevention strategies recommended by both the World Health Organization (WHO) and by the Centers for Disease Control and Prevention (CDC). Emergency medical services (EMS) personnel are expected to utilize standard precautions. Methods. This was a prospective observational study of the use of standard precautions by EMS providers arriving at a large urban emergency department (ED). Research assistants (RAs) observed EMS crews throughout their arrival and delivery of patients and recorded data related to the use of gloves, hand hygiene, and equipment disinfection. Results. A total of 423 EMS deliveries were observed, allowing for observation of 899 EMS providers. Only 512 (56.9%) EMS providers arrived wearing gloves. Hand washing was observed in 250 (27.8%) of providers. Reusable equipment disinfection was noted in only 31.6% of opportunities. The most commonly disinfected item was the stretcher (55%). Conclusion. EMS provider compliance with standard precautions and equipment disinfection recommendations is suboptimal. Strategies must be developed to improve EMS provider compliance with internationally recognized infection control guidelines. Key words: Emergency medical services, hand washing, hygiene, disinfection, disease prevention

Read More: http://informahealthcare.com/doi/abs/10.3109/10903127.2013.851311


See what OSHA has to say about the employers responsibility for decontaminating EMS equipment:


US Department of Labor, OSHA
, Letter From OSHA to
Katherine West, BSN/MSEd/CIC

Code of Federal Regulations regarding decontamination of contaminated Hospital/EMS/Fire equipment and other applicable employers.

CFR1910.1030(d)(2)(xi)
All procedures involving blood or other potentially infectious materials shall be performed in such a manner as to minimize splashing, spraying, spattering, and generation of droplets of these substances.

If you are hand cleaning EMS equipment it must be done with minimal spray and splatter!
CFR1910.1030(e)(2)(ii)(B)
Contaminated materials that are to be decontaminated at a site away from the work area shall be placed in a durable, leak proof, labeled or color-coded container that is closed before being removed from the work area.

If you are storing contaminated equipment for EMS to pick up you have follow these guidelines, bag it and tag it!

For Sales & Technical Information
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or
EMETS/PD&E 321-633-8005
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