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PublicHealthOntario.ca
Smoke and Mirrors - Crimes Against IPAC? Presented by:
Madeleine Ashcroft, Network Coordinator and Donna Moore,
Infection Control Consultant Mississauga Halton Infection Control
Network
September 30, 2014
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Learning Objectives
• Explore common misconceptions and myths related to infection
prevention and control (IPAC)
• Review some “crimes” against IPAC practices
• Investigate possible motives
• Share the inside information
• Set the record straight
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Misconceptions and Myths
• Misconception: a view or opinion that is incorrect because it
is based on faulty thinking or understanding
• Myth: a traditional story; a widely held but false belief or
idea
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Some IPAC Misconceptions and Myths
Warning! Sometimes just stating the myth can mistakenly
reinforce it in some peoples’ minds – Don’t let this happen to
you!
Hand Hygiene:
1. Washing with soap and water is better than using
alcohol-based hand rub (ABHR)
2. Alcohol dries the skin and make hands sore
3. ABHR kills all germs
4. Wearing gloves replaces hand washing
5. Antibacterial soap is needed in health care settings - and
maybe even at home (See resources)
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http://www.publichealthontario.ca/http://www.cbc.ca/news/technology/ban-antibacterials-triclosan-and-triclocarban-report-says-1.2703095
and http:/www.cela.ca/sites/cela.ca/files/TC-TCC-CELA-997.pdf
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More IPAC Misconceptions and Myths
Influenza:
• Flu shots give me flu
• I never get flu so I don’t need the shot
• Cold weather is good because it gets rid of bugs
Other:
• Over half of health care workers are colonized with MRSA
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Let’s Play Detective
• Fact can be stranger than fiction!
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Local Examples of Strange Behaviours
• Here are some real examples of local strange behaviours
related to IPAC
• On each of your tables is one such example provided during
outbreaks over the past year
• Please take 3 minutes to read this and consider: • What might
be the motive (rationale)?
• Is there any evidence to support this?
• How would you respond (verdict)?
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Case #1
No serving of cold food during outbreaks
• Motive:
• Evidence:
• Verdict?
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Transporting specimens in glove boxes instead of cooler bags
• Motive:
• Evidence:
• Verdict?
• To obtain Blue Transport Bags for transporting specimens to a
PHOL or to arrange the pick-up of a PHOL specimen; call the
Customer Service Centre at 416-235-6556 or 1-877-604-4567 or your
local Public Health Laboratory
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Case #2
Reference: PHO Specimen collection guide
http://www.publichealthontario.ca/http://www.publichealthontario.ca/en/ServicesAndTools/LaboratoryServices/Pages/laboratory-location-and-contact.aspxhttp://www.publichealthontario.ca/en/ServicesAndTools/LaboratoryServices/Pages/laboratory-location-and-contact.aspx
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Only placing one resident per line list during outbreaks
• Motive:
• Evidence:
• Verdict?
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Case #3
http://www.publichealthontario.ca/
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PublicHealthOntario.ca
Only providing bed baths during norovirus outbreaks
• Motive:
• Evidence:
• Verdict?
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Case #4
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After an outbreak is declared, waiting to send specimens to PHL
until after you’ve spoken with PPH
• Motive:
• Evidence:
• Verdict?
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Case #5
Image source: Public Health Ontario, 2013
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Reverse isolation of all residents for 48 hours if they spend a
night away from the facility
• Motive:
• Evidence:
• Verdict?
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Case #6
Image source: Public Health Ontario, 2013
http://www.publichealthontario.ca/
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http://www.health.gov.on.ca/en/pro/programs/publichealth/flu/docs/patient_trsnfr_rtn_algo_en.pdf
http://www.publichealthontario.ca/http://www.health.gov.on.ca/en/pro/programs/publichealth/flu/docs/patient_trsnfr_rtn_algo_en.pdf
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Delaying initiation of Tamiflu until the following day when the
ICP was in the building
• Motive:
• Evidence:
• Verdict?
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Case #7
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Sending specimen to PHO Lab with no resident identifiers on
specimen
• Motive:
• Evidence:
• Verdict?
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Case #8
Image sources: Public Health Ontario, 2013
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Any other examples of an IPAC mystery or crime scene?
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