North Carolina State University Veterinary Housekeeping Infection Control and Accreditations. By: Hezekiah Henry and Vincent Taylor NCAAPA March 2015

Transcription

1 North Carolina State University Veterinary Housekeeping Infection Control and Accreditations By: Hezekiah Henry and Vincent Taylor NCAAPA March 2015

2 Hezekiah Henry III Born and raised in Richmond, VA Studied at Shaw University, Raleigh, NC Started working at N.C. State, Jan 20, 2003 (13 Years) Manager of the College of the Veterinary Medicine at the Centennial Biomedical College, NCSU Manage a dedicated staff of 13 housekeeping employees

3 Vincent Taylor III Born and raised in Queens, NY BS, Elizabeth City State University, 13 Worked at Elizabeth City State University 10 years, and NC State 2 years Manager of 1 st and 2 nd shift of Terry Animal Hospital Manage a dedicated staff of 13 housekeeping employees

4 College of Veterinary Medicine (CVM)

5 College of Veterinary Medicine (CVM) The North Carolina State College of Veterinary Medicine was established in 1978, admitted its first class of DVM students in August 1981, dedicated its main facility in April 1983, and graduated its first class of veterinarians in May The College has gained international recognition on the strength of its teaching, research, engagement, and patient care efforts and is ranked 3rd among the nation's 28 colleges of veterinary medicine in the current U.S. News & World Report survey. More than 27,000 patients are diagnosed and treated annually by CVM clinicians.

6 College of Veterinary Medicine

7 College of Veterinary Medicine - 1 st Floor Plan

8 College of Veterinary Medicine 2 nd Floor Plan

9 College of Veterinary Medicine 3rd Floor Plan

10 Terry Animal Hospital (TAH) Animals give so much to mankind, it s only fitting that we give back something to them. This new veterinary medical center will help enhance the medical care they receive. Randall B. Terry, Jr.

11 Terry Animal Hospital (TAH) Philanthropist Randall B. Terry, Jr. had a vision of a spacious and welcoming veterinary medical center that would be a national model of excellence. The goal was to ensure compassionate and leading-edge specialty health care for companion animals by surrounding a dedicated staff with advanced medical facilities and state of the art diagnostic and treatment technologies. This goal has been achieved with the opening of the Randall B. Terry, Jr. Companion Animal Veterinary Medical Center. At 110,000-square feet, the Terry Center is one of the nation s largest veterinary hospitals and is more than twice the size of the original Small Animal Veterinary Teaching Hospital. When it began operating in 1983, the Small Animal VTH had a planned capacity of 12,000 cases. Today our clinicians annually examine, diagnose, and treat more than 20,000 patients. YAH is a national model for excellence in companion animal medicine.

12 The Randall B. Terry, Jr. Companion Animal Veterinary Medical Center

13 Terry Animal Hospital Floor Plan

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15 TAH Infection Control Procedures MICRO FIBER EQUIPMENT PPE CROSS CONTAMINATIION CHEMICALS

16 TAH Infection Control Procedures MICRO-FIBER MOPS We use color coded micro-fiber mops in certain areas of the hospital to help avoid cross contamination. Examples of this are: Blue/Red 18 micro-fiber mops (wet mops) in the common areas Blue only micro-fiber mops in the cross contaminated areas Yellow/Blue striped micro-fiber mops in restrooms only Green fringe 18 mops in non cross contaminated areas Using micro-fiber dust mops have been proven to remove 99.9% of microorganisms. Micro-fiber dust mops also remove up to 80% more dust and dirt than traditional cotton dust mops.

17 TAH Infection Control Procedures EQUIPMENT Equipment used in one area of the hospital can not be moved to another area. Examples of this are: The housekeeping equipment we use in the Dermatology area can not be used in the Oncology area. Each area in the hospital has its own housekeeping equipment and can not be moved out that area to clean any other area to ensure no cross contamination between disciplines.

18 TAH Infection Control Procedures PERSONAL PROTCTIVE EQUIPMENT (PPE) The Personal Protective Equipment (PPE) used to protect our employees. The PPE we use are: full coveralls, disposable shoe covers, latex gloves, and face masks. These are mostly used in our surgical operating areas. PPE is used as barriers to protect against infectious materials. Our housekeeping staff that does not work in contaminated areas generally are only required to were latex gloves and uniforms. Some staff hear scrubs.

19 TAH Infection Control Procedures SPECIAL DISINFECTANTS Special disinfectants that are used in our surgical areas are: Quaternary ammonium compounds (HDQ). This is used in the large animal and small animal surgical areas where blood and bodily fluids are exposed to our housekeeping staff and other patients; HDQ is used to help kill a number of germs that are produced by our patients. We use Oxivir TB RTU to combat Methicillin-resistant Staphylococcus aureus (MRSA), the Norovirus and the Parvovirus in our isolation area. *** Special note: If a patient is found to have a potentially infectious respiratory infection during an examination, the animal is put into isolation. The room is closed off and the infectious disease risk sign is placed on the examination room door. The room is then thoroughly cleaned and disinfected first by a medical technician with HDQ, and then our housekeeper is notified to clean the room again with Oxivir before the next patient enters the room. The remaining housekeeping staff use Virex II 256 and KaiBosh as hospital grade disinfectants for its daily disinfecting/cleaning of all hand-to-touch/skin contact areas.

20 TAH Infection Control Procedures CROSS CONTAMINATION TAH is divided into clinical and non clinical areas. Non clinical areas are cleaned in a traditional manner as most academic and common areas are. Clinical areas are cleaned with additional infection control and non cross contamination protocol. Terry Animal Hospital has divided its facility into thirteen (13) designated areas defined by disciplines. This policy recognizes those areas as non-cross contamination areas. There shall be no cross over from one designated zone or discipline to another with regard to any cleaning procedures, products, tools or chemicals when administering any housekeeping tasks. In addition employees gloves that are used in these areas must be removed in that area when cleaning is complete. PROPER HAND WASHING PROCEDURES

21 TAH Infection Control Procedures INFECTION CONTROL PROTOCOL Purpose: To provide Infection Control information and guidelines for the Housekeeping Staff at the Terry Animal Hospital. The NCSU Terry Animal Hospital is one of the nation s largest veterinary hospitals and is a national model for excellence in companion animal medicine. With a focus on patient care, client comfort, and staff efficiency, our housekeeping teams have a great responsibility in executing the infectious control guidelines. The NCSU housekeeping staff plays a major role in eliminating cross contamination at the Terry Animal Hospital. There are several procedures we use to insure that we follow the infectious control guidelines at Terry Animal Hospital in order to avoid cross contamination. Several infection control procedures are used by the housekeeping staff such as using Personal Protective Equipment (PPE), housekeeping equipment, special disinfectant chemicals and professional tools in different areas of the hospital. Listed below are a few examples of infectious control procedures used by our housekeeping staff: We use color coded micro-fiber mops in certain areas of the hospital to help avoid cross contamination. Examples of this are: We use blue/red 18 micro-fiber mops (wet mops) in the common areas, blue only micro-fiber mops in the cross contaminated areas, yellow/blue striped micro-fiber mops in restrooms only, and green fringe 18 mops in non cross contaminated areas, just to name a few. Using micro-fiber dust mops have been proven to remove 99.9% of microorganisms. Micro-fiber dust mops also remove up to 80% more dust and dirt than traditional cotton dust mops. Equipment used in one area of the hospital can not be moved to another area. Examples of this are: The housekeeping equipment we use in the Dermatology area can not be used in the Oncology area. Each area in the hospital has its own housekeeping equipment and can not be moved out that area to clean any other area to ensure no cross contamination between disciplines. The Personal Protective Equipment (PPE) used to protect our employees. The PPE we use are: full coveralls, disposable shoe covers, latex gloves, and face masks. They are mostly used in our surgical operating areas. PPE is used as barriers to protect against infectious materials. Our housekeeping staffs who don t work in contaminated areas generally were latex gloves and uniforms. Special disinfectants that are used in our surgical areas are: Quaternary ammonium compounds (HDQ). This is used in the large animal and small animal surgical areas where blood and bodily fluids are exposed to our housekeeping staff and other patients; HDQ is used to help kill a number of germs that are produced by our patients. We use Oxivir TB RTU to combat Methicillin-resistant Staphylococcus aureus (MRSA), the Norovirus and the Parvovirus in our isolation area. *** Special note: If a patient is found to have a potentially infectious respiratory infection during an examination, the animal is put into isolation. The room is closed off and the infectious disease risk sign is placed on the examination room door. The room is then thoroughly cleaned and disinfected first by a medical technician with HDQ, and then our housekeeper is notified to clean the room again with Oxivir before the next patient enters the room. The remaining housekeeping staff use Virex II 256 and KaiBosh as hospital grade disinfectants for its daily disinfecting/cleaning of all hand-to-touch/skin contact areas.

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23 ACCREDIDATION What is COE Accreditation Accreditation Prep at CVM & TAH AVMA AAHA NCVMB Special Requests

24 COE Accreditation An accredited college of veterinary medicine must be a part of an institution of higher learning accredited by an organization recognized for that purpose by its country's government. A college may be accredited only when it is a major academic administrative division of the parent institution and is afforded the same recognition, status, and autonomy as other professional colleges in that institution. All aspects of the physical facilities must provide an appropriate learning environment. Classrooms, teaching laboratories, teaching hospitals, which may include but are not limited to ambulatory/field services vehicles, seminar rooms, and other teaching spaces shall be clean, maintained in good repair, and adequate in number, size, and equipment for the instructional purposes intended and the number of students enrolled.

25 Preparation for COE Accreditation for CVM & TAH History - The American Veterinary Medical Association (AVMA), established in 1863, is a not-for-profit association representing more than 86,500 veterinarians working in private and corporate practice, government, industry, academia, and uniformed services. Structured to work for its members, the AVMA acts as a collective voice for its membership and for the profession. Mission Statement - The mission of the Association is to lead the profession by advocating for its members and advancing the science and practice of veterinary medicine to improve animal and human health. Objective - The objective of the Association shall be to advance the science and art of veterinary medicine, including its relationship to public health, biological science, and agriculture.

26 Accreditations - AVMA AVMA: Council of Education of the American Veterinary Medical Association was founded 1971 as a regional accrediting agency of the Southern Association of Colleges and Schools. This accreditation requirement comes up every 7 years and examines the professional curriculum of both the college and the hospital. Housekeeping Role in Preparation A. Communication with Deans and in-house staff B. Securing and managing outside contractors C. Heavy cleaning daily

27 Accreditations - AAHA American Animal Hospital Association (AAHA). Accrediting agency for veterinary hospitals established in 1933 to ensure excellence in veterinary hospitals and practices. They examine approximately 900 standards in veterinary care and it focuses on the hospital. This is completed every 4 years. Housekeeping Role in Preparation A. How the hospital is kept clean, maintained and in good repair is reviewed B. Includes discussion of cleaning procedures, disinfectants, how cleaning tasks are performed and frequencies.

28 Accreditations - NCVMB North Carolina Medical Board: Examines standards for veterinary practice at facilities in NC. This is conducted every 2 years. Housekeeping Role in Preparation A. Communication with Deans and in house staff B. Securing and managing outside contractors C. Heavy cleaning daily

29 Housekeeping Role in Accreditation One of the most critical issues for these visits is demonstrating excellent performance in Biosecurity and in Chemical Safety. Housekeeping has a critical expert role to play in both of these areas. These are not only important operational issues, they are educational issues for our students. Again, we got an excellent level of cooperation and service, despite the fact that we made a number of changes to protocols as we got ready and raised our level of performance in advance of the accreditation visit. D. Paul Lunn, Dean, College of Veterinary Medicine North Carolina State University

30 Prep Special Requests CVM 1. Organize with contractor for cleaning interior and exterior window cleaning. 2. Organize with contractor for cleaning and waxing of operating room, hallway and brick cleaning 3. Work with site director for painting of building interior and exterior. 4. Work with site director for installation of new lighting system. 5. Work with Dean assistant on numerous request 6. Scrubbing of necropsy area corridor (area we do not regularly clean 7. Several inspections by DAD and director TAH 1. Scrub the floors in the ER room and Ward rooms. (Areas that are not currently assigned to Housekeeping Staff). 2. Cleaned outside windows. (Normally contracted out) 3. Cleaned vents in Ward rooms. (Areas that are not currently assigned to Housekeeping Staff). 4. Several inspections by the Manager, DAD and Director

31 QUESTIONS