This is just another impractical, useless, expensive and time wasting measure that does mostly nothing. We put on EBP to protect our hands from transmission while the pt. touches the same door handle that we also touch with out bare hands. We also put on aprons for wound/catheter patients when we will often/usually not touch the patient's bed with our clothes. This will cost billions in time wasted by staff and wasted PPE and increased trash waste. Just another reason to leave healthcare entirely. Allen, RN, BSN (30 yrs)

This is a hot topic at our facility! How I understand this is we use the EBP for any resident with an indwelling device or wound, assuming they have an MDRO as a proactive approach to infection control. We have the PPE in the residents bathroom for dignity purposes. Any tips on if a resident becomes insulted with the use of EBP

I don't see a link for the audit tool

So glad I found your video! We use the same shields. Our office is so fast paced, I needed something that was quick and would dry clear. I like you wear glasses and its affected my vision not having a clear shield. I have been using caviwipes that have also inadvertently etched my own glasses at work. I see you also wear eyeglasses. Do you have any tips for me on how to use these shieldsfor better comfort w/eyeglasses?

I absolutely love how you simplify this EBP topic by providing solutions and benefits to problems

I have an upcoming presentation on this very topic. Thanks for this. I love your scientific findings

Where can i find checklist for state surveys to be prepared?

Using this one too! Thank you so much for these.

Omg! Using this one as well for training purposes <3

Love this. Will be using this to train my future Dietary staff. Thank you!!!

Can you making tutorial video about how to wear your 3M N95 mask and duck bill N95 mask, i hope you can make it, thanks

Even I just learned a few things about cleaning my room. I didn’t know you have to leave the disinfectant for sometime. Thank you for sharing.

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Transmission based precautions July 2022 CDC states surgical mask for Covid not N95; Yet I have not seen this adopted at the state level-Illinois

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It is shocking to hear that they were spraying PPE with disinfectant!

Nice

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Where do we find the state and local guidance? State specific? Thank you!

seriously, print this out!

We LOVE Elizabeth!

 Dwell or contact time refers to how long you must leave a chemical on a surface for it to do everything the label says it will. However, there is a universal misunderstanding of the meaning of dwell or contact time for disinfectants. Myth: The contact time on a disinfectant’s label is the time a surface must remain wet for the disinfectant to kill the listed organisms. Fact: 10-minute contact time is meant for EPA registration, NOT the time it takes to kill microorganisms on pre-cleaned surfaces. 1. Multiple scientific studies have demonstrated the efficacy of disinfectants against pathogens causing healthcare-associated infections with a contact time of at least 1 minute regardless of what the label states. 2. The only way an institution can achieve a contact time of 10 minutes is to reapply the surface disinfectant 5-6 times to the surface as the typical dry time for a water-based disinfectant is 1.5-2 minutes and currently, healthcare facilities are achieving surface disinfection of non-critical patient care items and environmental surfaces by one application of a disinfectant and requiring a >1-minute dry time. 3. Equally important as disinfectant contact time is the application of the disinfectant to the surface or equipment to ensure that all contaminated surfaces and non-critical patient care equipment are wiped. Current studies demonstrate that only approximately 50% of high-risk objects are effectively cleaned at terminal cleaning. 4. There are no data that demonstrate improved infection prevention by a 10-minute contact time versus a 1-minute contact time. 5. We are not aware of enforcement action against healthcare facilities for “off-label” use of a surface disinfectant. Thus, we believe the guideline allows us to continue our use of low-level disinfectants for noncritical environmental surfaces and patient-care equipment with a 1-minute contact time. Additionally, all facilities should re-emphasize the thoroughness of cleaning to ensure that all contaminated surfaces are wiped.

There is only so much you can teach from behind a desk... I love being on site!

The more you know!

Don't forget about that food cart!

The temperature DOES matter!

Housekeeping in long-term care facilities might just be the most overlooked/forgotten area for the spread of infectious diseases.

Great tips for staff to ponder, and incorporate in their practices and workplaces!!

This is by far my favorite thing to demonstrate

My favorite subject to talk about!

It is imperative that we do what we can to prevent the spread of all viruses in the nursing home!

Here are my tips & tricks from months and month of nursing home visits!

my top tips & tricks for appropriately utilizing transmission based precautions!

Empowering nursing homes to be successful with their survey!!

3,500 nursing homes across the country were cited for over $15M in State & Federal infection control deficiencies... TOO MUCH!

I help IPC nurses, DONs, and Admins, like you, implement evidence based infection prevention and control practices and protect against state survey deficiencies. If you're an IPC nurse, DON, or Admin at a LTCF please feel free to let me know what training or tips I help provide!