[MCOH-EH] Do you require face shield/eye protection for the following tasks?

[Thrasher, Terri]

Goggles, face shields and mask compliance is a challenge at Cincinnati Children's.   Staff don't generally anticipate the spray of something into their mouth or eyes or onto their open skin.   Many BBP's are preventable if they would follow policy.


From: MCOH-EH [mailto:mcoh-eh-bounces+terri.thrasher=cchmc.org at mylist.net] On Behalf Of Dr Amber H Mitchell
Sent: Sunday, March 29, 2015 12:56 PM
To: mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] Do you require face shield/eye protection for the following tasks?

I'm interested in compliance with policies as well, if anyone has that.

At University of Texas, we analyzed just over 5,000 muco/mucocutaneous exposures for my doctoral dissertation and found PPE use for face shields, masks, and respirators was terrible.  For eye, nose, and mouth incidents, use of face shields or masks/respirators was only 3% for all exposures over 10 years.  Goggles were a little bit better at 10% for eye exposures specifically.

About 80+% of those exposures were blood and urine or bloody urine meaning Foleys were likely cause of largest numbers of incidents.

Look forward to seeing more discussion on this.

Amber

Amber Hogan Mitchell, DrPH, MPH, CPH
President / Executive Director
International Safety Center


From: <Thrasher>, Terri <Terri.Thrasher at cchmc.org<mailto:Terri.Thrasher at cchmc.org>>
Reply-To: "mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>" <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Date: Saturday, March 28, 2015 at 2:08 PM
To: "mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>" <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] Do you require face shield/eye protection for the following tasks?

This is in our policy:   Attached is specifics
4.3.1. Gloves - Wear gloves when there is potential contact with blood, any body fluids, mucous membranes,
non-intact skin or contaminated equipment.
* Wear gloves that fit appropriately (select gloves according to hand size)
* Do not wear the same pair of gloves for the care of more than one patient
* Clean gloves must be worn when performing "clean" procedures (e.g. venipuncture, vascular access
procedures) and sterile gloves to perform sterile procedures.
* Gloves must be changed as soon as practical, when they become soiled with blood, body fluids,
excretions or secretions while providing patient care.
* Perform hand hygiene immediately after removing gloves; glove wearing is not a substitute for hand
hygiene.
4.3.2. Face Masks (procedure or surgical masks). Wear a face mask when there is potential contact with
respiratory secretions and sprays or splatters of blood or body fluids. Face masks may be worn I
combination with eye protection to protect the mucous membranes of the mouth, nose and eyes from
exposures.
4.3.3. Eye Protection (goggles, face shields, protective eyewear). Wear eye protection during patient care
activities and procedures that are likely to generate splashes or sprays of blood, body fluids, excretions
and secretions (e.g. suctioning, wound irrigation, performing certain laboratory procedures, caring for
patients with symptoms of a respiratory infection).
4.3.4. Gowns - Wear single-patient use gowns to protect skin and clothing during procedures or activities where
contact with blood or body fluids are anticipated.


Terri

Terri L. Thrasher RN MSN
Sr. Director HR Professional Services
Employee Health, Occupational Safety and Environmental Health, Workers Comp, Injury Management, Early Child Education Center
Cincinnati Children's Hospital Medical Center
3333 Burnet Ave
Cincinnati Ohio 45229  MLC 9006
513-636-6240


Minimum Requirements for the Wearing of
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Diane Shaw
Sent: Friday, March 27, 2015 6:55 PM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: [MCOH-EH] Do you require face shield/eye protection for the following tasks?

Do you require staff to wear a face shield /eye protection for any of the following procedures:


*         Placing an IV

*         Removing an IV

*         Inserting a Foley Catheter

*         Removing a Foley Catheter

*         Emptying a tube or drain

*         Providing trach care

*         Providing Oral Suctioning

*         Providing Oral Care (Non-suctioning)

*         Cleaning up emesis

*         Cleaning up diarrhea

*         Cleaning up a blood spill

*         Changing a wet/saturated dressing

Thanks!

Diane M. Shaw, RN, BSN, CIC
Tuality Healthcare
Employee Health Services
335 S.E. 8th Ave
Hillsboro, OR 97123
Phone: 503.681.1444
Fax: 503.681.4170
Tues.-Fri. 0730-1700 hours

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