Cardinal Surgical Gown Webinar - Becker's Hospital Review

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How do you choose your surgical gown?A guide to AAMI barrier protection standardsSandy Albright MSHM BSN RN CNORe A. NameSr. Clinical ConsultantJune 6, 20171 Copyright 2015, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks orregistered trademarks of Cardinal Health. Copyright 2016, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.Activity # 3820

WelcomeSandy Albright MSHM BSN RN CNORSr. Clinical ConsultantCardinal HealthHospital Sales and Service2 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

Objectives31Discuss the importance of managing infection risk in the OR2Describe the purpose of AAMI and its gown standards3Outline the four AAMI barrier protection levels4Know the 3 questions you should ask yourself before choosing a gown5Review how clinicians and materials management should collaborate toimprove gown purchases 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

About Cardinal HealthRecognized leader in healthcare supply chain transformation Top ranking for transforming the healthcare value chain to meet newchallenges around costs, revenues and outcomesUnparalleled understanding of healthcare value chain Supplier and leading manufacturer of med/surg products Leader in providing supply chain services with 40 years experienceIndustry-leading manufacturer of surgical gowns* Simple way to support your reputation of delivering quality care,while lowering costs at the same time*2016 GHX data.4 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

Two main purposes of surgical gowns1. Protect patients from microorganisms carried by surgicalteam or patients themselves2. Protect healthcare providers from contact with infectiousmicroorganisms harbored by patients5 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

Why focus on the risk of infection? New pathogens and drug-resistant organisms Clinical emphasis on reducing healthcare-associated infections (HAIs) Renewed efforts to improve patient and staff safety– Support quality outcomes– Enhance patient and staff satisfaction– Protect reimbursements (help avoid “never events” and minimize 30-day readmissionpenalties)6 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

Consequences of underestimating risk Pathogens transmitted through blood, fluids and skin cells can causedangerous infections– Human Immunodeficiency Virus (HIV)– Hepatitis B and C viruses Surgical site infections are the most common infection type*– 11,000 - 35,000 cost per incident– 3 billion - 10 billion annual cost industrywide*The Direct Medical Costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention. Centers for Disease Control,http://www.cdc.gov/HAI/pdfs/hai/Scott CostPaper.pdf, Table 4 and Table 57 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

What is the AAMI? AAMI Association for the Advancement of Medical Instrumentation Nonprofit organization founded in 1967 Nearly 7,000 members with clinical, manufacturing and regulatoryexpertise Primary source for medical device standards8 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

What are AAMI surgical gown standards?9 ANSI/AAMI PB70:2012 - A set of surgical gown standards that allmanufacturers must meet Adopted by U.S. Food and Drug Administration (FDA) as testingstandard manufacturers must follow Outlines testing requirements for four different AAMI levels of barrierprotection 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

Look for AAMI label FDA discourages use of vague words such as “impervious” or“impermeable”; easily misinterpreted and potentially misleading– Lacks specificity regarding performance and test methods– ANSI/AAMI PB70:2012 developed to address these issues and provide clarity Rely on AAMI level on gown label10 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

How are barrier protection levels defined? Depends primarily on potential exposure to and level of protection from:– Blood– Bodily fluids– Other potentially infectious materials (OPIM) Classification of barrier performance based on the “hierarchy of risks” Risk levels organized by the type/volume of fluids and duration of exposure11 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

What are four AAMI levels? Barrier protection ranked on a scale of 1 – 4––––#1 minimal protection#2 low protection#3 moderate protection#4 high protection*AAMI levels determined per ANSI/AAMI PB70:201212 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

AAMI Levels 1 - 2As Noted in the AAMI Technical Information Report (TIR), No. 11:2005-Selection and use of protective apparel and surgical drapes in health care facilities*Suggested guidelines are not a substitute for clinician professional judgment and experience*AAMI levels determined per ANSI/AAMI PB70:201213 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

AAMI Levels 3 - 4As Noted in the AAMI Technical Information Report (TIR), No. 11:2005-Selection and use of protective apparel and surgical drapes in health care facilities*Suggested guidelines are not a substitute for clinician professional judgment and experience*AAMI levels determined per ANSI/AAMI PB70:201214 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

How are surgical gowns tested? Range of factors used to establishbarrier effectiveness Includes materials’ resistance towater/blood penetration Typically four different areas mustpass within the critical zones Two in front, two on the sleeve15 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

3 questions to choose your next gown1. How much fluid do you expect to be presentduring the procedure?2. How long will this procedure last?3. What is my role in the procedure?16 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

Collaboration is key Clinicians and materials management should work together to improvegown purchasing—weighing such factors as:– Risk of surgical site infections– Cost control: don’t use more protection than needed– Clinicians’ personal preference and comfort Use AAMI standards to determine product mix needed at each facility(avoid over- and under-protection) Streamline product and vendor selection to maximize safety and costeffectiveness17 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners.

Q&ASandy Albright MSHM BSN RN CNORSr. Clinical ConsultantCardinal HealthHospital Sales and Servicewww.cardinalhealth.com/ URL 18 Copyright 2016, Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health.Activity # 3820

4 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks

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