Not Just a Cleaner but Your Frontline Defense

Abstract

BACKGROUND The last several decades have seen an increase in outpatient and ambulatory healthcare delivery. According to a monthly hospital publication, the total community hospital outpatient visits grew from 383?million in 1994 to 693?million in 2014. As the demographics change over the coming years, it is critical to ensure that effective infection prevention measures are in place to help reduce Healthcare Associated Infections (HAIs). All healthcare personnel, including Environmental Service employees, must be knowledgeable in infection prevention measures and understand how every employee's role affects overall infection control in their facility. METHODS By means of standardized specific work practices and specialized training, environmental service employees were educated on infection control measures in the healthcare setting. Management certified in Infection Prevention, conducted a series of audits with Fluorescent marking sprays to systematically track performance of the disinfection processes. Data was gathered by identifying whether the Fluorescent marking spray was fully removed, partially removed or not removed from high-touch points using a three-star grading system. RESULTS A total of 77 audits were performed with a quality objective of 2,542 points. Environmental Service employees scored 2,310 points and a total 91% with a deficiency count of 42. Light switch plates and cabinet door handles were two high-touch point areas with the highest deficiency count. Porous surface areas which absorbed the Fluorescent marking spray were excluded from the data totals. CONCLUSIONS It is critical for Environmental Service employees to understand that they are an integral part of infection control. Employee feedback demonstrated that a comprehensive training program is necessary for infection control measures to be carried out effectively. This change in mindset and focus on education will be the future of infection prevention.