Thank You!

We would like to begin this post by thanking you for being part of the Eloquest Healthcare Blog (affectionately referred to as “The EHB”) during its inaugural year. Whether this is your first or you’ve read every post, the EHB wouldn’t exist without you!

A Year in Review

2017 was an interesting year, especially as it relates to the U.S. healthcare system. It’s no secret that the Affordable Care Act (ACA) is complicated and challenging to understand. So with that in mind, we launched the EHB in February with our first post providing a high-level overview of the ACA. That was followed by three posts, each providing a summary of the ACA’s three primary initiatives to facilitate better understanding of their independent and joint impacts on patient care:

Not surprisingly, these were among the most-read posts of 2017! The series was followed by a mix of posts that included a deeper dive into the healthcare-acquired conditions that lead to financial penalties for hospitals:

In support of the ReliaTect™ Post-Op Dressing with CHG launch, we shared a sequence of posts discussing the relationship between SSI risk reduction and an ideal post-op dressing, as well as what is currently available. All of these lead up to introducing ReliaTect:

In mid-August, we welcomed our first guest blogger, Elizabeth Campbell, RN, MSN, CRNI. Elizabeth provided great insight to 21st-Century resources for today’s health care professionals and proved to be quite popular amongst our readers.

More recently, a 2-part series on procedure kits was featured (part 1, part 2). The first examined the impact kits have on enforcing best practices while the second discussed their financial story. As standardization becomes a bigger part of process improvement efforts by hospitals, we’ll revisit this topic in the future. Speaking of…

Looking Ahead

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Happy Holidays!

For more information about Mastisol® Liquid Adhesve, Detachol® Adhesive Remover, or ReliaTect® Post-Op Dressing with CHG, please contact your sales consultant or Eloquest Healthcare®, Inc., by calling 1-877-433-7626 or visiting www.eloquesthealthcare.com.

Minimizing infection risk is an essential part of optimizing “The Triple Aim” of the Affordable Care Act. Eloquest Healthcare is committed to providing solutions that can help you reduce the risk of CLABSI and post-op wound contamination.

Procedure Kits: Where Common Sense Makes Financial Sense

PROCEDURES WHERE KITS HELP

  • Vascular Access Devices
    • PIV Starts
    • CVC Insertion
    • PICC Lines
  • Epidurals
  • Dressing Changes
  • Surgical Procedures

In our last blog, we reviewed how standardization of procedure kits can help your facility by increasing overall compliance to best practices. Yet another advantage of procedures kits is the financial benefit. A case in point is a study of phlebitis and infiltration rates within an institution following the conversion to a standard intravenous (IV) start kit, which showed dramatic effects by not only improving outcomes but decreasing costs as well.1

Nursing departments in this 700-bed facility tested a variety of IV starter kits and determined their best choice for the study. The kit they selected featured a window dressing, a prep of 2% chlorhexidine gluconate (CHG) with 70% isopropyl alcohol, catheter securement cushions, a tape strip, a 2″ x 2″ gauze pad, a latex-free tourniquet, and an extension set with needleless valve.

Hands-on training in the appropriate use of the kit was provided to hospital staff to achieve consistent usage. Outcomes were monitored by assessing phlebitis and infiltration rates at 6-month intervals on 250 patients per assessment.

The clinical results of implementing a standardized protocol/procedure kit not only met but exceeded the hospital staff’s objectives1:

  • Phlebitis rates were virtually eliminated
  • Infiltration rates were zero
  • Dwell times were extended from 72 hours to 96 hours

Beyond the beneficial clinical results were multiple cost avoidance advantages 1:

  • Annual real cost savings of 34% ($188,640)
  • Nursing time decreased from an average of 25 to 15 minutes per procedure
  • Reducing phlebitis rates resulted in lower expenditures and fewer unscheduled restarts
  • Extending catheter dwell time protocols saved nursing time and materials
  • Standardization reduced risk of costly infections
  • No need to hire additional nursing staff

Furthermore, the study resulted in some patient benefits as well 1:

  • Increased comfort (ie, fewer site complications, skin tears, unscheduled restarts)
  • Increased safety/lower risk of infection

This study demonstrated that standardization of procedure kits can not only help with overall compliance to best practices, but provide clinical and financial benefits as well. As you determine the appropriate components for your kits (eg, gowns, masks, caps, gloves, drapes, dressings, site prep solutions, etc.), consider the inclusion of Mastisol® Liquid Adhesive and Detachol® Adhesive Remover for any kit containing wound closure tapes or dressings:

  • Mastisol® Liquid Adhesive: Reduce the risk of infection by creating a lasting occlusive dressing barrier by incorporating Mastisol®
  • Detachol® Adhesive Remover: Miniminze risk of skin injury by implementing Detachol® for safe dressing removal

There are many manufacturers that specialize in providing and customizing kits for facility-specific needs. Mastisol® and Detachol® are available components for many kit manufacturers.

For more information about Mastisol® and Detachol®, please contact your sales consultant or Eloquest Healthcare®, Inc., call 1-877-433-7626 or visit www.eloquesthealthcare.com.

Minimizing infection risk is an essential part of optimizing “The Triple Aim” of the Affordable Care Act. Eloquest Healthcare is committed to providing solutions that can help you reduce risk of conditions like a CAUTI, CLABSI, or SSI.

Come back next time for the first of a 3-part series on catheter-related bloodstream infections (CRBSIs). You won’t want to miss it!

References

  1. Penny-Timmons E. Decreased costs/improved outcomes with standardized intravenous equipment. JAVA. 2005;10(1):20-23.

Procedure Kits Help Drive Compliance Best Practices

Most likely, your practice has standard operating procedures to ensure consistency and quality of care. In fact, an article in Modern Healthcare cited that 30% of inefficiencies in our healthcare system today are driven by a lack of standardization and a lack of care coordination.1

In the pursuit of creating “best practices” in your facility, one such area to consider is how procedure kits can help improve adherence. Two important advantages of doing so are:

  • Minimizing process variance so that all staff perform the procedure exactly the same way
  • Convenience of saving steps to locate and use materials independent of the procedure

PROCEDURES WHERE KITS HELP

  • Vascular Access Devices
  • PIV Starts
  • CVC Insertion
  • PICC Lines
  • Epidurals
  • Dressing Changes
  • Surgical Procedures

The Guidelines for the Prevention of Intravascular Catheter-Related Infections from the US Centers for Disease Control and Prevention (CDC) report that the risk for infection declines following standardization of aseptic care. Moreover, the insertion and maintenance of intravascular catheters by inexperienced staff potentially increased the risk for catheter colonization and catheter-related bloodstream infection (CRBSI).2

 

Standardized kits are also available for many surgical procedures and offer many of the same benefits of their vascular counterparts. Examples of these include incision and drainage (I&D) trays, arthroscopy kits, total knee replacement packs, and C-section setup packs. As the number of surgical procedures in the U.S. and the number of patients with increasingly complex comorbidities continues to rise, the stakes are becoming even higher.3

It is evident that standardization of procedure kits can help your practice or facility by having a positive effect on overall compliance to best practices. As you determine the appropriate components for your kits (eg, gowns, masks, caps, gloves, drapes, dressings, site prep solutionsetc), don’t forget to include Mastisol® Liquid Adhesive and Detachol® Adhesive Remover for any kit containing wound closure tapes or dressings:

  • Mastisol® Liquid Adhesive:  Reduce the risk of infection by creating a lasting occlusive dressing barrier by incorporating Mastisol®
  • Detachol® Adhesive Remover: Miniminze risk of skin injury by implementing Detachol® for safe dressing removal

There are many manufacturers that specialize in providing and customizing kits for facility-specific needs. Mastisol® and Detachol® are available components for many kit manufacturers.

For more information about Mastisol® and Detachol®, please contact your sales consultant or Eloquest Healthcare®, Inc., call 1-877-433-7626 or visit www.eloquesthealthcare.com.

Minimizing infection risk is an essential part of optimizing “The Triple Aim” of the Affordable Care Act. Eloquest Healthcare is committed to providing solutions that can help you reduce the risk of conditions like a CAUTI, CLABSI, or SSI.

Join us next time to read our blog, “Procedure Kits: Where Common Sense Makes Financial Sense.”

References

  1. Standardizing care reduces costs, improves quality. Modern Healthcare. http://www.modernhealthcare.com/article/20150411/MAGAZINE/304119950. Published April 11, 2015. Accessed August 30, 2017.
  2. O’Grady NP, Alexander M, Burns LA, et al. Guidelines for the Prevention of Intravascular Catheter-related Infections. Clin Infect Dis. 2011;52(9):e162-e193.
  3. Healthcare Infection Control Practices Advisory Committee. The Centers for Disease Control and Prevention guideline for the prevention of surgical site infection, 2017. JAMA Surg published online May 2017. Doi:10.1001/jamasurg.2017.0904.