Watch on Demand
Prevention of Pathogen Transmission during POCUS
Dr Cartan Costello –MB BCH BAO, FCICM, FACRRM, FRACGP, BA Com, Grad Dip Crit Care Echo
Senior Staff Specialist-, Intensive Care Wollongong Hospital and Co-Chair of General Ultrasound – Critical Care Ultrasonography Special Interest Group
Point-of-care ultrasound (POCUS) has become a cornerstone in the diagnosis and management of almost all patients admitted to intensive care. It forms part of treatment algorithms of cardiac arrest, PE, vascular device insertion and guides hemodynamic assessment is common clinical syndromes such as sepsis and ARDS.
To achieve the full benefits in patient care that ultrasound brings to critical care, clinicians need to minimise the contamination risk from the use of probes and machines that move from patient to patient. Costs, practicality, and ICU workflows are all factors that must be considered along with microbiology for successful infection control policy.
- An overview of the ASUM/ACIPC 2017 Guidelines for Reprocessing Ultrasound Transducers?
- What are the current specifics of ultrasound practice within Intensive Care relevant to infection control?
- What are the administrative, financial and practical implementations that need to be considered?
- Discuss the recommendations from the USIG.
The College of Intensive Care Medicine, Ultrasound Special Interest Group (USIG) has published recommended guidelines to provide guidance in the prevention of pathogen transmission during ultrasound use
In the Webinar Dr Costello explains what disinfection to apply is based on the Spaulding Classification
Under the Spaulding classification the ultrasound probe is classified into non-critical probe, semi-critical probe and critical probe, determined by how the probe comes in contact with the patient’s procedure site and the level of cross-infection risk.
Dr Costello Discusses Specific Recommendations
from the USIG
The specifics of practice within intensive care settings require further clarifications and expansion of the ASUM/ACIPC guidelines that focus on eight (8) recommendations
Webinar Discusses the Eight (8) Specific recommendations from the USIG Guidelines
Summary of USIG recommendations
- Ultrasound medicine is an integral part of ICU clinical practice
- Clinicians carry joint responsibility with the organisations for minimising the risks of iatrogenic infection associated with practising ultrasound medicine
- All clinicians using ultrasound equipment must be familiar with these policies and procedures
- Research should be conducted on infection control associated with ultrasound practice in intensive care
- HLD is recommended over LLD following all ultrasound-guided invasive procedures
- Dedicated trained staff to perform disinfection
Webinar Summary of USIG Recommendations and Q&A
How to improve Clinical Practice in Ultrasound Probe Reprocessing
Webinar on Demand – 4 Part Series
How to Integrate Scientific Evidence into Best Clinical Practice
Dr. David J. Weber, MD, MPH, FIDSA, FSHEA, FRSM
Provides an insight into Best Research Evidence, who has a strong background in researching Healthcare-associated Infection and developing Guidelines (2008 CDC Guideline – Disinfection and Sterilization in Healthcare Facilities).
- How to Integrate Scientific Evidence into Best Clinical Practice
- Assessing Scientific Evidence: Disinfectants and Disinfecting devices
Webinar on Demand - Part 1
Human Papillomavirus (HPV) Best Research Evidence Supports Clinical Change in Ultrasound Probe Reprocessing
Dr. Craig Meyers, Ph.D.
Gives his expertise in HPV research. He was the first lab to develop a technique to grow natural High-Risk HPV that causes 70% of cervical cancer and other anogenital cancers. He discusses how his research has been applied in changing clinical practice globally in ultrasound probe reprocessing.
- HPV best research evidence supports clinical change in Ultrasound probe reprocessing
- HPV Research test protocols, what product models have been tested and results published
What are the three major aspects of evidence that you need to critically appraise
Webinar on Demand - Part 2
Q&A Discussion on Ultrasound Probe Reprocessing
- What is the process for a manufacturer to have their medical device tested against HPV and what is the time frame?
- How do we find out if a company has tested against your native HPV testing protocol?
- What should you look for or how do you determine if the incorrect Research Methodology has been used?
- When a disinfection system is modified does its efficacy need to be retested
- What disinfection systems havet been tested to be effective against HPV yet?
Webinar on Demand - Part 3
Medical teams today use evidence-based practice (EBP) to be effective in changing clinical practice in ultrasound probe reprocessing. They need to have a comprehensive understanding and knowledge in their decision- making process of how to critically analyse and review peer-reviewed published research to obtain Best Research Evidence. Without the best research evidence, you are only a person with an opinion!
This is demonstrated in how Human Papillomavirus (HPV) best research evidence has been used to support clinical change in Ultrasound probe reprocessing to reduce cross-infection risk while improving quality patient care.
- What is Evidence-Based Practice?
- Why is Evidence-Based Practice important?
- What happened before Evidence-Based Practice?
- Is all published research of good quality?
- HPV best research evidence that supports clinical change in ultrasound probe reprocessing?