ASC Spotlight - Q2 2019 - 4

SURFACE DISINFECTION

Just Because You Are Using a Disinfectant
Doesn't Mean You Are Disinfecting
The Business Case for Improving Infection Prevention in ASCs
What does this mean?
Disinfectant and tool compatibility. Quaternary
ammonium compound-based disinfectants can bind
with cotton and some microfiber cleaning tools, which
prevents the release of the disinfectant active onto the
surface, inhibiting the disinfection process. This issue,
called quat binding, is caused when quats, which have
a positive charge, bind with cleaning tools that have
a negative charge. Other studies have demonstrated
that some cleaning cloths may be so absorbent that it
prevents the release of enough disinfectant on to the
surface to do the job. Have you checked to make sure
that your disinfectant and tools are compatible?

Germs are invisible. It is difficult to tell if the job was
done properly. A surface can look clean, while still
housing a significant amount of pathogens. The real
question is: How do you know the surface was truly
cleaned and disinfected?
Roles and responsibilities. In many facilities, cleaning
and disinfection roles and responsibilities are unclear.
There is confusion about who is cleaning what. As an
example, in some facilities, there is so much to do, and
so little time between procedures, that everyone does
something, but not all roles are clearly defined or
executed. Bottom line: what is known as an effective
method for reducing pathogen transmission may not be
happening.

Safety. A Matlow study demonstrated that staff may be
less likely to use a disinfectant they feel is hazardous or
unpleasant for patients or themselves. Some disinfectants
are irritating to eyes, skin, or respiratory tracts, and may
require the use of personal protective equipment or be
irritating to patients, while others may have an offensive
odor. Your staff may be reacting by minimizing use, or
they may be using these products without the proper
PPE, which can increase risk of injury or lost time. When
patient and staff satisfaction are so important, are you
sure your facility is providing a disinfectant that is tough
on pathogens, but gentle on staff and patients?

Disinfectants may not stay wet long enough. A
disinfectant requires a specific contact time with a
pathogen to kill it. This contact time is listed on the
label of EPA- or Health Canada-registered disinfectants.
Optimally, the disinfectant will stay wet and in contact
with the pathogen for at least as long, or longer, than the
required contact time. Unfortunately, many disinfectants
dry before the contact time is achieved, especially those
with long contact times or high levels of alcohol. Are
you confident that the required contact time is being
achieved?
4

To Order: 1.800.P.SCHEIN (1.800.772.4346) 8am-8:30pm, et

*

To Fax: 1.800.329.9109 24 Hrs

19MS4306



ASC Spotlight - Q2 2019

Table of Contents for the Digital Edition of ASC Spotlight - Q2 2019

Table of Contents
ASC Spotlight - Q2 2019 - Cover1
ASC Spotlight - Q2 2019 - 2
ASC Spotlight - Q2 2019 - Table of Contents
ASC Spotlight - Q2 2019 - 4
ASC Spotlight - Q2 2019 - 5
ASC Spotlight - Q2 2019 - 6
ASC Spotlight - Q2 2019 - 7
ASC Spotlight - Q2 2019 - 8
ASC Spotlight - Q2 2019 - 9
ASC Spotlight - Q2 2019 - 10
ASC Spotlight - Q2 2019 - 11
ASC Spotlight - Q2 2019 - 12
ASC Spotlight - Q2 2019 - 13
ASC Spotlight - Q2 2019 - 14
ASC Spotlight - Q2 2019 - 15
ASC Spotlight - Q2 2019 - 16
ASC Spotlight - Q2 2019 - 17
ASC Spotlight - Q2 2019 - 18
ASC Spotlight - Q2 2019 - 19
ASC Spotlight - Q2 2019 - 20
ASC Spotlight - Q2 2019 - 21
ASC Spotlight - Q2 2019 - 22
ASC Spotlight - Q2 2019 - 23
ASC Spotlight - Q2 2019 - 24
ASC Spotlight - Q2 2019 - 25
ASC Spotlight - Q2 2019 - 26
ASC Spotlight - Q2 2019 - 27
ASC Spotlight - Q2 2019 - 28
ASC Spotlight - Q2 2019 - 29
ASC Spotlight - Q2 2019 - 30
ASC Spotlight - Q2 2019 - 31
ASC Spotlight - Q2 2019 - 32
ASC Spotlight - Q2 2019 - 33
ASC Spotlight - Q2 2019 - 34
ASC Spotlight - Q2 2019 - 35
ASC Spotlight - Q2 2019 - 36
ASC Spotlight - Q2 2019 - 37
ASC Spotlight - Q2 2019 - 38
ASC Spotlight - Q2 2019 - 39
ASC Spotlight - Q2 2019 - 40
ASC Spotlight - Q2 2019 - 41
ASC Spotlight - Q2 2019 - 42
ASC Spotlight - Q2 2019 - 43
ASC Spotlight - Q2 2019 - 44
ASC Spotlight - Q2 2019 - 45
ASC Spotlight - Q2 2019 - 46
ASC Spotlight - Q2 2019 - 47
ASC Spotlight - Q2 2019 - 48
ASC Spotlight - Q2 2019 - 49
ASC Spotlight - Q2 2019 - 50
ASC Spotlight - Q2 2019 - 51
ASC Spotlight - Q2 2019 - 52
ASC Spotlight - Q2 2019 - 53
ASC Spotlight - Q2 2019 - 54
ASC Spotlight - Q2 2019 - 55
ASC Spotlight - Q2 2019 - Cover4
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