Archive for June, 2008

I Survived

Sunday, June 22nd, 2008

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It’s Sunday 3:48pm in Sydney, Australia as I write this posting. Yesterday morning after 24 hours of travel I arrived back from Denver, USA in time to turn aorund my suitcase and head this afternoon for London via Singapore. This travel is in preparation for a meeting of the World Health Organization’s Informal Network of Technical Infection Control Experts which will be held in Geneva, Switzerland this Thursday and Friday. The group includes invited experts from each continent and all of WHO’s regions. It is an honour to be part of the group.

The WHO meeting comes on top of a very busy and incredibly rewarding week at APIC 2008 in Denver. The APIC 2008 conference was amazing with incredible presentations addressing all of the hot-topics for infection prevention. Yes, you read correctly - in Denver APIC took the bold step of re-branding our profession. This rebranding included a new title for our work. From Denver onwards we will be known as INFECTION PREVENTIONISTS. It’s a mouthful but promises to elevate the profession in  public, professional and governmental arenas all around the world. Personally this is a very exciting time. A time of great opportunity and one which I am sure APIC will guide with great vision. As this change is implemented I am sure that the Board and the APIC staff will constantly be vigilant and in touch with the membership as their views are sought and their input acted upon. Hold on tight, it’s going to be a great ride. See APIC’s website at www.apic.org as the brand is rolled out.

More from the northern hemisphere in a few days!

The Best of The Best Gets Even Better

Saturday, June 7th, 2008

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The Best of The Best Project is rapidly coming to an end as we draw closer to the APIC 2008 meeting. To bid on this unique item visit the website at  http://www.cmarket.com/auction/AuctionHome.action?vhost=2008apicresearchfoun or bid in person at the APIC Denver conference.

The Best of The Best Project has two specific aims. The first is to raise needed funds for the APIC Research Foundation’s 2008 Silent Auction.  The second aim is to create a unique piece of APIC’s history that captures the self-selected, best pieces of work from some of the world’s leading Infection Preventionists. Additionally, this work is much more. It’s also a wonderful example of collaboration, generosity and willingness to share. Each of the contributors is a first class, highly respected expert in the field. These are some of the people who have challenged the ways that infection prevention is practiced across the globe. I cannot thank them enough for their generosity and for their contributions to this project. Some of these experts are my friends, each is my inspiration, collectively they are my infection prevention compass. Thank you to each of them.   

The table below includes details about the contributors and their contributions as of today. Be sure to place your bid for the 8MB SanDisk Cruzer Micro USB 2.0 Flash Drive that will be loaded with a PDF copy of each  of the presentations. This is a genuine once in a lifetime opportunity to own a unique piece of infection prevention history.

CONTRIBUTORS

PRESENTATION TITLE(S)

Carla J. Alvarado, Ph.D., CICCenter for Quality and Productivity Improvement

University of Wisconsin-Madison

Infection Prevention Systems Approach - How do we change behavior/culture in health care settings?Human Factors Engineering And Patient Safety - A Systems Approach
Judene Bartley, MS, MPH, CICVP Epidemiology Consulting Services

Clinical Consultant, Safety Institute, Premier Inc

Green and Clean Dilemmas in Healthcare Environmental Design: Intersection of infection prevention, green, & evidence-based design for patient safetyInfection Control: Designing for the Next “Big Thing”
Denise M. Cardo, M.D.Director, Division of Healthcare Quality Promotion

Centers for Disease Control and Prevention

Update on State Legislation and National Regulation
Martin S. Favero, Ph.D.Director Scientific and Clinical Affairs

Advanced Sterilization Products

Johnson & Johnson

Irvine, California

Current Challenges in Disinfection, Sterilization and AntisepsisSingle Single-use or reusable: What use or reusable: What is the best balance?

Principles of Disinfection and Sterilization and the Role of the Environment in Transmission of Hospital Acquired Infections

Teresa C. Horan, MPHCenters for Disease Control and Prevention

Atlanta, Georgia, USA

Realizing the Potential of Surveillance: How Linking Process and Outcomes Data Can Drive ChangeRelative Risk and Odds Ratio

NHSN Basics

Elaine Larson, RN, PhD, FAAN, CICProfessor of Pharmaceutical and Therapeutic Research             

Associate Dean for Research                                                   

School of Nursing

Professor of Epidemiology

Joseph Mailman School of Public Health

Columbia University

Editor, American Journal of Infection Control

Hand Hygiene Among Professionals:  Is it still important?
Associate Professor Cathryn Louise Murphy RN MPH PhD CICFaculty of Health Science and Medicine, Bond University, Queensland, Australia

Managing Director, Infection Control Plus

Multi-Resistant Organisms & Starbucks: How Alike Are They?SARS: Threat or Opportunity?
Denise Murphy, RN, BSN, MPH, CICVice President, Chief Patient Safety and Quality Officer

Barnes-Jewish Hospital @ Washington University Medical Center, St. Louis, MO

The Science of Influence and Art of Persuasion: Fundamentals for the Infection Preventionist of the 21st CenturyThe Circle of Protection
Russell N. Olmsted, MPH, CICEpidemiologist, Infection Control Services, SJMHS - Ann Arbor

Member Keystone-Hospital Associated Infection Advisory Group

Elimination of Health Care-Associated Infections (HAIs) - Is this Achievable? Efficacy of a patient safety performance improvement collaborative 
Trish M. Perl, MD, MScAssociate Professor of Medicine

Hospital Epidemiologist

Johns Hopkins Hospital

Diffusion of best practices –reflections on the BSI initiative (s)Why you don’t need a clinical trial to intervene when it comes to safety?
Gina Pugliese, RN, MSVice President, Premier Safety Institute

Associate Faculty

University of Illinois School of Public Health

Rush University College of Nursing

Patient Safety - Time For A Design Change
William A. Rutala, Ph.D., M.P.H.University of North Carolina (UNC) Health Care System and UNC at Chapel Hill, NC Disinfection and Sterilization: Meeting the CDC Guideline
Barbara M. Soule, RN, MPA, CIC
Practice Leader, Infection Prevention and Control
Joint Commission Resources, Inc.
Human Enterprise, the Environment and Emerging Infectious Diseases: A historical journeyFrom Vision to Reality

Keeping The Balance

Saturday, June 7th, 2008

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Many of my friends, family and colleagues wonder how professionals in Infection Prevention ever find time for doing things other preventing infections. It’s actually a reasonable question given the enormous stressors that we face. Lack of resources, increased public scrutiny, jampacked schedules, tight budgets and staff shortages are just some of things that the modern infection preventionist faces on an almost daily basis. So how can we continue to function  at our best and in ways that are sustainable and sensible? Here’s how I try.

Firstly, we have to take good care of ourselves. This means keeping a healthy perspective on issues, getting enough rest and regularly taking some time out from infection prevention. Hopefully some of that time out may include regular healthy exercise. Obviously for a machine such as our body to function well it needs to be fueled well and so good nutrition is also important. The lessons of exercise and nutrition were probably one of the last lessons I learnt but hopefully my current efforts to reach a healthy state will pay off in increased years of life which means I can continue to enjoy many more years in infection prevention. Here are some of the ways I try to keep a balance:

  1. Enjoy sunrise if you a morning person and moonlight if you are a nightowl.
  2. Say “thank you” often and always with sincerity.
  3. Be a mentor and engage a mentor
  4. Ask for help when you need it and give it when others ask for it.
  5. Realise that most of the things that stress us are not life-threatening (they just feel that way if we let them) 
  6. Take some exercise that raises your heart rate for at least 30-45 minutes everyday - my favourites are running, cycling and swimming.
  7. Laugh lots and especially at yourself.
  8. Enjoy good company everyday
  9. Eat a balanced, healthy diet and get regular sleep
  10. Think outside of the square

  

Managing The 14-Hour Time Difference

Monday, June 2nd, 2008

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Many APIC members ask me how do I manage to contribute to APIC activities and discussions when my base in Australia is at least 14,000 miles from APIC’s head office in Washington, DC. It’s actually much easier than you would imagine. For a start, my day is already more than 12 hours long when the first APIC staff and other Board members begin the same day. For example it’s now almost 7pm here in Queensland and it’s almost 5am the same day in DC. So my Monday in-box is almost empty and ready for all that APIC can throw at it while I rest up.

When I wake up and check my Blackberry I always have enough time to respond to any urgent requests and still make the end of the DC business day. It’s remarkable actually.

Probably the most difficult thing has been having to get up sometimes at 5am to start a 2-hour Board call. Or perhaps even worse has been staying awake to start an all-day conference call meeting in DC which starts at 11pm my time. Thankfully the few times I’ve needed to do that I’ve been up for the challenge and thankfully no-one on the other end gets to see my pyjamas!

Strangely the way that I do business with many of my peers in Australia now is by phone or occasional meeting. The rest of the time e-mails and Blackberries work wonderfully for us. I honestly think that time zones are irrelevant because if you really care about your role on the Board, as all the current Board members, we all make sure where there for when it matters.

That said, it’s always great to meet my Board colleagues face to face and I am excited about that opportunity late next week in Denver.