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Choosing a monitoring service.

Many states now require dental offices to test their sterilizers on a regular basis for public health reasons. To perform this task, many offices choose to have the testing done by a third party. Many companies, small and large, now offer this service. To choose a monitoring service, the dental office should learn as much as possible about the variety of services available. This article will show the dental office how to choose a monitoring service.

Environmental Monitoring↗

Latex allergy.

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Gloves, Protective↗

Influenza season.

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Health Promotion↗

Assessing nurses' hand decontamination performance.

There have been numerous attempts to assess the frequency and technique of nurses' hand decontamination, but criteria employed to define acceptable levels of practice are questionable, while comparisons between staff in different clinical settings appear never to have been undertaken. In the study reported here tight criteria were developed to evaluate performance, then used to compare nurses employed in three clinical settings: intensive care, surgical and medical units. Two hospitals were employed, one with an infection control nurse, the other without. Frequency was highest in the ICU of the second hospital, but technique was superior in ICUs regardless of hospital. Half of all opportunities for essential decontamination were, however, omitted. Technique appeared superior to earlier reports. Alcoholic hand-rub was readily available and used more often in the unit where the best practice was witnessed.

Hand Disinfection↗

Spearheading the fight against infection. The role of the infection control nurse.

Prevention of nosocomial and cross-infection is essential, as it has physical and psychosocial implications for patients. The infection control nurse role has evolved over time, with different emphases being placed on the various role components. Specialist roles have been much debated, and it is important that specialist nurses reflect on and evaluate their practice. Further education must be undertaken to prepare ICNs for the diversity of their role.

Clinical Competence↗

Help from EPI info.

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Databases, Factual↗

Infection control: a career option for the critical care nurse.

Infection control is a nursing career option that offers variety, autonomy, expert status, and lifelong learning. The critical care nurse's experience with invasive procedures, knowledge of physiology, and readiness to handle the unexpected are an excellent background for this role.

Career Choice↗

Improvement in user performance following development and routine use of an expert system.

Hospital-acquired (nosocomial) infections represent a significant cause of prolonged inpatient days and additional hospital charges. In many hospitals, infection control nurses manually review positive microbiology culture results to monitor the incidence and prevalence of potential nosocomial infections. We have developed an expert system called GermWatcherTM, which uses the United States Centers for Disease Control and Prevention National Nosocomial Infection Surveillance criteria to classify microbiology results as potential nosocomial infections. In February 1993, we deployed GermWatcher at a large tertiary-care teaching hospital. In July 1993, we implemented a revised version of GermWatcher. With each version, we performed an evaluation of the program by comparing its electronic classification of positive culture results to the paper-based manual classification performed by three infection control nurses and one Infectious Disease specialist (gold standard). In the present study, we focus not on changes in the performance of the expert system, but on changes in performance among the infection control nurses. We found significant improvement in agreement and accuracy in the manual classification of cultures by the infection control nurses in the second evaluation compared to the first evaluation. We attribute this improved manual performance to the development of the expert system's rule base throughout the two evaluation phases and to the use of the expert system in the nurses' daily activities.

Cross Infection↗

Syphilis and gonorrhea.

Syphilis and gonorrhea are prevalent in the United States; thus it is likely that the practicing dentist will encounter these sexually transmitted diseases. Oral-genital contact can result in oral and oropharyngeal lesions of both syphilis and gonorrhea. In most states, the law mandates reporting of these sexually transmitted diseases to local health departments. Dentists must wear gloves, masks, and protective eyewear for all procedures resulting in physical contact between the patient and practitioner. Universal infection control procedures must be carefully followed to ensure against disease transmission from the symptomatic as well as the asymptomatic disease carrier.

Dentistry↗