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Insights on Infection Control

Reducing HAIs With Disposables

Published March 19, 2009 8:28 AM by Susan Dubay, MPA, BSN, RN
A few weeks ago, we asked you how many of you were using disposable vs. reusable blood pressure cuffs. It was interesting to see that close to 80% of you use reusable cuffs to only 20% disposable. Many studies show that HAIs are often passed on medical devices, especially cuffs, even after cleaning. In fact, a recent article in the AARP bulletin cited one study which reported that 39 percent of medical personnel didn't know that C. diff could be spread on stethoscopes, blood pressure cuffs and other equipment.

I recently participated in the conversion from reusable cuffs to a single-patient disposable blood pressure cuff at St. Joseph's Hospital Health Center in Syracuse, NY.  The hospital made this decision to convert to a single-patient cuff in an effort to reduce inventory levels, make purchasing easier and more efficient, and to prevent infections by reducing the risk of bacteria being passed from patient to patient. 

"With all the multi-drug resistant organisms out there, we really felt the disposable would be something to help lower the risk of hospital-acquired infections," said Chris Pines, St. Joe's manager of patient safety and risk, in a recent press release.

Another study (posted on the Infection Control Resource Center on ADVANCE for Nurses home page) shows that using one cuff per patient, and adhering to diligent cleaning and disinfection practices, reduces the risk of cross contamination significantly.

I look forward to sharing the results this conversion has on St. Joseph's in the weeks and months to come. As you assess your infection control processes, has your hospital considered converting to disposables?

6 comments

Thank you for the great post. We have converted recently to all new admissions receiving one disposable BP cuff on admission and keeping it for their whole stay with us. We have also instituted a convenient program to clean reusable BP cuffs between patients. I was unable to download the White Paper. Is is possible to get a copy sent to me in e-mail. Patricia Byers, MRSA Prevention Coordinator

Patricia Byers, Infection Preveniton - ICP, MED VAMC October 13, 2009 11:06 AM
Houston TX

Thank you for the information. I was unable to download the White Paper from the website link. Any way I could recive it thur the e-mail? Patricia Byers, MRSA Prevention Coordinator

Patricia Byers, Infection Prevention - ICP, Michael E DeBakey VAMC October 13, 2009 11:03 AM
Houston TX

Being on the instrument supply side, we are asked about cleaning and disinfecting of items we sell that do not have disposable alternatives.      This a great aid for non infection control trade individuals such as myself, as information and practices amongst our users is spotty at best.

My specific concern is the cleaning and disinfection of eartips used on the Welch Allyn Micro Tymp 2 and the TM262 Auto Tymps.  We are asked by user the best procedure and the only reference I have is to use an Anti Bacterial soap and Ultrasonic cleaner, followed by a 5 minute soak in Alcohol.    

Any information related to these products would be greatly appreciated.

Rick, ENT Audiology - Customer Support Manager, EMI Canada June 19, 2009 8:45 AM
Missisauga

In response to Kelli, Vineland, NJ.  What would be the response to reusing disposable BP cuffs?

Sheila, Infection Control - Admin. Assist., Oneida healthcare Center May 20, 2009 9:19 AM
Oneida NY

I think one patient disposable cuffs are a great tool to reduce infections. There are 2 negative issues I have encountered.

1) staff using the same disposable cuffs throughout the unit.

2) staff leaving the uniflated disposable cuffs around the pts arm. It seems that leaving the cuff on the arm causes sweating and an increased infection risk when heplock ports are beneath these cuffs.

Kelly, med surg - rn, acute care hospita April 15, 2009 11:47 AM
Vineland NJ

We uses disposable cuffs and stethoscopes for all clients known to be infected with multi drug resistant organisms.  Maybe we should be using them for all clients. Expensive to maintain for nonprofit organization.   We do try to clean the stethoscope between visits.

Donna, home care - RN, Chicopee VNA March 28, 2009 12:47 PM
Chicopee MA

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    Occupation: Infection Control Professionals
    Setting: Welch Allyn; St. Luke’s Hospital (Smith)
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