Infection Prevention Resource Guide

/Standard

uprevent.mckesson.com

In this guide, you’ll find details on products and information caregivers need to comply with OSHA requirements and CDC recommendations regarding worker safety and infection prevention. At McKesson Medical-Surgical, we understand that protecting patients and employees from exposure to disease is a concern for healthcare facilities like yours. It’s clear that it takes a community of healthcare workers, as well as patients, to prevent the spread of even the most common diseases. We’ve developed this comprehensive guide to help you find the medical products and supplies that can help your facility and staff follow CDC guidelines, and comply with CMS and OSHA regulations. With a comprehensive listing of products ranging from masks and gloves to surface disinfectants, this guide is your resource for facilitating your infection prevention program. Infection prevention resources also available online

Healthcare-associated infections (HAIs) are a growing problem for the healthcare industry and a major cause of deaths in the U.S. Having a comprehensive infection prevention program and welltrained staff is critical for your facility to protect staff and patients as well as maintain appropriate compliance.

In addition to this guide, we’ve also created UPrevent.mckesson.com – a special infection prevention web site with resources to help you remain up-to-date on recommendations from leading authorities. You can find information on UPrevent.mckesson.com from a variety of public and private sources, including:

• Centers for Disease Control and Prevention



• World Health Organization



• Association for Professionals in Infection Control and Epidemiology



•O  ccupational Safety and Health Administration



• Centers for Medicare and Medicaid Services



•S  ociety of Gastroenterology Nurses and Associates



• U.S. Food and Drug Administration



• The Joint Commission

You have the power to be an infection preventionist and we are here to help. Call your McKesson Medical-Surgical Account Manager or visit UPrevent.mckesson.com for more details.

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Guide Reference Universal/Standard Precautions

Hand Hygiene



Personal Protective Equipment (Gloves, Gowns, Masks and Respirators)

Environmental Disinfection

Surface Disinfection

Safe Injection Practices

Safety Needles and Syringes



Sharps Containers



Biohazard Waste Containment

Decontamination and Sterilization

High Level Disinfection



Instrument Cleaning

Sterilization

Surgical Site Infection Prevention

Pre-Op Prep



Surgical Hand Hygiene



Skin Prep



Antibiotic Prophylaxsis



Monitoring Glucose

Flu and Respiratory Prevention

Test Kits

Vaccines Analyzers/Readers

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Universal/Standard Precautions Universal/Standard Precautions are a set of infection control practices that healthcare personnel use to reduce transmission of microorganisms in healthcare settings.

Hand Hygiene Hand hygiene has been frequently cited as the single most important practice to help reduce the transmission of infectious agents in the healthcare setting. It is an essential element of Standard Precautions that includes both handwashing with plain or antiseptic-containing soap and water, and use of alcoholbased products (gels, rinses and foams) that do not require use of water.

Instant Hand Sanitizers In addition to traditional hand washing with soap and water, the CDC recommends the use of alcohol-based hand rubs by healthcare personnel because they address some of the obstacles that healthcare professionals face during patient care.

McKesson Brands

MANUFACTURER

ITEM #

PACKAGING

HAND SANITIZER, W/ALOE 4OZ BTL

MCKESSON BRAND

937913

EA

HAND SANITIZER, W/ALOE 8OZ BTL W/PUMP

MCKESSON BRAND

937915

EA

HAND SANITIZER, 18OZ BTL W/PUMP

MCKESSON BRAND

937918

EA

HAND SANITIZER, FOAMING W/ALOE 8.5 PUMP

MCKESSON BRAND

937917

EA

HAND SANITIZER, FOAMING W/ALOE 1000ML REFILL

MCKESSON BRAND

957986

CS

HAND SANITIZER, GEL 4OZ

MCKESSON BRAND

937914

EA

HAND SANITIZER, GEL 8OZ PUMP

MCKESSON BRAND

937916

EA

HAND SANITIZER, GEL 18OZ PUMP

MCKESSON BRAND

937919

EA

HAND SANITIZER, GEL 1000ML REFILL

MCKESSON BRAND

937920

CS

NATIONAL BRAND

MANUFACTURER

ITEM #

PACKAGING

SANI-HANDS WIPE, ALCOHOL CANISTER (135/CN 12/CS)

PDI

642391

CN

SANI-HANDS WIPE, ALCOHOL LG CANISTER (220/CN 6CN/CS)

PDI

639343

CN

AVAGARD D SANITIZER, ALCOHOL GEL 16.9OZ

3M

406351

EA

AVAGARD D SANITIZER, W/MOISTURIZERS 88ML

3M

406350

EA

GBG ALOEGEL HAND SANITIZER PUMP, 18OZ

HEALTHLINK

453164

EA

GBG ALOEGEL HAND SANITIZER PERSONAL 4OZ

HEALTHLINK

453163

CS

GBG FOAMING HAND SANITIZER, 7OZ

HEALTHLINK

706889

CS

PURE ALOE ADV INSTANT HAND SANITIZER 12OZ

GOJO

801735

CS

PURELL INSTANT HAND SANITIZER 8OZ (12/CS)

GOJO

281328

CS

® ®

™ ™

® ®



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Hand Sanitizer Dispensers

National Brand

MANUFACTURER

ITEM #

PACKAGING

GBG ALOEGEL TOUCHFREE WALL DISPENSER FOR 800ML, WHITE

HEALTHLINK

729728

EA

GBG ALOEGEL MANUAL WALL DISPENSER FOR 800ML, WHITE

HEALTHLINK

721112

EA

GBG ALOEGEL TOUCHFREE AND MANUAL WALL DISPENSER DRIP TRAY, GRAY

HEALTHLINK

729739

EA

GBG ALOEGEL® FLOOR STAND W/TOUCHFREE DISPENSER FOR 800ML (DRIP TRAY INCLUDED)

HEALTHLINK

729729

EA

® ® ®

Liquid Antimicrobial Soaps Handwashing with soap and water remains a sensible strategy for hand hygiene in healthcare and non-healthcare settings and is recommended by the CDC and other experts.

McKesson Brands

MANUFACTURER

ITEM #

PACKAGING

ANTIMICROBIAL HAND SOAP, W/TRICLOSAN 8OZ

MCKESSON BRAND

937905

EA

ANTIMICROBIAL HAND SOAP, W/TRICLOSAN 18OZ PUMP

MCKESSON BRAND

937907

EA

ANTIMICROBIAL HAND SOAP, W/TRICLOSAN DISC PUMP DISPENSER BAG 1000ML (10/CS)

MCKESSON BRAND

468275

CS

ANTIMICROBIAL HAND SOAP, W/TRICLOSAN 1GAL

MCKESSON BRAND

937910

EA

ANTIMICROBIAL LOTION HAND SOAP, W/ALOE 18OZ PUMP

MCKESSON BRAND

937908

EA

ANTIMICROBIAL LOTION HAND SOAP, W/ALOE 1000ML

MCKESSON BRAND

468273

EA

ANTIMICROBIAL LOTION HAND SOAP, W/ALOE GAL

MCKESSON BRAND

937911

EA

ANTIMICROBIAL FOAMING HAND SOAP, 8.5ML PUMP

MCKESSON BRAND

957987

CS

National Brand

MANUFACTURER

ITEM #

PACKAGING

VIONEX SOAP, ANTIMICROBIAL W/PUMP 18OZ

METREX

262764

EA

VIONEX™ SOAP ANTIMICROBIAL, 1GAL REFILL (4BTL/CS)

METREX

262766

EA

VIONEXUS™ HANDWASH, NO RINSE 1L (6/CS)

METREX

769937

CS

ALOEGUARD® ANTIMICROBIAL LIQUID SOAP, 800ML REFILL (12/CS)

HEALTHLINK

332817

EA

ALOEGUARD® ANTIMICROBIAL LIQUID SOAP, PUMP 18OZ (12/CS)

HEALTHLINK

325377

EA

ALOEGUARD® ANTIMICROBIAL LIQUID SOAP, 1GAL (4/CS)

HEALTHLINK

325376

EA



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5

Universal/Standard Precautions Cont’d

Lotion Soaps Wash with non-antimicrobial soap and water or with antimicrobial soap and water if contact with spores (e.g. C.difficle or Bacillus anthracis) is likely to have occurred.

McKesson Brands

MANUFACTURER

ITEM #

PACKAGING

GENTLE SOAP, LOTION W/ALOE 18OZ PUMP

MCKESSON BRAND

937909

EA

GENTLE SOAP, LOTION W/ALOE DISC PUMP DISPENSER BAG 1000ML (10/CS)

MCKESSON BRAND

468272

CA

MANUFACTURER

ITEM #

PACKAGING

Soap Dispensers

National Brand DISPENSERS, DISC PUMP 1000ML CAPACITY

MCKESSON BRAND

468279

EA

ALOEGUARD® SOAP TOUCHFREE WALL DISPENSER, WHITE

HEALTHLINK

729730

EA

ALOEGUARD® SOAP MANUAL WALL DISPENSER, WHITE

HEALTHLINK

333102

EA

ALOEGUARD WALL DISPENSER, DRIP TRAY, GRAY

HEALTHLINK

729739

EA

®

When should I practice hand hygiene? 1. Whenever hands are visibly dirty or contaminated. 2. Before: • Having contact with patients • Putting on gloves • Inserting any invasive device • Manipulating an invasive device 3. After: • Having contact with a patient’s skin • Having contact with bodily fluids or excretions, non-intact skin, wound dressings or contaminated items • Having contact with inanimate objects near a patient • Removing gloves

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Personal Protective Equipment Personal protective equipment (PPE) refers to a variety of barriers and respirators used alone or in combination to protect mucous membranes, airways, skin and clothing from contact with infectious agents.

Gloves Gloves reduce hand contamination 70-80 percent, preventing cross-contamination and protecting patients and healthcare personnel from infection. Gloves should be changed before and after each patient. It’s important to note that the use of gloves does not eliminate the need for hand hygiene. Both techniques should be used together to be most effective.

McKesson Brands

MANUFACTURER

ITEM #

PACKAGING

MCKESSON CONFIDERM 4.5C NITRILE EXAM POWDER-FREE 9" CUFF SMALL

MCKESSON BRAND

921602

BX

MCKESSON CONFIDERM® 4.5C NITRILE EXAM POWDER-FREE 9" CUFF MEDIUM

MCKESSON BRAND

921603

BX

MCKESSON CONFIDERM® 4.5C NITRILE EXAM POWDER-FREE 9" CUFF LARGE

MCKESSON BRAND

921604

BX

MCKESSON CONFIDERM® 3.5C NITRILE EXAM POWDER-FREE SMALL

MCKESSON BRAND

765874

BX

MCKESSON CONFIDERM® 3.5C NITRILE EXAM POWDER-FREE MEDIUM

MCKESSON BRAND

765875

BX

MCKESSON CONFIDERM® 3.5C NITRILE EXAM POWDER-FREE LARGE

MCKESSON BRAND

765876

BX

MCKESSON CONFIDERM® 3.0C NITRILE EXAM POWDER-FREE SMALL

MCKESSON BRAND

957801

BX

MCKESSON CONFIDERM 3.0C NITRILE EXAM POWDER-FREE MEDIUM

MCKESSON BRAND

957802

BX

MCKESSON CONFIDERM 3.0C NITRILE EXAM POWDER-FREE LARGE

MCKESSON BRAND

957803

BX

MCKESSON CONFIDERM CL LATEX EXAM POWDER-FREE SMALL

MCKESSON BRAND

921592

BX

MCKESSON CONFIDERM CL LATEX EXAM POWDER-FREE MEDIUM

MCKESSON BRAND

921593

BX

MCKESSON CONFIDERM CL LATEX EXAM POWDER-FREE LARGE

MCKESSON BRAND

921594

BX

National Brand

MANUFACTURER

ITEM #

PACKAGING

NITRILE GLOVE, EXAM PF TEXTURED, NON-STERILE SM PURPLE (100/BX)

HALYARD

365060

BX

NITRILE GLOVE, EXAM PF TEXTURED, NON-STERILE MED PURPLE (100/BX)

HALYARD

365061

BX

NITRILE GLOVE, EXAM PF TEXTURED, NON-STERILE LG PURPLE (100/BX)

HALYARD

365062

BX

NITRILE GLOVE, EXAM, PF TEXTURED, NON-STERILE XLG PURPLE (100/BX)

HALYARD

365063

BX

NITRILE GLOVE, EXAM PF TEXTURED, STERILE SM PURPLE (50PR/BX)

HALYARD

407602

BX

NITRILE GLOVE, EXAM PF TEXTURED, STERILE MED PURPLE (50PR/BX)

HALYARD

407603

BX

NITRILE GLOVE, EXAM PF TEXTURED, STERILE LG PURPLE (50PR/BX)

HALYARD

407604

BX

®

® ® ® ® ®

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7

Universal/Standard Precautions Cont’d

Surgical Gloves

McKesson Brand

MANUFACTURER

ITEM #

PACKAGING

LATEX SURGICAL GLOVE, PF, SMOOTH SZ 6.5 40PR/BX

MCKESSON BRAND

504280

BX

LATEX SURGICAL GLOVE, PF, SMOOTH SZ 7.0 40PR/BX

MCKESSON BRAND

504281

BX

LATEX SURGICAL GLOVE, PF, SMOOTH SZ 7.5 40PR/BX

MCKESSON BRAND

504282

BX

LATEX SURGICAL GLOVE, PF, SMOOTH SZ 8.0 40PR/BX

MCKESSON BRAND

504283

BX

POLYISOPRENE SURGICAL GLOVE, PF, SYNTHETIC, SZ 6.5 40PR/BX

MCKESSON BRAND

646099

BX

POLYISOPRENE SURGICAL GLOVE, PF, SYNTHETIC, SZ 7.0 40PR/BX

MCKESSON BRAND

646100

BX

POLYISOPRENE SURGICAL GLOVE, PF, SYNTHETIC, SZ 7.5 40PR/BX

MCKESSON BRAND

646101

BX

POLYISOPRENE SURGICAL GLOVE, PF, SYNTHETIC, SZ 8.0 40PR/BX

MCKESSON BRAND

646102

BX

SELECT SYNTHETIC STERILE SURGICAL GLOVES POWDER-FREE SZ 6.5 40PR/BX

MCKESSON BRAND

854736

BX

SELECT SYNTHETIC STERILE SURGICAL GLOVES POWDER-FREE SZ 7.0 40PR/BX

MCKESSON BRAND

854737

BX

SELECT SYNTHETIC STERILE SURGICAL GLOVES POWDER-FREE SZ 7.5 40PR/BX

MCKESSON BRAND

854738

BX

SELECT SYNTHETIC STERILE SURGICAL GLOVES POWDER-FREE SZ 8.0 40PR/BX

MCKESSON BRAND

854739

BX

® ® ® ®

Apparel Isolation gowns are used as specified by Standard and Transmission-Based Precautions, to protect the healthcare workers’ arms and exposed body areas and prevent contamination of clothing with blood, body fluids and other potentially infectious material. If fluid penetration is likely, a fluid resistant gown should be used.

McKesson Brand

MANUFACTURER

ITEM #

PACKAGING

ISOLATION FLUID RESISTANT GOWN, FULL BACK UNIVERSAL YLW (50/CS)

MCKESSON BRAND

552406

PK

ISOLATION FLUID RESISTANT GOWN, FULL BACK UNIVERSAL (50/CS)

MCKESSON BRAND

237339

EA

FLUID RESISTANT GOWN, FULL BACK, ELASTIC CUFF UNIVERSAL BLU (50/CS)

MCKESSON BRAND

455446

EA

FLUID RESISTANT GOWN, FULL BACK, KNIT CUFF UNIVERSAL WH (50/CS)

MCKESSON BRAND

237341

CS

FLUID RESISTANT GOWN, OPEN BACK, ELASTIC CUFF UNIVERSAL BLU (50/CS)

MCKESSON BRAND

237342

CS

National Brand

MANUFACTURER

ITEM #

PACKAGING

CONTROL* COVER GOWN, 3-LAYER FABRIC, ELASTIC CUFF UNIVERSAL BLU (100/CS)

HALYARD

374344

PK

IMPERVIOUS COMFORT GOWN, THUMBHOOKS, OPEN BACK, UNIV BLU (100/CS)

HALYARD

276212

CS

P2 R FLUID RESISTANT GOWN, THUMB LOOP, UNIVERSAL BLU (75/CS)

TIDI

362548

BX

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Headwear and Footwear Wear PPE when the nature of the anticipated patient interaction indicates that contact with blood or body fluids may occur. Prevent contamination of clothing and skin during the process of removing PPE.

McKesson Brands

MANUFACTURER

ITEM #

PACKAGING

BOUFFANT CAP, SPUN BOND LF 24" XLG BLUE (100/BX)

MCKESSON BRAND

237329

BX

BOUFFANT CAP, SPUN BOND LF 21" LG BLU (100/BX)

MCKESSON BRAND

237326

BX

UNIVERSAL SHOECOVER, STD LF BLU (50PR/BX)

MCKESSON BRAND

237333

BX

UNIVERSAL SHOECOVER, NON-SKID LF BLU (150PR/CS)

MCKESSON BRAND

237334

CS

UNIVERSAL SHOECOVER, NON-SKID LF BLU (50PR/BX)

MCKESSON BRAND

823535

PR

SHOECOVER, NON-SKID LF XLG BLU (100PR/CS)

MCKESSON BRAND

852189

CS

Masks, Goggles and Shields Masks are used for three primary purposes in healthcare settings: 1) Placed on healthcare personnel to protect them from contact with infectious material from patients (e.g. respiratory secretions and sprays of blood or body fluids, consistent with Standard Precautions and Droplet Precautions); 2) P  laced on healthcare personnel when engaged with infectious agents carried in a healthcare workers mouth or nose 3) P  laced on coughing patients to limit potential dissemination of infectious respiratory secretions from the patient to others (i.e. Respiratory Hygiene/Cough Etiquette). Masks may be used in combination with goggles to provide more complete protection for the face.

McKesson Brands

MANUFACTURER

ITEM #

PACKAGING

FACE MASK, W/VISOR, EARLOOPS BLUE (25/BX)

MCKESSON BRAND

226057

BX

PROCEDURE MASK, W/EARLOOPS BLUE (50/BX)

MCKESSON BRAND

689981

BX

PROCEDURE MASK, W/EARLOOPS YELLOW (50/BX)

MCKESSON BRAND

167822

BX

PROCEDURE MASK, W/EARLOOPS WHITE (50/BX)

MCKESSON BRAND

477766

BX

SURGICAL MASK, POUCH STYLE W/TIES BLUE (50/BX)

MCKESSON BRAND

206485

BX

SURGICAL MASK, W/VISOR, ANTI-FOG W/TIES BLUE (25/BX)

MCKESSON BRAND

226058

EA

SURGICAL MASK, CLASSIC STYLE W/TIES BLUE (50/BX)

MCKESSON BRAND

188696

BX

SURGICAL MASK, LIGHT AND COOL W/TIES BLUE (50/BX)

MCKESSON BRAND

206484

BX

SURGICAL MASK, SPECIALTY ANTI-FOG W/TIES WH(50/BX)

MCKESSON BRAND

206486

BX

MASK, SURGICAL MED-SURG CONE BLUE (BX50)

MCKESSON BRAND

206483

BX

National Brand

MANUFACTURER

ITEM #

PACKAGING

3M CONE MASK, BLU (50/BX)

3M

366757

BX

3M SURGICAL MASK, TIE-ON FLUID RESISTANT BLU (50/BX)

3M

5806

BX

ISO PROCEDURE MASK, HI FILTRATION YLW (50/BX)

HALYARD

233680

BX

MASK, FLUIDSHIELD* W/SPLASHGUARD* VISOR, FOG-FREE EAR LOOPS (25/BX) (4BX/CS)

HALYARD

280649

BX

DISPOSABLE EYE SHIELDS, TIDI TOWER TM ASSEBLED TID SHIELD TM (100/BX)

TIDI

860597

CS

™ ™

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9

Universal/Standard Precautions Cont’d

Respirators The CDC currently recommends N95 or higher level respirators for personnel exposed to patients with suspected or confirmed tuberculosis as well as other diseases that could be transmitted through the airborne route, including SARS and smallpox. Respirators are also currently recommended to be worn during the performance of aerosolgenerating procedures (e.g. intubation, bronchoscopy and suctioning).

National Brand

MANUFACTURER

ITEM #

PACKAGING

PARTICULATE RESPIRATOR MASK, N95 FILTER REG (35BX)

HALYARD

304647

BX

PARTICULATE RESPIRATOR MASK, N95 FILTER SM (35BX)

HALYARD

304648

BX

3M PARTICULATE RESPIRATOR MASK, N95 CONE FLTR REG (20/BX)

3M

285691

BX

3M PARTICULATE RESPIRATOR MASK, N95 T-FOLD (20/BX)

3M

450502

BX

FIT TEST KIT, F/RESPIRATOR (SWEET KIT)

3M

230067

EA

FIT TEST SOLUTION, SENSITIVITY 55ML, SWEET

3M

235409

EA

FIT TEST SOLUTION, SENSITIVITY 55ML, SWEET

3M

235410

EA

™ ™

10

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Environmental Disinfection Cleaning and disinfecting non-critical surfaces in patient care areas is part of the Standard Precautions. Establish policies and procedures for containing, transporting and handling patient-care equipment and instrument devices that may be contaminated with blood or body fluids. Medical equipment, instruments and devices must be cleaned and maintained according to manufacturer’s instructions to prevent patient-to-patient transmission of infectious agents. McKesson Brands

MANUFACTURER

ITEM #

PACKAGING

GERMICIDAL WIPE LARGE 6"X6.75" (160/CN)

MCKESSON BRAND

880563

CS

GERMICIDAL WIPE XLARGE 9"X12" (65/CN)

MCKESSON BRAND

949454

CS

PRO-TECH RTU CLEANER/DISINFECTANT, 32OZ LF (12/CS)

MCKESSON BRAND

484484

EA

PRO-TECH RTU CLEANER/DISINFECTANT, 1GAL LF (12/CS)

MCKESSON BRAND

484483

EA

PRO-TECH CITRUS DISINFECTANT SPRAY, 16OZ LF (12/CS)

MCKESSON BRAND

484482

EA

National Brand

MANUFACTURER

ITEM #

PACKAGING BX

SANI-CLOTH

®

WIPE, GERMICIDE LG (160/CN 12CN/CS)

PDI

370845

SANI-CLOTH

®

WIPE, W/ALCHL XLG (65/CN 6CN/CS)

PDI

491077

BX

SANI-CLOTH ® WIPE, GERMICIDE LG (160/CN 12CN/CS)

PDI

928732

CN

SANI-CLOTH ® WIPE, SUPER XLG 8"X14" (65/CN 6CN/CS)

PDI

928733

CN

SANI-CLOTH

®

WIPE, HB DISINFECT LG (160/CN 12CN/CS)

PDI

349037

PK

SANI-CLOTH

®

WIPE, HB DISINFECT W/O ALCHL XLG (65/CN 6CN/CS)

PDI

492227

PK

SANI-CLOTH

®

WIPE, ALCOHOL FREE, AMMONIUM CL, LG (160/CN 12CN/CS)

PDI

804411

CN

SANI-CLOTH

®

WIPE, BLEACH GERMICIDAL (75/CN 12CN/CS)

PDI

786308

CN

CAVIWIPE

®

WIPE, XL (50 WIPES/BX)

METREX

496463

BX

CAVIWIPE

®

WIPE, DISINFECTANT 6X6.7 (160 WIPES/CAN)

METREX

455706

EA

CAVIWIPE WIPE, DISINFECTANT XL (66 WIPES/CAN)

METREX

486719

CN

®

CAVICIDE

®

DISINFECTANT, INTERMEDIATE-LEVEL SURFACE 24OZ SPRAY BTL

METREX

210928

EA

CAVICIDE

®

DISINFECTANT, INTERMEDIATE-LEVEL SURFACE 1GAL

METREX

194631

EA

CLOROX HYDROGEN PEROXIDE WIPE, HD SURFACE WET MULTIPURP

CLOROX

853529

CT

CLOROX® DISPATCH CLEANER, W/BLEACH TRIGGER 22OZ

CLOROX

346629

EA

CLOROX® SPRAY, HYDROGEN PEROXIDE, 32OZ

CLOROX

853532

CS

®

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11

Safe Injection Practices Unsafe injection practices place patients and healthcare providers at risk to transmit bloodborne pathogens, including hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). Safety Needles and Syringes

McKesson Brands

MANUFACTURER

ITEM #

PACKAGING

SYRINGE ONLY, LEUR LOCK, 3CC (100/BX 10BX/CS)

MCKESSON

626061

CS

MEDI-PAK SAFETY NEEDLE HINGED DESIGN 23G X 1" (100/BX)

MCKESSON

721361

BX

MEDI-PAK SAFETY NEEDLE HINGED DESIGN 25G X 5/8" (100/BX)

MCKESSON

721365

BX

MEDI-PAK SAFETY NEEDLE HINGED DESIGN 25G X 1"

MCKESSON

721363

BX

MEDI-PAK PERFORMANCE SAFETY SYRINGE/NEEDLE HINGED DESIGN, 3CC 23G X 1" (100/BX)

MCKESSON

721370

BX

MEDI-PAK™ PERFORMANCE SAFETY SYRINGE/NEEDLE HINGED DESIGN, 3CC 25G X 5/8" (100/BX)

MCKESSON

721372

BX

MEDI-PAK™ PERFORMANCE SAFETY SYRINGE/NEEDLE HINGED DESIGN, 3CC 25G X 1" (100/BX)

MCKESSON

721371

BX

SAFETY SYRINGE WITH PREVENT®, SLIDE DESIGN, 3CC 23G X 1" (50/BX)

MCKESSON

852142

BX

®

SAFETY SYRINGE WITH PREVENT , SLIDE DESIGN, 25G X 5/8" (50/BX)

MCKESSON

852144

BX

SAFETY SYRINGE WITH PREVENT®, SLIDE DESIGN, 25G X 1" (50/BX)

MCKESSON

852143

BX

SAFETY HYPODERMIC NEEDLE PREVENT®, 25G X 5/8" (50/BX 10BX/CS)

MCKESSON

850830

BX

SAFETY HYPODERMIC NEEDLE PREVENT®, 25G X 1" (50/BX 10BX/CS)

MCKESSON

850831

BX

SAFETY HYPODERMIC NEEDLE PREVENT®, 25G X 1.5" (50/BX 10BX/CS)

MCKESSON

850832

BX

National Brand

MANUFACTURER

ITEM #

PACKAGING

ECLIPSE™ SAFETY SYRINGE/NDL, 3CC 25G X 5//8" (50/BX)

BECTON DICKINSON

448668

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1. Primary breaches in infection control practice: • Reinsertion of used needles into multi-dose vial or solution container (e.g., saline bag) • Use of a single needle/syringe to administer intravenous medication to multiple patients

12

2. N  eedle cannulas and syringes are sterile single-use items; they should not be reused for another patient or to access a medication or solution that may be used for a subsequent patient.

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3. Consider a syringe or needle/ cannula contaminated once it has been used to enter or connect to a patient intravenous infusion bag or admin set.

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13

Decontamination and Sterilization Procedures involving contact by a medical device or surgical instrument with a patient’s sterile tissue or mucous membranes pose a risk for the introduction of pathogens that can lead to infection. Decontamination and sterilization procedures are an essential safeguard to protect equipment and medical and surgical instruments against the transmission of infections to patients. High Level Disinfection Risks associated with improper disinfection or sterilization of equipment include breach of host barriers, person-toperson transmission (e.g. hepatitis B virus)-and transmission of environmental pathogens. According to the CDC, the level of disinfection or sterilization is dependent on the intended use of the object.

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Cleaning and Disinfection Point-of-care cleaning eliminates many or all pathogenic microorganisms, except bacterial spores, on inanimate objects.

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®

14

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Sterility Assurance Sterility assurance is an important aspect of modern healthcare, as it helps to minimize the patient’s risk for infection of the surgical site. Sterility assurance programs and testing assist users in meeting important quality assurance and the CDC requirements.

McKesson Brands

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STER-ALL® TEST PACK, BOWIE-DICK DISP (30TESTS/CS)

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STER-ALL® INDICATOR, BIOLOGICAL STEAM SLF-CONTAIN(25/BX 10BX)

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STER-ALL® STERILIZATION POUCH SELF SEAL 3.5” X 9”

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15

Surgical Site Infection Prevention Many factors contribute and increase patient risk in acquiring a post-surgical infection. Emerging challenges which contribute to surgical site infections include lack of standard protocols for post-discharge surveillance, resistant organisms which decrease the effectiveness of antimicrobial prophylaxis, improper skin/surgical site preparation, improper intraoperative temperature regulation, lack of blood glucose monitoring and pre-existing microorganism colonization. Pre-Operative Studies have suggested that screening patients for S aureus by nasal swab cultures preoperatively, and decolonizing with mupirocin ointment to the nares 2x daily and chlorhexidine baths once daily for 5 days before surgery, reduces the risk of S aureus SSIs in patients undergoing orthopedic surgery.

National Brand

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3M

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SAGE

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®

Surgical Hand Hygiene

16

Order Today! Visit mms.mckesson.com.

Patient Skin Prep Preparing patients’ skin for surgical procedures is a recommended practice in preventing infections. If surgical-site hair removal is necessary, clippers are the best option. The use of razors is not recommended for this procedure. It is also important to use an appropriate antiseptic agent and technique for skin preparation.

Hair Removal National Brand

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BLADE, CLIPPER ASSEMBLY (50/CS)

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CHLORAPREP 1STEP APPLICATOR, 26ML ORG (25/CS)

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PREVANTICS™ SWAB MAXI, 5.1ML (30/BX)

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Antibiotic Prophylaxis Prophylactic antibiotics are antibiotics consistent with national guidelines and should be administered within one hour of incision time and discontinued within 24 hours in most cases.

National Brand

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ITEM #

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CEFAZOLIN, VL 1GM 10ML (25/CT)

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17

Surgical Site Infection Prevention Cont’d

Monitor and Maintain Normal Blood Glucose Screen preoperative blood glucose levels in patients undergoing select elective procedures such as arthroplasties and spinal fusions.

National Brand

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HEMOCUE PROMOTIONAL PACKAGE 1 BOX GL201 ANALYZER (50 TESTS)

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HEMOCUE

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18

Order Today! Visit mms.mckesson.com.

Flu and Respiratory Prevention Protecting your practice and your patients during flu season depends on solid infection prevention techniques.

Flu Test Kits

National Brand

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ITEM #

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INFLUENZA A+B QUICKVUE TEST KIT, (25/KT 10KT/CS)

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384966

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19

Flu and Respiratory Prevention Cont’d

RSV Test Kits

National Brand

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National Brand

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®

®

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Vaccines

® ®

Analyzers/Readers



Help your facility get flu ready with targeted infection prevention strategies: 1. Vaccinate your staff 2. Wash hands frequently 3. Disinfect surfaces regularly 4. Wear personal protective equipment when appropriate 5. Practice respiratory hygiene/cough etiquette

20

Order Today! Visit mms.mckesson.com.

EA 785954

EA

References Page 2: U.S. Department of Health and Human Services, HHS Action Plan to Prevent Healthcare- Associated Infections: Ambulatory Surgery Centers. hhs.gov. 2012: 1-16. Page 4, 5, 6, 7, 8, 9, 10: CDC. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Healthcare Infection Control Practices Advisory Committee. cdc.gov. 2007: 49-53. Pages 4, 5, 6:

ASC Quality Collaboration. Hand Hygiene Policy and Procedure. ascquality.org. 2013: 1-4.

Page 11: CDC. 2011 Guidelines for Environmental Infection Control in Health-Care Facilities: Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee. MMWR June 6, 2003/ 52(RR10): 1-42. Page11 CDC: Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care. cdc. gov. 2011: 11-13. Pages 12, 13:

OSHA Blood Borne Pathogens and Needle Stick Safety Web Site. osha.gov/SLTC/bloodbornepathogens

Page 14, 15: Rutala, WA, Weber, DJ. Healthcare Infection Control Practices Advisory Committee. CDC: 2008 Guideline for Disinfection and Sterilization in Healthcare Facilities. cdc.gov. 2008: 8. Page 16, 17, 18:

Berríos-Torres, SI. CDC: 2009 Surgical Site Infection (SSI) Toolkit. cdc.gov. 2009.

Page 16, 17: Bryce, E, Wong, T, Roscoe, D, Forrester, L, Masri, B, Vancouver General Hospital Pre-operative Decolonization Therapy Team. A Novel Immediate Pre-operative Decolonization Strategy Reduces Surgical Site Infections. Antimicrobial Resistance and Infection Control. Abstracts from the 2nd International Conference on Prevention and Infection Control (ICPIC 2013). June 2013. aricjournal.com Page 16: Association of periOperative Registered Nurses (AORN) Journal: 2012 PeriOperative Standards and Recommended Practices – Hand Hygiene. Volume 95, Issue 4. 2012: 492-507. Page 16, 17: Reichman, DE, Greenberg, JA. National Center for Biotechnology Information (NCBI). Reducing Surgical Site Infections: A Review. ncbi.nlm.nih.gov. Rev Obstetrics & Gynecology 2009 Fall 2(4): 212-221. Page 18: CDC. Fact Sheet – Top CDC Recommendations to Prevent Healthcare-Associated Infections: Monitor & Maintain Normal Blood Glucose. Cdc.gov. 2012: 18 Unless otherwise noted, the recommendations in this document were obtained from the references listed above. Be advised that information contained herein is intended to serve as a useful reference for informational purposes only and is not complete clinical information. This information is intended for use only by competent healthcare professionals exercising judgment in providing care. McKesson cannot be held responsible for the continued currency of or for any errors or omissions in the information. Order Today! Visit mms.mckesson.com.

21

UPrevent.mckesson.com

Find your infection prevention guide for: /Standard

You have the power to prevent infections! McKesson Medical-Surgical’s UPrevent web site was created with the healthcare clinician in mind. We’ve done the work for you by finding current infection prevention resources from leading healthcare organizations. UPrevent offers educational resources designed to help you build successful infection prevention policies and procedures.

Regulations & Guidelines

UPrevent is your “hub” for all things infection prevention:

Home

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mer Servic

REGULATIO N ON ASC HAND HYGIE Survey assess NE SURVEY ment for hand hygiene.

CMS

JCAHO

• Sections grouped by infection prevention topic so you know exactly where to look for pertinent materials.

• Resources arranged logically to guide your infection prevention search: guidelines, forms/checklists, staff and patient education materials, training modules and educational presentations.

own IP Progr

CDC: 2007 Guidelines for Isolation of Infectious Precautions Agents in : Preventing Healthcare Transmission Settings CDC: Modes of Transmission (sub sectio n of 2007 Guide lines) CDC: Preve ntion Strate gies for Seaso nal Influen za

QUALITY COLL ABORATIVE - HAND HYGIE LOOKING FOR: Works NE: WHAT heet used by CMA SURV practices during CMS survey EYORS ARE ASC survey ors to assess s. infection contro l

ASC

Upcoming

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McKesson Medical-Surgi cal is proud present an educa to covering topics tional webinar series presented by that are important to you industry expert McKesson s. Available customers! for all

MEASURING HAND HYGIE NE ADHERANC OVERCOMIN E: G THE CHAL LENGES 2009 This monog raph provid es a framew decisions about ork to help healthcare what, when, workers make why, and how necessary they will measu re hand hygien e perform

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or download

GUIDELINES ON HAND HYGIENE SUMM Provides a ARY 2009 thorough review of evidence recommenda on hand hygien tions for improv e in healthcare ing practices microorganis and specific and reducing ms to patien the transmission ts and HCWs . of pathogenic IMPLEMENT ATION GUIDE FOR HAND Guide to Implem HYGIENE 2009 entation develo ped to assist improvement healthcare s in hand hygien facilities to e in accord Hygiene in implement ance with the Health Care WHO Guidel 2009. ines on Hand

SUSTAINING IMPROVEME NT AND PROG Provides sugge RAM COMP stions of additio LIANCE nal activities implementing and tools that to build on your achiev your facility sustainability ements, mainta might consid of a hand hygien er in momentum e improvement and aid in strategy.

Resources/Form

s/Checklists

Infection Prev

ention Mate

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Universal Precau

More than 300 links to current infection prevention resources! tions

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n Practices

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ion & Steriliz

©2012 McKess

on Medical

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Single-Use

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Device Reproc

essing

Disclaimer: This contained herein is a sampling of resourc es available is intended information to healthca to serve as is intended re practitioners a useful referenc for use only responsible regarding infection e for informa by competent for the continue tional purpose prevention. healthcare All tradema s only and Be advised profess rks and register d currency of or for any that informa errors or omissio ionals exercising judgme is not complete clinical ed tradema tion rks are the information. nt in providin ns in the informa property of This g care. McKess tion. their respect on cannot be ive owners. held

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WHO

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e

Hand hygie ne has been cited freque important practi ntly as the single most ce to reduc e the transm agents in the ission of infect healthcare ious setting and of Standard is an essen Precautions tial element that includes plain or antise both hand wash ptic-contain ing with ing soap and alcohol-bas water, and/o ed products r the use of (gels, rinses use of water , foams ) . that do not require

Guidelines/Re

Build your

Hand Hygien

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GUIDELINE CDC FOR HAND HYGIENE IN Recommenda HEALTHCAR tions of the E SETTINGS Healthcare and the HICPA Infection Contro C/SHEA/APIC l Practices Joint Comm /IDSA Hand Advisory Comm ission on Hygiene Task ittee Accreditatio Force. n

• Infection prevention event announcements on where to find in-depth educational training industry-wide.

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