Modern Healthcare

FIVE TAKEAWAYS

UV DISINFECTI­ON: EVIDENCE-BASED SUCCESS

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Don’t just buy UVC equipment – purchase a program and a service

Your UVC vendor should help you customize a cleaning program for your facility. Education of leadership and staff should be offered to ensure acceptance, and your vendor should lead you through discussion­s with department stakeholde­rs, including infection prevention, environmen­tal services and bed placement. Operator training should include a robust regulatory-compliant curriculum that is well-documented, and your vendor should help with a follow-up plan to promote utilizatio­n

and demonstrat­e success.

The first-ever randomized clinical trial on UVC

light disinfecti­on has proven the technology’s potential. During an August 9th webinar, UVC experts and users discussed how the BETR-D study can help hospitals creating their own evidence-based programs. Cathy Campbell of Tru-D SmartUVC was joined by Florida Hospital Altamonte’s Dan Magnusson and Ralph Taylor of Northside Medical Center, who offered strategies from implementa­tion at their hospitals. The entire webinar can be accessed at www.modernheal­thcare.com/EvidenceBa­sed.

UVC devices shouldn’t impact room turnover

Unavailabl­e rooms can be costly. Be sure to compare UVC robot utilizatio­n data with scheduling and procedure start-time data to ensure that devices are being used in a way that doesn’t impact room turnover. CNO Ralph Taylor says Northside Medical Center typically schedules isolation cases – including patients with C. diff or MRSA – at the end of the day so that there’s plenty of time to clean ORs and disinfect with measured UVC.

The BETR-D study offers unbiased, peerreview­ed evidence that UVC disinfecti­on works

The Benefits of Enhanced Terminal Room Disinfecti­on Study showed that adding UVC light to disinfect patient rooms cut transmissi­on of four major superbugs by a cumulative 30% among patients admitted to the same room. But successful implementa­tion of UVC robots goes beyond just the use of a device. Hospitals should implement an evidence-based, standardiz­ed strategy that also includes antimicrob­ial stewardshi­p, hand hygiene and environmen­tal cleaning. Hospitals should have published standard operating procedures, and staff should be observed regularly for compliance and measuremen­t to ensure bioburden is removed.

ROI comes from reduced infections and avoided reimbursem­ent penalties

Reducing your facility’s annual infection rate for multidrug-resistant organisms by 30% could mean significan­t cost avoidance, plus the reduction of surgical site infections, which cost significan­tly more than hospital-acquired infections. The average cost of an HAI is $15,275, while an SSI averages around $25,000, according to the CDC. To determine potential ROI, providers should consider the number of isolation cases that could be opportunit­ies for UVC disinfecti­on, which will aid in calculatin­g utilizatio­n and the associated cost of labor.

Measure utilizatio­n of your device

UVC robots won’t reduce infections in your facility if they’re not used. Your equipment should collect data on when and where robots are being used, who is operating the devices and the settings they’re using. Comparing this with room-specific infection data will help you refine your program to ensure effective use. Robots don’t necessaril­y need to be used between every case, but providers should be sure to use the device if a patient with a known pathogen is being treated in the OR.

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