iLearning Recorded Webinar

YAY! We Get to Reopen:
Now What?

Overview

General

The purpose of this recorded webinar program is to provide information and guidance for program participants to help them plan for and execute the steps required to reopen an endoscopy suite that was closed during the government-mandated lockdown during the COVID-19 pandemic. The focus on scheduling and managing patient flow and workflow, department cleaning practices, recommissioning of equipment, appropriate selection of chemistries and Personal Protective Equipment will provide guidance and a framework for implementation of best practices to minimize transmission risks while maximizing availability of needed patient care.

Target Audience

This CNE activity is intended primarily for RNs with a responsibility for or an interest in ensuring safe patient care in the endoscopy suite. The presentation will also be of interest to allied healthcare personnel and MDs involved in endoscopy.

Learner Objectives

Upon completion of this presentation, participants will be able to:

1) Review guidance changes for restarting endoscopic procedures after the COVID 19 pandemic.​

2) Determine workflow and patient flow strategies to mitigate risk of exposure for patients and healthcare providers in the GI Suite.

3) Identify critical areas, devices and machines to ensure that all equipment is operating within specifications following the extended period of non-use.

4) Discuss safety concerns and strategies for infection prevention in the GI Suite.

Teaching Methodology

Participants will complete the recorded webinar learning activity. They will view the presentation, then register to complete the evaluation, the post-test and take the post-test on the website. They will submit the documentation as directed. A bibliographic reference is included for those wishing additional information.

Contact Hours

Upon successful completion of the entire online program and submission of required documentation, participants will be granted 1.5 contact hours. No partial credit will be granted.

Accreditation

Provider approved by the California Board of Registered Nursing, Provider Number 08747, the District of Columbia Board of Nursing, Provider Number 50-574, the Florida Board of Registered Nursing, Provider Number 50-574, the Georgia Board of Registered Nursing, Provider Number 50-574 and the West Virginia Board of Examiners for Registered Professional Nurses, Provider Number 50-26112.

It is the responsibility of the licensee to verify acceptance of contact hours for relicensure.

ABCGN: According to the criteria of the American Board of Certification for Gastroenterology Nurses, the approved hours in this activity are are considered GI Specific (Category 5) for the purpose of recertification by contact hours through the ABCGN.  

CBSPD: This program has been pre-approved by the Certification Board for Sterile Processing and Distribution for 1.5 contact hour.

IAHCSMM: This program has been approved by the International Association of Healthcare Central Service Materiel Management for 1.5 contact hour.

NCCT: This program is acceptable for surgical technologist recertification by the National Center for Competency Testing.

Disclosures
  1. Successful completion: Participants will view the module, then register online, achieve a score of 80% on the post-test and submit required documentation. An active printer connection is required to print the certificate of completion.
  2. Conflict of interest: Planners disclose no conflict of interest. The subject matter experts disclose salary or honorarium from the commercial support entity; they have signed a statement agreeing to present material fairly and without bias
  3. Commercial company support: Fees are underwritten by education funding provided by Cantel Medical.
  4. Non-commercial company support: None.
  5. Alternative/Complementary therapy: None.
Certificate Issue / Replacement

Participants successfully completing the activity and submitting required documentation will be permitted to print a certificate of completion. Participants are advised to retain the certificate for eight years following activity completion.

Replacement of misplaced certificate is available from Educational Dimensions. There is a fee for this service. Request a replacement by contacting us.

Guide to Study

Detailed instructions for completing this eLearning activity

The following steps will assist you in your successful completion of this eLearning Activity.

  1. Read the content or view the recorded presentation. If you want contact hours at the completion of studying the eLearning material, you will be required to register, complete an evaluation and take a post-test prior to printing your Certificate of Completion. We urge you to complete the eLearning activity once you have started. However, if you do need to come back later, you can sign in with your email and eLearning ID.
  2. First Time Visitors will be asked to register using an email address as your User Name. Make a note which email address you have used. Then you will create an eLearning ID using a combination of at least 6-10 letters or numbers. Please make a note of your eLearning ID and if for some reason you forget, you may request that your eLearning ID be sent to you. The web site is secured by Trustwave.
  3. Return Visitors: If you have registered already you do not need to register again. Just Sign In using your email and eLearning ID.
  4. Evaluation Form: Once you have registered or signed in you will be asked to complete an evaluation form and submit it. This is required to obtain the Certificate of Completion.
  5. Post-test: A post-test, based on the content of the eLearning activity, will need to be taken. A passing score of 80% is required. This is required to obtain the Certificate of Completion.
  6. Printing Your Certificate of Completion: Once you have successfully passed the post-test you will be able to print your Certificate of Completion. You will be given an opportunity to verify the information that will be printed on your certificate. Please make sure your printer is ready to print. You will not have access to the certificate page on later visits unless you contact us. Once you choose to print the Certificate of Completion, it will not be possible to make corrections. To obtain a corrected certificate you will need to contact Educational Dimensions. Fees may apply.
  7. Browser recommendations: We require using an up-to-date browser with JavaScript enabled. You must enable cookies from this site in order to access the secure areas.
  8. If you encounter any technical problems during this eLearning activity, please contact us.

Recorded Webinar Video

Suggested Readings

A Checklist for Terminal Cleaning is Only as Good as the List Itself (2015). ICT.  Retrieved 4-22-2020 from https://www.infectioncontroltoday.com/environmental-hygiene/checklist-terminal-cleaning-only-good-list-itself.

AAMI. (2014). AAMI TIR11:2015, Selection and use of protective apparel and surgical drapes in health care facilities.  Arlington, VA: Association for the Advancement of Medical Instrumentation. ​

AAMI. (2020). PPE regulations, specifications & standards. Retrieved from https://www.aami.org/news-resources/covid-19-updates/coronavirus-resources-for-the-field. ​

AORN, Guideline for a Safe Environment of Care, Part 1. (2017) Recommendation IX.g. Denver, CO: Association of Perioperative Registered Nurses.

Becker’s Hospital Review E-Weekly. April 28, 2020. Retrieved from https://www.beckersasc.com/gastroenterology-and-endoscopy/guidelines-for-resuming-elective-endoscopy-surgeries-amid-pandemic.html?origin=ASCE&utm_source=ASCE&utm_medium =email&oly_enc_id=6777F7134845J6A

C Guidelines for Environmental Infection Control in Health-Care Facilities (2003) Principles of Cleaning and Disinfecting Environmental Surfaces, p. 5. Retrieved from  https://www.cdc.gov/infectioncontrol/guidelines/environmental/background/services.html

California Department of Public Health. (2018) Effective Cleaning Strategies. Retrieved from https://www.cdph.ca.gov/Programs/CHCQ/HAI/Pages/EnvironCleanEffectiveCleaningStrategies.aspx#

Cascella, M., Rajnik, M., Cuomo, A., Culebohn, S.C., Di Napoli, R. (2020) Features, Evaluation and Treatment Coronavirus (COVID 19).  Last Update: April 6, 2020.   Retrieved 4-23-2020 from https://www.ncbi.nlm.nih.gov/books/NBK554776/

CDC – Coronavirus Disease (COVID-19)  Cleaning and Disinfection for Households: Interim Recommendations for U.S. Households with Suspected or Confirmed Coronavirus Disease 2019 (COVID 19), 3/26/2020   Retrieved 4-28-2020 from https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cleaningdisinfection.html\

CDC Guidance for the Selection and Use of Personal Protective Equipment (PPE) in Healthcare Settings, CDC PowerPoint presentation, 6-29-2004.  https://www.cdc.gov/hai/pdfs/ppe/ppeslides6-29-04.pdf

CDC -Guidelines for Environmental Infection Control in Health-Care Facilities (2003) 1. Principles of Cleaning and Disinfecting Environmental Surfaces, p. ​86.  https://www.cdc.gov/infectioncontrol/guidelines/environmental-guidelines-P.pdf

CDC Infection Control Environmental Infection Control Guidelines Background E. Environmental Services.  Guidelines for Environmental Infection Control in Health-Care Facilities (2003), p. 7. & 8. https://www.cdc.gov/infectioncontrol/guidelines/environmental/background

CDC Infection Control Environmental Infection Control Guidelines Background I. Regulated Medical Waste Guidelines for Environmental Infection Control in Health-Care Facilities (2003).  Categories of Medical Waste:  https://www.cdc.gov/infectioncontrol/guidelines/environmental/background/medical-waste.html.

CDC Infection Control. (2003). Background E. Environmental Services. Guidelines for Environmental Infection Control in Health-Care Facilities.   Principles of Cleaning and Disinfecting Environmental Surfaces. 

CMS 4/19/2020. Opening up America again. Retrieved from https://www.cms.gov/files/document/covid-flexibility-reopen-essential-non-covid-services.pdf. ​

CMS. (April 30, 2020). Updated CMS Guidance provides increased payment for telephone services. Retrieved from https://www.asge.org/docs/default-source/default-document-library/cms-telephone-services-update-(003).pdf?_zs=86jVb&_zl=4HE52

FDA (4/5/2020). N95 respirators and surgical masks for the face. Retrieved from https://www.fda.gov/medical-devices/personal-protective-equipment-infection-control/n95-respirators-and-surgical-masks-face-masks.

FDA. (2015). Hospital respiratory protection program toolkit. Retrieved from https://www.cdc.gov/niosh/npptl/images/100years/UnderstandDifference3.jpg.

Harrod, M., Weston, L. E., Gregory, L., Petersen, L., Mayer, J., Drews, F. A., & Krein, S. L. (2020). A qualitative study of factors affecting personal protective equipment use among health care personnel. American Journal of Infection Control 48(4), 410-415. doi:10.1016/j.ajic.2019.08.031

Oliver, E. (4/28/2020). Guidelines for resuming elective endoscopy surgeries amid pandemic. Retrieved from https://www.beckersasc.com/gastroenterology-and-endoscopy/guidelines-for-resuming-elective-endoscopy-surgeries-amid-pandemic.html?tmpl=component&print=1&layout=default.

Ong, S.W.X., Tan, Y.K., Chia, P.Y., Lee, T.H., Ng, O.T., Wong, MSY, Marimuthu, K. (2020) Air, surface environmental, and personal protective equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from a symptomatic patient.  Journal of the American Medical Association, epub ahead of print 4 March 2020.

OSHA. (2004). Personal protective equipment. OSHA 3151-12R 2004. Retrieved from https://www.osha.gov/Publications/osha3151.pdf. ​

Rutala & Weber, Focus on Surface Disinfection, ICT, 3-20-2020.  Retrieved on 4-28-2020 from https://www.infectioncontroltoday.com/environmental-services/focus-surface-disinfection-when-fighting-covid-19. 

ServiceMaster blog.  Retrieved 4-29-2020 from https://www.servicemasterclean.com/blog/why-your-cleaning-crew-should-know-the-difference.​

Storey, D.G., Ujack, E.E., Rabin, H.R., Mitchell, I. (1998).  Pseudomonas aeruginosa lasR Transcription Correlates with the Transcription of lasA, lasB, and toxA in Chronic Lung Infections Associated with Cystic Fibrosis. Infection and Immunity 66(6): 2521-2528.   Retrieved 4-30-2020 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC108233/.

Van Doremalen, N., Bushmaker, T., Morris, D.H.,Holbrook, M.G., Gamble, A., Williamson, B.N., et al.  (2020). Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1.  New England Journal of Medicine, epub ahead of print 17 March 2020.   

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