Karen Slater's research while affiliated with Griffith University and other places
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Publications (11)
Background
Inappropriate needleless connector (NC) care is associated with device failure from catheter occlusion and patient blood stream infections (BSIs). This can be attributed to a lack of knowledge of connector designs and flushing, clamping, and syringe disconnection techniques. This study aimed to assess nurses’ practice, knowledge, attitud...
Background:
Needleless connectors (NCs) were introduced to reduce health care work needlestick injuries (NSIs). If not decontaminated prior to use, NCs can be a portal for patient blood stream infections. The optimal disinfectant, and its application duration, for NC decontamination has not been empirically established.
Methods:
Factorial design...
Good hand hygiene and “scrub the hub” practices are important to prevent bloodstream infections. This observational study (n = 108) found high compliance with “scrubbing the hub,” although scrub time was shorter than the recommended duration (average 6.1 seconds). Compliance with hand hygiene before medication preparation (33%) and before medicatio...
Allowing needleless connectors (NCs) on vascular catheters adequate drying time after cleaning with antiseptic is essential. Drying time instructions on antiseptic pads/wipes relate to skin use, not inanimate objects. Needleless connector drying times after a 15-second scrub with isopropyl-alcohol, isopropyl-alcohol/chlorhexidine, or povidone-iodin...
The aim of this study was to quantify culturable microorganisms on needleless connectors (NCs) attached to peripheral intravenous catheters in hospitalized adult medical patients. Half (50%) of 40 NCs were contaminated with microorganisms commonly found on the skin or mouth. Staphylococcus capitis and Staphylococcus epidermidis were most commonly i...
A more focused approach to monitoring hand hygiene in a cost-effective, reproducible manner, without inherent bias, focusing on critical sites (often indwelling medical devices) and with realistic targets, is surely a topic which requires more broad discussion to achieve a practical and realistic, consensus approach.
Hand hygiene (HH) compliance by health care workers has been universally disappointing. Two major programs (Washington and Geneva) have demonstrated interventions that induce sustained improvement. The introduction of alcohol-based hand rub (AHR) together with education also has been reported to improve compliance.
These interventions were replicat...
Needlestick injury (NSI) with hollow-bore needles remains a significant risk of bloodborne virus acquisition in health care workers. The impact on NSI rates after substantial replacement of conventional hollow-bore needles with the simultaneous introduction of safety-engineered devices (SEDs) including retractable syringes, needle-free intravenous...
Citations
... Furthermore, according to another study conducted by Slater et al., which included "Australian nurses from five different hospital departments, age, duration of experience", and academic qualification had no significant impact on infection, prevention, and control. Additionally, in a study on Saudi radiology professionals, staff with more than ten years of experience were much more likely to practice infection control [33,34]. Another study conducted by Alnahhal et al. reported that age and professional experiences were two factors that significantly impact levels of knowledge and practice of infection control among radiographers at governmental hospitals in Palestine [19]. ...
... Infections are correlated with the presence of microorganisms on the tip of the catheter and in blood culture (35) . A randomized clinical trial with 300 NC demonstrated that 51% of devices were contaminated by microorganisms from patients' skin (36) . A study published by the Royal College of Nursing showed reductions in infection rates due to using bundles as a focus to prevent infections when handling catheters (37) . ...
... Likewise, in an observational study of patient care, the average time used for manual friction of the hubs of devices was 6.1 s [22]. ...
... Quanto à desinfecção ativa, percebe-se que todos os estudos que contaram com essa análise se basearam no uso de wipes/swab/pads, sendo eles E1, E2, E5, E6, E10, E15, E16, E17, E18, E19, E23, E24, E25, E26 e E27. 5,[9][10][11]13,15,20,22,24,25,28,[33][34][35] Esses dispositivos já contêm o desinfetante e são comercializados em sachês individuais. Esse arranjo de estudos internacionais não reflete a prática clínica de desinfecção de conectores de hubs e de cateteres em alguns hospitais nacionais, já que, no Brasil, a desinfecção é realizada também com a inserção de agente desinfetante em gaze ou algodão pelo profissional da saúde. ...
... [2][3][4] However, there are serious concerns about the role of NC in developing bloodstream infections, which could be prevented by strict compliance of HCW in disinfecting the exposed surface of NCs. [5][6][7] The colonization rate of needleless connector and the impact of disinfection for 15 s on colonization: A prospective pre-and post-intervention study The optimal scrubbing time for the surface of NC with the appropriate disinfecting solutions was not determined by Centers for Disease Control and Prevention 8 and Infusion Nurses Society. 9 The evidence for successful NC decontamination with 70% isopropyl alcohol ranges from 5 to 60 s. ...
... When needleless connectors were used in this investigation, the infections with gram-positive cocci increased to 76%, and nearly half of them were CoNS [23]. In addition, Slater and colleagues discovered that CoNS was the predominant bacteria on the needleless connections that were utilized in peripheral venous catheters [25]. This finding was supported by the findings of other researchers [26,27]. ...
... 31 In view of the amount of time and manpower needed to implement and report generic multidisciplinary hand hygiene audit results, efficacy of cumulative reporting needs to be assessed further. 32 The need to appropriately manage persistent noncompliance was highlighted in this study. However, approaches to addressing poor practices varied with reference to punitive and nonpunitive methods. ...
... Because caution and prevention of exposure and avoidance of high-risk items and the use of protectors during service delivery can be effective in reducing exposure [6]. A serious blood-transmitted infection could cost $1 million to carry out tests, follow-ups, disability costs, and loss of time, so that the cost of preventing suspected damage is estimated at $3,000 [6,7] But despite many emphasis on preventing injuries, these injuries can still be considered as a major threat to healthcare providers [8]. ...
Reference: La Prensa Medica Argentina Scholars
... 3 Human immunodeficiency virus (HIV), hepatitis B virus (HBV) and hepatitis C virus (HCV) are currently among the diseases transmitted by NSSIs. 4 Hundreds of thousands of HCWs are exposed to contaminated needlesticks and sharps each year, putting them at risk for work-related infections such HBV, HCV, and HIV. In addition, the probability of acquiring an HIV infection through NSSIs ranges from 0.2% to 0.5%; and is 3%-10% for HCV and 40% for HBV. 5 According to estimates from the World Health Organization, 3 million people worldwide are exposed to blood pathogens annually; and of these, 2 million healthcare workers/professionals were exposed to HBV, HCV and HIV. ...
... The team developed an implementation plan based on the existing literature. 20,21,30,42,47 The strategy included staff engagement ahead of AHHRS installation (March-July 2021), formal education and training (July 21-23, 2021), transparency on how and when data from the pilot would be shared with leaders and end-users (July 21-23, 2021), and a training period whereby users could practice using the device in advance of AHHRS data collection and provide recommendations for optimization of settings prior to formal go-live (July 21-July 31, 2021). A crossover period of 1 month during which both AHHRS and DO were utilized for HHA was included to ensure adequate HH monitoring occurred in the event of technical or other difficulties impacting data collection (August 1-31, 2021). ...