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CLEAN LIKE LIVES DEPEND ON IT.

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Facts About Hospital-Associated Infections (HAIs): Causes, Cost and Outcomes

1.7 MILLION1 in 25Patients in U.S. hospitals

have at least one HAI 1Approximately 1.7 million HAIs occur

in U.S. hospitals each year 2

2.5x A previously infected patient

increases the next patient’s risk of contracting C. diff by 2.5x 8

Breast cancer: 41,400

HAIs: 99,000

Prostate: 29,430

$45 BILLIONHAIs kill more people in the U.S. than

breast cancer and prostate cancer combined 2,3Average amount spent annually on HAIs by acute-care hospitals 4

of healthcare workers adequately comply with hand hygiene practices 5

30% 72% of hospital floor sites tested

positive for C. difficile 6

Multiple studies have shown that less than half of hospital room surfaces are adequately cleaned and disinfected 7

<50%

UP TO

1-800-MEDLINE (633-5463) | medline.com 3

The EVS struggle is real.There are a lot of external factors that Environmental Services (EVS) has to deal with on a daily basis. Many of these concerns create roadblocks to infection prevention initiatives. HFM Magazine published the results of a survey aimed at documenting the top concerns of EVS workers. Here are a few that topped the list:

The Challenges:

1. Pressure to expedite room turns. 42% of hospital staff feels under pressure to expedite room turns for incoming patients, making it difficult to clean and disinfect the patient environment adequately.9

2. Assigned responsibility to clean mobile objects. 41% of hospital staff expressed concern over who in the hospital should be cleaning mobile objects. It isn’t uncommon for nursing and environmental services (EVS) to both assume that the other function is cleaning certain objects, and often surfaces such as IV poles and Workstations on Wheels get skipped entirely.

3. High turnover in EVS. 25% of hospital staff is concerned about the high turnover in EVS and the impact on infection prevention. In general, EVS can be a high turnover department and frequently understaffed and under budgeted, making maintaining effective cleaning even more challenging.

4. No standard practice. 20% of hospital staff is concerned about the lack of objective standards. Facilities often struggle with maintaining adequate cleaning protocols, inconsistent staff compliance with protocols and the need to quickly turn over patient rooms.

5. Lack of knowledge in the role of the environment in cross contamination and transmission. 20% of hospital staff have concerns about this, and rightfully so. Just one contaminated bedrail or doorknob can transmit infectious organisms throughout the hospital within hours. The result: patients constantly at risk.10 In addition, C. difficile, MRSA, VRE and other germs can survive for months on surfaces. Without regular and effective surface disinfection, these pathogens can be a continuous source of transmission to vulnerable patients.11

To help break the chain of infection, surface cleaning and disinfection is one of your first lines of defense.

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Tackling the problem.Clear-cut guidelines on how to solve surface contamination don’t exist. That’s why we’ve worked with experts nation-wide to develop a comprehensive surface cleaning and disinfection system. It combines process with evidence-based products and education to help decrease the spread of HAIs.

Outc

omes

Rep

ortin

g

Discovery Assessment

Evidence-Based Produc

tsStaff Education

ERASE PATHOGENS™

Surface Disinfection Solution


You can access a variety of online and onsite training materials to help staff improve their skills.

You choose the right mix of products—evidence-based with quick kill times—to satisfy the specific needs of your facility.

Our Clean by Sequence™ method with numbered microfiber booklets guide your staff from surface to surface, so nothing is missed and cross contamination is minimized.

Helping you do the right thing.Our bundle approach helps you create and maintain a successfulcleaning and disinfection program.

First we examine your current protocols. We observe cleaning practices, evaluate appropriateness of products and perform ATP swabbing to quantitatively measure cleanliness. Once complete, you’ll receive specific recommendations to address identified problem areas.

Periodic reviews using ATP testing provide you with data to track improvements and correct weak spots. Engineered for healthcare, our ATP system has patented samplers for covering large areas quickly, data reporting based on CDC recommendations and a full-color display.

CLEANING PROCESS

DISCOVERY ASSESSMENT

OUTCOMESREPORTING

To minimize the potential for HAIs, proper cleaning techniques followed by use of the right disinfectants are important weapons in the battle.6

EVIDENCE-BASEDPRODUCTS

STAFF EDUCATION

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Clean by Sequence.™The CDC recognized 17 different high-touch surfaces that are most vulnerable to the spread of pathogens. Giving your staff a step-by-step system helps ensure thoroughness and consistency. Our clean by sequence process uses a numbered microfiber booklet and “hot spot” map, making it easy to train, implement and follow. The result—optimal cleaning, enhanced outcomes and reduced throughput times.

PATIENT ROOM 1. Door Knob/

Light Switch2. Bedside Table

Handles/Phone

3. Call Button

4. Tray Table

5a. Left Bed Rails

5b. Right Bed Rails

6a. Chair

6b. Chair

7. Room Sink

RESTROOM 1. Door Knob/

Light Switch

2. Restroom Sink

3a. Handrails

3b. Handrails

4. Bedpan Cleaner

5. Toilet Flush Handle

6. Toilet Seat

CLEANING PROCESS


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6a OTHER DISCHARGE ROOM SURFACES

Counters

Fixtures

Walls

Dressers

Trash cans

Standard room equipment

Bed

Other

Developed using national standards from the CDC, AHRQ, APIC and other professional associations.

Housekeeping staff often use the same cloth to clean the whole room—a cross contamination risk. Our numbered microfiber booklets ensure a separate cloth is used for each surface and no surface is missed. They come in three colors: blue for the patient room, orange for restroom use, and purple for other discharge room surfaces and ancillary areas of the hospital.

REUSABLE CLEAN BY SEQUENCE™ MICROFIBER BOOKLETS

751 Cleaning Order

Surface to Clean

POINT-OF-CARE DEVICES Mobile and shared patient equipment are often overlooked in cleaning protocols. Presaturated disinfectant wipes are an easy way to make sure these devices are frequently disinfected by caregivers.

FLOORS Mop all floor surfaces with a micofiber mop, starting farthest from the door and moving towards the door. Use a new mop when cleaning the bathroom to avoid cross contamination. A floor-safe disinfectant with a low contact time is considered best practice instead of a general cleaner without disinfection properties.

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Zero in on germs.Our products give you a powerful weapon in the battle against HAI causing pathogens:To get access to all the benefits of the ERASE Pathogens program, choose from a selection of top-tier infection prevention products.

Required Products: Two out of the four following categories must be purchased to get access to ERASE Pathogens.

Germicidal Wipes

Micro-Kill Bleach Germicidal Bleach WipesMSC351400AN, MSC351410AN and MSC351450AN

Kills C. difficile spores and other pathogens.

Micro-Kill™ One MSC351300 and MSC351310

Kills Mycobacterium bovis, Norovirus, Poliovirus, MRSA, VRE and more—in one minute.

Disinfectant Solutions

Micro-Kill Q3 Concentrated Disinfectant, Cleaner & Deodorizer EVSCHEM110

This dispensed disinfectant kills a broad spectrum of microbes, including HIV-1, Hepatitis B, MRSA, VRE and Rotavirus. The Medline dispenser and metering tip in the bottle ensure accurate dilution every time.

Micro-Kill NQ5 EVSCHEM215

This dispensed disinfectant has a neutral pH and low 5-minute contact time. Ideal for use on floors where a low contact time is needed.

BruTab 6S Disinfectant Tablets BRI1612018N

Non bleach disinfectant effective against a broad range of microorganisms including C. difficile.

Disinfection Systems

SolarisTM Lytbot UV Light Disinfection System EVSSL001

High energy pulsed UV light leads to micro-organism disintegration, meaning Solaris Lytbot quickly and dependably eliminates the most stubborn pathogens from high-risk areas. It features 360-degree rotation to cover the whole room, as well as three- and five-minute cycles that are 15–40% faster than competitors.

Cloths and Mops

Microfiber Super Mop MDT217741B and MDT217741ORB

Dense microfibers pick up and lock in dirt so it doesn’t get pushed around.

Complementary Products: While not required to gain access to the program, the below products are recommended for a complete infection protection practice.

Spectrum Advanced Hand Sanitizers

Gel Pocket Size: 2oz HH70G02, 4oz HH70G04Gel Table Top: 15oz HH70G15

Contains 70% Ethyl Alcohol, aloe and Vitamin E to get hands clean and smooth.

Foam Table Top: 7.5oz HH70F75, 18oz HH70F18

Contains 70% Ethyl Alcohol and moisturizers to help reduce dry skin.

Wipes To Go: 20 Pack MSC350320Wipes Table Top: 50ct HH70W50, 160ct HH70W160

On-the-go hand sanitizing wipes kill germs and bacteria.

Exam Gloves

Glide-On Powder-Free Vinyl Exam Gloves GLIDE511

Enhanced donning technology to help don on to hands easier.

FitGuard Touch Powder-Free Nitrile Exam Gloves FG3000

Durable nitrile protection and textured fingertips for enhanced grip.

Cleaning Validation Tool

AccuPoint ATP Sanitation Monitoring System Meter EVSATPSYSTEM Offers reliable results and documents cleanliness levels of your facility.

AccuPoint ATP Sanitation Monitoring System Samplers EVSATP9905

Sanitation monitoring made simple with the easy-to-use AccuPoint® HC.

EVIDENCE-BASED PRODUCTS


Our patent-pending Clean by Sequence™ Microfiber Booklets are designed with the following goals:» Increase compliance in cleaning CDC high-touch surfaces

» Reduce cross-contamination by assigning each surface to a separate page

» Reduce room turnover time

» Increase HCAHP scores

A variety of different colored booklets are available to signal to the patient that the cloths have been changed. Purchasing a blue patient room booklet and an orange patient restroom booklet are required components of the program.

Cloths

Reusable Clean by Sequence™ Microfiber Booklets MDT217690, MDT217691 and MDT217692 Icons are placed on each page of the booklets to represent the CDC high touch surfaces.

» Blue booklets for patient room surfaces

» Orange booklets for patient bathroom surfaces

» Purple booklet (numbered, no icons) for additional discharge surfaces and cleaning ancillary areas of the hospital

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Add to Their Skills.Continual training delivers continual improvement. We emphasize a thorough training curriculum that includes both initial and ongoing education for all staff.

Online Education Medline University® gives your housekeeping and nursing staff 24/7 access to the ERASE PATHOGENS course. Topics covered include:

» Clean-by-sequence process and how to correctly perform each step

» How disinfectants work and why contact times are important

» Specialty cleaning procedures

» Scripting for occupied rooms

» Interactive quizzes to confirm learning and competence

» Nursing and management education

Kudos and Recognition Inspire the best from your clean team with customizable certificates and bulletin board shoutouts.

STAFF EDUCATION


REFERENCE: 1. Wash Your Hands. Centers for Disease Control and Prevention. Available at: http://www.cdc.gov/features/handwashing/

Accessed July 22, 2016.

© 2016 Medline Industries, Inc. All rights reserved. ErasePathogens is a trademark and Medline is a registered trademark of Medline Industries, Inc.

MKT1667124 / e16110 / 3

High-Touch Surface:

Toilet Seat

Bodily fluids, which may contain dangerous germs, often contaminate the toilet

seat. Germs spread by touch, and the toilet seat touches the skin of many people

in a day. Because just one gram of human feces can contain one trillion germs,1

it’s extremely important to clean the entire toilet seat thoroughly.

NOTE: Make certain that

all surfaces stay wet for

the full contact time.

What to do

1. First wipe down the lid. Once complete, lift if up.

2. Wipe down the top of the toilet seat. Then flip it

up and clean the underside.

3. Next, lift the toilet seat up and wipe down the rim of the toilet bowl.

Be sure to cover the inside edge up to where it turns into the bowl.

4. If necessary, use more than one cloth or side of cloth for heavily soiled areas.

5. Always change gloves after cleaning the toilet seat.

REFERENCE: 1. Wash Your Hands. Centers for Disease Control and Prevention. Available at: http://www.cdc.gov/features/handwashing/

Accessed July 22, 2016.


MKT1667124 / e16110 / 3

High-Touch Surface:

Toilet Seat

Bodily fluids, which may contain dangerous germs, often contaminate the toilet

seat. Germs spread by touch, and the toilet seat touches the skin of many people

in a day. Because just one gram of human feces can contain one trillion germs,1

it’s extremely important to clean the entire toilet seat thoroughly.

NOTE: Make certain that

all surfaces stay wet for

the full contact time.

What to do

1. First wipe down the lid. Once complete, lift if up.

2. Wipe down the top of the toilet seat. Then flip it

up and clean the underside.

3. Next, lift the toilet seat up and wipe down the rim of the toilet bowl.

Be sure to cover the inside edge up to where it turns into the bowl.

4. If necessary, use more than one cloth or side of cloth for heavily soiled areas.

5. Always change gloves after cleaning the toilet seat.


MKT1667130 / e16116 / 3

What to do1. Let the patient know that you are going to

clean the tray table. Say, “For your safety, may I please clean your tray table.”

2. Remove all objects on the table—remote controls, call buttons, etc. If there are personal items, ask the patient to move them or for permission to move them yourself.

3. Remove all visible dirt, crumbs and spills. If the cloth becomes too dirty, get a new one.

4. Next, wipe the tray table from one side to the next. Cover every part of the surface.

High-Touch Surface: Tray TableTray tables are one of the germiest surfaces in a patient’s room. They are also one of the most ignored during cleaning. Why? One reason is that they almost always have personal items on them. Another reason is that permission from the patient is needed to move their belongings. This can feel uncomfortable—especially if the patient is resting.

Because germs spread by touch and patients use tray tables for keeping things handy and eating meals, it’s very important to clean them thoroughly.

NOTE: Make certain that all surfaces stay wet for the full contact time.

Targeted Training Materials Based on ATP testing, we provide customized huddle sheets and other tools to close any identified gaps in practice.

References:

1. Magill, S.S., et al. Multistate Point-Prevalence Survey of Health Care-Associated Infections. The New England Journal of Medicine: https://www.nejm.org/doi/pdf/10.1056/NEJMoa1306801.

2. Klevens, RM, et al. Public Health Reports. 2007; 122:160-166. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1820440/.

3. Cancer Facts & Figures 2018. American Cancer Society. Available at: http://www.cancer.org/research/cancerfactsstatistics/cancerfactsfigures2015/ Accessed January 21,, 2019.

4. The Direct Medical Costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention. Centers for Disease Control and Prevention: https://www.cdc.gov/hai/pdfs/hai/scott_costpaper.pdf.

5 . Healthcare Worker Hand-Washing Compliance Remains Frustratingly Low. Safe Patient Project, Consumers Union: https://safepatientproject.org/posts/4569-health-care-worker-hand-washing-compliance-remains-frustratingly-low.

6. Desphande, A. et al. Are Hospital Floors an Underappreciated Reservoir for Transmission of Clostridium Difficile and Methicillin-Resistant Staphylococcus Aureus? Available at: https://www.researchgate.net/publication/313301242_1647. Are_Hospital_Floors_an_Underappreciated_Reservoir_for_Transmission_of_Clostridium_difficile_and_Methicillin-Resistant_Staphylococcus_aureus.

7.. Just because you are using a disinfectant, doesn’t mean you are disinfecting: The business case for improving infection prevention. Becker’s Clinical Leadership and Infection Control: https://www.beckershospitalreview.com/quality/just-because-you-are-using-a-disinfectant-doesn-t-mean-you-are-disinfecting-the-business-case-for-improving-infection-prevention.html.

8. Chemaly, RF, Simmons S, Dale C, et al. The role of the healthcare environment in the spread of multidrug-resistant organisms: update on current best practices for containment. Therapeutic Advances in Infectious Disease. 2014;2(3-4):79-90. doi:10.1177/204993611454328 7. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4250270/.

9. Based on lab testing—reports available upon request.

10. Pyrek KM. What’s on That Surface? Current Thought on Microbial Load on Surfaces, Pathogen Persistence, Cleaning Best Practices. October 2014. Available at: http://sd.infectioncontroltoday.com/digital-issues/2014/10/whats-on-that-surface.aspx. Accessed July 18, 2016.

11. Kramer A, Schwebke I, Kampf G. How Long Do Nosocomial Pathogens Persist on Inanimate Surfaces? A Systematic Review. BMC Infectious Diseases. 2006; 6:130. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1564025/pdf/1471-2334-6-130.pdf. Accessed July 18, 2016.

Bring our ERASE PATHOGENS Comprehensive Cleaning System into your organization. Contact your Medline Representative for more information or go to medline.com.

In the areas of infection prevention, readmission reduction, skin care and diabetes management, Medline offers teams of scientists, nurses and Ph.D.’s who understand today’s healthcare challenges. These experts conduct detailed analysis, recommend solutions and monitor implementation and results, with an emphasis on standardization of care.

This approach is reinforced by the industry’s broadest line of high-quality products and supported by an education program that goes beyond the basics of care to address challenges such as leadership, communication and onboarding.

Education: Our courses cover the basics of care and teach teamwork, leadership and how to implement change.

Products: Our clinically-proven* products provide breadth and depth across the continuum of care.

Outcomes: Our useful tools ensure that learnings get applied to practice and help track results.

The ERASE PATHOGENS Surface Disinfection Solution is part of the Medline Clinical Solutions program. Medline Clinical Solutions combines specialized education, evidence-based products and outcomes management to help you elevate quality of care, meet regulatory standards and reduce costs.

Medline Clinical Solutions

Leading the Way in Patient Safety

Our expertise:

Our solutions include:“ Using the booklets has helped me during training for a few reasons:

1. Having the number and description is a great visual reminder to the employees as to where they are at in the cleaning process and what step or area needs to come next.

2. I have used these booklets for three training sessions and noticed that the new hires were more able to stay on task with cleaning all of the touch points on a consistent basis especially during the patient room clean.

3. Using the booklet cut down on the cleaning time a small amount as the employee could follow the numbers and descriptions rather than having to look at a slip of paper to see what touch point they should be getting.

4. We reduced cross contamination by referencing the information in the booklet. Using a clean surface every time allowed us to minimize the need to fold, refold and remember which side was used.”

– Amy Medina Educator at InterMountain

Healthcare

* Contact Medline Industries, Inc. for data related to this line of products.

Medline Industries, Inc. Three Lakes Drive, Northfield, IL 60093

Medline United States 1-800-MEDLINE (633-5463)medline.com | [email protected]

Medline Canada 1-800-396-6996medline.ca | [email protected]

Medline México 01-800-831-0898medlinemexico.com | [email protected]

Some products may not be available for sale in Mexico or Canada. We reserve the right to correct any errors that may occur within this brochure. © 2019 Medline Industries, Inc. Clean by Sequence and Erase Pathogens are trademarks and Medline and Medline University are registered trademarks of Medline Industries, Inc. MKT19W60705 / LIT074 / 2.5M / SG / 49

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