North Carolina State University Veterinary Housekeeping Infection

Control and Accreditations

By: Hezekiah Henry and Vincent Taylor

NCAAPA March 2015

Hezekiah Henry III

Born and raised in Richmond, VA

Studied at Shaw University, Raleigh, NC

Started working at N.C. State, Jan 20, 2003 (13 Years)

Manager of the College of the Veterinary Medicine at the Centennial Biomedical College , NCSU

Manage a dedicated staff of 13 housekeeping employees

Vincent Taylor III

Born and raised in Queens, NYBS, Elizabeth City State

University, 13’Worked at Elizabeth City State

University 10 years, and NC State 2 years

Manager of 1st and 2nd shift of Terry Animal Hospital

Manage a dedicated staff of 13 housekeeping employees

College of Veterinary Medicine (CVM)

The North Carolina State College of VeterinaryMedicine was established in 1978, admitted its firstclass of DVM students in August 1981, dedicated itsmain facility in April 1983, and graduated its first classof veterinarians in May 1985.

The College has gained international recognition onthe strength of its teaching, research, engagement,and patient care efforts and is ranked 3rd among thenation's 28 colleges of veterinary medicine in thecurrent U.S. News & World Report survey.

More than 27,000 patients are diagnosed and treatedannually by CVM clinicians.

College of Veterinary Medicine (CVM)

College of Veterinary Medicine

College of Veterinary Medicine -1st Floor Plan

College of Veterinary Medicine 2nd Floor Plan

College of Veterinary Medicine 3rd Floor Plan

Terry Animal Hospital (TAH)

“Animals give so much to mankind, it’s only fitting that we give back something to them. This new veterinary medical center will help enhance the medical care they receive.” – Randall B. Terry, Jr.

Philanthropist Randall B. Terry, Jr. had a vision of a spacious andwelcoming veterinary medical center that would be a national model ofexcellence. The goal was to ensure compassionate and leading-edgespecialty health care for companion animals by surrounding a dedicatedstaff with advanced medical facilities and state of the art diagnostic andtreatment technologies.

This goal has been achieved with the opening of the Randall B. Terry, Jr.Companion Animal Veterinary Medical Center. At 110,000-square feet,the Terry Center is one of the nation’s largest veterinary hospitals and ismore than twice the size of the original Small Animal Veterinary TeachingHospital. When it began operating in 1983, the Small Animal VTH had aplanned capacity of 12,000 cases. Today our clinicians annually examine,diagnose, and treat more than 20,000 patients.

YAH is a national model for excellence in companion animal medicine.

Terry Animal Hospital (TAH)

“

The Randall B. Terry, Jr. Companion Animal Veterinary Medical

Center

Terry Animal Hospital – Floor Plan

TAH Infection Control Procedures

MICRO FIBER EQUIPMENT

CHEMICALS

PPE

CROSS CONTAMINATIION

TAH Infection Control ProceduresMICRO-FIBER MOPS

We use color coded micro-fiber mops in certain areas of the hospital to help avoid cross contamination. Examples of this are: Blue/Red 18” micro-fiber mops (wet

mops) in the common areas Blue only micro-fiber mops in the

cross contaminated areas Yellow/Blue striped micro-fiber mops

in restrooms only Green fringe 18” mops in non cross

contaminated areasUsing micro-fiber dust mops have been proven to remove 99.9% of microorganisms. Micro-fiber dust mops also remove up to 80% more dust and dirt than traditional cotton dust mops.

TAH Infection Control Procedures EQUIPMENT

Equipment used in one area of the hospital can not be moved to another area. Examples of this are: The housekeeping equipment we use in the Dermatology area can not be used in the Oncology area. Each area in the hospital has its “own” housekeeping equipment and can not be moved out that area to clean any other area to ensure no cross contamination between disciplines.

TAH Infection Control Procedures PERSONAL PROTCTIVE EQUIPMENT (PPE)

The Personal Protective Equipment (PPE) used to protect our employees. The PPE we use are: full coveralls, disposable shoe covers, latex gloves, and face masks. These are mostly used in our surgical operating areas. PPE is used as barriers to protect against infectious materials. Our housekeeping staff that does not work in contaminated areas generally are only required to were latex gloves and uniforms. Some staff hear scrubs.

TAH Infection Control ProceduresSPECIAL DISINFECTANTS

Special disinfectants that are used in our surgical areas are: Quaternary ammonium compounds (HDQ). This is used in the large animal and small animal surgical areas where blood and bodily fluids are exposed to our housekeeping staff and other patients; HDQ is used to help kill a number of germs that are produced by our patients. We use Oxivir TB RTU to combat Methicillin-resistant Staphylococcus aureus (MRSA), the Norovirus and the Parvovirus in our isolation area. *** Special note: If a patient is found to have a potentially infectious respiratory infection during an examination, the animal is put into isolation. The room is closed off and the infectious disease risk sign is placed on the examination room door. The room is then thoroughly cleaned and disinfected first by a medical technician with HDQ, and then our housekeeper is notified to clean the room again with Oxivir before the next patient enters the room. The remaining housekeeping staff use Virex II 256 and KaiBosh as hospital grade disinfectants for its daily disinfecting/cleaning of all hand-to-touch/skin contact areas.

TAH Infection Control Procedures –CROSS CONTAMINATION

• TAH is divided into clinical and non clinical areas.

• Non clinical areas are cleaned in a traditional manner as most academic and common areas are.

• Clinical areas are cleaned with additional infection control and non cross contamination protocol.

• In addition employees gloves that are used in these areas must be removed in that area when cleaning is complete.

• PROPER HAND WASHING PROCEDURES

• Terry Animal Hospital has divided its facility into thirteen (13) designated areas defined by disciplines. This policy recognizes those areas as non-cross contamination areas. There shall be no cross over from one designated zone or discipline to another with regard to any cleaning procedures, products, tools or chemicals when administering any housekeeping tasks.

TAH Infection Control Procedures INFECTION CONTROL PROTOCOL

• Purpose: To provide Infection Control information and guidelines for the Housekeeping Staff at the Terry Animal Hospital.

• The NCSU Terry Animal Hospital is one of the nation’s largest veterinary hospitals and is a national model for excellence incompanion animal medicine. With a focus on patient care, client comfort, and staff efficiency, our housekeeping teams have a greatresponsibility in executing the infectious control guidelines.

• The NCSU housekeeping staff plays a major role in eliminating cross contamination at the Terry Animal Hospital. There are severalprocedures we use to insure that we follow the infectious control guidelines at Terry Animal Hospital in order to avoid crosscontamination.

• Several infection control procedures are used by the housekeeping staff such as using Personal Protective Equipment (PPE),housekeeping equipment, special disinfectant chemicals and professional tools in different areas of the hospital. Listed below are afew examples of infectious control procedures used by our housekeeping staff:

• We use color coded micro-fiber mops in certain areas of the hospital to help avoid cross contamination. Examples of this are: We useblue/red 18” micro-fiber mops (wet mops) in the common areas, blue only micro-fiber mops in the cross contaminated areas,yellow/blue striped micro-fiber mops in restrooms only, and green fringe 18” mops in non cross contaminated areas, just to name afew. Using micro-fiber dust mops have been proven to remove 99.9% of microorganisms. Micro-fiber dust mops also remove up to80% more dust and dirt than traditional cotton dust mops.

• Equipment used in one area of the hospital can not be moved to another area. Examples of this are: The housekeeping equipmentwe use in the Dermatology area can not be used in the Oncology area. Each area in the hospital has its “own” housekeepingequipment and can not be moved out that area to clean any other area to ensure no cross contamination between disciplines.

• The Personal Protective Equipment (PPE) used to protect our employees. The PPE we use are: full coveralls, disposable shoe covers,latex gloves, and face masks. They are mostly used in our surgical operating areas. PPE is used as barriers to protect against infectiousmaterials. Our housekeeping staffs who don’t work in contaminated areas generally were latex gloves and uniforms.

• Special disinfectants that are used in our surgical areas are: Quaternary ammonium compounds (HDQ). This is used in the largeanimal and small animal surgical areas where blood and bodily fluids are exposed to our housekeeping staff and other patients; HDQis used to help kill a number of germs that are produced by our patients. We use Oxivir TB RTU to combat Methicillin-resistantStaphylococcus aureus (MRSA), the Norovirus and the Parvovirus in our isolation area. *** Special note: If a patient is found to havea potentially infectious respiratory infection during an examination, the animal is put into isolation. The room is closed off and theinfectious disease risk sign is placed on the examination room door. The room is then thoroughly cleaned and disinfected first by amedical technician with HDQ, and then our housekeeper is notified to clean the room again with Oxivir before the next patiententers the room. The remaining housekeeping staff use Virex II 256 and KaiBosh as hospital grade disinfectants for its dailydisinfecting/cleaning of all hand-to-touch/skin contact areas.

ACCREDIDATION

• What is COE Accreditation

• Accreditation Prep at CVM & TAH

• AVMA

• AAHA

• NCVMB

• Special Requests

COE Accreditation

An accredited college of veterinary medicine must be a part of aninstitution of higher learning accredited by an organization recognizedfor that purpose by its country's government. A college may beaccredited only when it is a major academic administrative division ofthe parent institution and is afforded the same recognition, status, andautonomy as other professional colleges in that institution.

All aspects of the physical facilities must provide an appropriatelearning environment. Classrooms, teaching laboratories, teachinghospitals, which may include but are not limited to ambulatory/fieldservices vehicles, seminar rooms, and other teaching spaces shall beclean, maintained in good repair, and adequate in number, size, andequipment for the instructional purposes intended and the number ofstudents enrolled.

Preparation for COE Accreditation for CVM & TAH

History - The American Veterinary Medical Association (AVMA), established in 1863, is a not-for-profit association representing more than 86,500 veterinarians working in private and corporate practice, government, industry, academia, and uniformed services. Structured to work for its members, the AVMA acts as a collective voice for its membership and for the profession.

Mission Statement - The mission of the Association is to lead the profession by advocating for its members and advancing the science and practice of veterinary medicine to improve animal and human health.

Objective - The objective of the Association shall be to advance the science and art of veterinary medicine, including its relationship to public health, biological science, and agriculture.

Accreditations - AVMA• AVMA: Council of Education of the American Veterinary

Medical Association was founded 1971 as a regionalaccrediting agency of the Southern Association of Collegesand Schools. This accreditation requirement comes up every 7years and examines the professional curriculum of both thecollege and the hospital.

Housekeeping Role in Preparation

A. Communication with Deans and in-house staff

B. Securing and managing outside contractors

C. Heavy cleaning daily

Accreditations - AAHA

• American Animal Hospital Association (AAHA). Accreditingagency for veterinary hospitals established in 1933 to ensureexcellence in veterinary hospitals and practices. They examineapproximately 900 standards in veterinary care and it focuseson the hospital. This is completed every 4 years.

Housekeeping Role in Preparation

A. How the hospital is kept clean, maintained and in good repair is reviewed

B. Includes discussion of cleaning procedures, disinfectants, how cleaning tasks are performed and frequencies.

Accreditations - NCVMB

• North Carolina Medical Board: Examines standards for veterinary practice at facilities in NC. This is conducted every 2 years.

Housekeeping Role in Preparation

A. Communication with Deans and in house staff

B. Securing and managing outside contractors

C. Heavy cleaning daily

Housekeeping Role in Accreditation

“One of the most critical issues for these visits is demonstrating excellent

performance in Biosecurity and in Chemical Safety. Housekeeping has a critical expert role to play in both of

these areas. These are not only important operational issues, they are

educational issues for our students. Again, we got an excellent level of

cooperation and service, despite the fact that we made a number of changes to

protocols as we got ready and raised our level of performance in advance of the

accreditation visit. “

D. Paul Lunn, Dean, College of Veterinary MedicineNorth Carolina State University

Prep Special Requests

TAH

1. Scrub the floors in the ER room and Ward rooms. (Areas that are not currently assigned to Housekeeping Staff).

2. Cleaned outside windows. (Normally contracted out)

3. Cleaned vents in Ward rooms. (Areas that are not currently assigned to Housekeeping Staff).

4. Several inspections by the Manager, DAD and Director

CVM 1. Organize with contractor for

cleaning interior and exterior window cleaning.

2. Organize with contractor for cleaning and waxing of operating room, hallway and brick cleaning

3. Work with site director for painting of building interior and exterior.

4. Work with site director for installation of new lighting system.

5. Work with Dean assistant on numerous request

6. Scrubbing of necropsy area corridor (area we do not regularly clean

7. Several inspections by DAD and director

QUESTIONS