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Barnes-Jewish Hospital in St. Louis puts a special emphasis on educating its patients and staff about falls.
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Facilities that offer bariatric surgery need to purchase equipment that can be used safely with those patients, says Michael Silverstein, MD, MPH, clinical professor in the Department of Environmental and Occupational Health Sciences at the University of Washington in Seattle.
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While there are no quick-and-easy solutions to ensuring effective infection control practices in the ambulatory surgery setting, there are steps managers can take, say infection control experts. Consider these suggestions:
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As one recent case shows, it is difficult to prevent a nurse or other health care professional under investigation in one state from moving to another state and practicing.
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How many times have you thrown up your hands in frustration and said, "Nothing pleases this surgeon! No matter what we do, it is not good enough."
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Do ambulatory surgery centers (ASCs) and other freestanding health care facilities resemble the Wild West when it comes to infection control practices? This appears to be the perception among at least some members of the infection control profession.
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In light of a hepatitis C virus outbreak that resulted in public health officials advising 40,000 patients to be tested, Dipak Desai, MD, majority owner of the Endoscopy Center of Southern Nevada, issued the following statement on March 10, 2008:
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Federally qualified community health centers: These centers are funded through federal grants to provide primary and preventive health care in medically underserved areas and must provide the uninsured if they meet guidelines.
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When chronically ill patients who have no insurance coverage and no medical home come into the emergency department at Harbor-view Medical Center in Seattle, they are referred for follow-up to a nurse case manager who links the patients to a primary care provider and helps them learn to manage their disease.
