1101. Evaluation of Isolation Compliance Using Real Time Video in Critical Care
Session: Poster Abstract Session: Infection Prevention: Hand Hygiene and PPE
Friday, October 9, 2015
Room: Poster Hall
Background:

The Centers for Disease Control and Prevention (CDC) outlines infection-based precautions and the use of barriers to reduce transmission. There are no 24 hours a day, 7 days a week reported studies of personal protective equipment (PPE) utilization and compliance with the precaution recommendations from the CDC. We used real time video monitoring (RVM) to audit PPE compliance, 24/7 for Airborne, Droplet, and Contact Precautions.

Methods:

In two intensive care units (ICUs) from March 2014 through November 2014 cameras viewed the patients’ rooms and recorded health care professional (HCP) compliance with applicable PPE, based on precaution type. At the end of each week, an independent auditor was provided with the start and stop dates for each room and precaution type. Cameras captured the interactions and streamed the images to the independent auditor. Retrospectively, the auditor viewed and assessed the HCPs’ compliance with PPE; N95 for Airborne, surgical mask for Droplet, and a gown plus gloves for Contact Precautions. A single “event” refers to a HCP entering a patient’s room to interact with the patient. When a HCP was observed donning appropriate PPE at the entrance of the patient’s room, a "Pass" was assigned to the event. A "Fail" was indicated when the HCP was observed not wearing designated precaution based PPE.

Results:

There were 16,571 total events evaluated in the ICU; 11,827 involved patients on Contact, 2,735 involved Droplet, and 2,009 involved Airborne Precautions. Compliance rates for Contact, Droplet, and Airborne Precautions were 10%, 16%, and 11%, respectively. Overall compliance rate with PPE in the ICUs was found to be 11%.

 

Pass Events

Fail Events

Total Events

Compliance Rate

Contact Precautions

1,177

10,650

11,827

10%

Droplet Precautions

451

2,284

2,735

16%

Airborne Precautions

213

1,796

2,009

11%

Total

1,841

14,730

16,571

11%

Conclusion:

RVM was used to quantify compliance rates with PPE in the ICU. Compliance was poor, but best for those on Droplet Precautions (16%). Prior studies on the effectiveness of precautions and PPE compliance have not objectively evaluated compliance rates. These data allow one to target problems and to improve compliance. The data also suggest the need for better targeted isolation precautions.

Michael Oey, MD1, Donna Armellino, RN2 and Bruce Farber, MD1, (1)Infectious Disease, North Shore University Hospital, Manhasset, NY, (2)Infection Prevention, North Shore-LIJ Health System, Manhasset, NY

Disclosures:

M. Oey, None

D. Armellino, None

B. Farber, None

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