Vol. 25 No. 1 Spring 2010 The Canadian Journal of INFECTION CONTROL Revue canadienne de pRévENTION dEs INFECTIONs The official journal of the Community and Hospital Infection Control Association – Canada• Association pour la prévention des infections à l’hôpital et dans la communauté – Canada INSIDE: Beat Those Bugs! Implementing contact precautions in community dialysis units for closer-to-home care Helping healthcare workers decide: evaluation of an influenza immunization decision tool The audit process: Part 1 Pre-audit preparation 2010 Conference May 29-June 3, 2010 Sheraton Vancouver Wall Centre Preliminary Program now available at www.chica.org PM# 40065075 RETURN UNDELIVERABLE CANADIAN ADDRESSES TO [email protected] CHICA NEWS: Dick Zoutman receives honourary membership EdITOR-IN-CHIEF Patricia Piaskowski, RN, HBScN, CIC The Canadian Journal of INFECTION CONTROL EdITORIAL BOARd Revue canadienne de pRévENTION dEs INFECTIONs Joanne Braithwaite, RN, BAA, CHPIc, CIC, Toronto, Ontario The official journal of the Community and Hospital Infection Control Association – Canada • Association pour la prévention des infections à l’hôpital et dans la communauté – Canada Sandra Callery, RN, HHSc, CIC, Toronto, Ontario Vol. 25 No. 1 Spring 2010 David (Greg) Gamble, MD, FRCPC, Thunder Bay, Ontario Elizabeth Henderson, PhD, Calgary, Alberta Louise Holmes, RN, CIC, Vancouver, British Columbia FEATURES Lori Jessome-Croteau, RN, BScN,CIC, Halifax, Nova Scotia Beat Those Bugs! Implementing contact precautions Shirley McDonald, ART, Bath, Ontario in community dialysis units for closer-to-home care ...............................9 Allison McGeer, MD, FRCPC, Toronto, Ontario Cathy Munford, RN, CIC, Victoria, British Columbia Helping healthcare workers decide: evaluation Nicole Tittley, HBSc, CIC, CRSP, Thunder Bay, Ontario of an influenza immunization decision tool .......................................... 21 Liz van Horne, RN, CIC, Mississauga, Ontario Dick Zoutman, MD, FRCPC, Kingston, Ontario Reprocessing and sterilization standards .............................................. 27 EdITORIAL OFFICE 2010 Education Conference ................................................................. 31 Patricia Piaskowski, RN, HBScN, CIC, Network Coordinator Northwestern Ontario Infection Control Network The audit process: Part I Pre-audit preparation .................................... 68 289 Munro Street, Thunder Bay, ON P7A 2N3 (807) 683-1747 Fax: (807) 683-1745 E-mail: [email protected] DEPARTMENTS Editorial ............................................................................................................. 6 WEB COMMUNICATION MANAGER Shirley McDonald, ART [email protected] CHICA CONNECTIONs - WEB dIsCUssION BOARd CHICA News Jim Gauthier, MLT, CIC [email protected] President’s Message ................................................................................. 75 Message de la Présidente ..........................................................................76 pOsTING EMpLOYMENT OppORTUNITIEs/OTHER INFORMATION From the Executive Desk .......................................................................... 78 CHICA-Canada Membership Services Office 2012 Scientific Program Committee.......................................................... 79 [email protected] National Immunization Week ................................................................... 83 Honourary Member Dick Zoutman .......................................................... 87 www.chica.org Industry News .......................................................................................... 90 pUBLIsHER Reach our advertisers ............................................................................... 92 VISION CHICA-Canada will be a major national and international leader and the recognized resource in Canada for 3rd Floor, 2020 Portage Avenue Winnipeg, MB R3J 0K4 the promotion of best practice in infection prevention and control. Tel: (204) 985-9780 Fax: (204) 985-9795 www.kelman.ca E-mail: [email protected] MISSION CHICA-Canada is a national, multidisciplinary association committed to the wellness and safety of EDITOR - Cheryl Parisien DESIGN/PRODUCTION - Stacia Harrison Canadians by promoting best practice in infection prevention and control through education, standards, SALES MANAGER - Aran Lindsay advocacy and consumer awareness. ADvERTISING COORDINATOR - Lauren Campbell Send change of address to: The Canadian Journal of Infection Control is the official publication of the Community and Hospital Infection CHICA Canada Control Association (CHICA)-Canada. The Journal is published four times a year by Craig Kelman & Associates, P.O. Box 46125, RPO Westdale, Winnipeg, MB R3R 3S3 Ltd. and is printed in Canada on recycled paper. Circulation 3000. [email protected] ©2010 Craig Kelman & Associates Ltd. All rights reserved. The contents of this publication, which does not Publications Mail Agreement #40065075 necesserily reflect the opinion of the publisher or the association, may not be reproduced by any means, in Return undeliverable Canadian addresses to: [email protected] whole or in part, without the written consent of the publisher. ISSN - 1183 - 5702 sUBsCRIpTIONs Subscriptions are available from the publisher at the Indexed/abstracted by the Cumulative Index to Nursing and Allied Health Literature, SilverPlatter following rates: All Canadian prices include GST. Information Inc. and the International Nursing Index (available on MEDLINE through NLM MEDLARS system). Prices are listed as personal/institutional. Canada: $30/$38 (GST # 100761253); USA (in US funds): The Canadian Journal of Infection Control is a “Canadian periodical’ as defined by section 19 of the Canadian $28/$36; Other countries: $45/$60. Income Tax Act. 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The Canadian Journal of Infection Control | Spring 2010 3 s pLATINUM: • 3M Healthcare Ph: (519) 452-6069 CHICA–CANADA Fax: (519) 452-6597 RINTER p • Bd 2010 Board of directors Ph: (905) 855-4640 Fax: (905) 855-5515 ORATE p • virox Technologies Ph: (800) 387-7578 (905) 813-0110 Fax: (905) 813-0220 Executive Officers A COR d president president-elect secretary/Membership director GOLd: Donna Wiens, RN, BN, CIC Bern Hankinson, RN, BN, CIC • Baxter Anne Bialachowski, RN, BN, MSc, CIC Ph: (800) 387-8399 Network Coordinator Director Infection Prevention & Control Infection Prevention & Control Practitioner Fax: (905) 281-6560 Central South Infection Control Network St. Paul’s Hospital Wetaskiwin Hospital St. Joseph’s Villa 1702 20th Street W, Mail Box 23 6910 47th Street, Wetaskiwin AB T9A 3N3 • Ecolab Healthcare CHICA-CANA 56 Governor’s Road, Dundas, ON L9H 5G7 Saskatoon, SK S7M 0Z9 Tel: 780-361-4398 Fax: 403-361-4107 Ph: (651) 293-2914 (800) 352-5326 Tel: 905-627-3541 ext 2481 Fax: 905-627-6474 Tel: 306-655-5034 [email protected] Fax: (651) 204-7372 [email protected] Fax: 306-655-5555 [email protected] director of Finance sILvER: Judi Linden, RN, BN, COHN(C), CIC • steris Corporation past president Infection Control Practitioner Ph: (905) 677-0863 Fax: (905) 677-0947 Cathy Munford, RN, CIC Portage General Hospital • vernacare Infection Control Practitioner 524 5th Street Southeast Ph: (416) 661-5552 ext. 232 Victoria General Hospital Portage La Prairie, MB R1N 3A8 Cell: (416) 580-9301 1 Hospital Way, Victoria, BC V8Z 6R5 Tel: 204-239-2211 ext 264 Fax: 204-239-2298 BRONZE: Tel: 250-727-4021 Fax: 250-727-4003 [email protected] • Abbott Laboratories [email protected] Ph: (800) 465-8242 Fax: (514) 832-7837 • ArjoHuntleigh Canada Ph: (800) 665-4831 Fax: (800) 309-7116 Directors Other Positions Professional Agents • Covidien director of Education Archivist Legal Counsel Ph: (514) 695-1220 ext. 3471 Donna Moralejo, PhD Mary LeBlanc, RN, BN, CIC Elliot Leven, LLB Fax: (514) 695-4261 Memorial University School of Nursing RR#2, Civic #11763 Elliot Leven Law Corporation 300 Prince Philip Drive, St. John’s NL A1B 3V6 Tyne Valley, PE C0B 2C0 204-100 Osborne Street • deb Canada Ph: (519) 443-8697 Fax: (519) 443-5160 Tel: 709-777-6527 Fax: 709-777-7037 [email protected] Winnipeg MB R3L 1Y5 [email protected] Tel: (204) 944-8720 • Ethicon, a division of Clinical Editor – Canadian Journal Fax: (204) 944-8721 Johnson & Johnson Inc. director, programs & projects of Infection Control [email protected] Ph: (905) 946-2065 Fax: (905) 946-3735 Karen Clinker, MEd, BScN, CCOHN, CIC Pat Piaskowski, RN, HBScN, CIC • GOJO Industries Infection Control Consultant Network Coordinator Auditor Ph: (800) 321-9647 ext. 6829 Northwestern Ontario IC Network Northwestern Ontario IC Network Philip Romaniuk, CA Fax (330) 869-1796 100 Casimir Ave, Suite 217, Box 116 289 Munro Street Stefanson Lee Romaniuk • Laura Line Dryden ON P8N 3L4 Thunder Bay ON P7A 2N3 1151 Portage Avenue Ph: (519) 748-9628 Fax: (519) 895-2374 Tel: 807-223-4408 Fax: 807-223-4139 Tel: 807-683-1747 Winnipeg MB R3G 0S9 [email protected] Fax: 807-683-1745 Tel: (204) 775-8975 • Maxill [email protected] [email protected] Ph: (519) 631-7370 director, standards & Guidelines Ph: (800) 268-8633 (toll-free) Fax: (519) 631-3388 Jennifer Grant, MDCM, FRCP(S) distance Education Coordinator Clinical Assistant Professor/Lab Medicine Karen Dobbin-Williams, MN, RN • Medline Canada Vancouver Hospital/HSC 28 Dalhousie Crescent Ph: (800) 396-6996 ext.7021 JPN 1110-855 West 12th Ave Mount Pearl NL A1N 2Y4 Fax: (950) 465-9242