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Tuesday, October 15, 2013
at 12 pm ET - Live

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Thursday, October 17, 2013
at 2 pm ET - Live

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On Demand (Archived) Viewing Begins November 19, 2013
at 3 pm ET

This webinar was originally presented on . On Demand viewing is now available. The content of this presentation reflects information as it was available at the time of the original presentation.

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The views and opinions reflected in this webinar presentation and panel discussion session are solely those of the presenters and should not be attributed to Baxter Healthcare Corporation.

This is a non-accredited program funded by Baxter Healthcare Corporation.


Outbreaks of Bloodstream Infections Associated with Unsafe Injection and Medication Practices

Since 2001, over 35 outbreaks of bacterial bloodstream infections and viral hepatitis related to the use of improper injection and medication handling practices have occurred in the United States. These outbreaks have resulted in hundreds of patients becoming infected and over 100,000 persons being exposed to unsafe injection practices.1 How can these infections and exposures be prevented?

This program, presented by Marcia Patrick, MSN, RN, CIC, consultant, educator, and part-time surveyor for the Accreditation Association for Ambulatory Health Care, will review several of these outbreaks and describe how transmission of infection occurred. She will discuss how healthcare workers can identify situations where unsafe injection practices are being performed and what actions they should take to provide a safe healthcare environment. The speaker will also discuss practical strategies that can be used to help ensure that safe injection and medication practices are followed and identify resources that can be used to promote safe injection practices.

Questions will be welcomed from all viewers during a Question and Answer session following the presentation when Marcia Patrick will be joined by Gwenda R Felizardo, BSN, RN, CIC.

This presentation lasts approximately one hour and fifteen minutes.

Session Learning Objectives and Content Highlights

  1. Discuss the potential consequences of using unsafe injection and medication practices
  2. Describe two unsafe injection practices that have been associated with outbreaks of bloodstream infections
  3. Discuss three measures that routinely should be used to prevent infections related to injections and medication administration


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Marcia has over 30 years‘ experience in Infection Prevention and Control in acute care hospitals, ambulatory surgeries, provider offices and clinics, and adult and pediatric day care facilities. She is a graduate of Southern Connecticut State University with a Bachelor of Science degree in Nursing. Marcia obtained her Master‘s in critical care nursing from the University of Texas Health Sciences Center, San Antonio.

After retiring from the US Army in 1992, Marcia consulted for several years, then became Director of Infection Control for MultiCare Health System in Tacoma. During her 14 years, Marcia expanded the department from a single infection preventionist to a staff of six, covering four hospitals and over 100 clinics, offices and urgent cares. Marcia led focused, system-wide efforts to reduce healthcare associated infections, reducing rates by over 80% over a five year period. One medical-surgical ICU had no central line infections for two years. She retired from MultiCare in 2011.

Marcia has been involved in numerous infection prevention efforts in the community. As a member of the Infection Control group of the Pierce County Antibiotic Task Force, she was instrumental in standardizing patient isolation among the County facilities and the effort expanded statewide through the Washington State Hospital Association. As a member of the Association for Professionals in Infection Control and Epidemiology (APIC), Marcia has served as the local chapter president, as well as national committees including Education, Public Affairs and Program and was a member of the international board of directors for APIC from 2009-2012.


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Gwen has worked in Infection Prevention & Control since 1988 and is currently an Infection Preventionist with Group Health Cooperative. Many of her accomplishments include previous co-chair of the Tacoma Pierce County Health Department Antibiotic Resistance Task Force Infection Control and Prevention Committee where she worked on several key MRSA educational interventions (e.g. Living with MRSA booklet, IDSW/DOH/PH-Seattle-King Co/TPCHD Guidelines for the Evaluation and Management of Community-Associated MRSA Skin and Soft Tissue Infections, What to do about MRSA in Outpatient Clinics/Offices, Foot Care Guidelines).

Gwen is co-author of several articles on Infection Prevention, the Association for Professionals in Infection Control & Epidemiology, Inc. (APIC) Position Paper: Safe Injection, Infusion and Medication Vial Practices in Healthcare and the APIC Guide to the Elimination of Infections in Hemodialysis. She also co-authored an article on the development of the Living with MRSA booklet which was published in the Journal of Health Promotion Practice in January 2008.

Gwen has a varied background that includes the continuum of care: private consultant, hospitals, ambulatory surgery centers, endoscopy, long-term care facilities, schools, ambulatory/specialty care, ambulatory surgery centers, home care, and community organizations. She is a long term APIC member, has held a variety of local positions and has been a presenter for several APIC webinars and the ASC training courses.


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Kathy Arias has worked in the infection prevention and control field since 1980 and is currently the Director of Arias Infection Control Consulting, LLC. She has infection prevention and control experience in a variety of settings, including acute care hospitals, long-term care, rehabilitation care, ambulatory care and industry. She received a Bachelor of Science Degree in Medical Technology from the Philadelphia College of Pharmacy and Science and a Master of Science Degree in Clinical Microbiology from Thomas Jefferson University in Philadelphia. She is Certified in Infection Control (CICŪ) by the Certification Board of Infection Control (CBIC).

Kathy has been named the 2011 recipient of the prestigious Carole DeMille Achievement Award by the Association for Professionals in Infection Control and Epidemiology (APIC).

Kathy has taught epidemiology classes at Thomas Jefferson University and at the Medical College of Philadelphia and has served on the faculties of Penn State University and the Hahnemann University College of Allied Health Sciences. She is a frequent speaker at local, national, and international conferences.

1 Dolan, Susan A., et al, AJIC Special Article, American Journal of Infection Control, APIC position paper: Safe injection, infusion, and medication vial practices in health care, 2010, 167-172


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