Fighting Infectious Disease in EMS

A NEW WEAPON IN THE FIGHT AGAINST

Infectious Disease in
Emergency Medical
Services

COPYRIGHT © 2012. LEVEL4 BIO, LLC. ALL RIGHTS RESERVED.

The Connection Between
HAI’s, CAI’s & EMS
4TH GREATEST CAUSE OF DEATH
in the U.S., following only cancer, heart disease and stroke

MORE DIE EVERY YEAR FROM HAI’s
than from breast cancer, HIV and auto accidents combined

www.LEVEL4BIO.com | 1.800.528.2516
2

1974
ONLY 2% OF HOSPITAL STAPH
FROM MRSA
2010
64% OF ALL STAPH INFECTIONS
FROM MRSA
500% INCREASE IN
COMMUNITY ACQUIRED MRSA
INFECTIONS SINCE 2003
3

Some of the most dangerous ‘hospitals’ of all are
the ones no one keeps statistics on.

They are the rolling hospitals EMS
professionals work in every day:
rescue units and ambulances.

Essentially, these are small hospitals
that make house calls!



Emergency medical responders (EMR) are
exposed to both community and hospital
MRSA patients, which, combined with their
communal lifestyles in ﬁre stations, results in
higher risk of exposure.


They Are Also Commonly
Exposed to...

๏ Staph ๏ Pseudomonas
๏ Hepatitis ๏ VRE
๏ HIV ๏ Norovirus
๏ TB ๏ C-Diﬀ
and more!


Infection prevention protocols and
standards must be adapted to meet
requirements for government-
mandated outcomes and infectious
disease reporting requirements.


HR 3962 Subtitle E FACILITIES
MEANS BIG CHANGES FOR HEALTHCARE

• Adherence to universal patient outcomes established by the government
• Mandatory reporting of infection rates
• Establishment of reporting protocols within hospitals that do not report
• Changes in the type of reporting among those that do report
• Incentives and financial penalties associated with patient outcomes
• Reduced Medicare payments for hospitals with high rates of HAIs
• Reimbursement denial for hospitals with high rates of HAIs
8

New Federal Mandates Require
Healthcare Reporting of HAI’s

H.R. 3962
‘‘Affordable Health Care for America Act’’
Subtitle E—Public Reporting
on Health Care-Associated
Infections.

Sec. 1461. Requirement for
public reporting by hospitals
and ambulatory surgical
centers on health care-
associated infections. Section 1461, p. 597, Subtitle F :
“Extension of
Ambulance Add-On’s”


Healthcare Cleaning Study

113 SURFACES
in operating theaters and hospital wards over 14 days

76% HAD UNACCEPTABLE
levels of microbes after cleaning
61% OF OPERATING THEATERS
were unacceptable 2

2 Grifﬁth, Cooper, Gilmore, Davies, & Lewis, 2000

A Contaminated Environment

2,320 OBJECTS EVALUATED
in 197 patient areas including 16 ICUs showed3 :

57.1% OF STANDARDIZED SITES
were cleaned following discharge of room’s occupant

>80% OF HIGH RATE CLEANING SITES
were toilet seats, sinks and tray tables
3 Carling, P.C., Von Beheren, S., Kim, P., & Woods C. (2008)

Infectious Disesase in EMS

EMS VEHICLES & EQUIPMENT
were documented for objects at high risk of
nosocomial pathogen contamination3:
‣ PATIENT BEDS / HEAD PILLOWS
‣ STRETCHERS / HAND RAILS
‣ PARAMEDIC ARMCHAIRS
‣ MEDICINE DRAWERS
‣ STEERING WHEEL www.LEVEL4BIO.com | 1.800.528.2516

COPYRIGHT © 2012. LEVEL4 BIO, LLC. ALL RIGHTS Amubulance
3 Bactochem Independent Lab Study (2008): Biomist RESERVED.

What Else Are Current
Methods Missing?

Medical equipment, computer keyboards, patient monitoring
cables, respiratory equipment, EKG’s, etc.
13

Computer keyboards and keyboard covers have the
potential to harbor potentially harmful bacteria for prolonged
periods of time.

“The problem is especially important in hospitals and
other health care environments where patients are at
risk of contracting bacterial infections from health care
providers who use computers,”
- Gary A. Noskin, M.D., medical director of health care epidemiology and quality at
Northwestern Memorial Hospital

14

Persistance of Microorganisms: MRSA
Methicillin-Resistant Staphylococcus aureus

SURVIVAL DURATION OF 2 MRSA STRAINS
on hospital fomites
11 DAYS 12 DAYS+ 9 DAYS
on plastic patient chart on laminated tabletop
www.LEVEL4BIO.com | curtain
on a cloth 1.800.528.2516
Robert Huang, MD; Sanjay Mehta, MD; | Diane Weed, MA, MT(ASCP); Connie Savor Price, MD
Infection Control and Hospital Epidemiology 2006; 27:1267-1269 COPYRIGHT © 2012. LEVEL4 BIO, LLC. ALL RIGHTS RESERVED.

MRSA Persistance
in Healthcare Environments

SAME STUDY CONCLUDED
MRSA CONTAINMENT REQUIRES
CONTACT
PRECAUTIONS + CONCURRENT
ENVIRONMENTAL
DECONTAMINATION
www.LEVEL4BIO.com
Robert Huang, MD; Sanjay Mehta, MD; | Diane Weed, MA, MT(ASCP); Connie Savor Price, MD
| 1.800.528.2516

Infection Control and Hospital Epidemiology 2006; 27:1267-1269 COPYRIGHT © 2012. LEVEL4 BIO, LLC. ALL RIGHTS RESERVED.

The High Cost of HAI’s
by Site of Infection 1

Total Annual
Major Site of Total Hospital Cost Deaths Per
Hospital Cost
Infection Infections Per Infection Year
(IN MILLIONS)

Surgical Site Infection 290,485 $25,546 $7,421 13,088

Central Line-
Associated 248,678 $36,441 $9,062 30,665
Bloodstream Infection

Ventilator Associated
Pneumonia
(Lung Infection) 250,205 $9,969 $2,494 35,967

Catheter-Associated
Urinary Tract Infection 561,667 $1,006 $565 8,205

1 http://www.hhs.gov/ophs/initiatives/hai/introduction.html



Wiping Spreads Pathogens
Antimicrobial-surface wipes study asked:
Do they remove, kill and prevent the spread of infections such as MRSA?
‣ Hospital staff cleaning protocols have potential to spread pathogens after only
the first use of a wipe
‣ Wipes found ineffective in actually killing bacteria
‣ Some wipes remove higher numbers of bacteria than others….
‣ But wipes tested were unable to kill bacteria


http://www.cardiff.ac.uk/news/mediacentre/mediareleases/June%2008/can-we-wipe-out-hospital-mrsa.html

EPA Deems Fogger Unsafe
(Jan 2011)
EPA orders ambulance companies to stop using
fogger
Published: Friday, January 07, 2011, 9:55 PM
Updated: Friday, January 07, 2011, 9:57 PM

“Acknowledging that workers have become ill after exposure to
disinfectant chemicals, the U.S. Environmental Protection Agency
(EPA) this week ordered a New Jersey ambulance company to cease
using fogging machines to sanitize its vehicles.”

“The Monmouth-Ocean Hospital Service Corporation (MONOC), which
provides transportation services for Princeton Healthcare System in
Mercer County, was ordered to stop using its Zimek Dri-Mist Micro-
Particle Generator after more than 100 paramedics allegedly showed
signs of exposure to toxic disinfectant chemicals.”



CONCLUSION
EMS providers are using 50+ year-
old cleaning techniques to combat
today’s evolved pathogens in
complicated environments.

20

Healthcare Acquired Infections

ABOUT 780,000
SURGICAL SITE INFECTIONS
EACH YEAR WITH AN ANNUAL COST TO
HEALTHCARE FACILITIES OF

$3.2 to $10 BILLION
21

Increasing Litigation
“Changes in the regulatory environment, reimbursement
practices and legal standards along with drastic
changes in healthcare itself are creating a potential
‘perfect storm’ of liability and increase risk for
healthcare-associated infections in healthcare facilities
today.”
Russell Nassof,
Director of Strategic Initiatives at TRC –
APIC Conference – Nov., 2009



Increasing Litigation
“Preventing infections in healthcare is essential to protect patients, but is
becoming increasingly important to prevent liability. Lawsuits are increasing
related to infections developed in hospitals. The increasing incidence,
virulence and antibiotic resistance of bacterial infections among hospitalized
patients has made infection prevention necessary to protect patient‘s health
and control liability associated with infections….Hospitals need to be more
vigilant in controlling the infections patients develop in their facilities. From
payor payment reduction to increasing liability to mandatory rate reporting,
hospitals will be paying more for lack of controlling infections.”

Kathleen Pendleton, Loyola University
Chicago School of Law
Beazley Institute for Health Law and Policy,
April 2010



Introducing the
NEW GOLD STANDARD
for CONTROLLING PATHOGENS
in EMS


Breaking the Chain of Infection
LINKS IN THE CHAIN

INFECTIOUS RESEVOIR LEVEL4 BIO
AGENT ( inanimate INTERVENTION
object or
surface )
BREAKS THE CHAIN KILLS PATHOGENS
OF TRANSMISSION ON ANY SURFACE
VS. WIPING &
SPREADING THEM



Level4 Bio is Safe & Proven
๏ Fast, Affordable Power
Sanitizing Services
• Patented technology
• Registered with the FDA as a medical
device
• UL approved
• Used by more than 575 hospitals,
ambulance services and ﬁre stations in
Japan since 1991
๏ Now available in the U.S.
๏ Service available for any type of
healthcare environment

26

Level4 Bio Alcohol / D2 Solution
๏ EPA approved (#73232-1-81599).
๏ Meets OSHA’s blood borne pathogen
standard.
๏ Eradicates super-bugs (MRSA, VRE,
Norovirus, Inﬂuenza, etc.).
๏ Tuberculocidal, Virucidal and Fungicidal.
๏ Alcohol kills and evaporates while
leaving Quarternary Ammonium
Compound behind for residual killing
power.

27

Ambulance Test
Initial Count After Contamination After Disinfection % Reduction

Swab RODAC Swab RODAC Swab RODAC

Patient Too
Bed-Head numerous to
Pillow 150 84 53000 count 46 19 99.91
Too
Armchair - numerous to
Paramedic 450 190 78000 count 20 12 99.97
Too
Medicine numerous to
Drawer 80 25 33000 count 140 19 99.57
Driver
Steer
Wheel 890 180000 3500 98.06



Biomist Ambulance Test

AMBULANCE TEST CONCLUSIONS
“All protocols recommend cleaning surfaces before disinfection. This
preliminary experiment shows that even without cleaning ﬁrst, the product
was effective in reducing by more than 98% (driver’s wheel) and at least
99.5% the different surfaces sampled. The solution was shown to be
effective in disinfecting most surfaces in the ambulance where a medium to
high disinfection level is required.”
Dr. David Govezensky, Bactochem Laboratories
Anti-microbial Effect of Product Biomist. Lab. Report 51-63055
April 22, 2008



Areas and Devices Covered
๏ High Touch Surfaces
๏ Electronics, Keyboards
๏ Sensitive Medical Equipment
๏ Mobility Devices
๏ Waiting Areas
๏ Cafeterias, Food Contact Surfaces
๏ Operating Theaters
๏ Emergency Rooms
๏ Ambulances

๏ Just About Anywhere!
๏ Pandemic Readiness!



Why Level4 Bio?
FIRST LINE OF FAST & EFFICIENT IN
DEFENSE HIGH RISK AREAS
In preventing the spread of bacteria Entire facility, patient rooms, equipment
and viruses through effective surface and other contaminated areas are quickly
disinfection with residual killing action. sanitized with no staff labor, and no
Safe for people of any age, including technology or chemical management
those with compromised immunities. required.

OPTIMAL COVERAGE W/NO FREE UP THE MOST VALUABLE
NOXIOUS EXPOSURE RESOURCE: PEOPLE!
In two hours, we can sanitize 4000+ Staff that would otherwise be dedicated
square feet without exposing patients to surface disinfection can be re-
and staff to noxious chemicals such as allocated and used more productively
chlorines or phenols. elsewhere.



Beneﬁts
✓ Provide a clean, hygienic
environment for patients, visitors &
staff
✓ Reduce employee absenteeism
and improve morale
✓ Stay proactive and compliant in the
midst of new, mandatory HAI
reporting requirements and federal
penalities
✓ Decrease your exposure to
litigation
✓ Custom sanitizing programs can
be tailored to your facility
32

The Level4 Bio Difference
PROVEN & SAFE EASY
• Sanitize hard-to-reach areas • Requires no manual rinsing or
• Kills surface and airborne superbugs wiping after application
wherever they hide
• No chemical mixing, ordering or
• Safe directly on any surface (food onsite management
prep, fabric, electronics, equipment)
• Fast evaporation with continued
killing action
• Leaves no residue or staining EFFICIENT
• Non-corrosive • Get areas sanitized in a fraction
• Fire-safe operation near spark or of the time required by current
open ﬂame sanitizing methods
• Dries fast, leaves area clean and • Uses less disinfectant spray
ready for use

33

REGISTERED APPROVED CERTIFIED


CONTACT US FOR A
TECHNOLOGY DEMO
TOLL FREE: 1.800.528.2516
ONLINE : www.Level4Bio.com


Fighting Infectious Disease in EMS

Recommended

Recommended

More Related Content

Viewers also liked

Viewers also liked (9)

Similar to Fighting Infectious Disease in EMS

Similar to Fighting Infectious Disease in EMS (20)

Recently uploaded

Recently uploaded (20)

Fighting Infectious Disease in EMS