Dialogue Volume 11 Issue 1 2015 | Page 35

5 practice partner Infection Control and prevention top high risk practices Recommendations aimed at preventing spread of infection to patients, staff photo: istockphoto.com icon: flaticon.com T he structure and function in clinical office settings provide ample opportunity for the transmission of infection through direct person-to-person spread, indirect spread through inanimate objects (fomites) and in waiting rooms that may be a source for many communicable diseases. Based on the feedback from the College, and its peer assessors, Public Health Ontario (PHO) has developed recommendations that target the top five high-risk practices leading to infection transmission in the office setting. The recommendations, which use the Infection Prevention and Control for Clinical Office Practice document as a foundation, addresses the top five practices that put patients, staff and others at risk in a physician’s office, said Dr. Gary Garber, Medical Director, Infection Prevention and Control of PHO. “Integrating best practices into routine care and responding to infections in an expected fashion will decrease risks from outbreaks, elevate the general level of practice and protect the public and office staff,” said Dr. Garber, in a letter to the College. Below are PHO’s recommendations for addressing high-risk practices: 1 Lancets, glucometers and insulin pens • Lancets must be single use only. •  ancet hubs (holds the lancet) must be single use only. L •  nsulin pens must be single patient use only. I •  lood glucose monitoring devices (Glucometers) and B other blood testing devices, should not be shared between patients. •  f they must be shared, the device must be designed I for multi-patient use and cleaned and disinfected after each use, per manufacturer’s recommendation. If the manufacturer does not specify how the device should be cleaned and disinfected then the device cannot be shared. Issue 1, 2015 Dialogue Issue1_15.indd 35 35 2015-03-19 11:18 AM