• Circle of Care Founder Kisha Miller published in Healthcare Purchasing News

    Maintaining instrument maintenance programs

    by Kara Nadeau


    Properly maintaining and repairing surgical instruments has far reaching implications beyond the instruments themselves, from the financial pressures to protect a hospital’s equipment investment, to the ability to serve the operating room (OR) with properly functioning instruments when needed, to protecting patients from healthcare acquired infections (HAIs) and other harm that can result from improper maintenance and repairs.

    At the same time, the ability for a hospital to maintain the quality of its surgical instrumentation hinges on many different factors, including staff education and training, communication between OR and central sterile/sterile processing department (CS/SPD) staff, adherence to manufacturers’ instructions for use (IFUs) and the competency and availability of outside resources (OEMs and third-party repair services).

    In this month’s article, we present insights from CS/SPD professionals, instrument manufacturers, repair service providers and others in the industry on the latest trends in instrument maintenance and tips for establishing processes and selecting services that are right for your organization.

    Collaboration with the OR and other stakeholders

    Kisha Miller-Director of Collaborative Education/Founder of Circle of Care
    Properly caring for and handling instruments to help reduce HAIs and surgical site infections (SSIs) requires collaboration among CS/SPD, OR and infection control staff, according to Kisha Miller, Director of Collaborative Education for Circle of Care. Her organization brings all of these stakeholders together in one arena to encourage education and collaboration to improve team based care for the benefit of the patient.   Continue reading...

  • New Societal Approaches to Empowering Antibiotic Stewardship


    Substantial concern regarding the ever-worsening crisis of antibiotic resistance has been raised by the World Health Organization, US Centers for Disease Control and Prevention (CDC), European Centre for Disease Prevention and Control, European Medicines Agency, Institute of Medicine, World Economic Forum, and the US Presidential Advisory Council on Science and Technology. The question is no longer whether to act, but how.
    Antibiotic stewardship is the term used to describe efforts to optimize selection of antibiotic therapy. Formal antibiotic stewardship programs are essential to help society address antimicrobial resistance by reducing the estimated more than 50% of antibiotic use that is unnecessary or inappropriate.1 The US government has recently emphasized the need for implementation of antibiotic stewardship programs at all hospitals. To be effective, antibiotic stewardship programs must incorporate best practices, which include dedicating sufficient resources to the program, appointing a single leader to be accountable for performance, having appropriate antibiotic expertise, implementing action plans, monitoring bacterial resistance, reporting antibiotic usage to staff, and providing education.3
    However, further improving antibiotic use will require increased accountability and transparency at the societal level.2 A parallel can be drawn between antibiotic stewardship and infection prevention. Hospitals have been required to have infection prevention programs for many decades. Yet no transformative progress in reducing health care–associated infections occurred until society began requiring public reporting of infection rates and linking such rates to pay-for-performance measures. This shift toward greater accountability and transparency in health care–associated infections has led hospitals to vest infection control programs with the authority to implement critical improvements.

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  • 2016 – SPICE – HAI Prevention Conference

    circle of care saving what matters

    The Circle of Care Indy Chapter’s 1st annual HAI Prevention Conference was an absolute success! I along with many of my colleagues had the privilege to attend this event at the beautiful Riley Hospital for Children Auditorium. Founder Kisha Miller and Indy Chapter President Lisa Wakeman did a great job putting everything together. Turnout was good and as to be expected with an inaugural event which included healthcare professionals from many area hospitals and healthcare facilities. It was great to have so many different disciplines converge in one room, from nursing and infection prevention to surgical technologists and sterile processing professionals. Continue reading...

  • Berkeley College Interview with Sharon Greene-Golden

    In this informative interview, Sharon Greene-Golden [FCS, CRCST] shares a wealth of knowledge regarding the sterile processing profession. Sharon is the manager of Sterile Processing at the DePaul Medical Center in Norfolk, Virginia. As a leader for sterile processing professionals, she was president of IAHCSMM in 2014. Sharon presented for the China Nurses Association in September 2013, and presented for the WFHSS in Antalya, Turkey, in November 2013.

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  • Alerts from the CDC and FDA Regarding Medical Device Sterilization

    When the Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) both release statements regarding concerns related to cleaning, disinfecting and sterilizing reusable medical devices, you can be certain that it entails a significant call to action for those in the healthcare industry - particularly in the peri-operative sector.

    The CDC's Health Alert Network (HAN) released the alert at the link directly below. There have been only 7 other HAN alerts in 2015 prior to this one - for topics related to ebola, HIV and measles outbreaks and avian influenza - which clearly points to the severity and imperative nature of addressing issues surrounding the processing of reusable medical devices.

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