Maya Gossman, RN: “Our infection preventionist has trained me in the past with the PPE use and the infection prevention measures. And so, I’m passing that on—the knowledge that she’s given me—I’m passing that on at this point to my vascular nurse trainees, my orientees.”
Monica Gandhi MD, MPH: “We will get to the end of this [COVID-19]. We will get to a combination of vaccine and natural infection, enough people getting herd immunity that this will stop. This will stop and we will get back to normal.”
Mary Jean Ricci MSN, RNBC: “In most facilities, the infection preventionist is the person doing contact tracing, is assisting the students should there be an exposure, is assisting with providing education on site or real-time education with the students should they see the students take off their PPE.”
Christopher Blank, CIC, MPH, an infection preventionist with BJC Healthcare, sits down with Infection Control Today® to discuss the benefits of making employment for healthcare workers contingent on getting the flu vaccination.
Kevin Kavanagh, MD: “Many of the infection preventionists over the last six months now have more experience than many of the policymakers up in D.C., because they’ve lived it firsthand. And they’ve seen how COVID-19 can spread. And they’re starting to develop a good idea of how to stop it.”
Sarah Smathers, MPH, CIC, FAPIC: “I think that hospital administrators are concerned about how they’re going to recruit in a field that is expecting a lot of retirees: 40% of infection professionists are expected to retire in the next five to 10 years.”
Bilal Naseer, MD: “Nurses who are kind of at a point where they cannot do bedside care, they should consider infection prevention. We need more infection preventionists.”
Cedric Steiner, MBA: “When we talk about infection control, and not just one room, but pieces of the facility, we’re definitely on the right track. And I think we need to start thinking about the building as like a living, breathing kind of thing.”
Sean Norman, MS, PhD: “We know from the scientific literature that asymptomatic and symptomatic individuals both shed the virus through fecal material, which then works its way into the sewer system, and it can be captured as part of our sample.”
Ernest Grant, PhD: “Until we can see the light at the end of the tunnel, it’s very crucial that we look out for one another and make sure we address our mental health and emotional needs.”
Sylvia Garcia-Houchins, MBA, RN, CIC: “I think initially, everybody said: ‘Oh, my gosh, we have a pandemic happening.’ It’s sort of a dead stop everywhere. And we’ve got to get ready. We’ve got to be prepared…. In many organizations at that point, the infection preventionist was really put into a position: Put my resources here? Put my resources there? I need to get a plan.”
Brent James, MD: “If you had an inpatient who developed an inpatient infection, it was like he got a console from ID in about three or four seconds. You just called up the program. You had to tell it the sites of infection you’re interested in, but then it did an epidemiologic evaluation of that patient.”
Kevin Kavanagh, MD: “I think you’ll find that infection preventionists in this type of climate are just not healthcare employed personnel. They need to be everywhere. They need to be in business. They need to be in schools. And, of course, they need to be in our healthcare system. But it is crucial to be in schools…”
Jonathan Iralu, MD: “We’ve dealt with small outbreaks, not a pandemic, but we were, in a sense, prepped to deal with the pandemic because we have had experience working with outbreaks…. We were used to collaborating with the state and the tribe on these other conditions. For COVID-19, we didn’t have to reinvent the wheel….”
Jason Tetro: “There are going to be COVID-19 waves every year. What we hope is that that vaccine is going to be able to help us to be able to have that protection whenever those waves are hitting us.”
J. Hudson Garrett Jr., PhD, MSN, MPH: “I think the role of the infection preventionist has always been of the most critical importance. Every time we have an outbreak or, now, a pandemic, it highlights that further.”
Melinda Benedict, MS, CIC, CFER: “I think for infection preventionists: If you’re not already involved in your endoscopy department or you haven’t been invited in, see if you can get in and just continue to check it out and see what’s going on, especially if the reprocessing and cleaning of the scope is actually done within that clinic.”
Anthony Harris, MD, MBA, MPH: “Really now it’s all about testing. How do we test? What scale do we test with? And, you know, what are the steps toward getting that access to the testing levels that we need necessary to mitigate risk?”
Rebecca Leach, RN, BSN, MPH, CIC: “I’m a very strong vaccine proponent. I do believe in them, and I think they should be mandatory if you’re working in healthcare.”
Infection preventionists and their skills will be in high demand in coming years in non-healthcare settings.
Fibi Attia, MD, the infection prevention coordinator at Penn State Milton S. Hersey Medical Center, says that the main challenge for infection preventionists in the COVID-19 pandemic is not knowing who might be carrying the disease.
Ann Marie Pettis, RN, BSN, CIC, FAPIC: “If indeed flu comes at the same time a second wave of COVID comes, that’s going to be difficult-unbelievably difficult because the symptoms obviously are somewhat similar. We’ll be trying to rule both of those things out. It will create more of a risk for a surge, and it will put more taxing on our PPE supplies.”
Sharon Ward-Fore, MS, MT(ASCP), CIC: “It is a collaboration, and I think the most successful environmental services department has an infection preventionist who really enjoys working with EVS.”
Sharon Ward-Fore, MS, MT(ASCP), CIC: “It is a collaboration, and I think the most successful environmental services department has an infection preventionist who really enjoys working with EVS.”
Rebecca Leach, RN, BSN, MPH, CIC: “Infection preventionists had to work very closely with our supply chain and look at all of our options and really keep track of it. I also think working with lab more closely will be important in the future, to understand testing modalities, understanding our abilities to test and interpreting those tests.”
Deborah Chung: “With the 40% of healthcare workers wanting better hand hygiene training pre-COVID, I can only assume that’s been exponentially surged.”
Kevin Kavangh, MD: “What worries me the most about reopening is that people going to say, ‘Oh, it’s over with’ and not do any sort of protection, whether it’s social distancing, wearing masks, not gathering in crowds. I really think that people will think, ‘Well, we got this beat.’”
Jason Tetro: “When healthcare leaders are meeting, I think that they’re going to listen to infection preventionists much more than they have in the past.”
Katherine Perez, PharmD: “For patients with COVID-19, I think the jury’s still out as to how we should be using antibiotics in those patients and what the risk of a secondary bacterial infection truly is. And that type of information has not been made available, at least not in huge amounts at this time.”
Jeffrey Rose: “I think the desire to break apart some of the functionality of the hospital and spread it out into other facilities-like oncology centers or ambulatory surgery centers-to reduce the large population at one building, is going to continue to grow. And in addition, if you design them correctly, you can use those facilities for surge capacity.”
