Videos

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.”

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….”

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.”

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.”

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.”

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.’”

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.”

Daniel F. Shay, Esq.: “COVID-19 is not the last infectious disease that we’re going to encounter…. I think that there are good reasons to use telemedicine to the extent that you can reduce the risk to healthcare practitioners, healthcare professionals, and also to other patients, and, frankly, the general populace.”