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Smart<br />

THE<br />

Press SHERIDAN livingFriday,<br />

Octo<br />

www<br />

Hand<br />

sanitizers<br />

and food<br />

safety<br />

Sales of hand sanitizer are on<br />

the rise: up 19 percent from a year<br />

ago, according to one report.<br />

This is not surprising considering<br />

the increase in awareness and<br />

concern about the current flu season,<br />

and this trend is likely to continue<br />

as flu<br />

activity<br />

continues to<br />

increase<br />

nationwide.<br />

There is<br />

no doubt<br />

that the use<br />

of sanitizers<br />

is a good<br />

defense<br />

Kentz<br />

Willis<br />

University<br />

Extension<br />

Educator<br />

against the<br />

spread of<br />

influenza<br />

and other<br />

illnesscausing<br />

microbes.<br />

In fact,<br />

some health organizations even prefer<br />

their use to hand washing.<br />

Why? To start with, sanitizers<br />

take less time — meaning we are<br />

more likely to use them. In addition,<br />

many individuals simply don’t<br />

wash their hands correctly, leaving<br />

some germs behind.<br />

Further, sanitizers may be less<br />

likely to dry out the skin, an important<br />

point considering the dry winter<br />

months ahead.<br />

However, don’t throw away<br />

your soap just yet! There are some<br />

very good reasons why soap and<br />

water should still be your first<br />

defense — especially when food is<br />

involved.<br />

Hand sanitizers are less effective<br />

against viruses and spores like<br />

Norovirus and C. Difficile, which<br />

are commonly associated with<br />

food-borne illness. In addition,<br />

some sanitizer ingredients aren’t<br />

things that you would like to eat,<br />

leading to potential contamination<br />

if not used correctly.<br />

Also, food preparers frequently<br />

have wet hands, or substances on<br />

their hands that are high in protein,<br />

both of which may decrease the<br />

effectiveness of hand sanitizers.<br />

Please see Sanitizer, <strong>Page</strong> C3<br />

Preventing pressure ulcers<br />

• SMH reducing costs by better care of wounds<br />

The <strong>Sheridan</strong> Press/Michael Sullivan<br />

Registered nurse Erin Bowers fits a waffle boot onto a patient’s foot Tuesday at <strong>Sheridan</strong><br />

<strong>Memorial</strong> <strong>Hospital</strong>. The boot is a preventive measure against pressure ulcers.<br />

By Tom Cotton<br />

options@thesheridanpress.com<br />

To reduce costs, increase patient comfort,<br />

and comply with federal guidelines,<br />

<strong>Sheridan</strong> <strong>Memorial</strong> <strong>Hospital</strong> is taking an<br />

active approach to decreasing the number<br />

of pressure ulcers in patients.<br />

A <strong>Memorial</strong> press release states that<br />

pressure ulcers (also known as bedsores)<br />

affect millions of people per year. It adds<br />

that the federal Centers for Medicare &<br />

Medicaid Services (CMS) estimates the<br />

cost of treating pressure ulcers at $11 billion<br />

per year.<br />

CMS is mandating that hospitals take<br />

an aggressive approach in making sure<br />

that pressure ulcers don’t develop during<br />

a hospital visit. <strong>Sheridan</strong> <strong>Memorial</strong><br />

<strong>Hospital</strong> has followed suit.<br />

According to the Web site<br />

www.webmd.com, a pressure ulcer “is an<br />

injury to the skin and/or tissues under the<br />

skin. Constant pressure over an area of<br />

skin reduces blood supply to the area.<br />

Over time, it can cause the skin to break<br />

down and form an open sore.”<br />

Over the past six months, <strong>Memorial</strong><br />

<strong>Hospital</strong> has employed the Pressure Ulcer<br />

Prevention Program to help reduce the<br />

number of patients afflicted with pressure<br />

ulcers.<br />

Marta Ostler, a certified wound care<br />

specialist at the hospital, says assessments<br />

are done to all admitted patients<br />

and include monitoring patients’ skin,<br />

nutrition, mobility and any previous<br />

sores.<br />

After admission, patients are monitored<br />

approximately every 12 hours to<br />

make sure they are not developing sores.<br />

“It takes a lot of equipment and manpower<br />

to prevent pressure ulcers,” Ostler<br />

noted.<br />

She explained that not only nurses and<br />

primary care physicians are involved in<br />

preventing pressure ulcers, but also dietitians,<br />

families and potentially surgeons.<br />

“We have known for years that wound<br />

care is a team thing,” said Ostler.<br />

Better mattresses in the hospital are<br />

also preventing pressure ulcers. The mattresses<br />

are made of a jellylike substance<br />

that reduces pressure on a patient’s body.<br />

The new program seems to be helping.<br />

According to Lisa Nicholls, a certified<br />

wound care specialist at <strong>Memorial</strong>, for<br />

patients in the hospital three days, 20 percent<br />

developed a pressure ulcer in<br />

September 2008. That dropped to 11 percent<br />

in March 2009.<br />

Please see Ulcers, <strong>Page</strong> C3


Ulcers<br />

(Continued from <strong>Page</strong> C1)<br />

“We are very pleased with the results,” said<br />

Peggy Callantine, chief nursing officer at<br />

<strong>Memorial</strong> <strong>Hospital</strong>, in the release. “We<br />

feel that our improved outcomes have to do<br />

with increased staff education on the identification<br />

of pressure ulcers when patients<br />

are admitted to the hospital and the evidence-based<br />

interventions we've put into<br />

place.”

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