A simple roll of duct tape has proven to be an inexpensive solution to the costly and time-consuming problem of communicating with hospital patients who are isolated with dangerous infections.
A 504-bed Midwestern health system saved up to 2,700 hours and $110,000 a year by creating a “Red Box” safe zone, a three-foot square of red duct tape extending from the threshold of the door, to facilitate communication with patients on isolation or “Contact Precautions,” according to an abstract presented today at the 38th Annual Educational Conference and International Meeting of the Association for Professionals in Infection Control and Epidemiology (APIC).
Conducted by the infection prevention team at the Trinity Medical Center in the Quad Cities on the Iowa/Illinois border, the study revealed that by utilizing this safe zone, their hospitals were able to save time, money in unused gowns and gloves, and that the quality and frequency of communication between healthcare professionals (HCP) and isolated patients increased.
Typically, HCPs must don personal protective equipment (PPE) before entering an isolated patient’s room before any type of communication. Dressing in gowns and gloves before each interaction is time-consuming, costly and creates communication barriers with patients. The study showed that HCPs could safely enter the Red Box area without PPE for quick communication and assessment. At Trinity, approximately 30 percent of interactions with patients on Contact Precautions were performed in the Red Box.
In a satisfaction survey, 67% of healthcare workers said that the Red Box lessened barriers when communicating with patients. Also, 79.2% reported that the Red Box saved time in not having to put on and remove PPE. The same number said healthcare workers could assess and communicate with patients more easily. The box also serves as an additional visual cue to remind HCPs that they are entering an isolation room, which is usually only indicated by a sign outside the patient’s room.
“This is an innovative strategy that could be of great value to other hospitals,” said study author Janet Nau Franck, RN, MBA, CIC. “It costs as much as a roll of tape, and yet pays off with significant savings in time, money and increased satisfaction for both patients and staff.”
“This is a simple but very effective mechanism to conserve resources and yet remain in touch with the patient,” said APIC 2011 President Russell N. Olmsted, MPH, CIC. “It can serve as a model for healthcare providers who strive to deliver better care and reduce costs.”
The study took place from January 2009 to December 2010.
Duct Tape Strategy Improves Infection Prevention?
Patients in isolation rooms are more often than not sick from a multi drug resistant organism (MDRO). These isolation patients require more than a quick check from a doorway. Healthcare professionals (HCP) should wash; gown and glove, enter the room and sit down for a few minutes with the patient and any visitors. HCP’s cannot pay attention to detail from a doorway. Attention to detail is critical in the prevention and control of any MDRO in a patient room. The HCP’s can take one extra minute to wipe down some of the high touch areas in the room with a EPA approved germicide upon their exit from the room. This is the time when we assure the patient that everything is being done to help them get better.
Duct tape adhesive is a biofilm. The adhesive biofilm is made to defy removal. Duct tape adhesive is made of protein and carbohydrates. Duct tape in other words is food for bacteria. Is this what we want to do, feed the MDRO’s?
The duct tape adhesive biofilm will also stick to shoes and spread the biofilm throughout the hospital and from one patient room to another. The Innovative duct tape strategy has nothing to do with prevention.
To win the war against MDRO’s the HCP’s must go into the battlefield. I petition all hospitals to remove The Red Box.
Joseph M. O’Neill, CSA, OPA