Blog

Home
Reduce Injuries and Infections with SPH Medials Air Transfer Mat
CategoriesPatient Handling

Lateral Transfer Matt: The Dignity and Dangers Of Lateral Transfers

by sphmedicaladmin

The gold standard of Safe Patient Handling today is the single patient use Air-Assisted Lateral Transfer Matt.  This article will provide some background about the daily risks faced by nursing staff when handling patients and the growing trend to implement Safe Patient Handling programs that include the SPH Medical Lateral Transfer Matt.

Medical Professionals Carry Out Dozens of Lateral Transfers Per Day

Though caregivers and medical professionals carry out dozens of lateral transfers per day, this procedure is still far from perfect. In other words, while this practice is commonplace in hospitals, it poses serious risks and challenges. Simply put, lateral transfers involve moving a patient from one surface to another. Since several departments are tasked with performing lateral transfers, countless professionals are susceptible to a nursing injury or repositioning injury. Patients are equally vulnerable to these injuries, which is why lateral transfers are notoriously precarious.

When performing a traditional lateral transfer, nurses reposition patients using the sheet that’s underneath them. However, if there’s limited personnel, this isn’t a viable option. To compensate for insufficient manpower, a plastic board is used to streamline the process. Unfortunately, this approach leaves a lot of room for error, making it inefficient and unpredictable. In essence, if there isn’t enough manpower or resources available, affairs become exceedingly dangerous. After all, patients and caregivers shouldn’t have to rely on their physical abilities to oversee successful lateral transfers.

Lateral transfers are so unsafe that medical professionals are 31 percent more likely to experience musculoskeletal pain.  Pain is often a sign of some injury that has occurred and should not be ignored.  With the repetitive nature of lateral transfers and the fact that patients are continuing to get heavier, nurses, techs, CNA’s and transporters are all at risk of a severe back, neck or shoulder injury which may be career ending. Additionally, these handling injuries are emotionally and financially draining, causing both medical professionals and hospitals distress. If a patient or caregiver has been seriously injured, hospitals could pay hundreds of thousands of dollars to cover medical expenses.  Sound like motivation?  To prevent caregiver injuries, physical discomfort, and to avoid significant financial losses, laws have been passed to improve these practices. Yet, additional efforts need to be made to keep nurses and patients out of harm’s way.

To expedite the adoption of Safe Patient Handling practices, the Bureau of Labor Statistics conducted a study surrounding Safe Patient Handling programs. According to their research, hospitals that employ proven lateral transfer procedures with the appropriate assistive devices, including an Air Assisted Lateral Transfer Matt, are 73 percent less likely to subject patients and nurses to handling injuries. This study served as a catalyst for the Nurse and Health Care Worker Protection Act. The House introduced this bill in 2015, and it requires the Department of Labor to improve patient handling, mobility, and injury prevention standards so that fewer transfer and repositioning injuries occur.

Improving Safety with the Lateral Transfer System

In the hopes of breathing improved safety, efficiency, and security into lateral transfers, air-assisted systems were created. AirPal birthed this invention, but other brands have developed their own versions of this modern device. HoverMatt, for example, manufactures air-assisted systems, and their business has expanded exponentially after developing the disposable or single patient use transfer mattress.  Not only do air-assisted systems reduce friction, but they also provide added support and comfort.  As a result, it’s easier for nurses to boost, reposition and transfer patients, making everyone less vulnerable to strains, sprains, and career ending back injuries.  At SPH Medical, we make this equipment easily accessible so that more hospitals can implement safe patient handling wherever lateral transfers and positioning is occurring.  With more than 15 years of experience implementing Air Transfer Systems, the team at SPH Medical offers expertise in this area to its customers.  SPH Medical offers a complete line of single patient use Air Transfer Mattress options and reusable Air Transfer Mattress options in all sizes compatible with the most common air supplies on the market.

Assisted Transfer Equipment: Is It Worth It?

Air transfer equipment is preferred for its ability to reduce risk of injury and the fast adoption rate by nursing staff. Luckily, the perks don’t end there. In addition to promoting optimal safety, air-assisted systems also make patients more comfortable. Without air transfer equipment, lateral transfers can cause significant discomfort. For patients of size, they may feel embarrassed that so many people have to be involved in a lateral transfer just to move them.  The air-assisted lateral transfer matt gives the patient a sense of dignity. Air-assisted transfer systems do an excellent job of eliminating risks and uncertainty, which is why this equipment is an efficient alternative to old fashioned manual handling practices.

Best of all, patients say that the air transfer matt offers a floating sensation. With that said, it’s evident how much this equipment streamlines the patient transfer process and improves patient throughput in busy departments like the OR and Labor and Delivery. Above all else, when caregivers have the tools they need to ensure patient safety and their own safety, it bodes well for a pleasant experience for all including increased patient satisfaction. Thanks to air-assisted systems, gone are the days of risking a back or shoulder injury while repositioning patients. Instead, you receive a safe and efficient solution to reduce lateral transfer risks.

Contact SPH Medical to get a quote for the Air Assisted Lateral Transfer Matt and realize the benefits of Safe Patient Handling today.

CategoriesPatient Handling

Improving Nursing Safety With The EPD

by sphmedicaladmin

Improving nursing safety is the primary goal in any formalized Safe Patient Handling program being implemented across the country here in the United States and even internationally. This article will discuss the risks associated with manual patient handling that occurs during epidural placement, spinal blocks and thoracentesis.

First, a little background about epidurals. An epidural is regional anesthesia applied to expectant mothers in labor and delivery units to desensitize pain receptors. The success of an epidural depends upon the skills of the anesthesiologist but one could say that patient positioning is the priority and may be equally or more important.

The epidural procedure is vital to manage pain during labor and in surgical procedures. For effective epidural placement, the patient should be in a sitting position or lying on their side.

The nurses and physicians will assist the patient in assuming the correct position. The physicians carry out the procedure using a sterile technique with local anesthesia at the site of injection.

After your skin gets numb, the anesthesiologist will pass the needle between the lumbar vertebrae into the epidural space. A continuous infusion is preferable for most labor epidurals to ensure no wearing off of the anesthesia.

Epidural pain relief produces a numb sensation on the legs and abdomen for patients in labor which masks the discomfort experienced in delivery. Although epidural pain relief lacks a significant effect on mental functions or awareness, patients may rest and even sleep till the time to push in the case of delivery.

Note that labor analgesia aims to relieve the pain sensation but not to block it completely. Pushing is a vital part of vaginal delivery, and the patients must have the muscular strength to make it successful.

Safety of An Epidural

The medications used in labor as epidural analgesia lack significant adverse effects on the newborns. Over decades, no appreciable side effects of the drugs occur in babies.

However, those undergoing surgeries and women in labor may experience mild itching and difficulty in passing urine. Other adverse effects include nausea and mild back pain post-delivery.

Although it is effective in managing pain during labor, it is unsuitable in:

  • Patients with clotting or bleeding disorders
  • Current infections
  • Hypotensive patients
  • Non-cooperative patients
  • Positioning of the Patient

Manually positioning patients and applying static holds has been a known cause of injury in hospitals and specifically in Labor and Delivery departments.  To reduce the chances of injury to the caregivers, an epidural positioning device (EPD) is effective in reducing risk of injury to staff and patients and can also increase patient satisfaction.  The device was invented by an anesthesiologist has been used widely in positioning patients for epidurals, spinal blocks, wound care and more.

Risk to Nurses and Health Care Workers

As COVID-19 continues to spread, the healthcare team is already affected. The pandemic puts an entirely new perspective on the manual handling of patients and the effort of improving nursing safety. Be it in surgical or labor rooms, the manual handling of patients subjects the nursing staff to musculoskeletal injuries and even COVID-19.

In the labor, delivery, outpatient surgery, and peri-operative areas, the staff have in the past had to manually hold the patients in position for epidural placement. Because of the risk of COVID-19 spread, patients and the health care team should minimize the unnecessary contact to prevent illnesses and injuries.  The EPD or Epidural Chair has become an essential tool to prevent the spread of infections, including COVID-19.

Studies indicate that nurses are more prone to overexertion injuries than other occupations in the health sector. Hence, the health care industry and hospitals need to embrace changes that will protect their staff.

Benefits of EPD

The Epidural Chair improves safety and reduces injuries among patients and staff. It creates an ideal patient position for placing the needles during an epidural procedure.  The technique is also applicable in central anesthetic procedures.

The SPH Medical Epidural Positioning Device is an improved positioning chair and has now become famously known as the Epidural Chair.  It has been helpful in improving nursing safety in various departments in the hospital, including the outpatient surgery, pain management center, OR, and of course L&D.

The device helps position the lumbar, thoracic, and cervical flexion while maintaining a stable and solid position. The device is the most suitable for patients undergoing obstetrics, orthopedic surgeries where spinal blocks are common, and now the imaging department and pulmonologists are using it for thoracentesis.

There is are both electric and non-powered EPD options. Both provide a weight capacity of 600 pounds by accommodating various weights and body sizes.  The manual and electric devices have a patented chest cushion that extends toward the patient to promote thoracic, lumbar, and cervical flexion.  The flexed spine position opens up the intervertebral spaces for the appropriate placement.

The electric Epidural Positing Device or E-EPD has an electronic controller for adjusting the upper section of the EPD.  Most importantly the electric EPD has a powered foot plate, or foot rest, that eliminates the need for a nurse to bend over or do any lifting.  To further promote spinal flexion Anesthesiologist prefer the patients’ knees to be slight raised so having this powered feature on the E-EPD can be a real asset.  The Electric Epidural Positioning Device can improve the efficiency of set-up and reduce overall procedure time which can be helpful in a busy department.

A successful mobility program and safe handling of the patient require effective equipment, buy-in, and guidance on the most suitable solutions to improve staff safety and patient mobility.

The adoption of Safe Patient Handling principles including the use of proper body mechanics and assistive devices are critical to reduce the risk of injury to our caregivers.  Proper positioning with the EPD allows the device to do the hard work and nurses can now stand by and assist with the important clinical procedures they have been trained to do.

N95 Masks for Maximum Protection
CategoriesInfection Prevention

Cal OSHA New ETS for N95 Respirators

by sphmedicaladmin

On June 17th, Cal OSHA issued an updated COVID-19 Prevention ETS (Emergency Temporary Standards) requiring employers in California to provide N95 Masks for employees that are unvaccinated. The following topics are discussed in the updated ETS. As a result of the updated ETS we are seeing an immediate increase in demand for NIOSH Approved N95 Respirators.

Summary of June 17th ETS.

  • Physical Distancing – This is being phased out along with barriers.
  • N95 Respirators for employees – Employer must provide access to N95 mask for unvaccinated employees
  • Face Coverings – Face Coverings are still required for unvaccinated employees
  • Vaccines – Employers must document vaccination status of employees
  • Testing – Must be offered at no charge to Employees
  • Outbreaks – More protective measures will be required if an Outbreak occurs
  • Enforcement – Employers should implement the June 17th ETS as soon as possible to avoid being cited

Here are the highlights of the ETS as it relates to N95 Respirators:

Q:  Is an employer’s obligated to provide respirators and to whom?

A:   The bottom line is that there are two scenarios that an employer needs to be prepared for:  (1) An Employer must provide an N95 respirator to any unvaccinated employee who works with others indoors or in a vehicle and who requests one and (2)  If there is a major outbreak the employer must provide an N95 to any employees in the exposed group for voluntary use.  The employer must provide a respirator that is the right size and fit for the employee and they must provide basic instruction on how to get a good fit or seal around their face.

Q:  Does an Employer have to provide N95 respirators “upon request”?

A:  An employer must be able to provide the respirator upon request.  The employer can wither keep the N95 masks in stock or they can take a poll of all their employees to determine which employees will need an N95 respirator before they purchase them.  Once the employer has determined that it has employees that wish to wear respirators it should make sure that it has enough quantity of masks that fit properly for this group of employees and also consider that respirators will have to be replaced if soiled, broken or contaminated.  Employers can also allow employees to purchase their own mask and reimburse the employee.

If an unvaccinated employee asks for an N95 mask at any time, the employer is obligated to provide one.

If there is a major outbreak the employer must offer N95 respirators to all employees whether they have been vaccinated or not.

Q. How soon does a respirator need to be provided after an employee requests it?

A. According to the new ETS employers should estimate their needs immediately and order the required NIOSH Approved N95 respirators to provide to unvaccinated employees as soon as possible.

Healthcare Workers Also Continue to Depend on N95 Masks

While the COVID-19 pandemic is becoming less severe as case counts drop steadily and larger percentages of people become vaccinated from the coronavirus, healthcare workers are still in need of protective equipment to prevent a COVID-19 infection, especially since variants of this virus are spreading worldwide. As such, the NIOSH N95 mask is essential for hospital workers over the coming months.

While there was a severe shortage of health grade N95 masks in the past, now that fewer people in the outside world need to mask up, hospital workers are seeing a more steady stream of the N95 mask in their supplies. This means nurses, doctors, and other healthcare workers will not need to worry about infection risk as much since they won’t need to re-use these supplies.

Who are the hospital workers that are in greatest need of the NIOSH approved N95 respirator? Keep reading to find out.

Hospital Workers are also in Need of This Mask

According to the Centers for Disease Control and Prevention (CDC), surgical N95 respirators are meant only for healthcare personnel who need to be protected from airborne and fluid risks such as splashes and sprays. If N95 respirator masks are not available for use, a face shield can be used instead.

Therefore, any healthcare workers, such as surgeons, physicians, or nurses, who perform procedures on patients that involve transfer of body fluids, particulate matter, and microorganisms need to use N95 respirators, according to the US Food and Drug Administration.

What Different Styles of Masks are in Use Today?

There are several different styles of masks that medical workers use today, such as the cup style mask, a mask with a vertical fold, and a duckbill mask. There are N95 masks in the shape of a cup style, which involves a cone shape.

A vertical fold mask has vertical pleats and can be sewn together by an average stitcher using standard fabric that can be bought at a Michaels store. An N95 duckbill mask poofs out at the front and looks similar to a duckbill.

What is a Surgical Rating for an N95?

NIOSH approves surgical N95 respirators for use as a standard N95 respirator while in the past the FDA approved the respirator as a surgical mask.  Recently NIOSH has updated their surgical respirator approval to a more streamlined process. Research has shown that N95 respirator masks have much lower penetration levels of particles in the air when compared to the blue style 3 ply surgical mask.

Having a proper fit across the face, as determined by a fit test, makes a major difference in keeping air particles from infecting the mask wearer.

Who are the Key Manufacturers in this Space?

Some of the top manufacturers of protective equipment and face masks include:

    • Makrite
    • 3M
    • Honeywell
    • Kimberley-Clark Corporation

SPH Medical is a trusted source for N95 respirators and is a global distributor for Makrite Industries.

The Healthcare Facilities Using N95 Masks

In addition to Hospitals, some other types of healthcare facilities that use N95 respirators that you may not be aware of include long-term care facilities, nursing homes, and assisted living centers, according to the Occupational Safety and Health Administration (OSHA). In particular, healthcare workers who are in contact with a long-term care resident who is suspected or found to have COVID-19 should wear N95 respirators or a higher-level face mask.

New Market Trends

The market trends for N95 respirators positioned the compound annual growth rate (CAGR) of 45.1% from 2020 to 2027, according to a report from Grand View Research. The COVID-19 pandemic along with other infectious diseases led to a significant growth in demand for N95 respirators. North America took up a 32.3 percent share of global revenue in 2019.

Despite the decline in COVID-19 cases, the growth in demand for N95 respirators means there is still a global shortage of protective equipment and these masks, according to the FDA. To mitigate these continual shortages, the US government is taking action such as providing more information about alternative options for protective gear.

US manufacturers have been investing millions of dollars into rebuilding the stockpiles of such protective equipment including masks, isolation gowns, and more. International manufacturing has also played a major role in overcoming these shortages.

The future of the healthcare industry will depend upon N95 respirators and other protective equipment while the COVID-19 pandemic continues to impact the globe.

References:

https://www.cdc.gov/coronavirus/2019-ncov/hcp/checklist-n95-strategy.html

https://www.osha.gov/sites/default/files/respiratory-protection-covid19-long-term-care.pdf

https://www.grandviewresearch.com/industry-analysis/n95-mask-market#:~:text=The%20global%20N95%20mask%20market%20size%20was%20estimated%20at%20USD,USD%206.39%20billion%20in%202020.&text=The%20N95%20mask%20market%20is,USD%2021.57%20billion%20by%202027.

https://www.fda.gov/medical-devices/coronavirus-covid-19-and-medical-devices/medical-device-shortages-during-covid-19-public-health-emergency

 

 

 

Epidural Chair improves Staff Safety
CategoriesPatient Handling

Epidural Pain Relief and the EPD

by sphmedicaladmin

Epidural anesthesia blocks pain sensation in a given region of the body and provides analgesia. The EPD improves safety for both staff and patients and increases and comfort for patients. An Epidural blocks impulses from lower spinal segments leading to reduced pain sensation in the lower part of the body. Most epidural pain relief medications are local anesthetics and are administered in combination with opioids like fentanyl.

How Epidural Pain Relief Works?

Local anesthetics are directed into the epidural space. EPD is mainly used during childbirth, management of chronic sciatica and back pain. Specialists will optimize the care to suit the needs of a particular patient.

The spinal cord carries electrical impulses between nerves and the brain. Therefore, injection of local anesthetics into the epidural space of the lower back blocks pain sensation on the leg and pelvic area.

Your anesthetist can assess the amount of feeling lost based on the type and concentration of the administered medications. However, before the effect wears off, you may not move your legs or hands.

The passing of urine will also be a challenge because the sensation that the bladder is full is absent. However, you will have a catheter to help you pass urine while on the epidural.

Preparing for the Procedure

The anesthetist will guide you on how to prepare for an epidural. It is contraindicated in patients with a history of blood clots or conditions affecting the lower back and nervous system. In addition, it is vital to tell the anesthetist if you are on blood thinners like clopidogrel, warfarin, and aspirin. During the process, you may remain awake, but you can also receive a sedative to help you relax.

Epidurals are effective in managing pain during labor. First, the anesthetist will request the patients to lie on their sides for proper medication administration, with their knees drawn up to their tummies and their chin tucked in. The patient can also sit on the bed while leaning forward. All these positions open up the vertebral space.

Epidural Pain Relief and Patient Safety

When it comes to the safe positioning of the patient and reducing risks of injuries to the caregivers like nurses, an epidural positioning device is vital. It reduces medical staff injuries and keeps patients safe. The device is the most widely employed in positioning for a variety of procedures.

The epidural chair is an example of a manual positioning device. It involves the medical staff placing the patient’s feet on the chair first and then inserting pillows underneath the upper body. Patients support their weight on the cushions.

The epidural chair has a solid foundation that can’t move easily. Instead, it provides an adjustable foot platform and locks into position to secure every patient for the procedure.

The device encourages lumbar, thoracic, and cervical flexion. In addition, it helps in epidural pain relief for pain during labor.

Benefits of Epidural Positioning Device

Some of the benefits associated with the device over the manual EPD include:

1. Lowers Risk of Complications

There is an increased risk of complexities because of the unique taxing nature of positioning in epidural procedures and spinal blocks. In the absence of a reliable and ergonomic solution like an epidural positioning device, health workers may have to use their bodies in positioning the patients and ensuring that they are secure.

The latter may cause physical injuries to the health care worker because the patient may become violent due to the intense pain. On the other hand, patients rely on pillows, but they voluntarily move when the pain becomes severe. Hence, compromising the process.

2. Eliminates Risk of Injury

Whether in preoperative settings, operating rooms, or other areas in the hospital, caregivers and nurses are having to manually position the patients for the epidural procedure. It involves the caregiver holding the stool, the table, and the patient using their body during the procedure.

The aim is to reduce movements from patients that may cause injuries. However, the act puts the assistant or nurse in a risky situation and may cause musculoskeletal injuries. Studies have revealed that awkward static holds carried out regularly cause musculoskeletal disorders. Nurses are the number one at risk profession for a MSDO and the EPD is a simple yet highly effective solution to reduce this risk.

The effects of an epidural pain relief wear off within two hours. You will be free of drowsiness associated with general anesthetics.

Improve Patient Comfort and Staff Safety with SPH Medical's EPD
CategoriesPatient Handling

Practicing Safe Patient Handling When Performing Thoracentesis

by sphmedicaladmin

Thoracentesis or Pleural Tap

Also known as a pleural tap, it happens when the doctors drain liquid buildup in the pleural space. Doing this enables the medical team to carry out a pleural fluid analysis to determine what might be causing an accumulation of fluids in or around the lungs. The pleural space, located between the chest and the lungs, typically has about four tablespoons of fluid. Various conditions can cause a reduction or increase of this fluid, which can be detrimental to the patient. Initially, carrying out this procedure meant that the patient would be twisted up to allow for the needle to go through. The epidural positioning chair has been a recent advancement for many pulmonologists, ultrasound imaging staff, and patients as well. Understanding what an EPD is and its usefulness will help doctors and patients think alike regarding epidurals, spinal block, and thoracentesis.

Why Do Patients need the Thoracentesis procedure?

Fluid buildup or reduction in the chest cavity can be detrimental to the health of the patient. The surest way of knowing what needs to be done is by carrying out a pleural fluid analysis. Excess fluid in or around the lungs can increase pressure and cause difficulty in breathing. On the other hand, less pleural fluid means that the lungs will not be well supported and can get damaged with time. Some of the main conditions that can cause fluid to build up in the chest are:

  • Cancer
  • Pneumonia
  • Chronic lung disease
  • Lung infections
  • Congestive heart failure

All these conditions can have dire consequences on the health of the patient. Before the fluid is drained from the chest cavity, the doctors need to know the cause of the build up. Knowing this helps them chart out a course of treatment to prevent further liquid from building up in the patient’s body.

What Is an Epidural Positioning Device?

An epidural positioning device or epidural chair helps the hospital staff position their patient well before inserting a needle into their body. This procedure typically requires that patients sit and lean forward with arms raised without moving for 10-30 minutes. This presents a few challenges for hospital staff. If the patient is sedated before the process it can mean that even more manual positioning and support is required by staff. In general ultrasound techs are working with the patient to prepare them for the thoracentesis procedure. First, the patient is usually seated on a stretcher or exam table. A stool may be brought over to support their feet. Then a bedside table stacked with pillows is often brought over to have the patient lean on with their arms and head. In many cases the table with pillows doesn’t lock properly. It can be a physical challenge to position the patient while at the same time locating the ideal location for needle insertion. Once positioned properly a staff member typically stands by to ensure that the patient doesn’t fall forward or slip off the stretcher. The bedside table solution is not ideal and presents a real risk to patients for falls.

Benefits of EPD

The EPD does has been a major advancement in patient positioning for this procedure. The Epidural Chair which has been used in Labor and Delivery units and Surgery departments to comfortably position patients for Epidurals and Spinal Blocks is now being used for Thoracentesis. The simple concept of positioning patients comfortably in the ideal seated position, leaning forward with arms and head supported really works well for Thoras. Hospitals like University of Virgina Medical Center and City of Hope, just to name a few, are using the EPD every day for Thoracentesis.

  • Reduced risk of injury to hospital staff
  • Increased Patient Satisfaction
  • Improved patient throughput
  • Reduced risk of falls
  • Improved needle placement
  • Supports patients of size up to 600lbs

The SPH Medical Epidural Positioning Chair or EPD is a simple yet effective Safe Patient Handling solution that is easily implemented in any hospital department. Contact SPH Medical for more information or to request a quote.

Reduce Risk Of Injury with the SPH Medical EPD
CategoriesPatient Handling

Epidural or Spinal Block

by sphmedicaladmin

Epidural Positioning Device Implementation to Improve Patient Outcomes and Healthcare Worker Safety

In the realm of anesthesia, there are many methods to help reduce a patient’s pain and suffering during operations or procedures. It takes an entire team of healthcare professionals to deliver safe and effective anesthesia that produces positive patient outcomes. One of the most common anesthesia types includes epidural anesthesia or spinal block, which is seen in the operating room and the labor and delivery room. The delivery of anesthesia in these modalities is much more technical and requires more staffing in general than general anesthesia. They need the anesthetist and supportive staff to be positioned in respect to the patient to deliver the medication effectively and safely. Patients also understand that they play a role during the anesthesia and must remain completely still during the procedure. The patient’s body habitus also plays a role in how well the patient and supporting staff can get the patient in the correct position.

Epidural anesthesia delivers medication into the area that lies above the epidural sac. Understanding the basic anatomy of the spinal cord and the vertebral column can help understand the positioning of a patient when it comes to the delivery of anesthesia. The epidural sac covers the spinal cord and creates a space where cerebrospinal fluid can nourish and cushion the spinal cord. The vertebrae that help protect the spinal cord have spinous processes that project posteriorly that protect and allow for mobility of the spine. When a patient is flexed, the spinous process angle between each other opens and exposes the spinal cord. The anesthetist can use this position to allow direct access to the Dural sac since the spinous process will be angled up and away in a flexed position.

The spinal cord and vertebral column’s anatomy and function are why epidural anesthesia requires the patient to be in a flexed-knee-to-chest position. The anesthetist will then have access to the spine to deliver the medication at the proper location safely. Often the additional staff is needed to help position the patient. The team who help position the patient can often find themselves in non-ergonomic positions to keep the patient from moving and allowing safe delivery of medication. An often-overlooked factor of patient safety and outcomes is the ergonomics of the staff that are included in procedures. Staff who must repeatedly put their bodies in awkward anatomical positions can put themselves at risk for a musculoskeletal injury. This can affect patient outcomes down the road if staff are not able to perform functions necessary for their task because of a musculoskeletal disorder.

A lot of research is being invested in staff ergonomics and safety to aid in improving patient outcomes. With respect to epidurals and similar procedures requiring patient positioning, an Epidural Positioner Device, or EPD, has been developed to provide safety to both the patient and the healthcare staff. Epidural positioning device benefits patient outcomes by allowing for safe and fast positioning of the patient. It can also be adjusted with respect to the patient’s body habitus. From the user standpoint, there are less movement and fewer complications with regards to catheter placement. The Epidural Positioner can also be used in settings that require the patient to be in a similar position, such as a Spinal Block. In a Spinal Block, the medication is administered within the Dural sac, whereas in an epidural, the medicine is administered just above the Dural sac. Both procedures require the patient to be in the same position, which allows the epidural positioning to be used in either setting.

The Epidural or Spinal Block and Thoracentesis

The Epidural Positioner has also found its way into Thoracentesis. This is a procedure where fluid from the thoracic is removed either for therapeutics or diagnostic studies. Allowing the patient to be placed in a less mobile position will enable the proceduralist to safely perform the Thoracentesis without injury to vital structures such as the lung. This device shows its promising advancement in patient outcomes when it comes to improving staff ergonomics and safety. It takes an entire medical team to take care of a patient. It is of utmost importance for any organization to seriously take the safety and health of each of its staff members.

Considering the EPD implementation, patient outcomes can be improved and allow for procedures to be carried out safely, effectively, and rapidly to help reduce negative outcomes and financial burdens to the healthcare system. In the realm of epidural or spinal block, pain and suffering can be reduced in the labor and delivery floor and in the operating suite. In diagnostic procedures like the spinal tap, a safer collection of specimens can be carried out while decreasing the risk of harming the patient during studies. In Thoracentesis, healthcare professionals can perform therapeutic procedures at a more effective and expedited timeline requiring less staff to hold the patient. Overall, the EPD or devices like it may find their way into other procedures to help decrease the risk of Musculoskeletal disorders and injuries to users and provide safe and effective healthcare.

Nitrile Exam Glove Testing 2021
CategoriesInfection Prevention

Evaluating the Quality of Nitrile Exam Gloves for Hospitals

by sphmedicaladmin

Nitrile Exam Gloves for Hospitals

Most of the world was unprepared for a pandemic like COVID-19. The contagion caused many supply chain issues including a shortage of medical supplies like gloves, N95 masks and, isolation gowns. With the need for these supplies continuing, some scammers are attempting to profit by manufacturing fake or low quality gloves with fake packaging. It’s important for value analysis and purchasing departments to avoid buying them. Not only are they a financial loss, but they could also put hospital staff and patients at risk. Here’s how to evaluate the quality of nitrile exam gloves for hospitals.

What You Need to Know About FDA 510K Approval

The FDA requires some medical device manufacturers to register with them when they plan to advertise a medical device. Under section 510K, these companies must notify the FDA of their marketing agenda at least 90 days before they intend to implement it.

This alert is called Premarket Notification. The FDA requires this step to determine if the product is equal to a device that’s already in one of the government agency’s three classification sections. That way, the FDA can identify medical devices properly.

For medical examination gloves the FDA approves the glove with a product code to confirm the approval for the intended use.  LZA is the product code issued to Nitrile Examination gloves to confirm that the gloves are intended for medical purposes and are worn on the examiner’s hands or fingers to prevent contamination between patient and examiner.  Other important product approval codes are OPJ which is for Medical Gloves with Chemotherapy Labeling Claims, and QDO which is an approval for Fentanyl and other Opioid Protection Gloves.  The FDA includes in their 510K approval letter all of the associated testing that was submitted for review by the manufacturer to achieve the respective product code.

Look for ASTM D6319 TestingGlove manufacturers are required to provide testing that meets ASTM standards.  ASTM International is a nonprofit global standards organization that develops and distributes technical standards for a variety of products including medical equipment. Companies that produce their products according to ASTM D6319 standards are able to offer their customers the assurance that they are selling Examination grade gloves that are manufactured for medical use.

When gloves meet the ASTM D6319 standard, they are powder free, thicker than disposable gloves designed for other purposes and include a higher tensile strength level.

The ASTM testing standards for chemo tested nitrile exam gloves consists of checking the material’s strength and flexibility. The organization’s tests are designed to make sure that an examination glove is unlikely to tear or fail and provides the proper amount of stretch.

When a powder free examination glove box confirms that its contents have been ASTM tested, then the gloves have undergone an accelerated aging process that involves heat. This test is designed to assess how well the gloves will work toward the end of their shelf life, giving you peace of mind that they will continue to provide protection until they are expired.

Check for ASTM Chemotherapy Drug Testing Standards

Since chemotherapy agents are extremely toxic, it’s important for healthcare employees to handle them wearing examination gloves that have been tested for saturation using the ASTM’s more vigorous D6978 standard instead of the guidelines used for other chemicals.

The chemotherapy drug testing standards require companies to test the gloves for up to four hours. The permeation test measures the time that it takes certain chemicals to make their way through the material of the latex free glove. For a glove to be considered safe for chemotherapy drugs, the tests must take place at particular temperatures too.

Understand the Ins and Outs of Factory Standards

ASTM standards include AQL testing, or Acceptable Quality Level.  For example ASTM D6319-10 includes an AQL of 2.5%. Before buying gloves from any company, make sure that you know how they test their products. Check the label for Acceptance Quality Limit, or AQL, testing. The definition of AQL testing is a “quality level that is the worst tolerable.” It refers to the highest number of faulty products allowed in a batch before that batch is discarded. For instance, if a label states that the AQL is 1.5%, then this means that the glove batch cannot contain more than 1.5% faulty items in the order.  Of course ASTM standards are set at an AQL of 2.5%, but some factories have an AQL of 1.5% which means they have stricter quality control levels.

Factory Testing of Nitrile Exam Gloves

Since the development of COVID-19 has caused a shortage of the raw materials needed to make nitrile examination gloves, defrauders have appeared on the scene to take advantage of hospitals and steal their money. When you buy quality tested nitrile exam gloves, your facility will be stocked with powder free gloves that are also latex free. To avoid becoming victim to a scam, watch for suspicious activity like uncommon payment requirements, sudden price increases and unexpected bulk supplies.

Read the Information that is Printed on the Medical Glove Box

The label printed on the glove box is important. It should include a list of tests that the manufacturer performed to confirm the quality of the gloves and their safety. When you purchase examination gloves, make sure that the boxes are labeled with information like:

  • Patient examination glove or surgeon’s glove
  • Tested for permeation resistance to chemotherapy drugs according to ASTM D6978-05
  • What chemotherapy drugs the gloves have been tested against
  • Chemical resistance data

The label should also show you the number of chemotherapy drugs that the gloves were tested against and the amount of drugs used during testing.

Label information is important because it allows you to confirm that you have exam gloves that are manufactured to provide the proper protection for your healthcare staff.

Keep in mind that packaging is simple for manufacturers to produce, making it the easiest thing to fake. If you run into a scammer, the box may falsely state that tests and standards have taken place when they haven’t. To keep your hospital staff protected, request third-party testing documents from your supplier. That way, you can confirm that you’re purchasing quality nitrile exam gloves.

Keeping Hospitals Stocked with Chemo Tested Nitrile Exam Gloves

Currently, the cost for raw materials to manufacture medical gloves has shot up quickly due to a lack of supplies and more demand because of COVID-19. Despite these challenges, SPH Medical is working tirelessly to provide consistent glove supplies to its hospital clients.

Sources:

1. https://webstore.ansi.org/sdo/astm
2. https://hourglass-intl.com/glove-testing-demystified-tensile-strength-and-ultimate-elongation/
3. https://www.pppmag.com/article/1623/January_2015/Are_Gloves_and_Gowns_Safe_for_Handling_Chemotherapy/#:~:text=ASTM%20standard%20D6978%20is%20specific,care%20workers%20handle%20chemotherapy%20drugs.
4. https://www.fbi.gov/news/pressrel/press-releases/fbi-warns-health-care-professionals-of-increased-potential-for-fraudulent-sales-of-covid-19-related-medical-equipment
5. FDA Product classification codes for Medical Gloves  https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpcd/classification.cfm?start_search=1&Submission_Type_ID=&DeviceName=&ProductCode=&DeviceClass=1&ThirdParty=&Panel=&RegulationNumber=880.6250&Implant_Flag=&Life_Sustain_Support_Flag=&PAGENUM=500&sortcolumn=DeviceNameDESC

The SPH Medical EPD improves patient safety
CategoriesPatient Handling

Epidural Trends and the Epidural Chair

by sphmedicaladmin

Current Epidural Trends in Hospitals and the Epidural Chair

Now more than ever in Labor and Delivery departments and in General Surgery areas the trend is to utilize the Epidural Chair to improve patient comfort and safety.  Equally important is the opportunity to improve safety for nursing and Anesthesia staff.  It is well known that the experience of childbirth is extremely painful for the mother. Modern medicine has advanced to provide mothers with epidural anesthesia for pain during labor. Epidural pain relief can make the child birthing experience less traumatic and exhausting for the mom. Epidural anesthesia depends on the technical abilities of the anesthetist. This requires assessing the risks that are present for the patient, positioning the patient for safe administration, and gathering the necessary staff to help with positioning. An often overlooked factor in patient outcomes in regard to pain relief is the ergonomics that nurses must respect during patient positioning to prevent themselves from developing musculoskeletal injury from repetitive patient positioning over their career. We will discuss these points in this article.

Proper positioning of the patient for safe and effective epidural pain relief can be understood with respect to the anatomy of the spinal column. The spinal cord is protected by the vertebral column. When a patient flexes their core, the posterior vertebral column spinal processes spread apart, allowing direct access to the dural sac that covers the spinal cord for anesthesia administration. Often, the nursing staff must help the patient remain in a still-flexed position to allow for safe administration. Depending on the patient’s body habitus, it can be difficult for nursing staff to hold the patient without compromising their own ergonomics. Patient positioning during administration of spinal anesthesia is very important.  EPD, commonly known as an epidural chair, has been implemented to help place patients flexed, allowing for effective anesthesia delivery.  The epidural positioning chair also doesn’t require nursing staff to put their bodies in stressful contortions, minimizing musculoskeletal injuries in the workplace.

Epidural pain relief is often significant to some expecting moms as they fear the pain during labor. Although it is a commonly performed procedure, epidural anesthesia does not come without its risk. Because the medication is being delivered near the dural sac and spinal cord, there is a risk of medication being administered within the dural sac. Risks seen during epidural anesthesia include a severe drop in blood pressure. Other side effects include difficulty urinating, nerve damage, nausea, vomiting, and infection.

Prevent Injury to the Spinal Cord

Injury to the spinal cord can also occur, with paralysis being a possible outcome. It is essential to understand these risks to help minimize negative outcomes. The Epidural chair helps decrease this risk by allowing the patient to be put in a fixed position that won’t disturb the anesthetist. Safety and reliability are of utmost importance in healthcare, and the EPD can provide proper positioning with adjustments in respect to the patient’s body habitus. Although there are many factors that go into the safe delivery of anesthesia, the utilization of an epidural chair can help mitigate the risk with respect to the proper positioning of the patient.

EPD can be used outside of the labor and delivery floor. With respect to spinal blocks and spinal taps, the chair is used because both procedures require the exact positioning. Spinal taps come with similar risks and can be mitigated similarly with the use of the chair. Often time patients who may need a spinal tap for therapeutic or diagnostic purposes must have a risk assessment which includes the ability to position the patient properly. In the pediatric population, a chair is not as helpful as children often require some form of sedation to help with patient positioning because of their age. In the adult population where body habitus is varied, an EPD chair that can be adjusted to reproduce the same position can help improve patient outcomes.

The Epidural Anesthesia

Epidural anesthesia can also be used to supplement general anesthesia for surgery and to help with pain alleviation during post-operative recovery. Surgeries that occur in the lower extremities can often be excruciating in the post-operative recovery period. Supplemental pain relief can help the patient feel more comfortable, and reduced pain perception can help a patient recover faster by complying with post-operative therapy. The utilization of an Epidural Positioning Device can help mitigate a safe and quick administration of a spinal block even in spite of staff not being able to be present for patient positioning. This kind of anesthesia helps reduce the usage of opioids for patients who refuse or patients with a history of opioid abuse.

Overall The utilization of an epidural positioning chair can help deliver safe and reliable anesthesia while reducing the risks of the procedure, the requirement of staffing, and the risk of musculoskeletal injuries. This chair can be utilized in similar procedures such as the spinal tap or even thoracentesis, which shows promising application outside of just epidural anesthesia. This trend to improve patient and staff safety using the EPD is increasing. Word is spreading in clinical circles that the simplicity and ease of use of the EPD drives compliance and therefore reduces risk, a very positive trend indeed.

References:

Comparing Three Different Modified Sitting Positions for Ease of Spinal Needle Insertion in Patients Undergoing Spinal Anesthesia by Sussan Soltani Mohammadi, Mohammadreza Piri, and Alireza Khajehnasiri 2017

CategoriesInfection Prevention

The Importance of Chemotherapy Testing for Nitrile Gloves

by sphmedicaladmin

Chemotherapy Testing for Nitrile Gloves

In today’s current environment of infections and pathogens we are more increasingly concerned about Chemotherapy Testing for Nitrile Gloves. The International Agency for Research on Cancer of the World Health Organization confirms that cancer rates are increasing around the world due to people living longer. Most cases of cancer happen to people who are older. Also, researchers believe that smoking tobacco and unhealthy eating habits are likely to result in more lung and gastrointestinal cancers throughout the world. This means that more people will need cancer treatment.

Why Is It Important to Test the Effectiveness of Nitrile Gloves Against Chemotherapy Drugs?

Universal precautions requiring the use of disposable gloves have been in place for years. These precautions were established to prevent death from HIV contamination during the ‘80s and ‘90s as well as from other dangerous chemicals. Until the 1990s, disposable gloves were manufactured mainly from rubber. Unfortunately, in 1996, Karen Wetterhahn, who was a scientist, died from mercury poisoning after the chemical seeped through her gloves during an experiment.

After news of Wetterhahn’s death traveled through the science community, researchers recommended the use of plastic-laminated gloves instead. Advancements in technology brought about latex, vinyl and nitrile gloves. Many health providers choose gloves made from nitrile because the material is highly resistant against chemicals. This makes them best for medical facilities that use chemotherapy drugs. To keep healthcare staff safe, it’s important to test the effectiveness of gloves made from nitrile against chemotherapy drugs.

It’s important for healthcare workers to know whether the gloves that they’re using will protect them against all types of chemotherapy drugs. To check, review the chemical infiltration label listed on the package. Make sure that your gloves feature the most recent standard provided by the American Society for Testing and Materials or ASTM. The current code is D6978-05.

What You Need to Know About Fentanyl Citrate

Fentanyl is an artificial opioid used by cancer patients to manage their pain. It comes in tablet or patch form. The drug, Fentanyl Citrate is 50 times stronger than heroin and an estimated 100 times more powerful than morphine. In fact, just 2mg of the opioid is strong enough to cause death, which is why it’s important to use disposable gloves that will protect you from this powerful drug when working with cancer patients.

Recommendations for Proper Glove Use

Experts recommend wearing two pairs of gloves that have been tested against chemotherapy drugs anytime you’re participating in activities involving hazardous drugs. You should also change your gloves every 30 minutes or right away if the gloves become damaged or if you know that they’ve been contaminated. This is why medical facilities need so many boxes of gloves.

Wear disposable gloves that are free of powder and made from nitrile, latex or neoprene. Also, make sure that the cuff of the glove is long enough to cover your gown sleeves. Glove thickness depends on the material of the gloves. If you’re doing chemotherapy preparation, then make sure that your exterior glove is a sterile one.

You should wear two sets of gloves when disposing of hazardous drugs, cleaning up spills and for routine cleaning.

How Does Glove Testing Offer Protection?

Chemotherapy drug testing offers protection because you’ll know what chemicals your gloves will protect you from. When testing is complete, the third-party testing company will print chemotherapy drug information on the glove packaging including which drugs the gloves were tested against. The label will also show you what level of protection the gloves provide. To make it easy to determine what your gloves provide protection against, companies may add pictograms to the glove boxes.

If you didn’t have access to this detailed information, then you might accidentally choose a set of gloves that are not designed to protect you from the drugs that you’re giving to patients.

Glove Testing Requirements

The European Council Directive provides legal coverage for medical gloves. Along with this, the European Standard outlines exact requirements when it comes to labeling, glove shelf life and disclosure information. Quality testing methods are developed to check the physical properties of these kinds of gloves. This includes their strength levels and dimensions.

Testing involves checking for macroscopic material flaws. There is also a standard to test gloves against chemicals and microorganisms. Gloves that receive certification based on each standard offer a higher level of protection for the wearer.

Standard test methods to determine the protective properties of gloves include checking glove permeation as well as penetration levels. Penetration indicates whether a chemical can make its way through pores or macroscopic holes while permeation determines if chemicals can move through the glove. Testing must be done over a certain amount of time.

Maintaining Safety Standards

Third-party testing labs check nitrile exam gloves against drugs to confirm that they are safe for both patients and medical professionals. Gloves made from nitrile are in short supply but SPH Medical is delivering continuous supply to hospitals and provides the highest quality nitrile exam gloves with chemotherapy drug and fentanyl citrate testing.

Sources:

  1. https://onlinelibrary.wiley.com/doi/full/10.1002/ijc.29058
  2. https://www.ons.org/sites/default/files/PPE%20Use%20With%20Hazardous%20Drugs.pdf
  3. https://www.soscleanroom.com/blog/the-history-of-disposable-gloves/
  4. https://lowderma.com/pdf/Fentanyl-2019.pdf
  5. https://es.halyardhealth.com/media/1409/kchc-evaluating-chemotherapy-protection-new-version.pdf
SPH Medical delivers Nitrile Exam Gloves
CategoriesInfection Prevention

The History of Nitrile Exam Gloves for Nursing Safety

by sphmedicaladmin

Nitrile Exam Gloves for Nursing Safety

Disposable gloves are the unsung heroes of healthcare products. They were developed because of a longtime need for the medical industry to implement cleaner standards and offer protection for those who provide healthcare services. Here’s the history and evolution of disposable gloves and how nitrile exam gloves became a necessity for the healthcare industry.

A Start with Johns Hopkins Hospital

Johns Hopkins Hospital opened in May 1889, and one of its founding members was Dr. William Stewart Halstead, a medical professional who is known for many important achievements in the medical community. For instance, he developed new surgical techniques for repairing hernias and removing gallstones. Dr. Halstead was also known for being a precise surgeon, one who believed in cleanliness. According to historical research, Halstead created the first surgical glove.

Dr. Halstead married a nurse named Caroline Hampton. She told him that she developed a rash after handling surgical chemicals. Dr. Halstead contacted the Goodyear Rubber Company, and they manufactured a set of rubber gloves for Caroline. She loved them so much that the couple requested more. Soon, Dr. Halstead’s surgical staff began wearing them when performing operations. At the time, his team used them because they increased their dexterity. They were not aware of how the gloves prevented the transfer of germs.

Before disposable gloves, patients who underwent surgery had a 50% mortality rate. Many of these deaths occurred because of germs being transferred from the doctor to the patient. Once the medical community made the connection, doctors began wearing disposable gloves more often. It didn’t take long for hospitals to make wearing them a requirement.

Material Advancements

Until the ‘90s, disposable gloves were typically manufactured from rubber. However, researchers found that rubber latex was unable to block some chemicals from connecting with the wearer’s skin. In 1996, Karen Wetterhahn, a researcher, died after mercury came into contact with her skin.

Later, it was determined that her gloves weren’t thick enough to protect her from the mercury. This incident encouraged researchers to recommend the use of plastic-laminated rubber gloves instead of latex during scientific experiments. Since then, the science and medical community has made material advancements.

Today, disposable gloves are made from materials like:

  • Latex
  • Nitrile
  • Vinyl
  • Neoprene
  • Polyethylene

Nitrile gloves are a popular choice because the material is highly resistant to chemicals. Manufacturers can develop it into a soft film, making them comfortable to wear. The material is exceptionally clean and free of accelerators. These features make nitrile gloves perfect for cleanrooms. Chemo tested nitrile exam gloves protect both the wearer and the patient.

History of Nitrile

Best Manufacturing, which is now Showa Best, developed the technology for nitrile gloves about 15 years ago. Once people discovered how useful the material was, Ansell brought out different glove products such as blue nitrile and purple nitrile gloves. Gloves made from nitrile are not a competing product against latex gloves. Instead, they are produced for people who are working with dangerous chemicals or have an allergy to latex.

Nitrile Exam Gloves Shortage

The coronavirus pandemic has led to a shortage of personal protection equipment, or PPE, like surgical gowns and gloves. Since nitrile gloves are hypoallergenic and capable of resisting chemicals, hospitals prefer them for their medical staff. At the moment, these gloves are tough to get and increasingly expensive.

According to reports, the national stockpile of them in the United States is just 72 million gloves compared to the target amount of 4.5 billion. The shortage is causing states to make their way through an intense medical equipment market filled with shady middlemen and black-market dealers. Fraud is occurring at a rapid pace and the cost of gloves is skyrocketing.

Estimates show that one box of gloves costs around $32. This is a massive increase from what medical facilities were paying before the pandemic arrived. The demand has minted a few more billionaires and centimillionaires.

Market analysts are confirming that the global demand for nitrile gloves has almost doubled in just a few months. In 2019, the demand was an estimated 300 billion while in August of 2020, the demand grew to almost 585 billion.

Glove manufacturers can only develop about 370 billion gloves each year. After determining the enhanced need for gloves, companies have been working to increase production. The production increase will allow companies to make around 50 billion more of them, but this still leaves the medical community short. Also, while the United States appears to be getting the virus under control, it is raging in countries like India.

Even after the pandemic subsides around the world, manufacturers believe that the demand for nitrile gloves will increase. The reason for this is that now people know about their protective properties.

Protective Equipment that the Healthcare Industry Needs

SPH Medical works with manufacturers to provide Nitrile Examination Gloves to hospitals and healthcare facilities around the world. We want to keep healthcare workers everywhere comfortable and safe.

Sources:

  1. https://www.sciencehistory.org/distillations/the-nurse-who-introduced-gloves-to-the-operating-room
  2. https://www.hsimagazine.com/article/the-development-of-nitrile-gloves-144/
  3. https://www.forbes.com/sites/giacomotognini/2021/02/11/billionaires-making-boatloads-of-money-from-once-cheap-medical-gloves/?sh=110d3cec661c
Add to cart