Frequently Asked Questions

What can patients do to help reduce their chances of infection in general?

Patients should always follow instructions given to them by your health care team.  Frequent hand cleaning is another way to prevent the spread of infection. Hand hygiene involves everyone in the hospital, including patients.

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How is a central line associated bloodstream infection (CLI) treated?

Treatment depends on the type of catheter, the severity of the infection and the patient’s overall health. Generally, your doctor will prescribe antibiotics to fight the infection and the central line may need to be removed. In some cases, the line is flushed with high doses of antibiotics to kill the germs causing the infection so that the line does not have to be removed

,
What can patients do to prevent a central line associated bloodstream infection (CLI)?
  • Ask lots of questions.
  • Find out why you need the line and where it will be placed.
  • Learn what steps the hospital is taking to reduce the danger of infection.
  • Wash your own hands often. Use soap and water or an alcohol-based hand rub containing at least 60 per cent alcohol.
  • Try not to touch your line or dressing. 
,
What are health care providers doing to prevent a central line associated bloodstream infection (CLI)?
  • All health care providers should practice proper hand cleaning techniques.
  • Everyone who touches the central line must wash their hands with soap and water or use alcohol-based hand rub.
  • Wear sterile clothing – a mask, gloves and hair covering – when putting in the line.
  • The patient should be covered with a sterile drape with a small hole where the line goes in.
  • The patient’s skin should be cleaned with “chlorhexidine” (a type of soap) when the line is put in.
  • Choose the most appropriate vein to insert the line.
  • Check the line every day for infection.
  • Replace the line as needed and not on a schedule.
  • Remove the line as soon as it is no longer needed.  

Health care providers who insert a central line in the vein of a patient fill out a central line insertion check list and procedure note which dates, tracks and documents the procedure.

,
What are some of the risk factors for a central line associated bloodstream infection (CLI)?

Anyone who has a central line can get an infection. The risk is higher if you:

  • Admitted to the ICU
  • Have a serious underlying illness or debilitation
  • Receiving bone marrow or chemotherapy
  • Have the line in for an extended time 
,
What are some of the symptoms of a central line associated bloodstream infection (CLI)?
  • Redness, pain or swelling at or near the catheter site
  • Pain or tenderness along the path of the catheter
  • Drainage from the skin around the catheter
  • Sudden fever or chills 
,
What is a central line associated bloodstream infection (CLI)?

Central line infections occur when a central venous catheter (or “line”) is placed in the patient’s vein and the line gets infected. Patients in the intensive care unit (ICU) often require a central line since they are seriously ill and require a lot of medication for a long period of time. When a patient requires long-term access to medication or fluids through an intravenous (IV), a central line is put in place. A central line infection can occur when bacteria and/or fungi enters the blood stream. The bacteria can come from a variety of places (skin wounds, environment etc.), though it most often comes from the patient’s own skin.

What are some of the symptoms of a central line associated bloodstream infection (CLI)?
  • Redness, pain or swelling at or near the catheter site
  • Pain or tenderness along the path of the catheter
  • Drainage from the skin around the catheter
  • Sudden fever or chills 
What are some of the symptoms of a central line associated bloodstream infection (CLI)?
  • Redness, pain or swelling at or near the catheter site
  • Pain or tenderness along the path of the catheter
  • Drainage from the skin around the catheter
  • Sudden fever or chills 
What are some of the symptoms of a central line associated bloodstream infection (CLI)?
  • Redness, pain or swelling at or near the catheter site
  • Pain or tenderness along the path of the catheter
  • Drainage from the skin around the catheter
  • Sudden fever or chills 
What can patients do to help reduce their chances of infection in general?

Patients should always follow instructions given to them by your health care team.  Frequent hand cleaning is another way to prevent the spread of infection. Hand hygiene involves everyone in the hospital, including patients.

,
How is a central line associated bloodstream infection (CLI) treated?

Treatment depends on the type of catheter, the severity of the infection and the patient’s overall health. Generally, your doctor will prescribe antibiotics to fight the infection and the central line may need to be removed. In some cases, the line is flushed with high doses of antibiotics to kill the germs causing the infection so that the line does not have to be removed

,
What can patients do to prevent a central line associated bloodstream infection (CLI)?
  • Ask lots of questions.
  • Find out why you need the line and where it will be placed.
  • Learn what steps the hospital is taking to reduce the danger of infection.
  • Wash your own hands often. Use soap and water or an alcohol-based hand rub containing at least 60 per cent alcohol.
  • Try not to touch your line or dressing. 
,
What are health care providers doing to prevent a central line associated bloodstream infection (CLI)?
  • All health care providers should practice proper hand cleaning techniques.
  • Everyone who touches the central line must wash their hands with soap and water or use alcohol-based hand rub.
  • Wear sterile clothing – a mask, gloves and hair covering – when putting in the line.
  • The patient should be covered with a sterile drape with a small hole where the line goes in.
  • The patient’s skin should be cleaned with “chlorhexidine” (a type of soap) when the line is put in.
  • Choose the most appropriate vein to insert the line.
  • Check the line every day for infection.
  • Replace the line as needed and not on a schedule.
  • Remove the line as soon as it is no longer needed.  

Health care providers who insert a central line in the vein of a patient fill out a central line insertion check list and procedure note which dates, tracks and documents the procedure.

,
What are some of the risk factors for a central line associated bloodstream infection (CLI)?

Anyone who has a central line can get an infection. The risk is higher if you:

  • Admitted to the ICU
  • Have a serious underlying illness or debilitation
  • Receiving bone marrow or chemotherapy
  • Have the line in for an extended time 
,
What are some of the symptoms of a central line associated bloodstream infection (CLI)?
  • Redness, pain or swelling at or near the catheter site
  • Pain or tenderness along the path of the catheter
  • Drainage from the skin around the catheter
  • Sudden fever or chills 
,
What is a central line associated bloodstream infection (CLI)?

Central line infections occur when a central venous catheter (or “line”) is placed in the patient’s vein and the line gets infected. Patients in the intensive care unit (ICU) often require a central line since they are seriously ill and require a lot of medication for a long period of time. When a patient requires long-term access to medication or fluids through an intravenous (IV), a central line is put in place. A central line infection can occur when bacteria and/or fungi enters the blood stream. The bacteria can come from a variety of places (skin wounds, environment etc.), though it most often comes from the patient’s own skin.

What are surgical site infections (SSIs)?

Surgical site infections occur when harmful germs enter your body through the surgical site (any cut the surgeon makes in the skin to perform the operation). Infections can happen because germs are everywhere – on your skin, and on things you touch. Most infections are caused by germs found on and in your body.

What are surgical site infections (SSIs)?

Surgical site infections occur when harmful germs enter your body through the surgical site (any cut the surgeon makes in the skin to perform the operation). Infections can happen because germs are everywhere – on your skin, and on things you touch. Most infections are caused by germs found on and in your body.

How are SSIs treated?

Most infections are treated with antibiotics – the type of medication will depend on the germ causing the infection. An infected skin wound may be reopened and cleaned. If an infection occurs where an implant is placed, the implant may be removed. If the infection is deep within the body, another operation may be needed to treat it.

,
What can patients do to help prevent SSIs?

Ask lots of questions. Learn what steps the hospital is taking to reduce the danger of infection.

  • If your doctor instructs, shower or bathe with antiseptic soap the night before and day of your surgery. You may be asked to use a special antibiotic cleanser that you don’t rinse off.
  • If you smoke, stop or at least cut down. Ask your doctor about ways to quit.
  • Only take antibiotics when told by a health care provider. Using antibiotics when they’re not needed can create germs that are harder to kill. If prescribed, finish all your antibiotics, even if you feel better.
  • After your surgery, eat healthy foods.
  • When you return home, care for your incision as instructed by your health care provider.
,
What precautions are hospitals/health care providers taking to prevent SSIs?

Health care providers should be taking the following precautions to prevent SSIs:

  • Practicing proper hand-hygiene techniques. Before the operation, the surgeon and all operating room staff scrub their hands and arms with an antiseptic soap.
  • Cleaning the site where your incision is made with an antiseptic solution.
  • Wearing medical uniforms (scrub suits), long-sleeved surgical gowns, masks, caps, shoe covers and sterile gloves.
  • Covering the patient with a sterile drape with a hole where the incision is made.
  • Closely watching the patient’s blood sugar levels after surgery to make sure it stays within a normal range. High blood sugar can delay the wound from healing.
  • Warming IV fluids, increasing the temperature in the operating room and providing warm-air blankets (if necessary) to ensure a normal body temperature. A lower-than-normal body temperature during or after surgery prevents oxygen from reaching the wound, making it harder for your body to fight infection.
  • Clipping, not shaving any hair that has to be removed. This prevents tiny nicks and cuts through which germs can enter.
  • Covering your closed wound (closed with stitches) with sterile dressing for one or two days. If your wound is open, packing it with sterile gauze and cover it with sterile dressing.
,
What are the risk factors for SSIs?

The risk of acquiring a surgical site infection is higher if you:

  • Are an older adult
  • Have a weakened immune system or other serious health problem such as diabetes
  • Smoke
  • Are malnourished
  • Are very overweight
  • Have a wound that is left open instead of closed with sutures
,
What are the symptoms of SSIs?
  • Increased soreness, pain, or tenderness at the surgical site.
  • A red streak, increased redness, or swelling near the incision.
  • Greenish-yellow or foul-smelling discharge from the incision.
  • Fever of 101 degrees Fahrenheit (38.5 degrees Celsius) or higher

Symptoms can appear at any time from hours to days after surgery. Implants such as an artificial knee or hip can become infected up to 3 months or more after the operation.

,
What are surgical site infections (SSIs)?

Surgical site infections occur when harmful germs enter your body through the surgical site (any cut the surgeon makes in the skin to perform the operation). Infections can happen because germs are everywhere – on your skin, and on things you touch. Most infections are caused by germs found on and in your body.

What are surgical site infections (SSIs)?

Surgical site infections occur when harmful germs enter your body through the surgical site (any cut the surgeon makes in the skin to perform the operation). Infections can happen because germs are everywhere – on your skin, and on things you touch. Most infections are caused by germs found on and in your body.

What are the 6 priority courses?

The six priority courses for you to complete as an employee are:

  1. Accessibility Training
  2. Annual Emergency Codes Review – Code Red, Green, and Orange
  3. Health and Safety Awareness Training
  4. WHMIS
  5. Annual Privacy and ConnectingOntario Review for KHSC Staff
  6. French Language Services Act

If you have any questions regarding these courses please refer to the Guide to Mandatory Employee Training or contact @email.

What are the 6 priority courses?

The six priority courses for you to complete as an employee are:

  1. Accessibility Training
  2. Annual Emergency Codes Review – Code Red, Green, and Orange
  3. Health and Safety Awareness Training
  4. WHMIS
  5. Annual Privacy and ConnectingOntario Review for KHSC Staff
  6. French Language Services Act

If you have any questions regarding these courses please refer to the Guide to Mandatory Employee Training or contact @email.

What are the 6 priority courses?

The six priority courses for you to complete as an employee are:

  1. Accessibility Training
  2. Annual Emergency Codes Review – Code Red, Green, and Orange
  3. Health and Safety Awareness Training
  4. WHMIS
  5. Annual Privacy and ConnectingOntario Review for KHSC Staff
  6. French Language Services Act

If you have any questions regarding these courses please refer to the Guide to Mandatory Employee Training or contact @email.

What are the guidelines and restrictions for visitors?

The guidelines and restrictions to visitor presence at KHSC is ongoing and ever evolving in order to accommodate the needs of our patients and community while also preventing the spread of COVID-19. In order to learn more about the current visitor restrictions, please click here.

*Please note that you will need Google Authenticator in order to view this information if you are not currently at one of KHSC’s sites.

What are the guidelines and restrictions for visitors?

The guidelines and restrictions to visitor presence at KHSC is ongoing and ever evolving in order to accommodate the needs of our patients and community while also preventing the spread of COVID-19. In order to learn more about the current visitor restrictions, please click here.

*Please note that you will need Google Authenticator in order to view this information if you are not currently at one of KHSC’s sites.

What are the guidelines and restrictions for visitors?

The guidelines and restrictions to visitor presence at KHSC is ongoing and ever evolving in order to accommodate the needs of our patients and community while also preventing the spread of COVID-19. In order to learn more about the current visitor restrictions, please click here.

*Please note that you will need Google Authenticator in order to view this information if you are not currently at one of KHSC’s sites.

What are the risk factors for SSIs?

The risk of acquiring a surgical site infection is higher if you:

  • Are an older adult
  • Have a weakened immune system or other serious health problem such as diabetes
  • Smoke
  • Are malnourished
  • Are very overweight
  • Have a wound that is left open instead of closed with sutures
What are the risk factors for SSIs?

The risk of acquiring a surgical site infection is higher if you:

  • Are an older adult
  • Have a weakened immune system or other serious health problem such as diabetes
  • Smoke
  • Are malnourished
  • Are very overweight
  • Have a wound that is left open instead of closed with sutures
How are SSIs treated?

Most infections are treated with antibiotics – the type of medication will depend on the germ causing the infection. An infected skin wound may be reopened and cleaned. If an infection occurs where an implant is placed, the implant may be removed. If the infection is deep within the body, another operation may be needed to treat it.

,
What can patients do to help prevent SSIs?

Ask lots of questions. Learn what steps the hospital is taking to reduce the danger of infection.

  • If your doctor instructs, shower or bathe with antiseptic soap the night before and day of your surgery. You may be asked to use a special antibiotic cleanser that you don’t rinse off.
  • If you smoke, stop or at least cut down. Ask your doctor about ways to quit.
  • Only take antibiotics when told by a health care provider. Using antibiotics when they’re not needed can create germs that are harder to kill. If prescribed, finish all your antibiotics, even if you feel better.
  • After your surgery, eat healthy foods.
  • When you return home, care for your incision as instructed by your health care provider.
,
What precautions are hospitals/health care providers taking to prevent SSIs?

Health care providers should be taking the following precautions to prevent SSIs:

  • Practicing proper hand-hygiene techniques. Before the operation, the surgeon and all operating room staff scrub their hands and arms with an antiseptic soap.
  • Cleaning the site where your incision is made with an antiseptic solution.
  • Wearing medical uniforms (scrub suits), long-sleeved surgical gowns, masks, caps, shoe covers and sterile gloves.
  • Covering the patient with a sterile drape with a hole where the incision is made.
  • Closely watching the patient’s blood sugar levels after surgery to make sure it stays within a normal range. High blood sugar can delay the wound from healing.
  • Warming IV fluids, increasing the temperature in the operating room and providing warm-air blankets (if necessary) to ensure a normal body temperature. A lower-than-normal body temperature during or after surgery prevents oxygen from reaching the wound, making it harder for your body to fight infection.
  • Clipping, not shaving any hair that has to be removed. This prevents tiny nicks and cuts through which germs can enter.
  • Covering your closed wound (closed with stitches) with sterile dressing for one or two days. If your wound is open, packing it with sterile gauze and cover it with sterile dressing.
,
What are the risk factors for SSIs?

The risk of acquiring a surgical site infection is higher if you:

  • Are an older adult
  • Have a weakened immune system or other serious health problem such as diabetes
  • Smoke
  • Are malnourished
  • Are very overweight
  • Have a wound that is left open instead of closed with sutures
,
What are the symptoms of SSIs?
  • Increased soreness, pain, or tenderness at the surgical site.
  • A red streak, increased redness, or swelling near the incision.
  • Greenish-yellow or foul-smelling discharge from the incision.
  • Fever of 101 degrees Fahrenheit (38.5 degrees Celsius) or higher

Symptoms can appear at any time from hours to days after surgery. Implants such as an artificial knee or hip can become infected up to 3 months or more after the operation.

,
What are surgical site infections (SSIs)?

Surgical site infections occur when harmful germs enter your body through the surgical site (any cut the surgeon makes in the skin to perform the operation). Infections can happen because germs are everywhere – on your skin, and on things you touch. Most infections are caused by germs found on and in your body.

What are the risk factors for SSIs?

The risk of acquiring a surgical site infection is higher if you:

  • Are an older adult
  • Have a weakened immune system or other serious health problem such as diabetes
  • Smoke
  • Are malnourished
  • Are very overweight
  • Have a wound that is left open instead of closed with sutures
What are the risks factors for VAP?
  • Being on a ventilator for more than five days
  • Recent hospitalization (last 90 days)
  • Residence in a nursing home
  • Prior antibiotic use (last 90 days)
  • Dialysis treatment in a clinic