Association for Professionals in Infection Control and Epidemiology-Virginia
Volume 31, Number 5 January 2006
PRESIDENT, DOROTHY SEIBERT
Happy New Year
Greetings to my fellow APIC Virginia members,
What a great time of the year as we scramble to select the perfect gift for our
friends and loved ones and then we wait in anticipation to see their excitement
as the gift is presented. But when contemplating that perfect gift, consider the
gift that we give our family, friends and community through out the entire year –
the gift of health. If you are like me, you go through the everyday activities We are
sometimes thinking that anyone can do this job and the rewards seem few and providing daily
far between. Little do we realize that we “really do make a difference?” We education and
are providing daily education and instruction to all those around. Our days are instruction to all
spent enforcing handwashing, reviewing the 101 antibacterial products the staff those around.
wants to trial, teaching teens about sexually transmitted diseases, fit testing
those hundreds of staff with their N95 respirators, and then going into the
community to volunteer and provide education to the day care programs and
anyone else who may call for assistance. The expenditure of our time and
talents has purchased for our families, our hospital staff, and our community
the perfect gift – the gift of health.
I have pondered this subject for a while now trying to organize what I wanted to “The Gift of
say when last week I saw on the CDC home page “The Gift of Health” linked to Health”
advice on maintaining our health. Their first point was instruction on
appropriate handwashing. Unfortunately the link in no longer available, but that
is OK, we already know the drill: “Between the fingers, around the fingernails,
under the fingernails, the back of the hands and the wrists for 15 seconds of
As the year draws to a close, once again we begin the process of planning, …give yourself
implementing our Infection Control Plan and evaluating the results. In those a pat on the
activities of daily life, give yourself a pat on the back, because you do make a back…
difference. In closing, I wish for you a happy, healthful 2006.
Dorothy Seibert, President
Thank you for all
Your support, President
Dorothy Seibert MSN RN CIC
500 Hospital Drive
Warrenton, Virginia 20186
INSIDE THIS ISSUE: It is the vision of APIC-VA to be a leader, key
resource, and advocate in the field of infection
prevention and control and applied epidemiology
APIC-NATIONAL NEWS …………. 3
for all health settings.
OFFICERS FOR 2006………...….. . 5
APIC- VA NEWS ………………….6
EDUCATION NEEDS …………….....6
PNEUMONIA FLOW CHAR T.…….…7
The Association for Professionals in Infection
CALL FOR ABSTRACTS …….....10
Control and Epidemiology, Inc., Virginia Chapter
MEMBERSHIP COMMITTEE … …....12 (APIC-VA) is a multi-disciplinary voluntary
organization. Our purpose is to influence,
STATE CONFERENCE …….……...12 support and improve the quality of health care
CONFERENCE 2006……..............12 through the practice and management of
infection control and the application of
BD OFFERING …………………….12 epidemiology in all health settings. APIC-VA is
committed to improve patient care, prevent
INFECTION CONTROL NEWS …….13
adverse outcomes and to minimize occupational
hazards associated with the delivery
of health care.
APIC National News
Dear Dorothy, Virginia Chapter President:
First, I would like to introduce myself. My name is Artesha Moore, and I am the new Director of Membership and Chapter
Relations for APIC. I’ve been on staff just over of one month, and I am excited to be a member of the team. Over the past few
weeks, I’ve been familiarizing myself with all the policies and procedures, as well as the history of membership processing
issues. During this time, it has come to my attention that the chapter reporting system has not been working properly. I want
to assure you that correcting the chapter reporting system is a top priority for HQ.
The chapter reporting issues are caused by a disconnect between the internal database and the online reporting module.
There are a number of reasons, such as the record has not been completely updated, member is being billed for the chapter
dues, or a timing delay caused by dues processing. After intensive analysis, we have found that the reports are off by 2-3
records per chapter with the vast majority of the information being correct. We will continue to monitor these reports and
correct issues as they arise.
Until we are comfortable with the accuracy of the online reports, we will be sending you internal chapter rosters electronically
on the 15 of every month until the online reports match the internal reports. Once you receive your monthly reports, we
encourage you to review the reports and alert us if there are any missing members or problems with the data. We will also
send out mailing labels for chapters who request them. So, if you plan on doing monthly mailings, let me know when you
would need to get the most current mailing labels, and we will overnight them to you.
If you need reports in between the monthly run, please let me know as soon as possible.
I would like to thank you for your patience. I look forward to working with you in the future! I would love to hear any
suggestions for ways HQ can help you get your jobs done. Feel free to call to share ideas, suggestions, or issues facing your
Director of Membership & Chapter Relations
Association for Professionals in Infection Control and Epidemiology, Inc.
1275 K St NW, Ste 1000
Washington DC 20005
(202) 454-2631 direct dial
(202) 789-1899 fax
APIC-VA BOARD MEMBERS 2005
THANK YOU FOR SERVING
PRESIDENT DOROTHY SEIBERT email@example.com
PRESIDENT-ELECT LINDA BROWN firstname.lastname@example.org
PAST PRESIDENT JANIS OBER email@example.com
TREASURER LYNN REYNOLDS firstname.lastname@example.org
Secretary TERESA STOWASSER email@example.com
MEMBERSHIP SECRETARY MARY MOCK firstname.lastname@example.org
DIRECTORS SUZANNE DAVIS email@example.com
LINDA SOKOS firstname.lastname@example.org
Awards: Marie Thompson
Bylaws: Linda Brown
Education: Kathy Bailey
Certification/Recertification: Loretta Reardon
Conference Planning 2005: Donna Alvis, Co-Chair
Bonita Allen, Co-Chair
Finance: Lynn Reynolds
Guidelines: Deborah Kerr
Historian: Debbie Kalunian
Legislature Rep: Carolyn Bratcher
Loan Library: Wendy Fariss
Mentorship: Linda Adcock
Newsletter: Lanette Rhodes
Nominating: Lanette Rhodes
Policy Review: Janis Ober
Public Relations: Anna DeLoatch
Special Interest: Linda Sokos
Strategic Planning: Nancy Davis
Website: Dorothy Seibert
APIC –VA 2006
Bonita Allen: Mary B. Mock :
Stowasser: Kathy Bailey:
Kalunian Tammy Irving:
Chair Person Nominating
Congratulations to the new officers for 2006.
A special thank you to Wendy Farris for
Loretta Reardon: recruiting candidates. Also, thank you to
Nominating Pam Lewis, Jane Lane and Jackie Butler for
Committee counting the election ballots during the APIC-
Lanette Rhodes RN, CIC,
APIC – VA Chapter 12
APIC –VA Educational Conference 2005
I would like to take this opportunity to congratulate the Richmond area group co-chaired by Bonita Allen
and Donna Alvis for an excellent conference. The facilities were wonderful and the speakers
exceptional. The topics were timely and appeared to be well received as evidenced by the evaluations.
Thanks to Linda Sokos, Loretta Reardon and Suzanne Davis almost 20 individuals were prepared for
certification or re-certification. Due to the diligence of Carolyn Bratcher we had a great vendor turn out
as well. We had another successful silent auction , which was lots of fun too. Through Janis Ober’s hard
work and with VCU’s co-operation we were able to offer contact hours for our conference. Lynn
Reynolds’ financial abilities allowed both registration and budget to run smoothly. You will note when the
conference budget is finalized that a significant profit was realized.
Way to go Richmond area APIC-VA members!!!
Please be aware that each comment, both positive and negative, on the evaluations as well as all needs
assessment suggestions are captured and reviewed by both the Education Committee and the Board of
Directors. This is very important information for future conferences. If you were not able to attend the
conference in Richmond but would like to have input for future conferences please contact Teresa
Stowasser at email@example.com for a copy of the needs assessment.
Please mark your calendars now for our 2006 conference: October 4th and 5th, 2006, at Hilton Garden
Inn in Fairfax, Virginia. .
APIC-VA Education Committee Chair
Educational Needs Assessment
At the APIC Virginia Conference, many of the participants requested to have the Pneumonia Algorithm
reprinted in the Nosocomial Newsletter. Thank you Dorothy Siebert for locating the Algorithm for the
newsletter. The Information follows.
Recipients of the Educational Conference Scholarship
Congratulations to Lanette Rhodes and Anna DeLoatch
Dear APIC-VA Members and Board of The hardest thing about being an ICP in a
Directors: small hospital, in a small town is KEEPING
Thank you for the Educational scholarship which
allowed me to attend the Virginia APIC educational KEEPING UP with the changes in the
conference in Richmond Virginia, October 5-6, 2005.
What a wonderful opportunity to obtain continuing regulations, Keeping Up with the other ICP'S
education and network with fellow Infection Control who see more of a variety of situations and
Keeping Up with the MD’S who expect you to
For me the excitement of the Virginia APIC conference know before they do,
started the minute I arrived at the Virginia Crossing
Resort. The Education Planning Committee chose an KEEPING UP with your own life, and
excellent facility for our program. The accommodations education,
and hospitality were excellent. The vendor fair provided KEEPING UP your sprits when everyone
time for new product information, networking with sales hates you for being the only one insisting
representatives and the vendor buffet luncheons that it be done right the first time,
included an impressive assortment of delicious foods.
KEEPING UP with your work when another
The conference speakers prepared well planned job is added,
programs that provided yesterday, today and future KEEPING UP with the changes in
information, to assist the Infection Control Practitioner administrative thinking,
to function and practice in the health care setting. KEEPING UP with the meeting after meeting
I especially enjoyed the keynote speaker, by Dr. Edward you must attend,
Wong, The State of Infection Control: A SHEA KEEPING UP with the reports you must write,
Perspective. The Role of the ICP will be ever changing, KEEPING UP with surveillance,
not only focusing on control of (HAI) but prevention. The KEEPING UP with the hundreds of articles
changing environment, emerging pathogens, avian flu, that come out each month,
antibiotic resistance, mandatory reporting and
bioterrorism will place greater demands on ICPs. KEEPING UP with all the staff records,
KEEPING UP with your rounds,
I also found the session by Dr. Will Rutala, Disinfection KEEPING UP with the email and phone calls.
and Sterilization: Where are the Guidelines? quite
informative. His program was not only a good review, ANNA DELOATCH
but I was extremely interested in the research that is
being conducted on the sterilization of prions and (CJD).
Of course, I will not forget the closing lecture Stress
Management by Dr. Frank Tortorella. His hilarious
“rules” to relieve stress and maintain a healthy lifestyle
will never be forgotten. I used rule # 9 ½ , take 2 weeks
vacation, one week is not enough. I just came back from
2 weeks in Florida. D. T. is right!
Lanette Rhodes RN, BSPA, CIC,CNOR
Call for Abstracts
The APIC VA Board invites you to present research papers and educational presentations of high quality in
the areas of infection control, healthcare epidemiology, and related fields through the submission of abstracts. This
is your opportunity to share special projects with your peers through publication in the Nosocomial News.
The following guidelines address key factors to include in your abstracts. Projects including
other published works are encouraged. These guidelines are based on National APIC guidelines.
1. Select projects with potential significance of the observations, as well as scientific and/or
educational quality of work.
2. Clearly define all concepts and abbreviations at the first use in the body of the abstract.
Format: Use one of the following formats.
This format is intended for abstracts involving the presentation of scientific research
findings, such as clinical trials, case-control, observational or descriptive studies, or outbreak
investigations where appropriate comparisons or analysis of data has been preformed.
NOTE: The abstract should disclose primary findings and NOT include statements such as
“experiment in progress” or “results will be disclosed.”
Background/Objectives: Outline study objectives, the Hypothesis to be tested, of description of
Methods: Report methods used or approach taken.
Results: Indicate essential results obtained in summary form with appropriate statistical analysis
(p value, confidence intervals, odds ration, etc.) and/or monetary value of project.
Conclusions: Provide a summary of findings as supported by results with implications and
This format is intended for abstracts involving the description of educational or
performance improvement programs, observations, or other infection prevention activities,
including descriptions of facility or community-based programs or interventions, discussions of
infection prevention policy, and descriptions of a particular prevention model or method.
Issue: Identify the specific problems or needs addressed. Provide brief introduction to the
proposed topic. Include important background and current information on issues.
Project: Description of the intervention/program.
Results: Specific results in summary form.
Lessons Learned: Summary of the lessons learned and implications.
OFFICIAL ABSTRACT SUBMISSION FORM
Complete this form and submit to: PRESENTING AUTHOR;
Dorothy Seibert ICP
Fauquier Hospital Degree(s): ____________________
500 Hospital Drive
Warrenton, VA 20186 Address: _____________________
The text of the abstract (not including the title and authors listing) may contain up to 250 words (not including
spaces). The text should be typewritten, single spaced with all text on the official abstract form. The type font must
be no less than 10 points, and the form should contain no erasures or smudges. Tables and figures will not be
accepted with any abstract submission. Form may be copied from www.apic-va.com and submitted to the
Nosocomial News Editor._
As of November 2005, there are 185 members of I will be glad to assist you in any way that I
APIC-VA. If you are a new member of APIC-VA, can.
and have not received a welcome note then please
let me know. Remember, in order to be a member All members that did not attend the fall
of APIC-VA, there is a section on the National conference should have received a copy of the
APIC membership application that must be APIC-VA membership directory in the mail.
completed each year, to indicate that you wish to Again let me know if you did not receive one.
also be a member of APIC-VA.
An additional fee of $15.00 will be charged. APIC- Mary B Mock RN BSN CIC
VA is chapter 012 on the application. Membership Secretary
2006 Virginia APIC Conference
The 2006 VA APIC Conference will be Pre-Conference will be October 3rd,
at the Hilton Garden Inn in Fairfax, 2006 and the dates for the 2006 APIC-
Virginia. This hotel has convention VA Conference are October 4th and 5th,
capabilities and is in close proximity to 2006.
interstates and good shopping. .
BD is Offering a Free CD of the National Conference Oral Abstracts
I am sending you details on how APIC Chapter It is the second presentation in Part 1 of the CD
can obtain for themselves a copy of the APIC
2005 32nd Annual Conference Oral Abstracts The following link will direct your APIC Chapter
CD. members to a Web Form
These are being offered to you -- free of charge -- where they can register to receive the free CD
by BD Medical Surgical Systems, a corporate :http://www.bd.com/qsyte
sponsor of the APIC 2005 Annual Conference. APIC Chapter Members may prefer to register
We believe that the CD abstracts will provide for the free CD by calling
significant value towards your daily Infection BD directly at 1-800-817-1702, ext. 2. Please
Control practice. allow 10 business days to
Of particular interest is the presentation by Dr. receive the CD, once registered.
Jarvis, former Head of the CDC, highlighting
recent studies and publications on increases in
blood stream infections with needleless
INFECTION CONTROL NEWS
issue, suggesting Americans put triggering symptomatic infection.”
Is sauerkraut a new weapon together pandemic kits containing a They note that lowering the body
few cans of sauerkraut, among other temperature of generally healthy
against bird flu? nonperishable foods, because -- like individuals can “convert” an
kimchi -- it is packed with lactic-acid asymptomatic infection into a
By Karen Herzog bacteria "shown by Korean symptomatic common cold.
Milwaukee Journal Sentinel researchers to speed recovery of Furthermore, students participating in
chickens infected with avian flu." the trial who developed symptoms
MILWAUKEE -- While President noted that they “suffered significantly
Bush scrambles to ward off ============================ more colds” annually than those who
an avian-flu pandemic, the world's Source: did not develop symptoms, leading
largest sauerkraut producer, tucked _http://seattletimes.nwsource.com/ht researchers to hypothesize that there
amid the glacial lakebeds of rural ml/nationworld/2002608490_flucure0 may be a “common cold constitution”
Wisconsin, is sitting atop a bumper 7.html_ that makes a sector of the population
crop of one possible preventative. (http://seattletimes.nwsource.com/htm more susceptible to catching colds
That's right: sauerkraut. l/nationworld/2002608490_flucure07. (11/14).
An international buzz is surrounding html)
the unassuming fermented
cabbage. Abortion pill users died of
Scientists at Seoul National Infection Infection Control
University in South Korea fed an Monitor, December 2, 2005
extract of kimchi, a spicy Korean Decreased body temperature
variant of sauerkraut, to 13 can spur onset of common
chickens infected with avian flu, Federal scientists are investigating
and a week later, 11 of the birds
the sudden deaths of four young,
started to recover, according healthy California women who died of
to a report by the BBC Network. 11/15/2005 A new study in the journal
More extensive scientific research Family Practice suggests that “getting a rare bacterial infection after using
is needed to prove any chilly” can spur the development of a the abortion pill, the Denver Post has
curative link to avian flu, but he's cold, contradicting “medical reported. Scientists do not yet know
more than happy to tout kraut as a orthodoxy” stating that there is no
how this serious complication is linked
healthful part of any diet. connection between decreasing body
Several television and radio stations temperature and the onset of the to the pill Mifeprex, also called
across the United States have common cold, Reuters Health reports. mifepristone or RU-486. In July, the
picked up the BBC story, said Steve For the study, researchers at Cardiff Food and Drug Administration revised
Lundin, spokesman for Frank's University’s Common Cold Center in
the Mifeprex label for the second time
Sauerkraut, based in Fremont, Britain compared a group of 90
Ohio. students who submerged their bare in eight months to warn of symptoms
After a Minneapolis CBS affiliate did feet in buckets of cold water for 20 of infection with the bacteria, called
its own story on sauerkraut’s minutes with a control group of 90 "Clostridium sordellii." By then, the
potential in the battle against avian students who were allowed to keep
microbe had been confirmed in two of
flu, Frank's checked 54 Twin City their feet warm and dry in regular foot
area stores it supplies, and found attire. Several days later, 13 students the California deaths and a similar
an 850 percent spike in overall from the cold-water group and only fatality in Canada. Approximately
sauerkraut sales, Lundin said. five students from the control group 508,000 women in the United States
South Koreans reportedly are reported symptoms of the common
cold, including runny nose or sore have used this drug since its approval
eating more kimchi since news of
the study came out. But Korean throat. Researchers noted that five years ago. The FDA will be
researchers acknowledged that if submerging the feet in cold water meeting with experts to determine
kimchi actually caused the effects causes a “pronounced constriction of how often this infection has occurred
they observed, it was unclear why. the blood vessels in the nose” that
could “aid the virus by lowering the and to consider its options
Men's Health magazine fed the
sauerkraut buzz in its November defenses within the nose and
INFECTION CONTROL NEWS
Officials Keep Cautious Eye Helentjaris said. “We have a regional In sheltered housing that protects it
on Avian Flu team to go over isolation and from coming into contact with wild
By Charlie Jackson quarantine.” In the case of a birds or other livestock,” Bauhan said.
The Winchester Star , Nov. 25, pandemic flu, she said, citizens “Whereas over in Asia, in these
2005 should “expect to find specific villages, they have poultry running
communication on how to protect around with close proximity to
themselves.” A nationwide concern, livestock, swine, and people.” The
During a six-month period in 2002, however, has centered around the recent government concentration on
Virginia’s poultry industry, which is availability of the prescription drug an avian flu pandemic has not hurt
concentrated in the Shenandoah Tamiflu — largely considered a the regional poultry industry, Bauhan
Valley, saw the devastating impact medication that would combat a said. But some countries, he added,
of avian flu. That influenza strain — pandemic caused by the H5N1 strain have stopped importing poultry from
which was considered a low-grade of avian flu. “If something happened outside countries, including the United
strain compared to the H5N1 strain today, and we knew that [Tamiflu] States, for fear of a bird flu outbreak.
of influenza that currently has worked, there may be some [supply]
health experts and government issues,” Helentjaris said. Feeling Bugged?
officials sounding alarm — cost Wednesday December 07, 2005 ,
Virginia poultry farmers more than Yahoo News. 5:00PM PT
$130 million. The outbreak didn’t The poultry industry in the
Shenandoah Valley isn’t fretting over We used
impact humans and was eventually to sit next
contained. But three years later, stockpiles of Tamiflu. Instead, it’s
concentrating on survival. The Valley to a guy in
worries begin anew for the poultry algebra
industry and health experts. Across is home to 9,000 poultry farms and
7,000 poultry workers, according to class we
the ocean, from China to Britain, the called "Mr.
deadly H5N1 influenza virus — the Hobey Bauhan, president of the
Virginia Poultry Association. Annoying.
so-called bird flu — has caused " He'd
Statewide, more than 11,000 people The Bedbug
poultry quarantines and, according constantly
to the World Health Organization, are employed in the poultry industry.
bug us for the answers (as if we knew
67 human deaths since 2003. The them), ask to borrow our calculator,
Asian bird flu has experts worried After the devastating impact in 2002,
the industry has reacted by tightening and generally make a nuisance of
for two reasons: It has spread from himself. We thought of Mr. Annoying
Asia to Europe and from poultry to its grip on bio-security. A lot of
when we saw that bedbugs were
humans. A flu pandemic, like the safeguards have been put in place to
spiking in Search. After all, is there
devastating global brand that killed combat any type of avian flu, from the
anything more irritating than having
anywhere from 25 million to 50 low pathogenic type found three years
your body molested by vermin? Well,
million people in 1918, could rear its ago to the high pathogenic H5N1
strain causing havoc in eastern Asia. perhaps. Traffic and award shows
head tomorrow or 10 years from give us homicidal tendencies as well.
now, said Dr. Diane Helentjaris, the So what the heck -- let's get crazy
director of the Lord Fairfax Health These safeguards include: and check out searches on all three.
District. The situation will become Restrictions on importation of poultry
increasingly serious, she said, if the and poultry products from overseas.
Asian avian flu mutates and Monitoring of migratory bird routes. Bedbugs posted a 1,432% gain
becomes transmittable from human following news that a woman is suing
to human. For now, from the a Manhattan hotel for harboring the
Refusing to allow people who have insects in mattresses and furniture.
regional poultry industry to the state traveled in countries with H5N1 flu
Department of Health to the Apparently the little buggers are
outbreaks to set foot on a U.S. poultry difficult to beat, but we think we've
national Centers for Disease farm. Aggressive testing domestic
Control, it’s preparation time. found a simple solution for any
flocks for avian flu. “The dramatic concerned parties -- don't sleep.
difference in poultry production [in the
“We have a response team of United States] is, poultry is produced i
public health employees to cope
with outbreaks or disasters,”
Lanette L. Rhodes RN, CNOR, CIC
1107 Cedar Creek Grade
Winchester, Virginia 22602