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S TAFF WE L FARE


view of the author that many staff will not have time in their working day to review these resources, welcome as they are. A BMJ blog written in May has some simple advice which is worth repeating.8 Top tips for surviving this phase of fatigue and keeping well for the long haul include: l Take regular breaks during your working shifts, even if you have work to do – breaks make us more efficient and productive and they help us to avoid burnout


l Remember this is a long-game and none of us are indispensable; handover to your team or another colleague so you can properly switch off during your rest period


l Consider a three-minute ritual at the end of each shift – take three deep breaths and list three things that were tough and three things that went well.


Some advice from the Royal College of Nursing on a short exercise to do in a crisis is shown below.9


Six steps to mindfulness 1. Connect to your senses to bring you into the moment – notice what you can see, hear, smell and feel.


2. Take three mindful breaths, focusing on how it feels when you breathe in and out deeply.


3. Be aware of your body, how it feels and any movements you’re making.


4. Notice the emotions you’re feeling. Pause to name them, without judging or criticising yourself.


5. Notice the type of thoughts in your mind, rather than specific thoughts. Name the types – are they memories, worries, past conversations or future plans?


6. Find somewhere to sit or stand to do a three-step breathing practice: - Awareness: notice how your body feels and what you’re thinking. - Your breath: become aware of which parts of your body move when you breathe in and out and how this feels. - Expanding: breathe deeply so it feels like each breath fills your whole body.


In addition, the Royal College has produced mindfulness videos which can easily be accessed. Each of the six videos cover a different part of each day and are designed for nurses but probably suit many other healthcare workers as well. Silvercloud Health10


access for NHS healthcare workers to help themselves by education and many different aspects of self care. Some top tips are repeated here, as they seem remarkably helpful. Pay attention to and notice how you are feeling: 1. Be aware of your stress levels: stress can accumulate and become


ISK/KUR/161020/SJM/V1 FEBRUARY 2021


1. Garcia RA et al. Am J Infect Control. 2015 Nov 1; 43(11): 1222-37. 2. Alahmadi YM et al. Journal of Hospital Infection 2011; 77:233-6 3. Sutton J et al. Professionals in Infection Control, June 13-15, 2018 Minneapolis, MN [Abstract: EI – 101] Poster.


has provided free


Blood Cultures. Shouldn't ZERO contaminants now be the target?


overwhelming and chronic unless managed. Keep an eye and monitor how you’re doing.


2. Remind yourself that feeling stressed is normal under the exceptional circumstances we are living through. It is okay not to be okay.


3. You may feel like you are not doing enough and that you’re not up to the task. Remember that becoming stressed or overwhelmed simply shows you are human and is in no way a reflection of your abilities.


4. Some stress is helpful in energising you to keep going in the current situation, but it is important to manage it so that it does not become excessive and overwhelms you.


5. You may also experience a range of unpleasant and unwelcome emotions, maybe also towards patients,


on top of dealing with a lot of uncertainty on a daily basis. You may feel anger for non-compliance with social distancing restrictions, you may feel powerless at times and you may find it hard to feel compassionate towards patients at other times. This is normal and to be expected. However, it is important that you reach out for support if these feelings start becoming unsettling.


Once you recognise that things are impacting on you, you can find new ways to cope with your situation. Remember, even doing something small to look after yourself can make a big difference to your stress levels.


What you need to do: Self-care is hardest when you need it most. You may not feel like it is a priority when you have so much to do, but it is and cannot be


Blood Cultures. Shouldn't ZERO contaminants now be the target?


Blood Cultures. Shouldn't ZERO contaminants now be the target?


Blood Culture Collection Sets


The Kurin Lock® with Flash Technology automatically sidelines the initial flash of blood which may contain skin contaminants. Roughly 20% of the microbes present in skin reside deep in the dermis¹. During venipuncture, contaminants can be drawn into blood culture samples leading to high rates of seemingly unavoidable false positive blood cultures.


Reducing False Positives Blood Cultures will;


 Improve accuracy of blood culture test results.  Reduce unnecessary antibiotic prescribing and usage.


 Reduce length of stay for patients, associated risk of HAI's and excessive costs.


. Hospitals spend £2,000 - £12,00022 per false positive result prevented.


 Deliver significant reduction in the economic burden; £2,000-£12,0002


with significant cost savings. Blood Culture Collection Sets


The Kurin Lock® with Flash Technology sidelines contaminants in the initial flash of blood which may contain skin contaminants. Roughly 20% of the microbes present in skin reside deep in the dermis¹, with venipuncture, contaminants can be dislodged and drawn into blood culture samples leading to high rates of seemingly unavoidable false positive blood cultures.


Why Use It? Approximately 1/3 of all positive blood cultures are false positive results due to blood culture contamination1


per false positive test that


When Kurin was used, even hospitals below the 3% benchmark reduced blood culture contamination rates by up to 90%3


When Kurin was used, even hospitals below the 3% benchmark reduced blood culture contamination rates by up to 90%3with significant cost savings.


How does it work? Each Kurin blood culture collection set features Kurin Lock®, an elegantly simple, an intuitive design that requires no additional user steps. Kurin is a passive device that automatically sidelines potential contaminants during blood culture collection.


Serves as a flash chamber to provide visual confirmation of proper needle placement in the vein.


Contaminants residing in the initial ~0.15ml of blood are sidelined in the U-shaped side channel.


References. 1.Garcia RA et al. Am J Infect Control. 2015 Nov 1; 43(11): 1222-37. 2.Alahmadi YM, et al. (2011) “Clinical and economic impact of contaminated blood cultures within the hospital setting”. J Hosp Infect. 2011;77(3):233-236. 3.Sutton, J et al. Poster Pres. Association for Professionals in Infection Control, June 13-15, 2018 Minneapolis, MN [Abstract: EI – 101]


UKTel: +44 (0) 208 869 6509 IRL Tel: +353 (0) 1 428 7895 Email: uksales@iskushealth.com www.iskushealth.com


UK Tel: +44 (0) 208 869 6509 IRL Tel: +353 (0) 1 428 7895 Email: uksales@iskushealth.com


www.iskushealth.com ISK/KUR/161020/SJM/V1


leads to unnecessary treatment of non-existent bloodstream infections. Extended hospital stays increase the risk of hospital-acquired infections and adverse events and unnecessary antibiotics hamper efforts to improve antibiotic stewardship. The excess costs of these can run into hundreds or thousands of £. Kurin has been proven to reduce false positive rates by up to 90%3.


How does it work? Each Kurin blood culture collection set features Kurin Lock®, a small but powerful specimen diversion device that automatically sidelines the initial flash of blood during the routine process of drawing blood for culture.


1. Garcia RA et al. Am J Infect Control. 2015 Nov 1; 43(11): 1222-37. 2. Alahmadi YM et al. Journal of Hospital Infection 2011; 77:233-6 3. Sutton J et al. Professionals in Infection Control, June 13-15, 2018 Minneapolis, MN [Abstract: EI – 101] Poster.


Serves as a flash chamber to provide visual confirmation of proper needle placement in the vein.


Contaminants residing in the initial ~0.15ml volume of blood (35x a standard 21G needle) are sidelined in the U-shaped side


When the collection bottle is attached, blood flows into the culture bottle.


When the collection bottle is attached, blood flows from the vein into the culture bottle through the sampling channel.


WWW.CLINICALSERVICESJOURNAL.COM l


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