Medical/Dental Professionals

Quality and Safety

Coming Soon: USP <800> for Handling of Hazardous Drugs

Proper handling of hazardous drugs (HDs) is an emerging topic in healthcare settings across the country. To reduce safety risks, the United States Pharmacopeia (USP) released General Chapter 800, a new regulation designed to promote patient health, worker safety and address environmental concerns.

This initiative will be implemented at Kaleida Health starting February 4, 2020, and training was assigned on Talent Management on December 30, 2019 for those who will be affected by this change. This requirement applies to all healthcare workers who handle HDs, from the initial delivery of the drug to the facility through the administration and disposal. It will be the responsibility of all personnel to understand the fundamental practices and precautions to prevent harm to patients, minimize exposure to personnel, and minimize contamination of work and patient-care environment. While the potential for exposure of the other personnel to these products is very low, it is important to know how your role may be impacted. Refer to chart below to review your role:

Hazardous drugs are categorized into three groups by the National Institute for Occupational Safety and Health (NIOSH):

  • anti-neoplastics
  • non anti-neoplastics
  • reproductive-only hazards

Personal protective equipment (PPE) will vary based on the HD group, the activity being performed and the formulation of the HD. Both clinical and nonclinical staff can experience unintended exposure when touching contaminated surfaces, when performing wound care, cleaning dust or spills, or when involved in the disposal of these substances.

Consider some of the ways to help avoid exposure and cross contamination:

  • Do not wear contaminated gloves to use the phone, type on a computer, program IV pumps, open doors or cabinets, or adjust the mask on your face
  • Do not reuse gloves, gowns, shoe covers or any other disposable PPE
  • Do not use eyeglasses as your sole means of eye protection; use goggles or a face shield when splashing is a possibility

A link to the "KH Hazardous Drugs PPE Requirements Chart" for handling HDs as well as other resources related to this topic are available to all staff on the KaleidaScope pharmacy page and through Kaleida Links in EMR.

Mask Mandate in Effect; Updated Mask Rules

On December 5, 2019, the New York State Department of Health Commissioner upgraded the influenza presence in the community to “prevalent.” flubugThe Commissioner has stated that effective immediately, any unvaccinated healthcare personnel must wear a surgical or procedure mask in areas where patients are typically present to protect each other and visitors from influenza.

Mask bins are located at all high volume entrances and lobbies. Please remember the following recently-updated rules when wearing a mask:

  • Masks should not be worn hanging around the neck or under the chin. It is either ON or OFF.
  • Perform hand hygiene before putting on and after removing your mask.
  • DO NOT touch the front of your mask. It is contaminated.
  • Masks must cover the nose and mouth and be pinched across the nose. All ear loops or ties must be worn as intended by the mask’s design.
  • Change the mask when it becomes damp, wet, soiled or damaged.
  • Wear a new mask during each work shift or after leaving a patient care unit and before re-entering the same or a new patient care unit.

Employee Health has a very limited supply of influenza vaccines, so personnel who still wish to receive the vaccine can visit Employee Health during office hours.

Oishei Children’s Hospital Named Top Children’s Hospital for Second Consecutive Year

John R. Oishei Children’s Hospital was named a Top Children’s Hospital for the second consecutive year by The Leapfrog Group, a national hospital watchdog organization. The distinction, which recognizes hospital achievements in patient safety and quality, is widely acknowledged as one of the most competitive honors American hospitals can receive.tophospital

“For the second consecutive year, our dedicated care teams have proven their commitment to providing the moms and kids of Western New York with the safest, highest quality care each and every day,” said Allegra Jaros, president, Oishei Children’s Hospital. “I’m proud of what our doctors, nurses and staff continue to do to ensure the safety and health of the future of our community – our children.” 

Oishei Children’s Hospital is the only hospital in New York State to receive a Top Children's Hospital distinction. 

Performance across many areas of hospital care is considered in establishing the qualifications for the award, including infection rates, maternity care, and the hospital’s capacity to prevent medication errors. The rigorous standards are defined in each year’s Top Hospital Methodology

“We are pleased to recognize Oishei Children’s Hospital as a 2019 Leapfrog Top Hospital,” said Leah Binder, president and CEO of The Leapfrog Group. “This demonstrates extraordinary dedication to patients and to the Western New York community. We congratulate the board, staff and clinicians whose efforts made this honor possible and know they share pride in this achievement.”

To qualify for the Top Hospitals distinction, hospitals must rank top among peers in the 2019 Leapfrog Hospital Survey, which assesses hospital performance on the highest known standards for quality and patient safety, and achieve top performance in its category. Click here to see the full list of institutions honored as 2019 Top Hospitals.

Reminder: Your Use of Kaleida Health's Systems

Please be aware your use of Kaleida Health’s systems – including InfoClique, Eclipsys and the EMR – must be limited to the minimum necessary to complete your work. You must not look at a patient’s medical information unless specifically required to as part of your work.

You may not look up your own protected health information (PHI) in Kaleida Health’s internal systems, and you may not access PHI of your family members or friends, even if those people ask you to access their PHI, unless that access is part of your work responsibility.

You must not modify your own PHI, appointments or other information by using Kaleida Health’s internal systems.

You should use your patient portal to access your PHI.

Just because you have access to a system that houses your information or your family members’ information does not mean that you can or should access that information.

Use of Kaleida Health’s internal systems is subject to audit and monitoring, and if inappropriate access by you is identified, you will be subject to discipline, up to and including termination.