RE: meeting about removing red bins

Koehler, April A
Fri 2/6/2015 7:37 AM
To: Koenig,

Stephanie <Stepanie.Koenig2@uchealth.org>; Schimpf, Brandi <Brandi.Schimpf@uchealth.org>; Edgerton, Julie K

<Julie.Edgerton@uchealth.org>;

Nice%work%Julie!
%
From: Koenig, Stephanie
Sent: Thursday, February 05, 2015 3:20 PM
To: Schimpf, Brandi; Edgerton, Julie K
Cc: Koehler, April A
Subject: RE: meeting about removing red bins

Great%news%Julie!%%Nice%work!%!
%
Stephanie Koenig, RN, BAN, CEN
Associate Nurse Manager, ED
University of Colorado Hospital
(720) 848-5151

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From: Schimpf, Brandi
Sent: Thursday, February 05, 2015 12:24 PM
To: Edgerton, Julie K
Cc: Koehler, April A; Koenig, Stephanie
Subject: FW: meeting about removing red bins

YEAH!%Sounds%like%we%are%good%to%go.%Let%me%know%how%I%can%help!
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Brandi Schimpf BSN RN CENClinical Nurse Educator, Emergency Services
University of Colorado Hospital
720-848-5222
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From: Janosz, Tara L
Sent: Thursday, February 05, 2015 10:31 AM
To: Edgerton, Julie K
Cc: Schimpf, Brandi; Barron, Michelle (ID); Pisney, Larissa; Rupert, Jack; Burton, Linda J - UCH
Subject: FW: meeting about removing red bins

Julie,
I discussed your project with B Burton, and we both agree it is good from an infection control stand point. As
we discussed, anything from a dirty utility room needs to be cleaned before being brought to a patient room. We

recommend they are stored clean in a clean location. Please let me know when you start the two week trial.
Good luck.
Tara
Tara Janosz, MPH
University of Colorado Hospital
Infection Prevention
Office 720-848-6932
Fax 720-848-7306
From: Burton, Linda J - UCH
Sent: Thursday, February 05, 2015 9:07 AM
To: Janosz, Tara L
Subject: RE: meeting about removing red bins

The%bins%should%be%wiped%down%and%stored%with%other%clean%items%in%the%clean%storage%rooms%or%clean%equipment
areas.%Storing%them%in%the%dirty%uDlity%and%counDng%on%an%onEtheEspot%wipeEdown%prior%to%taking%into%a%paDent%room
leaves%too%much%margin%for%error.
%
This%sounds%interesDng%and%doable%%try%it%and%see%what%happens.
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B
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From: Janosz, Tara L
Sent: Wednesday, February 04, 2015 2:57 PM
To: Burton, Linda J - UCH
Subject: RE: meeting about removing red bins

B, please give me thumbs up or down.

I met with Julie today. She is more changing the nursing workflow, but not really how red bag waste is moved
around the unit. She will remove all bins that hold red bags, but the red bags will be available in each room. She
said there are few times the red bags truly are needed and they fall into two categories, quick laceration
management type or sustained diarrhea/vomiting. In the quick case, a bag will be set on the floor and filled
during care and then walked to dirty utility (not stored in the room). In the sustained situation, a nurse will bring
in a bin to put in the liner in, so the bag is stored in a non-penetrable container.
My only issue was storing bins in dirty utility, as they would need to be wiped down before entering a pts
room. They could also store clean bins in other areas around the unit.
So I think they should go ahead with the two trial, after which the bins will be returned while she surveys the
nurses on the process. If it does become permanent, we can walk through the process again.
T
Tara Janosz, MPH
University of Colorado Hospital
Infection Prevention
Office 720-848-6932

Fax

720-848-7306

From: Burton, Linda J - UCH

Sent: Thursday, January 15, 2015 12:48 PM
To: Edgerton, Julie K
Cc: Janosz, Tara L; Rupert, Jack; Barron, Michelle (ID); Pisney, Larissa; Schimpf, Brandi; Koehler, April A
Subject: RE: meeting about removing red bins

Please%contact%Tara%Janosz%as%well%%she%is%your%IP%for%the%ED.%I%may%or%may%not%be%able%to%aMend%meeDng,%as%Im%having
some%problems%with%a%disc.%Someone%from%our%department%should%be%in%aMendance%to%evaluate%proposed
mechanisms%and%outcomes%of%this%eort%before%actual%removal%of%any%red%bins.
B
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From: Edgerton, Julie K
Sent: Thursday, January 15, 2015 12:39 PM
To: Burton, Linda J - UCH
Subject: Re: meeting about removing red bins

I%have%reviewed%some%informaDon%with%OSHA%and%the%only%requirement%I%see%is,%like%you%were%saying,%sharps
containers%in%each%room%and%other%areas%where%sharps%are%used.%%I%would%like%to%try%to%move%forward%with%my
project%of%removing%the%red%bins%for%a%couple%weeks.%%I%hope%the%data%and%review%of%sta%survey%aSer%will%help
to%determine%the%future%of%bins%in%every%room.%%Let%me%know%if%you%think%of%anyone%else%I%should%get%the%ok
from%before%moving%forward.%%Thank%you%for%your%help%and%input!
%
%
From:%Burton,%Linda%J%E%UCH
Sent:%Monday,%January%5,%2015%4:35%PM
To:%Schimpf,%Brandi;%Janosz,%Tara%L
Cc:%Edgerton,%Julie%K;%Barron,%Michelle%(ID);%Pisney,%Larissa;%Rupert,%Jack
Subject:%RE:%meeDng%about%removing%red%bins

Am%looping%Tara%Janosz%into%this%discussion,%as%she%is%the%IP%covering%ED.%I%will%be%happy%to%also%parDcipate/act%as%backE
up%for%Tara%in%these%negoDaDons.%True,%I%did%write%the%policies%about%red%bag%waste,%but%%please%realize%that%~90%%of
the%content%was%taken%directly%from%the%OSHA%Bloodborne%Pathogen%(BBP)%Standard.%I%recall%nothing%requiring%a%red
bin%in%every%room%%however,%I%do%recall%something%about%an%appropriate%receptacle%should%be%available%at%the%point%of
generaDon%of%the%waste%(may%have%specically%referred%to%the%sharps%containers)E%or%something%to%that%eect.%I%believe
a%close%look%at%the%OSHA%BBP%Standard%(driving%document%of%UCH%Waste%Management%and%UCH%BBP%policies)%would%be
in%order%to%conDnue%these%discussions.
This%is%a%worthy%project,%and%if%we%can%come%up%with%a%workable%situaDon%in%ED,%it%could%potenDally%be%applied
throughout%UCH%and%maybe%even%the%system!
Thanks%for%contacDng%us.%Looking%forward%to%working%with%yall%on%this%E
;E)
%
B
Linda J Burton RN, BSN, CIC
University of Colorado Hospital
Infection Preventionist
Mailstop C-300 Leprino Building
12401 E 17th Ave 9-037

Aurora CO 80045
Office 720-848-6979
Fax 720-848-7306
Pager 303-266-1127
Linda.Burton@UCHealth.org NOTE NEW EMAIL ADDRESS

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Healthcare without infection.

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From: Schimpf, Brandi
Sent: Monday, January 05, 2015 3:11 PM
To: Burton, Linda J - UCH
Cc: Edgerton, Julie K
Subject: FW: meeting about removing red bins

Linda,
I%am%wriDng%on%behalf%of%a%RN,%Julie%Edgerton,%in%our%ED%that%wants%to%decrease%our%Red%Bin%waste.%She%is%developing
this%project%as%a%part%of%the%RN%credenDaling%process%as%well.%She%would%like%to%remove%the%red%bin%in%each%paDent
room%in%the%ED%and%only%have%them%strategically%placed%throughout%the%department.%We%would%like%to%idenDfy%any
concerns%that%would%prevent%this%research/project%taking%place.%Would%you%be%willing%to%assist?%If%not,%could%you
forward%us%to%someone%that%would%be%able%to%answer%quesDons%related%to%this%potenDal%project?
Thank%you%for%your%Dme,
%
Brandi Schimpf, BSN RN CEN
Clinical Educator, Emergency Services
University of Colorado Hospital
720-848-5222
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From: Edgerton, Julie K
Sent: Monday, December 29, 2014 7:46 PM
To: Schimpf, Brandi
Subject: Re: meeting about removing red bins

UCH policy does not require a red bin in every room. Jack had some
questions, but those have been addressed. Most of the concerns are
addressed by having red bins available as commodes are in the dirty
utility rooms. It is not a requierment in colorado to have a red bin in
every room. Do we have a compliance person I should email?
Thanks,
Julie
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From:%Schimpf,%Brandi
Sent:%Monday,%December%29,%2014%10:39%AM
To:%Edgerton,%Julie%K
Subject:%RE:%meeDng%about%removing%red%bins

Julie,
Have%you%follow%up%with/spoke%to%InfecDous%Disease?%Would%we%be%out%of%compliance%if%we%removed%the%red%bins%from

each%paDent%room?
Are%there%any%other%concerns%or%feedback%youve%received?
%
Thanks,
Brandi Schimpf, BSN RN CEN
Clinical Educator, Emergency Services
University of Colorado Hospital
720-848-5222
%
From: Bookman, Kelly J [mailto:Kelly.Bookman@ucdenver.edu]
Sent: Wednesday, December 24, 2014 11:38 AM
To: Edgerton, Julie K
Cc: Koehler, April A; Mcstay, Christopher; Rupert, Jack; Schimpf, Brandi; Steele, Christopher W; Axelson, Keith
Subject: Re: meeting about removing red bins

Unfortunately, I am not available any of those dates or times. I know you and I have spoken about this already
so I defer to the rest of the group how they want to handle meeting. If everyone agrees to the plan, please let me
know and I will send out an email closer to the time so the faculty are aware.
Kelly Bookman, MD, FACEP
Medical Director Department of Emergency Medicine
Director of EMR Department of Emergency Medicine
Associate Professor Emergency Medicine
University of Colorado SOM
303-887-2476
On Dec 24, 2014, at 11:25 AM, "Edgerton, Julie K" <Julie.Edgerton@uchealth.org> wrote:
As%part%of%my%leveling%project%I%am%trying%to%remove%red%biohazard%bins%from%our%regular%paDent
rooms.%%The%reasons%is%to%reduce%cost%and%reducing%the%amount%of%regular%trash%being%processed%as
biohazard.%One%hospital%I%spoke%with%reduced%their%red%bin%waste%by%64%.
%
As%the%last%ED%ops%meeDng%was%cancelled%I%wanted%to%provide%an%opportunity%to%meet%for%any
further%needed%claricaDon.%%I%would%be%available%to%set%a%meeDng%at%9am%on
the%29,%11am%the%30th,%or%1pm%Jan%2.%Let%me%know%if%you%would%like%to%meet%and%what%Dme%works
for%you.%
%
summary%of%project:
E2%week%baseline%data%for%our%weight%of%red%bin%waste%has%been%measured%by%stericycle
Eplan%to%remove%bins%Jan%5th%for%two%weeks%and%measure%waste%by%stericycle
EconDnue%providing%educaDon%to%sta%to%maintain%biohazard%compliance.
EducaDon%already%provided%includes:%
2%educaDon%sheets%posted%in%sta%areas,%email%sent%out%by%Dr.Bookman%to%providers,
included%in%team%meeDng%topics%for%ED%sta.%
Epresent%nal%data%and%sta%feedback%to%ED%ops%to%discuss%future%red%bin%plans.
%