• - Now with improved, snugger fit
    - Unique and Patented Technology
    - 9 separate applications - so far
    - un-rivalled “at-source” contamination blockade
    - true infection control, not just clean-up
  • - blocks spread of dynamic and static infective agents and contaminants
    - reduces transfer of pathogens throughout facility
    - confines sprayed-back antibiotics
    - quicker room turnover with less residual surface pathogen
    - less staff down-time, more effective nursing time
  • - Engineered Control, two levels above PPE
    - protects patient, healthcare provider and facility
    - protects PPE as regulations recommend
    - Engineered Control - a level mandated throughout N/A & Europe

 

Contamination that leaves the body is already spreading - uncontrolled. The STAL stops dynamic contamination at its source. As your last and least reliable level of defence, PPE should never be challenged by contamination.

Break the Chain of Infection Transmission
with the STAL Shield...at the first link

Not at the end of the line, after
everything else has already
been contaminated!


Once contamination leaves the body... it's "out there".

With the STAL Shield, when contamination leaves the body it’s stopped right at source.

 

Confined vs. Spreading with no control

STAL

The STAL blocks, redirects and confines dynamic contaminants at their
source … before they can spread.

VS

PPE

  • Gloves - tear, puncture, soil, transmit pathogens

  • Masks - don’t fit, aren’t worn, expire in use

  • Face shields - not worn, leak at 4 sides, ineffective

  • Gowns - carry and transfer contamination

  • Goggles, non- compliance, leak / poor fit

  • Boots - vectors


ParamedicTV is powered by EMS1.com

HAI’s and Contamination cost Billions of Dollars and Hundreds of Thousands of lives each year in North America.

Contamination happens at the least opportune moment, often resulting in, at least annoyance, wasted time and resources, at worst - life-threatening and system crippling infection outbreaks.

If any of the current so called “Infection Control” practices actually controlled infection there would’t be nearly the problem we are beset with today.

In reality, infection having departed it’s host is not again controlled until housekeeping somewhat cleans up what they can at the end of an incident. By then, offending pathogens can be on a different wing of the hospital and all points between. Don't be mis-led, your PPE is a conductor of contamination more than most things since it is put intentionally in harm’s way.

By blocking dynamic contamination at it’s source the STAL restricts its spread, in most instances achieving nearly 100% confinement.

In contrast, many AGP’s result in the completely un-controlled dispersal of contamination, Foley irrigations, wound care and I & D’s for example can result in virtually 100% un-controlled contamination dispersal!. You’ve been there and you’ve done that.
Urinary catheter irrigation can contaminate hundreds of square feet of a room with back-spray, plus  the healthcare worker and patient. Using the STAL Shield this can be reliably confined to a small basin.

The STAL provides the medical team with reliable, first line protection that saves money, time, equipment and resources.

Consider this about contamination exposure

time loss - worker misses shift or several shifts due to exposure - seldom occurs but can have huge impact

time wasted - cleaning up messes repeatedly throughout a facility when those messes can be easily avoided - a very common and costly occurrence

wound irrigation does not mean - “transfer patient’s blood and contamination onto me”

Foley or NG tube flushing should not require a shower, (or be one), uniform change, bedding change and room disinfection.

No one taught anyone to:

  • put the dirty Yankauer under the pillow between uses,
  • for pre-hospital care providers… pick Yankauer up off the floor or ground and re-use

10 cc’s of I & D generated exudate (pus and blood) can render several staff and room ‘out of service’ for an hour or more. Add to this housekeeping time, chemical agent and cleaning product contamination, potential intra-facility infection transfer and personnel infection and your cost escalate beyond reasonable.

Instead of changing uniforms and bedding, why not adopt a very small change in practice. Put the STAL Shield out front and centre and stop contamination at the very first link!

Meanwhile, around the globe…

The struggle against treatment resistant pathogens is being lost globally. The massive numbers and mixing of humanity, agriculture and anti-biotics has resulted in almost weekly headlines describing some newly mutated bio-threat. The imperative to act, rather than react, grows.

Now more than ever an ounce of prevention is still worth many pounds of cure. It is well past the time to stop talking about controlling infection, using diluted cleaning products and the lowest bidding cleaning service to manage one of humanity’s greatest healthcare threats. By using the STAL Shield properly the pathogen load on any given surface can be greatly reduced at the outset so there is lesscontaminant spread and less to cleanup. 

Incorporate the STAL Shield and Stand into your daily healthcare routine be it acute care, pre- hospital care, LTC, re-hab, neuro., general medical or ER services and you will find less time is spent on janitorial services and more time doing quality nursing care functions. With time and money saved. 

PPE is your last line of defence, and your least reliable protection. Now you can change that 

PPE is NOT Infection Control. It is a receiver and carrier of infection that is un-controlled.

Q.  If you’re not using the STAL Shield to stop dynamic infection ‘at-source’ … where does it land?

A.  On the bed railing, sheets, light switch, your hair, gloves, goggles, gown, pillow, floor, magazine, IV cart, monitor, ventilator, your uniform, the ECG machine, chair, taps, your forehead, stethoscope, your co-worker, lab tray…

Uses for STAL Shield & Stand

Yankauer Suction Catheter

On the Yankauer the STAL Shield significantly reduces the spread of contamination by:

  1. Effectively blocking it’s trajectory at-source.
  2. Redirecting the dynamic contamination and confining it at or near its source
  3. Keeping the contaminated Yankauer up off the clean field.
  4. Keeping the soiled field away from the Yankauer.
  5. Limiting the soiling of the Yankauer to it’s distal half - keeping gloves clean.
  6. Providing traction to the Yankauer securing it to its resting surface.
  7. Crystal clear construction allows for unfettered visualization.
  8. Physically protected vision allows for un-interrupted progress of procedures.
  9. Potentially protects thousands of times its own surface area.
Scalpels

Used on a scalpel for I & D’s, tracheostomies or ‘cut-downs’ , the STAL provides shielding of high velocity discharge which may otherwise infect personnel and contaminate the medical environs. There is no wincing away from your work when a spurt of body fluid erupts. As well, the STAL provides a ‘3rd Dimension’ to the scalpel thereby reducing it’s tendency to go ‘AWOL’ amongst the sheets and show up in the Laundry, quite un-welcomed.

Foley Irrigation

Commonly considered as a urinary catheter the Foley is also used as a J and G tube, all 3 of which are flushed for low restriction clearance or medication administration. At the syringe / catheter junction there can be leaks which spray and cover up to 100 square feet of local surface second. the STAL and Prodaptives' specific technique this can be eliminated and reduced to virtually all backspray confined to a small basin with no side spray or other contamination. This clearly saves time and money in a big way.

Wound Irrigation

On a 60 cc syringe or saline squirt bottle the STAL blocks that bloody splash back so common when irrigating wounds, large or small. The healthcare providers, medical equipment and patient stay well shielded.

Thoracostomy & Tracheostomy

Chest tube insertion often involves a thoracostomy , a small incision and then Kelly clamps separating the intercostal muscles, finally entering the pleural cavity. That initial decompression can spray blood across the room contaminating everything.in its path.. With the STAL on the Kelly clamp that shower stays confined to the site.

Eye Lavage

Eye lavage has always posed a problem for care givers. The Morgan lens is uncomfortable.
The STAL, with the Luer nut of IV tubing secured inside the diaphragm, sits above the eye and irrigates as long as you have IV fluid. Encourage blinking and no there sclera irritation from another foreign surface contact.

NG tube removal

Withdrawing a naso-gastric tube brings with it specimens from the sinuses, oesophagus and gastric contents. And that special event at the end which I term ‘whip-splash’ as the tip leaves the nare and whips it’s goo in an arc which includes you, can be completely eliminated with the STAL in place. Time saved, health saved, money saved, again.

Other Devices

Trochars, syringes for J-tube flushing, self suctioning home care set-ups and probably many other medical applications are out there awaiting the STAL service. All types of manual hand-held suction devices - Res-Q-Vac, V-Vac style units also accommodate the STAL ,keeping the suction end up off the ground when knocked over.

Time for a Change

Since 1907 the Yankauer catheter has become ubiquitous in many facets of medical care, but until now has never found a secure option to being placed under the pillow, mattress, on the patient or, in some pre-hospital setting, on the floor or ground.

Between and after use the Yankauer then contaminates anything it contacts potentially starting a chain of spreading infection throughout a faciilty. This is clearly not what we were taught. Even in training facilities, (where they seem to always have everything) there is no established procedure, nor, as seen in virtually all related youtube videos, even a basic adherence to universal precautions.     This is why PPE is the least effective form of bio-hazard protection, and why Engineered Safety Controls such as the STAL are two levels above PPE.

Yes, gloves protect your hands if warn and not torn, but what is protecting your gloves, and all they touch? Nothing.

So by:

  • Placing a suction catheter where it may become contaminated or soiled with foreign matter before or between suctioning activities, or
  • Placing a used suction device where it will contaminate surfaces and vectors which spread pathogens,
  • or by mistaking PPE as being Infection Control and engaging in AGP’s like suctioning, abscess decompression, wound irrigation, Foley and other tube flushings...

…you are initiating the Chain of Transmission of Infection. This is now Infection Un-Controlled.

By using the STAL Shield you break the Chain of Infection Transmission at the very first link. The infection spread is managed, costs are reduced, health is preserved and facility capacity is maintained. Change comes hard in medicine, fortunately as practitioners working in the quagmire which is becoming more and more dangerous you can initiate a change and stop the archaic practices which are killing our patients, us and  healthcare systems world-wide. If you don’t want infective contaminant all over you and your workplace next time you do an I & D or irrigate a laceration try the STAL Shield. It works and works well. It was just waiting for the STAL Shield and Stand to arrive.

A contaminated Yankauer does not belong under a pillow. With the STAL in place splashes and spurts are blocked at their source, instruments rest securely and their working ends are isolated up, off their resting surfaces. Now with many affordable, effective STAL solutions available, and mandated by WSBC as an Engineered Control, the battle against runaway infection and wide- spread contamination is several steps closer to being won.

Now with an affordable, effective STAL solution available, and mandated by WSBC as an Engineered Control, the battle against runaway infection and wide- spread contamination is several steps closer to being won.

 

STAL Training

See the STAL at work, in action

STAL on / off Yankauer

STAL on scalpel for I & D

STAL for wound irrigation

STAL on Kelly clamp for thoracostomy

STAL for eye lavage

No more Yankauer under pillows

 

 

I did a messy arrest yesterday where the FR's had grossly over ventilated the patient causing gastric insufflations and distention resulting in a continuous flow of vomitus which was subsequently disgorged into the oral cavity and trachea / pulmonary system. With the new CPR technique of continuous compressions at 100/minute there was a staccato ejection of vomit from her mouth during airway management procedures which naturally involved much suctioning of the oro-pharynx with the Yankauer  catheter and suction tubing alone.

I put the STAL on the Yankauer first and when switching to the tubing alone, transferred the STAL to the tubing. The STAL ended up covered in vomit, but still allowed visualization while blocking the pumped out matter. The point of this being that whether the patient is breathing or actively vomiting or coughing, or if that is artificially generated splash and splatter protection is required and provided effectively by the STAL Shield and Stand.