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Silo-Free Surgery: Where Is the Smoking Gun?

Transmission Control

Release Date: 07/06/2026

Air We Missing Something? Mycology, Aspergillus, & the Invisible Risk show art Air We Missing Something? Mycology, Aspergillus, & the Invisible Risk

Transmission Control

Fungi are everywhere, but in healthcare, they're often an afterthought. In this episode of Transmission Control, we sit down with internationally recognized medical mycologist Malcolm Richardson to explore the hidden role fungal pathogens play in patient safety. From Aspergillus lurking in dust, ventilation systems, and water-damaged environments to the growing challenge of antifungal resistance, the conversation sheds light on risks that rarely make it into everyday infection prevention discussions. Drawing on more than 50 years of experience in clinical and environmental...

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Season 1 Rewind - Endoscopic Infections: Critical Conversations Prompting the Multisociety Guidelines Update show art Season 1 Rewind - Endoscopic Infections: Critical Conversations Prompting the Multisociety Guidelines Update

Transmission Control

Given the rising concerns of endoscope-related infections around the country, organizations, agencies, and providers believed it was imperative to evaluate the current literature and standards for endoscope reprocessing. Joining us for this week's episode of Transmission Control, Dr. Raman Muthusamy joins Dr. Lawrence Muscarella and Justin Poulin to discuss the critical updates made to the Multisociety Guidelines for Reprocessing Flexible GI Scopes in the early 2021...

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Season 1 Rewind - Fixated on Flexible Scopes: Reviewing Dry time and Alcohol Flush Research show art Season 1 Rewind - Fixated on Flexible Scopes: Reviewing Dry time and Alcohol Flush Research

Transmission Control

Endoscope drying times & the use of an alcohol rinse has become an area for debate and emerging research is increasing with each passing day.  Advanced inspection technology such as borescopes & the development of ATP testing offer additional measures to evaluate the effectiveness of cleaning the small diameter working channels of flexible scopes.  On this episode of Transmission Control, Nancy Robinson, Ph.D,  & Tamara Behm from STERIS Infection Prevention Technologies join us to discuss recent research

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Silo-Free Surgery: Beyond the Bundle: What IPs Need to See Before, During, and After Surgery show art Silo-Free Surgery: Beyond the Bundle: What IPs Need to See Before, During, and After Surgery

Transmission Control

All season long, we've been breaking down the silos between the OR and Infection Prevention teams. So where do we go from here? In this "Silo-Free Surgery" season finale episode, Garrett Hollembeak and Lindsey Joyce are joined by Maureen Spencer and Peter Graves to talk about what it takes to turn collaboration into action. They discuss why effective SSI prevention means looking beyond policies and bundles to observe what's really happening before, during, and after surgery. From outdated policies and overlooked environmental risks to direct observation and surgical stewardship, Maureen and...

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Silo-Free Surgery: Say It, Don’t Delay It: Speaking Up to Prevent Surgical Site Infections  show art Silo-Free Surgery: Say It, Don’t Delay It: Speaking Up to Prevent Surgical Site Infections

Transmission Control

When something doesn't look right in the OR, do you have the confidence to speak up? In this episode of “Silo-Free Surgery,” Garrett Hollembeak sits down with certified surgical technologist, educator, and infection preventionist Julia Jackson to talk about the role surgical conscience plays in protecting patients and preventing surgical site infections. From protecting the sterile field to slowing down for a meaningful timeout and questioning something that doesn’t look right, Julia shares why doing the right thing in the moment matters, even when it isn't always easy. If you've ever...

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Silo-Free Surgery: PATOS Without the Panic: Understanding “Present at Time of Surgery” in SSI Surveillance  show art Silo-Free Surgery: PATOS Without the Panic: Understanding “Present at Time of Surgery” in SSI Surveillance

Transmission Control

The OR sees one thing. Infection Prevention reports another. So who's right? In this episode of “Silo-Free Surgery,” hosts Garrett Hollembeak and Trey Morrow are joined by infection prevention expert Emily Barnard to tackle one of the trickier parts of SSI surveillance: PATOS, or "present at time of surgery." Emily breaks down the difference between clinical and surveillance definitions, why the right documentation matters, and how seemingly small details in the operative note can make all the difference in accurate SSI reporting. From wound classification to the very specific language...

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Silo-Free Surgery: Why Are We Talking About IFUs? show art Silo-Free Surgery: Why Are We Talking About IFUs?

Transmission Control

Every day, healthcare teams rely on IFUs to get the job done. But how often do we stop to think about how they actually come together? In this week's special season co-release episode, Garrett Hollembeak sits down with Alpa Patel to take a closer look at why manufacturers' instructions for use play such an important role in preventing surgical site infections. Drawing on decades of experience in reprocessing validation, Alpa explains how IFUs are developed, why they don't always fit real clinical workflows, and what manufacturers can learn from the frontline teams using them every day. If...

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Silo-Free Surgery: Are ASC's Really the Wild West? show art Silo-Free Surgery: Are ASC's Really the Wild West?

Transmission Control

The pace may be different, but the goal is exactly the same: delivering safe surgical care. In this week's special season co-release episode, we talk with Carlene Smith about what surgical site infection prevention looks like in ambulatory surgery centers. As someone who's worked in Sterile Processing, Infection Prevention, and the OR, Carlene shares her unique perspective on the challenges ASC teams face every day. From balancing limited resources and shared responsibilities to identifying small gaps before they become bigger problems, she discusses how ASC teams can stay proactive while...

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Silo-Free Surgery: Have We Gone Nose Blind? show art Silo-Free Surgery: Have We Gone Nose Blind?

Transmission Control

Could the biggest opportunities to prevent surgical site infections (SSIs) be the ones you've stopped noticing? In this week’s special season co-release episode, Garrett Hollembeak sits down with Crystal Heishman for a conversation about seeing SSI prevention through a different lens. With experience spanning Infection Prevention, Sterile Processing, and the Operating Room, Crystal shares how stronger collaboration can help teams identify risks before they affect patient safety. She explains why spending time in the OR, asking thoughtful questions, and understanding workflows builds trust,...

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Silo-Free Surgery: What SSI Risk Keeps You Up at Night? show art Silo-Free Surgery: What SSI Risk Keeps You Up at Night?

Transmission Control

What keeps you up at night when it comes to preventing surgical site infections (SSIs)? In this week’s special season co-release episode, Jeremy Gibson-Roark returns to join hosts Garrett Hollembeak and Lindsey Joyce for a conversation about moving from reactive investigations to proactive prevention. Together, they explore why infection prevention plans should be living documents, how stronger collaboration between OR and IP teams uncovers risks before they become problems, and why some of the best ideas come from simply asking frontline teams the right questions. If preventing SSIs starts...

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More Episodes

Why is it so difficult to trace a surgical site infection (SSI) back to one clear cause? On this special season co-release episode of Transmission Control and First Case, hosts Garrett Hollembeak and Lindsey Joyce are joined by Jeremy Gibson-Roark for an honest conversation about what really happens when an SSI investigation begins. Together, they explore why infection investigations are rarely straightforward, how OR, IP, and SP departments each hold a piece of the puzzle, and why breaking down silos is essential to finding meaningful answers. As the first episode of this special collaborative season, this conversation lays the foundation for understanding SSI reduction as a shared responsibility, not something one department can tackle alone. Tune in today!

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