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Jersey Community Hospital. Jerseyville, IL. Getting to ZERO. Joined CLABSI initiative Hosted event at our facility with other area IP’s Always helps to get a jump start on the right path. Who does the procedure? Where is the procedure done? What equipment is needed?. Surgeons CRNA
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Jersey Community Hospital Jerseyville, IL
Getting to ZERO • Joined CLABSI initiative • Hosted event at our facility with other area IP’s • Always helps to get a jump start on the right path
Who does the procedure?Where is the procedure done?What equipment is needed? Surgeons CRNA ICU/OR/ER
The HSOP’s Survey Asked key staff to take the pre-initiative survey Reminded staff to take the pre-initiative survey Pleadedw/ staff to take the pre-initiative survey
The PLAN • Show the Science of Safety video • To the Nurse management group: They really connected with Dr Pronovost • To the direct patient care staff: they thought, “Is this one more thing we are trying?” • To the physicians: they really connected with Dr. Pronovost
Board Revised the 20 minute Dr. Pronovost talk to 8 minutes They loved it (Pharmacist, Dentist, two nurses) February 2010
Some push back Surgeon insists that putting in Femoral line is “not a problem” they way he does it CRNA does not like checklists! Have not had a central line infection in the past so “what was the big deal?”
Journey continues… Small successes: CELEBRATE! Finding the checklist on every central line kit on cart in ER! Having a surgeon come to us and converse about chlorhexadine, now that a “30 year” surgeon has retired.
Where do we go from here? • Nursing care of the line/maintenance • Hub cleaning process • “Dressing” product change
What about you? • Here we are! “Don’t dwell on what went wrong. Instead, focus on what to do next. Spend your energies on moving forward toward finding the answer.” Denis Waitley