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Hospital Code Name:

Poster Session HRT1306 – Best Practice Health Service Cleaning 18 th and 19 th April 2013 Sydney. Putting the Patient First Making smart choices Improving corporate services Presenter(s ): Malcolm Goddard. Hospital Code Name:. KEY PROBLEM. Multi-resistant organisms (MROs)

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Hospital Code Name:

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  1. Poster Session HRT1306 – Best Practice Health Service Cleaning 18th and 19th April 2013 Sydney Putting the Patient First Making smart choicesImproving corporate servicesPresenter(s): MalcolmGoddard Hospital Code Name:

  2. KEY PROBLEM Multi-resistant organisms (MROs) Methicillin resistant Staph aureus “Golden staph” or MRSA Vancomycin resistant Enterococcus “Hospital superbug” or VRE Cause considerable harm to patients Especially bloodstream infections Very costly to hospitals Increase length of stay Multitude of extra tests and treatment Time consuming for cleaning staff Use of bleach disinfectant Health and safety issues with use of strong smelling bleach

  3. NATURE OF THE PROBLEM

  4. NATURE OF THE PROBLEM CLEAN WITH DETERGENT CLEAN WITH BLEACH WAIT TO DRY ADMIT NEXT PATIENT WAIT TO DRY PATIENT DISCHARGE

  5. AIM To maximally reduce new acquisitions of antibiotic resistant bacteria at Wollongong Hospital by improving the efficiency and effectiveness of our cleaning services.

  6. BASELINE DATA -

  7. KEY CHANGES IMPLEMENTED Three pronged approach Staff-initiated choice of a new cleaning product Introduction of a new cleaning team Closing the loop in action, audit and accountability

  8. FIRST PRONG – NEW PRODUCT • Asked staff to evaluate cleaning products • Must conform with NSW policy (PD2007_034) • TGA Approved. • Less harzardous than previous chemicals • Blind test of existing and 3 new products • Clear winner!

  9. SECOND PRONG – NEW STAFF TEAM • New staff classification • Ward discharge support assistants (Hospital Assistant Grade 2) • Mon-Fri, 2 x 10 hr shifts • Saturday, 2 x 8 hr shifts; Sunday, 1 x 8 hr shift • Spending 124 hours per week solely on terminal cleaning rooms on discharge of MRO patients. • Collaboration with Infection Management and Control Service (IMACS) designated nurse. • Buy in from the Executive, Director of Nursing, Hospital General Manager.

  10. New signage trialled in ICU/HDU and ED New cleaning protocols developed across all clinical areas across the site Monitoring IIMs and complaints on cleaning Ongoing training days for cleaning staff Expert from Westmead engaged via IMACS Results driven consultation with IMACS THIRD PRONG – NEW Protocols

  11. Intro to ICU Intro to hospital Surgical ward outbreak Screening haem

  12. Intro to hospital Intro to ICU

  13. Intro to ICU Intro to hospital

  14. Training provided to all staff including ward staff. • Risk assessment undertaken. • Company representatives flew out from Perth. • I stopped hearing from staff with concerns • Staff survey = 95% (84/88) satisfied with Chlor-Clean. • Increased cleaning of ward bathrooms twice per shift

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