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Infection Prevention & Control

Infection Prevention & Control. Neil Wigglesworth Nurse Consultant, Infection Control 23 rd June 2008. Context . Infection Prevention and Control Top priority for our patients and their families Top priority for the Trust Integral part of Trust Quality Improvement Strategy

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Infection Prevention & Control

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  1. Infection Prevention & Control Neil Wigglesworth Nurse Consultant, Infection Control 23rd June 2008

  2. Context • Infection Prevention and Control • Top priority for our patients and their families • Top priority for the Trust • Integral part of Trust Quality Improvement Strategy • Top priority for external bodies • Department of Health/NHS bodies • Healthcare Commission • Local Authority

  3. Sustained investment • 2006 • Nurse Consultant – Infection Control • 2007 • Antibiotic Pharmacist • Intravenous Nursing Team • Cleaning Team • 2008 • Increased screening for MRSA • Increase in Matrons • Environmental and hygiene improvements

  4. Recognition • Healthcare Commission ratings – ‘excellent’ • NHS Litigation Authority – level 3 • Department of Health Performance Improvement Team…

  5. Cont… • “The Improvement team were pleased to be invited into your organisation and wish to acknowledge your progress in addressing the issue of health care associated infections (HCAI`s) and noted several areas of good practice which include: • Strong leadership from the CEO and the Executive Board • Clear evidence of strong medical engagement from most clinicians • High level of engagement with the infection prevention agenda • Managers and staff alike are open to suggestions about improving infection prevention and control (IPC) practice, and accepting of the areas identified for improvement. • An enthusiastic and cohesive IPC Team who are engaged with the wards as `facilitators rather than doers` • A culture of challenge throughout the organisation • Strong stewardship of antibiotic use • Domestic services are well managed in house • 24 hour cleaning services are provided and most areas visited by the team were spotlessly clean”

  6. Outcomes MRSA Bacteraemia

  7. Clostridium difficile C. difficile collaborative/ Scale-up and Spread

  8. Start of collaborative Mean number of cases per month Outcomes

  9. 2006 2007 2008 Outcomes

  10. Next steps… Clean • Reduction of infection • Clostridium difficile • Central and peripheral line • Surgical site infection • Urinary catheter infection • Ventilator associated pneumonia • Environment • Toilets and bathrooms

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