Infection Control at the Bedside

1. Infection Control at the Bedside Melissa Crump RN, MSN

2. Who are we?? • VGH: 955 bed facility that offers both tertiary and specialized services • Provides care for patients throughout the province • Teaching hospital

3. Infection Control Challenges • Education (standardize practice) • Struggle with hand hygiene • Appropriate PPE • Patient’s not being isolated • Patient’s not being screened • Sharing of equipment • Housekeeping issues

4. Unit Challenges • Patient Population • Language Barriers • Cultural Norms • Dementia/Delirium • Infection control practice

5. One unit’s change journey: Making the Invisible Visible

6. Positive Deviance/Liberating Structures • Communicate • Share ideas • Create cultural changes

7. Positive Deviance/Liberating Structures • Thinking beyond the box • Catching ‘butterflies’ • Lasting change not seasonal change

8. Speaking up

9. Staff Changes • Confidence • Knowledge • Critical Thinking • Renewed sense of community • TRUST

10. Actions!

11. Taking Control of their Community

12. Taking Control of their Community • Creating Unit rules: no gowns and gloves in the nursing station • Reminding each other about Hand hygiene • Identifying early those patients needing isolation • Asking questions!

13. Sharing Information • Transparency with Hand hygiene results • ARO results

14. Tracking Progress

15. ARO Report

16. Questions