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Implementing Active Surveillance Cultures to Reduce MRSA Transmission. Linda Riley, MEd, RN, BC, CIC Cooley Dickinson Hospital, Northampton, Ma. Implementing Active Surveillance Cultures.
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Implementing Active Surveillance Cultures to Reduce MRSA Transmission Linda Riley, MEd, RN, BC, CIC Cooley Dickinson Hospital, Northampton, Ma.
Implementing Active Surveillance Cultures • We started in CCU, did screening for a year, determined our rate and then used this to budget for the program expansion. • We provided staff feedback using bar graphs: • % patients screened • Number and % with MRSA • Number and % with new MRSA, not already on our MDRO list. • Unit secretary owned tracking compliance with screening.
Keep it simple! • Volunteers assemble small biohazard bags containing patient teaching materials and culture swabs. • These are kept in tupperware bins in ready reach. • All admissions get screened rather than having a list of criteria staff need to remember.
Precaution Carts • Went from 12 to 20 carts and used ASPR grant (emergency preparedness) to fund. • Cart/sign left at room until cleaning done, then placed in docking station by elevator with “used” sign for pick up and restocking by CSP. • Cloth gowns no longer fluid impermeable separated and used for visitors, saving $5,000 annually.
It Takes a Village! • ED and Lab: actual screening • EVERYONE who wears gowns and gloves • ES: improved cleaning • Senior management/ finance: $$$$$ • Print shop: patient teaching materials • Volunteers: swab packets • Linen/ storeroom/ CSP: maintain precaution carts • Public relations: publicity • IS: screen savers, e-mails to all with progress • Departmental improvement teams: pt. units, ES