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NICU CLABSI Affinity Group Meeting June 13, 2012. Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice President, Infection Prevention/Staff Engagement. Learning Objectives. Discuss the successful strategies used by the hospital to reduce CLABSI in NICU.
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NICU CLABSI Affinity Group MeetingJune 13, 2012 Denise Flook, RN, MPH, CIC HAI Collaborative Lead Vice President, Infection Prevention/Staff Engagement
Learning Objectives Discuss the successful strategies used by the hospital to reduce CLABSI in NICU. Identify how the hospital engaged staff and physicians in the CLABSI work. Describe how the team addressed the barriers that were identified. Outline one step your team must take next week in order to reduce CLABSI in your NICU. Implement the action steps your team should complete before the July meeting.
Framing Our Meeting Putting Patients First. Preventing All Cause Harm Think of what worked and how you can learn from it What would you add/adapt to make it work in your hospital Think about what insights you gained
Goals • Achievement of HAI goals: • Reducing health care acquired infections by 40% • CLABSI: <1/1000 central line days • Substantial Reduction in HAI by August 2012
Five Phases of Improvement • Project Identification • Diagnostic • Interventions • Impact & Implementation • Sustaining
Where Is Your Team? Assess your internal baseline data Prioritize improvement Define goal/aim for reduction Meet with your Senior Executive champion Develop your team Conduct first team meeting Use the Pre-Implementation Checklist to assist you in beginning your work
Next Steps: To be completed by July 11 Meeting Complete development/review of your Central Line checklist and Maintenance bundle. Implement the proposed checklist in a small sample (Test of Change). Assess and modify as needed. Develop a plan to include assessment of line necessity every day during rounds. Begin to collect process measure data (ie, compliance to checklist) for June to report in July. Complete the meeting evaluation by June 19.
Action Step What is one action you will take in the next week to prevent CLABSI in your unit?
Denise Flook dflook@gha.org. 770-249-4518 Contact Information