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Just Culture is More Than Just Talk- How CUSP Culture and Teamwork Led to ZERO CLABSI Infections. Peterson Regional Medical Center Kerrville, Texas. 125 bed rural community independent not-for-profit hospital. Our Statistics. Zero CLABSIs in the entire hospital for 28 months!
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Just Culture is More Than Just Talk-How CUSP Culture and Teamwork Led to ZERO CLABSI Infections
Peterson Regional Medical CenterKerrville, Texas • 125 bed rural community independent not-for-profit hospital
Our Statistics • Zero CLABSIs in the entire hospital for 28 months! • 90% of all central lines are inserted by the PICC Team
Approximately 300 line days per month • 60-80 CVC devices per month placed • 60-90 CVC devices per month monitored
What We Learned… • Communication is the grease of change • They are watching • Leadership’s commitment is the driver of change
Everyday is a learning experience • This is not an easy process • Keep it simple
Barriers to Success… • We have always… • Flavor of the month • Lack of trust • Lack of knowledge
The territorial and resistant • They come back • Behavior change • Non-clinical people
Overcoming • Failure is not an option • Proving evidence based practice • Education is the key • I am committed • Keep your word
Make it personal • Fix it right • Accountability • Have backup • Hardwire • Reward your staff
Wisdom to Live By • If staff believes in leadership, their resolve becomes hardened to prevent patient harm. • Conviction to not give up when things are hard. It’s the difference between success and lip service.
How this helped other areas • Daily goals used throughout facility • Standardized line care in Outpatient areas • Validated other Evidence Based Practices
Increased team as well as patient satisfaction • Increased awareness of other HAI measures
Thanks Y’all Theresa Hickman, RN Nurse Educator 830-258-7429 thickman@petersonrmc.com Aaron Saul, Jr. RN VA-BC PICC/IV Infusion Clinical Supervisor 830-258-7431 asaul@petersonrmc.com