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Ellis Medicine CLABSI Reduction in the ICU

Ellis Medicine CLABSI Reduction in the ICU. Eve Bankert, MT Director of Infection Prevention Kathleen Aidala, RN CCRN ICU Nursing Quality & Education Specialist. Background . Sustained high CLABSI rates: 2007-2008 Approx 50% of ICU patients have CVCs

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Ellis Medicine CLABSI Reduction in the ICU

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  1. Ellis MedicineCLABSI Reduction in the ICU Eve Bankert, MT Director of Infection Prevention Kathleen Aidala, RN CCRN ICU Nursing Quality & Education Specialist

  2. Background • Sustained high CLABSI rates: 2007-2008 • Approx 50% of ICU patients have CVCs • Hospital wide focus on “Culture of Safety” • Identified opportunities for improvement • Targeted initiatives vs. looking at discrete events • Ownership of problem and process • Need for a multidisciplinary approach • Need for standardization

  3. Initiatives • CLABSI Task Force • Dressing Change Observations • ICU Unit Based Council • ICU Huddles • RN/IP Collaborative Rounds • Curos • CHG Bathing • New Hand Hygiene Campaign

  4. CLABSI Task Force Created in 2007 CLABSI case reviews New product review IV team report 2013 transitioned to IP Task Force

  5. ICU UNIT BASED COUNCIL Initiated in 2012 in response to increased infection rates Team leader is also ICU quality committee representative. Multidisciplinary team: ICU staff, NMs, physician, respiratory therapy, dietary & infection prevention. Meet once a month for an hour to review ICU infections Develop action plans to assist with decreasing infection rates

  6. IV access ports have been associated with increased BSI rates • Peel off hanging strip (hung on every IV pole) twist on over access port • Physical barrier to contamination between line accesses. • Inside green cap 70% isopropyl alcohol saturated sponge. • Disinfects valve 3 minutes after application. • Can be left on for up to 7 days if IV site not used

  7. CHG BATHING 95% reduction in bacterial growth which decreased risk of hospital acquired infections. Although CHG can alter pH it is still maintained in the normal acidic range for skin flora. We still use basin for washing. Clean basin before and after use. Nothing is stored in wash basins.

  8. Hand Hygiene Task Force • Increase hand hygiene compliance • Create a sense of accountability • Engage key stakeholders/ departmental champions • Embed hand hygiene in Ellis culture • Identified as an organizational patient safety priority • Multidisciplinary collaborative approach • Education in what to say or do when someone is not in compliance

  9. High Five Saves Lives Educational MessageHow Give staff a friendly High Five as a reminder to do Hand Hygiene

  10. ICU CLABSI Rates 2007-2013

  11. Conclusions • Culture of Safety must be our guiding force • Collaborative efforts= favorable outcomes • Sustainable practices a must for success • Employ initiatives that align with nationally recognized standards • Teamwork!

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