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PENNINE ACUTE HOSPITALS NHS TRUST HCAI RECOVERY

PENNINE ACUTE HOSPITALS NHS TRUST HCAI RECOVERY. Vic Crumbleholme/Louise Dickinson Associate Director of Nursing/Nurse Consultant Prevention & Control of Infection. PAHT MRSA bacteraemia 6 monthly figures and rates per 10,000 bed days, April 01-March 07.

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PENNINE ACUTE HOSPITALS NHS TRUST HCAI RECOVERY

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  1. PENNINE ACUTE HOSPITALS NHS TRUSTHCAI RECOVERY Vic Crumbleholme/Louise Dickinson Associate Director of Nursing/Nurse Consultant Prevention & Control of Infection

  2. PAHT MRSA bacteraemia 6 monthly figures and rates per 10,000 bed days, April 01-March 07

  3. PAHT c. difficile Annual figures & rates per 1,000 bed days for patients 65 +

  4. Why is PAHT in Recovery? MRSA Trajectory

  5. Recovery Plan • High Impact Interventions • Infection prevention moved into the corporate domain/HCAI Board • DoH support • Managerial engagement • Clinical engagement • PCT support • Infection Prevention Performance Team • Forensic approach to Infection Prevention

  6. High Impact Interventions • Hll 1 Central line Care • Hll 2 Peripheral Cannulae • HII 3 Renal Dialysis Catheter Care Bundle • Hll 4 Prevention of surgical site infection • HII 5 Ventilated patients or tracheostomy • HII 6 Urinary catheter • HII 7 Arrangements for managing C diff

  7. Corporate Team • Chief Executive • Director of Infection Prevention & Control • Director of Nursing • Infection Prevention Nurse Consultant • Associate Director of Nursing • HAI Board • IPNs/IPPs • DNMs/Ward Managers

  8. DoH Support • Weekly monitoring • Face to face contact • Phone to phone contact • Clinical/project support • Critical review of progress

  9. Managerial Engagement • Performance management “dashboard”

  10. Managerial Engagement

  11. Managerial Engagement

  12. Managerial Engagement

  13. Managerial Engagement

  14. Handwashing week ISS ANTT awareness HAI Board Wider range of communication Backlog maintenance Public health day C difficile day IP Summit Handwashing stations Screensaver Pennine News Series of meetings with Consultant medics Clinical Engagement

  15. PCT Support • £550,000 of £50,000,000 Government help allocated to PAHT • Contract incentives • Clinical support

  16. Infection Prevention Performance Team • 5 sisters • Site based • Targeted support to clinically-based staff • Corporate authority • Specific role re. education, practice and to support specific projects (e.g., ChloraPrep) • Monitoring support • Audit/accreditation

  17. Our Experience Before After

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