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Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention

Robin Cater, RN, BSN, CCRN Clinical Educator Critical Care/Cardiac Care Stepdown Unit. Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention. On the CUSP Adventure. In 2009, ICU and CCU had a combined CLABSI rate of 1.06

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Linda Huddleston, RN, MSN, MPHc Director of Infection Prevention

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  1. Robin Cater, RN, BSN, CCRN Clinical Educator Critical Care/Cardiac Care Stepdown Unit Linda Huddleston, RN, MSN, MPHcDirector of Infection Prevention

  2. On the CUSP Adventure • In 2009, ICU and CCU had a combined CLABSI rate of 1.06 • We wanted to get to zero – but how could we get there?

  3. Enlightened • Denise Flook contacted Infection Preventionists in Georgia and Enlightenedthem about a project from Johns Hopkins…. • “On the CUSP” • (Comprehensive Unit-based Safety Program)

  4. Peter Pronovost • One doctor, motivated by a high profile pediatric death at Johns Hopkins , led the charge that launched a persistent effort to "transform" that culture and improve patient safety.

  5. Engaged • A CLABSI Prevention team was formed • Included representation from: • ICU, CCU, ECC, anesthesia, Infection Prevention, staff nurses, PICC nurse, CNO, Director of OR, Medical Resident &Director of Residency , Vascular Liaison, and an ID consultant

  6. Engaged • Surveyed staff (60% completed) • Created a central line bundle • Educated staff • Central line checklist • Ask daily if catheter can be removed (revised daily goal tool) • Empowered nurses to SPEAK UP!

  7. Encouraged • Denise Flook, Peter Provonost • Coaching and content calls • Each month we were at zero: • Celebrations • Intranet • Signs in units

  8. Empowered • Coached Staff to set an example and be Pro-active • Any staff can stop the procedure • Currently working on creating a Culture of Safety with a “Speak Up” program.

  9. Evaluated • “Assumed” that everyone knew what a “head to toe” dressing was-discovered that we had a 46” drape • “Assumed” that checklists were being completed at the bedside-EMR was being used post-procedure • Physicians are using more Picc lines now with CVP monitoring capacity 

  10. Getting to…… • January 2010- last CLABSI ICU…until August 2011….. • January 2008 –last CLABSI CCU

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