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INFECTION PREVENTION IMPROVEMENT Neonatal Intensive Care Unit Baystate Health System

INFECTION PREVENTION IMPROVEMENT Neonatal Intensive Care Unit Baystate Health System. Janine Niedziela ADN, RNC-nic. GOAL. Reduce the incidence of Hospital acquired infections by engaging and motivating staff. Reinforce Best Practices.

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INFECTION PREVENTION IMPROVEMENT Neonatal Intensive Care Unit Baystate Health System

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  1. INFECTION PREVENTION IMPROVEMENT Neonatal Intensive Care UnitBaystate Health System Janine Niedziela ADN, RNC-nic

  2. GOAL Reduce the incidence of Hospital acquired infections by engaging and motivating staff

  3. Reinforce Best Practices Must be implemented, understood and followed by all Staff members • Reduce Catheter Related Bloodstream Infections • Dedicated insertion team, aseptic practice, 1-2 minute scrub the hub, removal of lines • Reduce Ventilator Associated Infections • HOB elevated 15-30 degrees • Closed in line suction for all vented patients • Separate system for oral suctioning • Vent Circuits changed every 7 days • Environmental cleaning and disinfection • Q 4 hours and as necessary with 10% bleach solution • Implement a strong Hand Hygiene program • Includes alcohol hand rub at bedside, ‘knock on the door’ concept for hand hygiene, hand hygiene champion program

  4. “Wipe Off Board- Real Time Reflection” ‘Puts a Face’ Updated by infection control Visible to all, family members included The board fosters competitive behavior in the unit. What’s really made the difference???

  5. Unit Based Engagement and Feedback • Device Related Infections • Including days between infections • 1 VAP in 4 years • > 300 days since CLABSI • Device Utilization • Decreasing line days per quarter • Hand hygiene Rates • 100 % achieved for 3 months

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