1 / 16

Grady Health System Infection Prevention & Control

Grady Health System Infection Prevention & Control. August 13, 2014 Mary Cole, RN, MSN, CIC. Prepared by a Peer Review Committee pursuant to Title 31, Chapter 7 of the Official Code of Georgia. CLABSI Prevention Activities.

jodie
Télécharger la présentation

Grady Health System Infection Prevention & Control

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Grady Health SystemInfection Prevention & Control August 13, 2014 Mary Cole, RN, MSN, CIC

  2. Prepared by a Peer Review Committee pursuant to Title 31, Chapter 7 of the Official Code of Georgia

  3. CLABSI Prevention Activities • Feb. 2011 Insertion bundle, CHG dressing, standardized carts, unit audits • March 2011 Unit based CVC Champions • May 2011 Cross audits to other areas • July 2011 Enhanced MD education, credentialed after CBL, proctored insertions • Sept. 2011 alcohol port protectors SICU Prepared by a Peer Review Committee pursuant to Title 31, Chapter 7 of the Official Code of Georgia

  4. CLABSI Prevention Activities, cont. • Oct 2011 Alcohol port protectors MICU • Nov. 2011 Alcohol port protectors Med/Surg • Feb. 2012 CUSP MICU/SICU • June 2012 Alcohol port protectors ED/Radiology, blood culture collection limited to phlebotomy (ED and in-patient)

  5. CLABSI Prevention Activities, cont. • March 2013 needle free adaptors and alcohol port protectors for vascath (dialysis) • April 2013 CUSP for Burns, Neuro, and Intermediate Care • July 2013 PICC Team (nurses) at bedside • Oct 2013 Neutral valve for IV ports to prevent backflow

  6. Prepared by a Peer Review Committee pursuant to Title 31, Chapter 7 of the Official Code of Georgia

  7. CAUTI Prevention Activities • Upgraded foley tray & added securement device • CAUTI Champions, monthly meetings and conduct RCAs • Purchased additional bladder scanners to decrease re-insertion of foleys • Regular agenda item for CUSP teams Prepared by a Peer Review Committee pursuant to Title 31, Chapter 7 of the Official Code of Georgia

  8. CAUTI Prevention Activities, cont. • On-going work with ED and OR to decrease foley usage • Nurse driven foley removal protocol • Increased various sizes of condom caths • MD and nurse daily justification in EMR • Infection Prevention & Nursing conduct weekly audit of bundle compliance with report to Executive Leadership

  9. Prepared by a Peer Review Committee pursuant to Title 31, Chapter 7 of the Official Code of Georgia

  10. SSI Prevention Activities • SUSP team with Executive Leadership • SSI surveillance all COLO,HYST, CARDS, CABG, FUSN, HIPS, KNEES • IP presence in OR, monitoring a minimum of 4 procedures per week for HYST/Colon. Findings are reviewed in SUSP • RCA completion for all SSIs by OR, MDs, reviewed in SUSP. Prepared by a Peer Review Committee pursuant to Title 31, Chapter 7 of the Official Code of Georgia

  11. SSI Prevention Activities, cont. • Mandatory training of all staff and MDs on surgical site prep • CHG bath night before and morning of surgery in addition to nasal and oral prep for all surgeries below the neck, track compliance • Work with IT to add this to pre-op orders • Currently working to isolate separate instruments for skin closure for COLO and HYST

  12. Prepared by a Peer Review Committee pursuant to Title 31, Chapter 7 of the Official Code of Georgia

  13. Prepared by a Peer Review Committee pursuant to Title 31, Chapter 7 of the Official Code of Georgia

  14. CRE Prevention Activities • MDRO designation in header of EMR • Orange bracelet on MDRO patients • IP receives E mail alert MDRO lab identification • MDRO admissions are followed daily by IP • EVS reports quarterly to ICC on ATP monitoring and UV disinfecting activities • Participated in recent CRE collaborative with GA DPH and CDC. Prepared by a Peer Review Committee pursuant to Title 31, Chapter 7 of the Official Code of Georgia

  15. Essentials to success • Active involvement from Executive leaders, MDs, and front-line staff • Partnership with IT • Partnership with EVS • Be persistent!

  16. Questions? Thank you

More Related