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Infection Control at the Bedside

Melissa Crump RN, MSN

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Who are we??

• VGH: 955 bed facility that offers both tertiary and specialized services

• Provides care for patients throughout the province

• Teaching hospital

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Infection Control Challenges

• Education (standardize practice)

• Struggle with hand hygiene

• Appropriate PPE

• Patient’s not being isolated

• Patient’s not being screened

• Sharing of equipment

• Housekeeping issues

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Unit Challenges

• Patient Population

• Language Barriers

• Cultural Norms

• Dementia/Delirium

• Infection control practice

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One unit’s change journey: Making the Invisible Visible

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Positive Deviance/Liberating Structures

• Communicate

• Share ideas

• Create cultural changes

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Positive Deviance/Liberating Structures

• Thinking beyond the box

• Catching ‘butterflies’

• Lasting change not seasonal change

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Speaking up

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Staff Changes

• Confidence

• Knowledge

• Critical Thinking

• Renewed sense of community

• TRUST

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Actions!

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Taking Control of their Community

PLEASE HELP DE-CLUTTER

STAFF:

Limit supplies in patient room

FAMILY:

Limit personal items and store them in the top drawer or closet

REGULAR DE-CLUTTERING WILL ALLOW

HOUSKEEPING STAFF TO THOROUGHLY

CLEAN SURFACES

THANK YOU!!

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Taking Control of their Community

• Creating Unit rules: no gowns and gloves in the nursing station

• Reminding each other about Hand hygiene

• Identifying early those patients

needing isolation

• Asking questions!

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Sharing Information

• Transparency with Hand hygiene results

• ARO results

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Tracking Progress

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ARO ReportARO Report CP7 and CP10D for June2011

The table below summarizes the acquisition of AROs on C7 and C10D in the month of June. It is important to remember that it is not appropriate to compare numbers with other units, but to focus on reducing the rates of all three AROs over time.

MRSA VRE CDI New Relapse

C7A 0 0 0 0 C7C 0 0 1 1

C10D 0 0 0 0 Hand hygiene audits: C7 – 76% C10D – 75% VGH Overall – 73% Hand hygiene rates for CP7 seem to be holding steady in the 70s%, keep working towards 100%. CP10 hand hygiene rate has climbed back up to the 70s%. CP7AB had no transmission this month, Great work! CP7CD had 1 CDI transmission and one relapse this month. We will continue the PD meetings to ensure that ideas are shared regarding continuing our efforts to decrease ARO transmissions.CP10 had no transmissions this month. Great work!

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Questions