Upload
daniel-greene
View
215
Download
0
Tags:
Embed Size (px)
Citation preview
ObjectivesIdentify at least 3 practical ways to improve
overall facility infection control
State at least 3 interdisciplinary measures to
reduce the incidence of CDI
Identify at least 3 practical ways to implement
environmental changes in your facility
How we Began our Journey…
MA Senior Care NewsletterCDI Hospital SNF Collaborative
Contacted MA Coalition for Prevention of Medical Errors
Our Marlboro facility assigned to partner with MWMC
First SNF-Hospital CDI Collaborative meetingAdditional Collaborative meetings and
conference calls
November 2011
MWMC-SNF CDI Team:Individual Team Assessment
Prepared by MWMC Infection Control Practitioner
Mechanism to start our in house assessmentIdentified facility team members and role in
facilityReassessed the number of cases of CDI last year Reviewed corporate nursing & infection control
policies and procedures Examined environmental supplies and practicesAssessed whether visitors follow proper infection
control guidelines
The TeamAdministratorDONSenior Director of
Clinical Services for Merrimack Health Group
Regional Clinical Consultant for Merrimack Health Group
SDCCase ManagerNPDirector of Rehab
Unit ManagersDirector of Social
ServiceDirector of DietaryActivities DirectorDirector of
MaintenanceDirector of
Environmental Services
Front line staff: CNA’s from LTC and subacute units
In House MeetingsInitially whole team met every 2 weeks Interdisciplinary subcommittees established
Infection Control CommitteeEducation CommitteeEnvironmental CommitteeHealthy Hands & Aesthetics CommitteeAntibiotic Stewardship Committee
Much progress made and was tested in February when we had a GI outbreak… stay tuned
Infection Control and Education CommitteesNew evidenced based corporate policies and
procedures with clinical competencies CdiContact Plus PrecautionsHand Hygiene-Glitter Bug a huge hit!
Alcohol based hand rubs Soap and water
MHG Hand washing & CDI Needs AssessmentExpanded upon MWMC questionnaireDistributed to all Directors of Nursing/SDC’sResults/assessment to Regional Clinical ConsultantDON/SDC inserviced before p&p rolled out in
facilities
Infection Control and Education Committees:
MHG Hand washing & CDI Needs AssessmentExpanded upon MWMC questionnaireDistributed to all Directors of Nursing/SDC’sGuide to assess if facility compliant with newest p&pReview education, audits, equipment, suppliesReview environmental servicesAssess antibiotic usage in the facility
Results/assessment to Regional Clinical ConsultantDON/SDC then educated prior to implementation of
new hand washing and cdi programs
Infection Control and Education CommitteesStarted reviewing all infections daily @ skilled meetingCompleted inventory of infection control equipment in
facilityContact Precaution & Contact Plus signs revised “Report to Nurse” stop signs revisedOrdered disposable equipment for CDI patient rooms
Blood pressure cuffsStethoscopesThermometersGlucometersGait belts different color
Instituted neon green colored interdepartmental infection communication forms
Learned effectiveness of cohorting patients with cdi
Infection Control and Education CommitteesBased interventions & programs on the
“Practice Opportunities for CDI Prevention” hand out
“Jasper Palmer Method” as seen on Youtube Developed CDI FAQ brochures
Staff version also available in Spanish & PortuguesePatient and visitor version
Developed Infection Control FAQ brochurePut into patient welcome bags
Community outreach:Q & A Cable program for Marlboro Seniors
Infection Control and Education CommitteesEducation for environmental services
Translators were available at time of inservice Communication Cards created
Facilitate clear communication between departments
Spanish and Portuguese with English equivalent
Mandatory Inservice Fair for all staffNew P & P’sCompetencies were completed
Environmental CommitteeSDC audited housekeeping & laundry Assessed practice opportunities for cdi
preventionEquipmentEnvironmentCleaning solution options
Implemented “CDC environment checklist for monitoring terminal cleaning:”Helped to identify high touch room surfaces
Microfiber mops purchasedStill exploring UV disinfection systemBleach wipes readily available
Healthy Hands and Aesthetics CommitteeHand wipes for patients to use before mealsHand washing at patient activitiesHand washing audits Fun & unique hand washing framed signs
Used ideas from collaborativeCommode liners very effective
Containing the cdiReduced odorStaff ease of use
Antibiotic Stewardship CommitteePharmacy antibiotic records reviewedCollated meds by prescriber; then used to
identify: Prescribing patternsOpportunities for re-educationNumber of patients with cdi
Initial Recurrent
Results given to DON’s/SDC’s for their review
What happened in February…Many patients admitted with gastroenteritisSubsequent new cases of concomittant cdi
CDC –gastroenteritis predisposes patients to cdi!
Put all departments new skills to the testYellow gowns became a fashion statement
Found that cohorting was an important part of eradicating cdi
After the “invasion…”Only 2 cases of facility acquired cdi
(antibiotic use)We continue to meet as a team monthlyTrack cdi as a part of our CQI
We are so appreciative for all that we have learned from being a part of the CDI collaborative!