St John’s Community Hospital

Administration of IV Antibiotics

Administration of Intravenous Antibiotics Administration of Intravenous Antibiotics in in

St. John’s Community HospitalSt. John’s Community Hospital

Melissa Kelly A/CNM II

St John’s Community HospitalAdministration of IV Antibiotics

How did the initiative come about?How did the initiative come about?

• Previously administered in acute hospital settings• Trend now to deliver in home or Community Hospitals• Result of “Out Patient Parentral Antimicrobial Therapy

Clinical Care Programme”• No patient receiving IV AB who can be treated out of

hospital to remain as an inpatient• Pilot programme for administration of IV AB in the

community

St John’s Community HospitalAdministration of IV Antibiotics

How Pilot was IntroducedHow Pilot was Introduced• Introduced as part of Joint Implementation Group across

the Acute and PCCC Services• Meetings held with:

– Discharge Liaison and Senior Project Officer – Medical Consultants – Director of Nursing – Service Manager for Older People – Director of Nurse Education

• Clinical pathway introduced • Development of a policy • Staff education• Sourcing of equipment • Follow-up meetings – pilot date determined

St John’s Community HospitalAdministration of IV Antibiotics

Pilot ProgrammePilot Programme

Pilot

Pilot started July 2011 – Nov 2011

Six patients treated within pilot

29 Acute bed days saved

Reduction in transport costs

Positive Service User experience – “only for I could get IV AB in St. John’s, I’d be dead” – B Anderson 20/11/11

Positive Staff experience

No delay in activation of treatment

St John’s Community HospitalAdministration of IV Antibiotics

AcknowledgementsAcknowledgements• Acting Director of Nursing, St. John’s Community Hospital• Clinical Director • Doctors Paula Hickey, John Doherty and their medical teams • Dr. Sadiq, Medical Officer St. John’s Community Hospital • Frank Morrison, Acting Service Manager for Older People PCCC • Sligo General Hospital • Our Lady’s Hospital, Manorhamilton • Mary Quinn, Discharge Liaison Officer • Senior Projects Officer, Sligo General Hospital • Director of Nurse Education • Maureen Scanlon, IV Training Coordinator

Special thanks to the patients and their relatives!

St John’s Community HospitalAdministration of IV Antibiotics

Thank You for ListeningThank You for Listening

Melissa Kelly A/CNM II

St John’s Community Hospital

Sligo