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Campaign promotes patient safety training
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by Cindy Abole
Public Relations
Clinical staff will soon have additional training and tools to empower
them in the elimination of central line-associated bloodstream
infections (BSI). Renewed standardized training and improved staff
education efforts were created through a quality education program and
multidisciplinary infection prevention task force and the Division of
Quality Management & Patient Safety’s Infection Prevention and
Control Department.
The Getting to Zero BSI campaign was established to meet some of the
Joint Commission’s 2009 National Patient Safety Goals by promoting
improvements in patient safety and establishing solutions throughout
the organization. The Infection Prevention and Control team’s goal is
to reduce the number of hospital-acquired infections. One goal targets
best practices and the implementation of evidenced-based guidelines
that prevent BSI through the establishment of a Zero BSI Prevention
Task Force Committee, which was formed last October. The group consists
of nursing and physician staff from Neurosciences and Medical Intensive
Care Units, 9W and 7B (Pediatric Hematology/Oncology).
Aside from promoting the continued practice of good hand hygiene, team
members are committed to finding ways to reduce BSI, ventilator
assisted pneumonia and provide central venous line (CVL) bundle care to
patients throughout the hospital. The team was able to develop a
standardized line maintenance protocol and education plan for rollout
in four pilot units starting in March.
“This effort focuses on staff engagement, training and development of
best practices. We have also relied on the guidance of experienced
nurse educators and other staff to lead in this effort,” said Linda
Formby, R.N., Infection Prevention and Control director.
Last February, clinical staff successfully completed the transition
from Baxter infusion pumps to Alaris infusion pump products. Staff
completed training for the new Alaris pumps, PCA and syringes via a
computer-based tutorial that was available to staff through CATTS, plus
live session training. Both superuser and enduser training also was
conducted.
In an effort to meet the goals of this project, the team adopted an
idea from the NNICU. The NNICU idea was to conduct a “crime scene
investigation” format of BSI events. Staff will question and track all
positive blood cultures among patients in the pilot. Investigators
created a database to record, plot and track events, plus share
findings, actions and identify trends. Their efforts resulted in the
development of a BSI prevention education packet and training program
that helps evaluate staff competency skills specific for their areas.
“The team was able to provide standardized information and develop
practices that can help safeguard against BSI,” said Michele Farthing,
R.N., pediatric education coordinator, who led educational development
for this effort.
The team also plans to partner with staff in other ancillary
departments including radiology, the OR and the emergency departments.
Other training will be established for resident-physicians and staff in
proper central line management and other related products.
“Everyone on this team is passionate and dedicated to making things
better for our staff and patients,” Farthing said. “BSI prevention is a
vital part of patient care. As clinicians, everyone on the Task Force
is passionate about this and committed to laying down the foundation of
good training, education and best practices that will help us provide
the safest care for our patients.”
Infection Prevention and Control’s Bloodstream Infection Prevention Task Force
Linda Formby, chairperson; Julio Chalela, Cheryl Holderfield, Sarah
Bucko, Michele Farthing, Carl Kennedy, Sharon Gala, Leah Ramos, Janet
Byrne, Beth Fleming, Linda Ingram, Tammy Cawthorn, Beth Grannell,
Perette Sabatino, Laurie Zone-Smith, Wanda Beardsley, Mary Allen, Beth
Rhoton, Shannon Harbison, Celeste Phillips, Keri Yarborough, and Lisa
Langdale.
Friday, March 6, 2009
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