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Campaign promotes patient safety training

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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