INFECTION PREVENTION IMPROVEMENT Neonatal Intensive Care Unit Baystate Health System Janine Niedziela ADN, RNC-nic

GOAL Reduce the incidence of Hospital acquired infections by engaging and motivating staff

Reinforce Best Practices Must be implemented, understood and followed by all Staff members  Reduce Catheter Related Bloodstream Infections Dedicated insertion team, aseptic practice, 1-2 minute scrub the hub, removal of linesDedicated insertion team, aseptic practice, 1-2 minute scrub the hub, removal of lines  Reduce Ventilator Associated Infections HOB elevated degreesHOB elevated degrees Closed in line suction for all vented patientsClosed in line suction for all vented patients Separate system for oral suctioningSeparate system for oral suctioning Vent Circuits changed every 7 daysVent Circuits changed every 7 days  Environmental cleaning and disinfection Q 4 hours and as necessary with 10% bleach solutionQ 4 hours and as necessary with 10% bleach solution  Implement a strong Hand Hygiene program Includes alcohol hand rub at bedside, ‘knock on the door’ concept for hand hygiene, hand hygiene champion programIncludes alcohol hand rub at bedside, ‘knock on the door’ concept for hand hygiene, hand hygiene champion program

What’s really made the difference???  “Wipe Off Board- Real Time Reflection” ‘Puts a Face’ Updated by infection controlUpdated by infection control Visible to all, family members includedVisible to all, family members included  The board fosters competitive behavior in the unit.

Unit Based Engagement and Feedback  Device Related Infections Including days between infectionsIncluding days between infections 1 VAP in 4 years1 VAP in 4 years > 300 days since CLABSI> 300 days since CLABSI  Device Utilization Decreasing line days per quarterDecreasing line days per quarter  Hand hygiene Rates 100 % achieved for 3 months100 % achieved for 3 months