2. Peterson Regional Medical Center Kerrville, Texas 125 bed rural community independent not-for-profit hospital

3. Our Statistics Zero CLABSIs in the entire hospital for 28 months! 90% of all central lines are inserted by the PICC Team

4. Approximately 300 line days per month 60-80 CVC devices per month placed 60-90 CVC devices per month monitored

5. What We Learned… Communication is the grease of change They are watching Leadership’s commitment is the driver of change

6. Everyday is a learning experience This is not an easy process Keep it simple

7. Barriers to Success… We have always… Flavor of the month Lack of trust Lack of knowledge

8. The territorial and resistant They come back Behavior change Non-clinical people

9. Overcoming Failure is not an option Proving evidence based practice Education is the key I am committed Keep your word

10. Make it personal Fix it right Accountability Have backup Hardwire Reward your staff

11. Wisdom to Live By If staff believes in leadership, their resolve becomes hardened to prevent patient harm. Conviction to not give up when things are hard. It’s the difference between success and lip service.

12. How this helped other areas Daily goals used throughout facility Standardized line care in Outpatient areas Validated other Evidence Based Practices

13. Increased team as well as patient satisfaction Increased awareness of other HAI measures

14. Thanks Y’all Theresa Hickman, RN Nurse Educator 830-258-7429 thickman@petersonrmc.com Aaron Saul, Jr. RN VA-BC PICC/IV Infusion Clinical Supervisor 830-258-7431 asaul@petersonrmc.com