1. 1 Infection Control at the Bedside Melissa Crump RN, MSN

2. 2 Who are we?? VGH: 955 bed facility that offers both tertiary and specialized services Provides care for patients throughout the province Teaching hospital

3. 3 Infection Control Challenges Education (standardize practice) Struggle with hand hygiene Appropriate PPE Patient’s not being isolated Patient’s not being screened Sharing of equipment Housekeeping issues

4. 4 Unit Challenges Patient Population Language Barriers Cultural Norms Dementia/Delirium Infection control practice

5. 5 One unit’s change journey: Making the Invisible Visible

6. 6 Positive Deviance/Liberating Structures Communicate Share ideas Create cultural changes

7. 7 Positive Deviance/Liberating Structures Thinking beyond the box Catching ‘butterflies’ Lasting change not seasonal change

8. 8 Speaking up

9. 9 Staff Changes Confidence Knowledge Critical Thinking Renewed sense of community TRUST

10. 10 Actions!

11. 11 Taking Control of their Community

12. 12 Taking Control of their Community Creating Unit rules: no gowns and gloves in the nursing station Reminding each other about Hand hygiene Identifying early those patients needing isolation Asking questions!

13. 13 Sharing Information Transparency with Hand hygiene results ARO results

14. 14 Tracking Progress

15. 15 ARO Report

16. 16 Questions