Download Winchester Hospital B2 Infection Prevention Team

Winchester Hospital
B2 Infection Prevention Team
Pam Linzer RN
Karen Peters RN
Karen Pimental RN
David Gullbrand RN
Chris Baskarakumar RN
Erin Studley RN
Executive Sponsor: Dr. Rick Iseke
Aim – Reduce hospital acquired multidrug
resistant organisms on one unit in three phases
over one year.

Front Line Workers- only way it was successful!

Discover and Action Dialogues


More Alcohol Based Sanitizers- Wipes
Identified patient and visitor teaching as necessity.

Change of Shift Huddles to educate and
communicate

Encouraged non-punitive culture to “catch and
remind” each other. Be proud we are the
Infectious Disease Unit.
Phase 1:
Hand Hygiene Compliance and Infection Rate

100
84.0
90
90
7
6
80
72.0
70
5
60
4
50
3
40
30
6
3.2
2
2
21.5
1.2
1
1
0.56
20
0
10
Dec 07 - Feb 08
Dec 08 - Feb 09
March 09-May 09
0
Dec
Jan
Feb
Mar-May
# Infections Rate/1000 Pt Days
Leadership Engagement

Imperative to have leadership
engagement.




Let us use his office for conference calls.
Staff RN’s wanted to know if he was coming
Press . . .and more press . . .
Accolades …. and more accolades . . .



Our Newsletter- nursing and hospital-wide
Board of Directors
Medical Executive Committee
Lessons Learned

Found surprise positive deviants- a CA on evenings helped
with most of the audits and learning conversations on her
shift.


Need to touch base regularly even if to huddle and make to do
lists to keep forward momentum.


Would include more disciplines next time.
Would do action plans from the beginning.
“Real work and progress” takes place during work time- not
meeting time.

Huddles work the best.
AND
p
HAND HYGIENE IS # 1